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Flashcards in PT Deck (43)
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1

What are the general therapeutic goals for ortho?

All of the above

2

All rehab patients present with the following 3 components:

Mechanical
Neuromuscular
Motor

3

2 main treatment interventions within PT include:

Manual therapy
Therapeutic exercise

4

This finding is typically present when diagnosing patella-femoral syndrome.

Ipsilateral hip abductor weakness

5

What does physical therapy assist with?

Restoration,
maintenance, promotion of optimal physical function

6

Places where Physical Therapists can Practice

Hospital
Private practice
Inpatient rehabilitation facility
Outpatient clinic
Sports-injury treatment center
Skill nursing or extended care facility
Schools
Work, occupational, or industrial environment
Fitness centers or training facility
Academic/research center
Hospice
Home

7

Patient Management

Examination & evaluation
Diagnosis
Prognosis
Intervention

8

Therapeutic Goals for General Orthopedic Conditions

Educate
Pain control
Increase function
Improve coordination, gait, balance, proprioception, "core" activation
Appropriate bracing/orthoses
Prevent or minimize permanent physical disabilities
Restore, maintain, & promote overall health & fitness

9

Education for PT

PRICE: prevention, rest, ice, compression, elevate
Activity modifications
"Active rest"

10

How do PTs increase function?

Regaining ROM & strength

11

Manual Therapy

Tissue/restriction mobilization
Mobilization/manipulation
Manual lymphatic drainage

12

Therapeutic Exercise

Aerobic capacity or endurance conditioning
Balance, coordination & agility training
Body mechanics & postural stabilization
Flexibility exercises
Gait & locomotion training
Neuromuscular development & reeducation
Relaxation/breathing techniques
Strength, power, & endurance training

13

Functional Training

ADL training
Barrier accommodations/modifications
Device & equipment use/training
Functional training programs
Instrumental ADL training
Injury prevention or reduction

14

Devices & Equipment

Adaptive
Assistive
Orthotic
Prosthetic
Protective
Supportive

15

Physical Agents & Mechanical Modalities

Cryotherapy/hydrotherapy
Electrotherapeutics (TENS)
Sound agents (US)
Thermotherapy
Compression
Traction devices
Gravity-assisted pneumatic compression devices

16

3 Components of PT Treatment

Mechanical
Neuromuscular
Motor

17

Mechanical Components of PT Treatment

Evaluation of joint, soft tissues, muscular, visceral, & neurovascular components which limit motion or function

18

Neuromuscular Components of PT Treatment

Ability to efficiently initiate & demonstrate proper strength & endurance for any given contraction
Automatic Core Engagement tests
Manual facilitation techniques & directed exercise

19

Motor Control Components

Ability to utilize efficient mechanical & neuromuscular components to efficiently assume a balanced posture
Focus on kinesthetic & proprioceptive awareness & enhancement
Effectively-timed activation of the core & global muscles during activity

20

Commonly Treated Orthopedic Conditions in PT

Knee
Rotator cuff disease
Ankle sprains/fractures
Low back pain
Cervical myofascial disorders
Lateral hip pain

21

Patellofemoral Pain Syndrome

Cartilagenous degenerative changes
Ipsilateral hip abductor weakness
Crepitation
Prolonged walking or sitting, running, hill climbing, & stairs

22

Risk Factor for Patellofemoral Pain Syndrome

Flat feet (pes planus)

23

Treatment of Patellofemoral Pain Syndrome

Rest
Strengthening of hip
Orthotics
Anti-inflammatories
Taping

24

Rotator Cuff Syndrome

Impingement
Tendonitis
Tendonosis
Tear

25

Presentation of Rotator Cuff Syndrome

Pain with overhead activities, reaching behind the back, sleeping on affected side
Isolated cuff weakness

26

Treatment of Rotator Cuff Syndrome

Rest
Activity modifications
NSAIDs
Cortisone
Ice
Exercise
Surgery

27

Presentation of Ankle Sprain

History
Warmth
Redness
Swelling
Pain

28

Ottawa Ankle Rules

Need x-ray if tender malleolli + one of the following:
Tender tibia/fibula
Tender navicular
tender 5th metatarsal head

29

Treatment of Ankle Sprains

PRICE
Bracing
ROM
Balance & proprioceptive reawareness
Strength & stabilization

30

Reasons for Low Back Pain

Overuse/muscular strain
Ligamentous sprain
Disc injury
Degenerative breakdown