Wheelchairs
Which direction (facing forwards or backwards) is easier to control to navigate a curb with a wheelchair & why?
Ascending facing forward - greatest control & requires least effort by the caregiver.
What position does the hand/forearm need to be in when using a gait belt?
Supinated
Name ONE contraindication for a thermal modality.
malignancy, impaired circulation or sensation, recent hemorrhage, fver, acute inflammation, PVD, impaired mentation
Name our current focus for use of ACE Compression Bandages.
acute edema/effusion control
Name 1 of the four forces/moments to which a material is subjected (think: load).
Tension/compression, bending, shear, torsion
Why is it important to be familiar with the "balance point" of a wheelchair?
Key skill for successfully navigating curbs, bumps, or even stairs.
This device is the more supportive choice: axillary crutches or a front wheeled walker (FWW)?
What is a FWW?
Name ONE contraindication of cryotherapy.
impaired cognition, communication, impaired circulation/sensation, cardiac dysfunction, over an open wound, Raynaud's
Name the two options for wrapping patterns when applying compression wraps.
Spiral and basketweave
Describe one of the 3 mechanisms of injury due to excessive stress.
(1) high magnitude/brief duration. (2) Low magnitude/long duration. (3) moderate magnitude/many repetitions
What is the minimum number of people recommended for navigating stairs with a wheelchair, if the patient isn't able to help?
2
This body landmark is used to make sure the assistive device is at the correct height (in most cases).
What is the wrist crease?
What is a normal sensation to experience during application of ice massage (think patient education)?
Slight burning or itching as the skin starts to cool
Define capillary refill.
Blanching the nail bed or tip of digit by squeezing or applying pressure. Color should return in less than 2 seconds.
Name the four classifications of tissue.
Epithelium, nervous tissue, connective tissue, muscle tissue
When descending a curb with a patient who is able to assist, what is a key way that they can help?
Using their hands on the wheels, help control the movement of the chair by providing friction on the hand rims.
Name this gait pattern.
What is 2 point gait?
This is the number of layers that should be between the hot pack and the patient with low back pain during treatment?
3-4 hot pack, 6-8 towel layers
Name 2 precautions for compression wrapping.
Recent DVT, acute compartment syndrome, acute skin infection, impaired sensation, cardiovascular disease, pulmonary disease, uncontrolled hypertension
Describe what is meant by "adaptation" of biological tissue.
Modification of a material, making it more fit for existence under the conditions of its environment
This is a consequence (for the patient) of having the seat too low.
What is "low center of gravity", harder to transfer?
Why might someone benefit from or use using Loftstrand (forearm) crutches over axillary crutches?
Loftstrand crutches tend to be used as a more long-term option, provides stability while allowing for more freedom to use the hands
Name two of the three options we saw in PhysioU for thermotherapy.
Hot pack, paraffin, fluidotherapy
How much stretch & how much overlap should be used when applying an ACE wrap?
50% stretch & 50% overlap
A 48 year old man comes to you 2 weeks after surgery to repair a tendon in his thumb. He is at this stage of tissue healing.
What is proliferative?