What neuro treatment approach aims for voluntary activation of muscular control using abnormal flexor and extensor synergistic movements?
Brunnstrom
developed by Signe Brunnstrom
100
This scale is used to ascertain a person's perception of effort
BORG Rating of Perceived Exertion Scale
RPE scale
There is high correlation between RPE multiplied by 10 and the patient's heart rate. Test this theory in lab today.
100
What are the most commonly injured ankle ligaments?
There are three of them - must name all three
anterior talofibular ligament
calcaneofibular ligament
posterior talofibular ligament
Inversion ankle sprain
Deltoid ligament is medial-injuries are rare
100
What joint and motion is being tested:
Axis - Anterior aspect of the patella
Stationary arm - perpindicular to the floor or parallel to
the supporting surface
Moveable arm - anterior midline of the lower leg
Hip internal rotation / hip external rotation
(0-45 degrees)
100
What type of practice setting is a free standing or part of a hospital and approved by the state (Medicare certified) where eligible individuals receive care and appropriate rehabilitative and restorative services?
skilled nursing facility
aka
extended care facilitity
200
What Brunnstrom stage best applies to the following?
Voluntary movement is possible in synergy patterns with muscles contracted in a fixed abnormal sequence and strong spasticity
Brunnstrom stage 3
200
This assessment was developed to measure balance among older people with impairment in balance function by assessing performance of functional tasks
Berg Balance Scale
There are 14 tasks, each scored on a five-point ordinal scale from 0 to 4. The max score is 56. A score below 45 means that the person is at risk for falling.
200
Name the shoulder internal rotators
Hint: There are five
subscapularis, teres major, pectoralis major, latissimus dorsi, and anterior deltoid
200
What joint and motion is being assessed?
Axis - Over the dorsal aspect of the wrist over the capitate
Stationary arm - dorsal midline of the forearm
Moveable arm - Dorsal midline of third metacarpal
What type of precautions require the use of an isolation room, gloves, gown, and shoe covers and requires single-use patient equipment?
contact precautions
300
What condition is associated with the following symptoms:
hemiplegia
impaired ability to name objects
difficulty with verbal expression
diminished writing skills
Broca's aphasia
300
The PT is assessing a patient's anterior tibialis. You know that this muscle is responsible for this action ___________ and that the ______________ nerve roots service this area.
Ankle dorsiflexion - L4-L5 (anterior and lateral lower extremity; medial dorsal foot' plantar aspect of big toe)
300
What nerve roots innervate the rectus femoris?
L2-L4
These nerves are collectively referred to as the femoral nerve which is a branch of the lumbar plexus
300
To perform this test, place the knee in ninety degrees of flexion with the patient laying supine and the foot stabilized on the table. Grasp the anterior aspect of the tibia over the tibial tuberosity and push forward (displacing the tibia posteriorly) with a steady force.
Posterior Drawer Test
Positive indicates PCL tear
300
Blood sugar above ___________ can result in fatigue, lethargy, blurred vision, dry skin, extreme thirst and hunger, nausea, vomitting, and ketoacidosis.
This condition is formally known as ____________.
200 mg/dl
hyperglycemia
400
Your patient is a T6 paraplegic. He is long sitting on a mat. You want to work on trunk control by facilitating co-contraction of antagonists so you use this technique
rhythmic stabilization
400
The patient performs a shoulder shrug.
What muscle is being tested?
Which cranial nerve is responsible for this action?
What spinal nerve roots?
Upper trapezius.
CN XI (spinal accessory)
C2-C4
400
This joint position results in maximal tautness, maximal surface congruity, maximal stability of the joint.
Provide an example.
closed packed position
example - full knee extension
400
This test is done by taking a measurement using the following landmarks:
Anterior Superior Iliac Spine (ASIS)
Center of the Patella (Kneecap)
Tibial Tubercle
Q-Angle
To find the Q-angle, measure that angle, and subtract from 180 degrees.
A normal Q-angle in men is 14 degrees and in women is 17 degrees. An increase in Q-angle can mean a higher risk of kneecap problems including patellar subluxation and patellar dislocation.
400
This condition results from low levels of potassium in the blood and can result in muscle fatigue and/or cramping, orthostatic hypotension, bradycardia, and/or arrythmia
Hypokalemia (3.5-5.5 mmol/L)
Hyperkalemia can result in muscle weakness and/or flaccidity
500
You are working with an 18-month old child with developmental delay. You work on providing approximation at the shoulders and pelvis in order to promote upper and lower extremity stability. This developmental position is the most appropriate to utilize when performing this technique.
modified plantigrade
500
Name the special test:
Patient's arm is position in the scaption plane internal rotation and approximately 90 degrees of shoulder flexion. Clinician applies manual resistance in a direction toward the floor. What might a positive test indicate?
Empty can test
Supraspinatus tear if there is pain and/or weakness
500
A water polo player reports diffuse pain in her right shoulder that begins 10-15 minutes after the onset of activity. Physical examination reveals subjective reports of pain at 90 degrees of passive and active abduction. Internal and external range of motion is within normal limits. Resistive isometrics are strong and painful for flexion and abduction. This patient most likely has ___.
Impingement syndrome
500
The patient is supine. The PTA asks the patient to flex the hip to 90 degrees. Then asks the patient to straighten the knee. The PTA takes a measurement with a goniometer. What as the PTA just assessed?
Hamstring length
500
A patient with a suspected herniated nucleus pulposus presents with a lateral shift. The patient reports that since beginning therapy that the pain has increased in his back but decreased in his leg.
This phenomena is known as ____________