Stretching/Modalities
What are the 4 main points of stretching?
- Compare Bilaterally
- Patient Positioning
- 3 Times
- Hold for 15 to 20 seconds
How many muscles and bones are in the human body?
Muscles - about 650
Bones - 206
What is the first step of *PPE* for wound care?
Gloves
What is the most common ROM when spraining your ankle?
Inversion
S.O.A.P.
Method of documenting patient interactions used by healthcare professionals
SOAP - Subjective, Objective, Assessment, Plan
Give 1 examples each of thermal, manual, electrical modalities.
Thermal: Ice Pack, Ice Massage, Ice immersion, Cold Whirlpool, Heat Pack, Warm Whirlpool, Paraffin Wax, Contrast Bath
Electrial: Ultrasound, Stim/Tens Unit
Manual: Graston/Cupping, Massage
During a game, Mark was tackled hard, and his right leg was struck with significant force on his quads. He initially thought it was a muscle cramp, but after the game, he noticed a lot of pain and swelling in his thigh. He continued to play the next week, but his leg felt heavy, and he couldn't generate the same power when running or kicking. What is the medical term for a "dead leg".
Myositis ossificans
List the stages of wound healing (in order).
1. Proliferation
2. Remodeling/Maturation
3. Inflammation
4. Hemostasis
What do the following abreviations stand for?
DF, PF, IV, EV
Dorsiflextion, Plantarflexion, Inversion, Eversion
Condyloid/Ellipsoid (Give 1 example)
An oval-shaped bone fitting into an ellipsoid cavity of another.
Wrist, Carpals, Index finger
What is dynamic stretching?
Actively using the muscle in a slow & controlled movement to stretch.
Explain point of insertion.
The point farthest from the torso/trunk where the muscle is attached.
What happens in the Inflammation stage of wound healing?
Inflammation - Causes localized swelling, prevents bleeding and infection
With a rotator cuff tear, what LOM would occur? (Give 2)
Shoulder Flexion
Shoulder Abduction
External Rotation
Give what it stands for
- Rx
- DME
- Past Tx
- Fx
- Rx: Prescription
- Edema: Swelling
- DME: Durable Medical Equipment
- Past Tx: Past/previous Treatment
- Fx: Fracture
What modalities would be beneficial for a Shoulder treatment? (9 total, list at least 4)
Graston, Cupping, Ice Pack, Hot pack, Ultrasound, Gameready, TENS, Ice massage, Massage
Give types of muscle and explain them (voluntary or involuntary;3).
Smooth - Voluntary
Cardiac - Involuntary
Skeletal - Involuntary
The most common tear to a meniscus is called a Buckle - Padle Tear? True or False.
False (Bucket - Handle)
Give 10 ROMs.
Extension
Flexion
Abduction
Adduction
Supination
Pronation
Dorsiflexion
Plantar flexion
Eversion
Internal Rotation @ 0 degrees
External Rotation @ 0 degrees
Internal Rotation @ 90 degrees
External Rotation @ 90 degrees
Horizontal Abduction
Horizontal adduction
Synarthrotic joint
An immovable joint
What modalities would be beneficial after surgery where the wound is covered but there is a significant amount of swelling.
Ice pack
Ice Massage
GameReady
Identify and explain the 3 types of muscle contractions.
Eccentric - Lengthening (ie. lifting a weight)
Isometric - Generating force without moving muscle (ie. holding a stretch or weight steady)
Concentric - Shortening (ie. lifting a weight)
A person is gardening and gets a cut, give the proper wound care steps in order (there are 8).
1. Evaluate the wound
2. Wash hands, apply gloves & any other protective equipment
3. Clean with saline and remove any debris
4. Apply a triple or single antibiotic ointment
5. Apply gauze/Non-adherent pad
6. Cover wound with clean bandages
7. Remove gloves and wash hands
8. Document
Identify the soap parts. This injury is probably a Grade 2 lateral ankle sprain but could be a ankle strain or bruising. Pt reports ankle pain after a game. Pain is sharp and located on the lateral aspect of the ankle. Athlete states they heard a "pop" at the time of injury. They are unable to bear weight. Ankle is swollen and tender to palpation over the lateral ligaments. Range of motion is limited. Positive for a grade 2 sprain based on physical exam and patient history. RICE, Non-weight bearing on crutches. Follow up with a specialist in 2 weeks.
S: Patient reports ankle pain after a game. Pain is sharp and located on the lateral aspect of the ankle. Athlete states they heard a "pop" at the time of injury. They are unable to bear weight.
O: Ankle is swollen and tender to palpation over the lateral ligaments. Range of motion is limited. Positive for a grade 2 sprain based on physical exam and patient history.
A: This is probably a Grade 2 lateral ankle sprain but could be a ankle strain or bruising.
P: RICE (rest, ice, compression, elevation) for the next 48 hours. Non-weight bearing on crutches. Follow up with a specialist in 2 weeks.
Anatomical positioning
Upright stance
Facing forward
Arms at sides
Legs parallel
Toes pointing forward