Role of the PTA/Emergent Conditions
-Gather information and data,
-Build rapport and trust
-Assess constantly for response to interventions
-Educate the patient
-Report changes or issues to the PT
What is the role of the PTA/Supervisory Skills needed
-PEDro
-PubMed
-APTA's Hooked on Evidence
Cochrane Database
What are resources for finding evidence-based research
These types of ligaments do NOT heal spontaneously
Intraarticular
The PTA asks the patient,
"Tell me what makes your pain worse and what seems to alleviate it?"
What is an open-ended question.
A comprehensive review of the medical literature that uses explicit methods to systematically search, identify, appraise, and summarize all literature on a specific issue
What is a Systematic Review
Tearing of some of the ligament fibers with moderate laxity. Patient will need some time away from activity to heal.
Grade 2 sprain
-Swelling in the effected extremity
-Discoloration in the effected extremity
-Pain with gentle dorsiflexion
-Warmth of skin
-Positive Homan's sign
What are the signs and symptoms of a DVT
A special test with a high sensitivity rating is used and the patient tests negative. What can be assumed?
That patient does NOT have the disorder
-Joint Stiffness
-Shortening of the structures around the joint
-Adhesions form
-Muscles atrophy
A patient who recently underwent a knee replacement c/o SOB, coughing, chest pain, and has a rapid pulse and tachypnea
What is a pulmonary embolism
Hawkins-Kennedy test for subacromial impingement has a specificity rating of 100% and your patient tests positive. What can be assumed?
Your patient has subacromial impingement
-2 to 4 mm thick
-Dissipates compression, shear and tension forces
-Decreases friction in the joint
Cartilage
Bilateral swelling in the lower extremities, SOB and fatigue; especially in a patient with history of cardiac disease
What is Congestive Heart Failure
If the rating for a test's sensitivity and/or specificity is below 80%
It is considered unreliable
Fibrocartilage structure in the knee that can dissipate compression forces, absorb shock and help stabilize the joint
Meniscus
Your 72 y.o. patient with a history of PAD is walking on the treadmill and c/o cramping and pain in her calf muscles. Once she stops and rests, the pain goes away
What is intermittent claudication
Instruct the patient to “Reach as far as you can forward without taking a step.” The location of the 3rd metacarpal is recorded
Functional Reach Test
-Progress strengthening
-Functional Exercise
-Functional Assessment (i.e. Hop Tests)
Balls to the Wall!!
Chronic Stage
Minimum Protection Stage
Return to Function or Sport Phase