HOSA Physical Therapy- Musculoskeletal – Flashcards
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dysfunction
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any functional disability; PT determines the cause and extent of these
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Range of Motion (ROM)
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movement at a joint
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Bursitis
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inflammation of bursae; commonly occurs at the shoulder to the subacromial bursa
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Bursae
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fluid-filled sacs throughout the body that decrease friction between structures
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Tendinopathy
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disorders of the tendons
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Tendinitis
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inflammation of the tendon
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Tendinosis
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degeneration of the tendon by overuse
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Nerve entrapment
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pressure on a nerve
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Ligament
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supporting structure at joins that serve to stabilize the joint and prevent excess movement
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Sprain
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injury to a ligament (overstretching or tearing); commonly at ankle where lateral ligaments are overstretched
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Fracture
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break in a bone; commonly in the wrist or the hip
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Strain
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injury to a muscle
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Subjective examination
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interview of the patient about the extent and nature of an injury; a qualitative measurement based on the patient's perception of the problem
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Objective examination
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Measurements taken by physical therapist/assistant or by mechanical device
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Active Range of Motion (AROM)
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The ability of the patient to voluntarily move a limb through an arc of movement
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Passive Range of Motion (PROM)
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amount of movement at a joint obtained by therapist moving the segment without assistance from the patient
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Hypomobile joint
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joint has less motion than is considered functional
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Hypermobile joint
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joint subluxation, joint has excessive motion
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Goniometry
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methods to measure and document ROM
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Goniometer
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instrument used to measure and document ROM
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Strength
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the amount of force produced during a voluntary muscular contraction
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Resisted test
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allows therapist to determine general strength of a muscle group and assess whether any pain is produced with the muscle contraction
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Manual Muscle Testing (MMT)
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allows therapist to assign specific grade to a muscle, based on whether patient can hold the limb against gravity, how much manual resistance can be tolerated and whether joint has full ROM
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Flexibility
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ability to move a limb segment through a specific ROM
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Accessory motion
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ability of joint surfaces to glide, roll and spin on each other
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Special tests
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examine specific joints to indicate the presence or absence of a particular problem
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Thermal agents
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used to modify the temperature of surrounding tissue and result in a change of the amount of blood flow to the injured area (superficial heat, deep heat, cold)
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Hot pack
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pouch filled with silica gel and soaked in thermostatically controlled water
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Paraffin treatment
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mixture of melted paraffin wax and mineral oil at a specific temperature promotes relaxation and pain relief
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Fluidotherapy
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self-contained unit filled with sawdust-type particles heated to the desired temperature and circulated by air pressure around the involved body part
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Hydrotherapy
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use of the therapeutic effects of water by immersing body part or entire body into a tank of water
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Whirlpool
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tank of water used in hydrotherapy for immersing a body part or the entire body
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Ultrasound
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application of high-frequency sound waves that penetrate tissue and increase tissue temperature
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Short-wave diathermy
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use electromagnetic energy to produce deep therapeutic heating effects
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Cryotherapy
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therapeutic use of cold agents to decrease blood flow, metabolism, swelling and pain
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electrical stimulation
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application of electricity at specified locations to stimulate nerves, muscles, and other soft tissues to reduce pain and swelling, increase strength and ROM and facilitate wound healing
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Soft tissue mobilization
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a variety of hands-on techniques designed to improve movement and function
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Massage
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systematic use of various manual strokes to produce certain physiological, mechanical and psychological effects
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Swedish massage strokes
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promote relaxation by decreasing pain or swelling, relieving tension and improving the metabolism of surrounding tissue
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Transverse friction massage
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improves flexibility and function of soft tissues like muscles, ligaments, and tendons
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Myofascial release
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manual stretching of the layers of the body's fascia
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Fascia
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connective tissue that surrounds muscle and other soft tissue in the body
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Joint mobilization and manipulation
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technique used when a patient's dysfunction is result of joint stiffness or hypomobility; applies specific passive movement to a joint, either oscillatory (rapid, repeated movement) or sustained
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Range of motion exercise
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exercise for mobility of a joint
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Active assisted range of motion
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joint movement in which the patient may be assisted either manually or mechanically thought an arc of movement
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Active free range of motion
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joint movement in which the patient doesn't receive any support or resistance through an arc of movement (ex. pendulum swing)
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Active resisted exercises
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joint movement in which an external force resists the movement
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Resisted exercise
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form of active movement where some form of resistance is provided; increases muscular strength and endurance
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Muscular strength
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maximal amount of tension an individual can produce in one repitition (low repetitions with heavy resistance)
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Muscle endurance
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ability to produce and sustain tension over a prolonged period (high repetitions with low resistance)
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Isometric resisted exercise
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muscle contraction without visible joint movement (pushing against a wall)
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Isotonic concentric resisted exercise
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muscle contraction that produces or controls joint motion, resulting in muscle shortening (flexing elbow)
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Isotonic eccentric resisted exercise
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muscle contraction that produces or controls joint motion, resulting in muscle lengthening (extending elbow)
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Isokenetic resisted exercise
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concentric or eccentric muscle contraction that happens at a constant speed
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Flexibility exercise
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exercise using stress to change length and elasticity of soft tissue like muscle
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Proprioception
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one's awareness of position and movement; may be reduced after injury leading to loss of balance and coordination
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Proprioceptors
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receptors found in skin and joints, respond to stimuli like pressure, stretch and position
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Aerobics training
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exercise program that uses oxygen as the major energy source
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Functional exercise
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program that incorporates strength, flexibility, balance and coordination
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Closed kinetic chain exercise
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movement at one joint affects movement at other joints (ex. a two legged squat)
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Open kinetic chain exercise
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an exercise where the end limb segment is free (ex. biceps curl)
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Aquatic physical therapy
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therapeutic use of water for rehabilitation or prevention of an injury
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Bad Ragaz method
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therapist uses proprioceptive neuromuscular facilitation techniques while the patient is suspended by rings in the water
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Halliwick method
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uses preswim stroke instruction and musculoskeletal rehabilitation