lab stuff

Question 1

why do you want to keep the involved LE as the pivot point when working on turns (from a forced use standpoint)?

Answer 1

you are facilitating STANCE PHASE STABILITY to help with walking

Question 2

why do you need to move the table with each step when working on turns with a pt?

Answer 2

it helps maintain UE alignment with trunk/LE

Question 3

is practicing stairs considered functional or therapeutic

Answer 3

functional

Question 4

why is stairs training good for improving gait

Answer 4

• SL balance is needed for gait
• it increases the intensity of gait

Question 5

progression of stairs (from type of muscle contraction) from easiest to hardest

Answer 5

isometric
eccentric
concentric

Question 6

3 ways to facilitate a better swing in gait

Answer 6

1. decrease friction of involved foot
2. increase step length of uninvolved leg
3. swing assists (strap, estim, etc)

Question 7

what are the benefits of practicing lunge/plantigrade walking?

Answer 7

helps build balance and strength with a different BOS
stretches DF and hip flexors

Question 8

what foot leads (involved vs uninvolved) when stepping down from a step? how about stepping up?

Answer 8

uninvolved (down)
more involved (up)

Question 9

what is the most important cue to tell a pt before stepping ONTO the step? why?

Answer 9

bend your knee

it forces the weight to be shifted to the contra side

Question 10

what is the most important cue to tell a pt before stepping OFF of the step? why?

Answer 10

bend BOTH of your knees

it forces them to use their quads eccentrically vs locking the knee out

Question 11

if pt needs help stepping up a step with their weak leg, where can we facilitate to help? what direction is the pressure?

Answer 11

facilitate the anterior knee by pushing in down and back (think of force going through leg into the tibia)

Question 12

what is the hardest motion to complete going up or down the stairs?

Answer 12

having the pt go down the step forward, leading with their strong side

Question 13

what are ladder tilts good for

Answer 13

overall body stability

Question 14

in ladder tilts, where should the PT’s hand/arm/elbow be?

Answer 14

hand on shoulder blades (to remind them to SQUEEZE) and elbow is facilitating the weak hip

Question 15

why is it important to ask open ended questions to a pt

Answer 15

so they can problem solve and learn better

Question 16

what position are pts with a continuous PEG tubes not allowed to be in?

Answer 16

prone

Question 17

what 3 forms of PNF promote mobility

Answer 17

1. rhythmic initiation
2. slow reversal holds
3. repeated primitive contractions

Question 18

what 2 forms of PNF promote stability

Answer 18

1. alternating isometrics/reversal isos
2. rhythmic stabilization

Question 19

does approximation promote mobility or stability

Answer 19

STABILITY!

Question 20

when performing a prone progression for PNF, where should the PT hands be placed? when and where are the approximations done?

Answer 20

medial/lateral borders of scapula

approximation is done in transitions and force is pushed through the shoulders, to the humerus

Question 21

in quadruped, where should the PT be blocking?

Answer 21

the affected elbow and hand

Question 22

when getting up from the ground into a chair, what leg should be up in the kneeling position?

Answer 22

weaker leg! make sure to apply pressure to distal thigh

Question 23

what is the point of approximation?

Answer 23

to give pt time to respond to the change in stimulus and it reinforces trunk stability in the transitions

Question 24

how long should you hold your PNF alternating isometrics?

Answer 24

at least 5 seconds

Question 25

how many reps of alternating isometrics do we give a pt at a time?

Answer 25

3-5 reps

Question 26

4 categories of gentiles taxonomy

Answer 26

1. regulatory conditions (environmental factors) 2. inter-trial reliability (changes per attempt) 3. body orientation (does pt physically change locations) 4. manipulation (any objects/tools/partners/etc?)

Question 27

what hand placements should we avoid in the foot/ankle to avoid facilitating inv/PF

Answer 27

ball of foot navicular 1st met

Question 28

when facilitating scooting backward, where should PT's feet be in relativity to the pt's feet

Answer 28

on the inside and PAST their feet (don't be evenly lined up with pt feet) non-dominate on top of dominate

Question 29

why is scooting forward functional

Answer 29

it is an excellent preparatory activity for gait pt can independently reposition themselves

Question 30

why should you not put your hand on the pt's glute when scooting them forward?

Answer 30

bc pt will sink into your hand vs leaning off the glutes like you want them to

Question 31

in a modified stand pivot transfer, PT cues pt at the _________ aspect of patient’s tibia with the __________ aspect of PT's tibia.

Answer 31

anterolateral anterolateral

Question 32

trunk alternating isometrics vs rhythmic stabilization technique

Answer 32

AI = push, then pull RS = push + pull contra, diagonal

Question 33

where does the swiss ball go when treating a pt with pushers syndrome

Answer 33

the less involved side (they push toward involvement)

Question 34

what movement in the pt's ankle do we need to avoid when working on pushers syndrome with the swiss ball

Answer 34

PF!! their strong LE will want to actively push away, so take away the PF pressure on the sole of the foot

Question 35

timing for emphasis works on...

Answer 35

isometric movement pushing on the stronger side to facilitate the weak side contraction

Question 36

primitive repeated contractions works on...

Answer 36

quick stretches that puts extra efforts of pressure onto weaker side to ffacilitate a contraction

Question 37

when bringing a pt from supine to sitting, what direction should the PT's pressure be when pushing the shoulders

Answer 37

down + toward the bellybutton

Question 38

when scooting in bed supine, what direction should the PT's pressure be when facilitating at the clavicles? what part of the hand is pushing?

Answer 38

downward!! THUMB

Question 39

is it easier to roll toward or away from the weaker side

Answer 39

toward!

Question 40

is it easier to supine scoot toward or away from the weaker side

Answer 40

toward!

Question 41

ramiste's phenomena

Answer 41

alternating between abd + add, putting more pressure on strong side to try and facilitate pt's weak side

Question 42

when is ramiste's phenomena used?

Answer 42

when a pt has little to no activation of LE on bedside or sitting in wheelchair

Question 43

when helping facilitate the half-bridging techniques, where should the PT's hand be to make it the most challenging? how about least challenging/most support?

Answer 43

foot lateral aspect of glute max