PT

Question 1

a main focus of PT is on what?

Answer 1

movement

Question 2

focuses of orthopedic PTs

Answer 2

• helping people who have movement-related disorders or deficits primarily involving the MSK system
• partners w/ people to improve the movements and positions of their bodies and limbs and to manage/reduce/eliminate pain related to movement and or position

Question 3

process of what PTs do

Answer 3

• document where sx are
• note type and nature of sx
• ID all mechanical structures what could account for the sx
• note what movements/positions reduce and provoke sx
• ID events/mechanisms in the hx that could account for them
• try to establish links among past events, present sx, and findings of exam
• hypothesize mechanical changes to reduce sx and improve fxn
• institute trail tx and see if desired response occurs
• if response occurs = it’s established that the problem is mechanical
• if no response = develop another hypothesis then refer back to MD/PA

Question 4

What is a red flag to PTs?

Answer 4

• if they can’t establish the problem is mechanical

- b/c anything other than mechanical is an unknown to them and needs a Dr. or PA to clarify

Question 5

process once the mechanical problem is identified

Answer 5

• initiate steps to fix it
• once the pt and PT both see it’s helping, teach the pt how they can fix the problem themselves
• then teach pt how to prevent the problem from recurring
• help them return to full participation in their life, work, or sport

Question 6

goal of a PT

Answer 6

empower the pt to become independent of PT

Question 7

examples of movement-related disorders

Answer 7

• after a fx bone has healed, the person is deficient in muscular strength and control
• after torn ligament has been reconstructed or immobilized, the person is deficient in muscular strength and control

Question 8

PT response to movement related disorders?

Answer 8

-a PT can provide progressive manual therapy and exercise to restore proper joint motion and dynamic control w/i the bounds of the stage of healing and soft tissue remodeling

Question 9

movement-related pain

Answer 9

• aka mechanical pain
• sx considered to have a mechanical basis if a change in position or if movement either provokes, relieves, or reduces their intensity, location, or duration

Question 10

ex of movement-related pain

Answer 10

pt reports if she sits in a chair w/ her knee bent to 90 degrees for 5 min. or more, her knee hurts just above the patella, but if she can rest her foot upon an ottoman, she can sit for hours w/ zero knee pain

Question 11

what was the PT doing when he tore his ACL?

Answer 11

defending the rockies from the commies

Question 12

what does a snap shot of radiographic imaging show and not show?

Answer 12

• shows disorders of structure
• does not show disorders of movement
• *think of the case with the dr. that treated the MRI and not the pt

Question 13

relationship b/w positive findings on imaging vs. sx

Answer 13

there are several reports of people w/ positive findings on imaging, but no related sx!