True Learn Flashcards by Jenna Conty

Criterion-related validity in which an interpretation is justified by comparing a measurement to a “gold standard” measurement at approximately the same time.

Concurrent validity

How well did you know this?

Not at all

Perfectly

Assessment of whether an instrument measures all areas that might be included in a given theoretical concept.

Content validity

How well did you know this?

Not at all

Perfectly

Degree to which a theoretical construct is measured by a test or measurement.

construct validity

How well did you know this?

Not at all

Perfectly

Subjective assessment that determines whether a test appears to measure what it is supposed to be measuring.

Face validity

How well did you know this?

Not at all

Perfectly

What is a reason that a patient with a prosthetic may experience excessive hip drop?

prosthetic that is too short

How well did you know this?

Not at all

Perfectly

What happens to gait when a patient with a prosthetic has a lateral leaning pylon?

positions the foot more medially, causing them to walk with narrow-based gait pattern

How well did you know this?

Not at all

Perfectly

What are two reasons that a patient with a prosthetic would be walking with a wide base of support?

foot is placed too far laterally
medial leaning pylon

How well did you know this?

Not at all

Perfectly

How do you modify the SLR to stress the sural nerve?

inversion and dorsiflexion

How well did you know this?

Not at all

Perfectly

How do you modify the SLR to stress the tibial nerve?

eversion and df, toe extension

How well did you know this?

Not at all

Perfectly

How do you modify the SLR to stress the common fibular nerve?

plantarflexion, inversion

How well did you know this?

Not at all

Perfectly

Wernicke Aphasia AKA

Fluent aphasia

How well did you know this?

Not at all

Perfectly

What is wernicke’s/fluent aphasia mean?

speaks well but has impaired comprehension or meaningless speech

How well did you know this?

Not at all

Perfectly

Broca’s aphasia AKA

nonfluent aphasia

How well did you know this?

Not at all

Perfectly

Wernicke’s aphasia usually occurs after damage to the …

left frontal lobe

How well did you know this?

Not at all

Perfectly

Broca’s aphasia is usually due to damage of the..

left frontal lobe

How well did you know this?

Not at all

Perfectly

What is Broca’s aphasia/nonfluent aphasia?

“word salad”, about to comprehend but not able to speak it , produces slow, awkward speech

How well did you know this?

Not at all

Perfectly

What is Oswestry used for?

Low back pain

How well did you know this?

Not at all

Perfectly

How do the scores represent in ODI?

The higher the score, the higher level of disability.

How well did you know this?

Not at all

Perfectly

Symptoms of spastic gait:

-stiff legged
- circumduction
- scissoring of legs and toe-walking
- decreased arm swing
- unsteady, falling toward side of greater spasticity

How well did you know this?

Not at all

Perfectly

Causes for spastic gait:

cortical, subcortical, brainstem infarcts
cerebral palsy
degenerative conditions
MS
Spinal cord lesions
ALS

How well did you know this?

Not at all

Perfectly

Signs of ataxic gait:

wide-based
unsteady
staggering from side to side with falling toward the side of worse pathology

How well did you know this?

Not at all

Perfectly

Usual causes of ataxic gait:

cerebellar pathology

How well did you know this?

Not at all

Perfectly

Signs of vertiginous gait:

described as patients swaying and falling when attempting to stand with their feet together and eyes closed.

How well did you know this?

Not at all

Perfectly

Causes of vertiginous gait:

semicircular canals, vestibular nerve, BPPV, and Ménière’s disease

How well did you know this?

Not at all

Perfectly

How to reduce discogenic low back pain?

- reclining the backrest - use of support for lumbar lordosis

How far do you recline to decrease intradiscal pressure?

110-113°

Using BWST, what are some ways to challenge the patient's dynamic balance?

- decrease manual input - increase treadmill speed - increase ambulation time - decrease body weight support

What are some ways to help facilitate a reciprocal gait pattern during BWST?

- manual guidance from PT to facilitate weight shifting and encourage typical contact - rhythmic input of the treadmill's constant speed encourages gait pattern

What is a swan neck deformity?

- Hyperextension of PIP joint - Flexion of DIP joint

What is a common mechanism of injury for swan neck deformity?

- trauma - RA

In swan neck deformity is caused due to damage to..

- FDS Tendon - Volar plate - Terminal tendon of EDC

Does swan neck deformity involve one or two joints?

two joints

Considering the extensor tendon, how can swan neck deformity occur?

- injury to extensor mechanism resulting in flexion of DIP - tightness of extensor mechanism resulting in extension of PIP

What is a mallet finger?

- Flexed DIP joint due to tear or avulsion of the distal extensor digitorum tendon (unable to extend DIP joint)

MOI for mallet finger

- object strikes the dorsal aspect of distal phalanx while in flexion

What is boutonnière deformity?

- flexed PIP joint and hyperextended DIP joint due to tear or avulsion of distal extensor digitorum tendon (unable to extend PIP joint)

MOI for boutonnière deformity:

- blow or cut to the dorsal aspect of the middle phalanx

What is trigger finger?

- finger being stuck in flexion

What causes trigger finger?

- oversuse/systemic disease like diabetes or RA - due to inflammation and hypertrophy of flexor tendons causing a tight, thickened flexor pulley causing difficulty for tendons to run through sheath

What are some ways to decrease risk of UTI?

- diaphragmatic breathing (prevent straining) - Drinking 60-80 fluid ounces of water - Normal voiding frequency every 2-4 hours

What are some things that increase risk of UTI?

- pelvic floor contractions while voiding - Neurogenic bladder dysfunction - decreasing overall fluid intake - Prolonged holding - not completely emptying the bladder

Skier's Thumb/Gamekeeper's thumb is injury to :

ulnar collateral ligament of first MCP joint resulting in excessive valgus motion of the thumb at MCP joint by being pulled into abduction

Which bones may be fractures by FOOSH mechanism ?

Scaphoid and Trapezium

If UCL of MCP joint is torn what motions can stress the joint?

wrapping thumb around large object when gripping

What GHJ motion requires posterior glide ?

Shoulder IR and shoulder flexion

What motion is required to reach back to grab seatbelt?

What motions are needed to brush hair?

ER and about 90° of shoulder abduction

What nerve root primarily innervates elbow flexors and wrist extensors?

Which muscle / action is best for assessing C5 nerve root?

Shoulder abduction and middle deltoid

Which muscle / action is best for assessing C8 nerve root?

Thumb Extension / EPL, EPB

Which muscles/ action are best for assessing C7 nerve root?

Elbow extension / triceps, wrist flexion / flexor carpi ulnaris/radialis

Bed rest or return to activity for LBP?

Return to activity

When shoulder GCS be administered?

As soon as possible after onset of impaired consciousness

What muscles do supine bridges primarily recruit ?

Multifidus and gluteals

What muscles does supine crunch/curl-up primarily recruit?

rectus abdominis

What muscles does prone hip extension primarily recruit?

gluteals and erector spinae

What does the milking maneuver test?

UCL of elbow, requiring valgus force

Which muscles work together to posteriorly tilt the pelvis?

- Hip extensors (glutes and hamstrings) - Abdominals

What muscles work together to anteriorly tilt the pelvis?

- hip flexors (iliopsoas) - lumbar extensors (erector spinae)

What are some ways to strengthen hip extensors?

Supine bridges

What is a reason that may cause excessive anterior pelvic tilt in stance phase ?

weak hip extensors

How much of a MMT do you need in quadriceps for AFOs?

at least 3+

How much of a MMT do you need in quadriceps for KAFOs

< 3+

Injury to what nerve would manifest weakness with elbow flexion and sensory hypesthesia of lateral forearm?

Musculocutaneous

What is the most common MOI although rare for musculocutaenous nerve injuries?

anterior shoulder dislocation

Most common presentations for radial nerve lesions?

- weakness in wrist extension - sensory loss at dorsal aspect of hand

In a mild TBI, scored 13-15 on GCS would generally experience PTA for

0-1 day

In a moderate TBI, scored 9-12 on GCS would generally experience PTA for

> 1 day and < 7 days

In a severe TBI, scored 13-15 on GCS would generally experience PTA for

> 7 days

What falls into the treatment based classification category of manipulation?

- segmental hypomobility - symptoms proximal to knee - acute symptoms - low FABQ score

When do you use mechanical traction?

individuals with symptoms distal to knee and do not respond to directional preference like flexion or extension

What falls into the stabilization based classification category of manipulation?

- younger - increased SLR - positive prone instability test - aberrant motions

Superficial burns healing time:

5 days

Superficial partial - thickness burns healing time

10-14 days

Superficial partial thickness burns features:

weeping, blistered skin, increased drainage, pain

Full Thickness burns healing time

> 3 weeks

Full thickness burn features:

mottled skin with dry leathery, rigid, eschar

Deep partial thickness burns healing time

3 weeks

Deep partial thickness burn features:

mottled skin, slow capillary refill with pressure, pain, and decreased pinprick sensation

What do you use a biofeedback device for?

improve endurance of muscles

How should biofeedback device be utilized?

PT should have pt initially increase pressure by 2 mg and hold for 10s, then the patient can incrementally increase the pressure by 2 mg. Patient continues until the pressure is increased to 30 mg and can hold it for 10s.

What is the hold time optimal for training endurance?

10s

True Learn Flashcards

(82 cards)