24 Questions
What is a recommended approach to alleviate the symptoms of a data encoder with median nerve involvement?
Provide a resting splint to the worker
What is the primary purpose of approximation in exercise technique?
To facilitate contraction and stability through joint compression
What is a recommended approach to prevent pneumonia in a non-ambulating patient?
Bedside sitting 2-3 times a day
What can be a cause of weakness in a muscle?
Abnormal mass movement pattern
What is the age range for which a pediatric intensive care unit is typically designed?
2-5 years
What type of exercise is typically used to improve aerobic capacity and endurance?
Aerobic capacity/endurance exercise, such as an aquatic program
What is a potential contraindication for physical therapy in a patient with low platelet count?
Ecchymosis
What is a potential complication of thoracic bone metastasis?
Possible fractures
What is the primary effect of physical training on the skeletal muscles and cardiorespiratory system?
Induction of physiological changes
A patient with a CVA exhibits extensor synergy. What would they find difficult to do?
Going down stairs with affected leg first
What is the primary goal of the exercise intervention for a patient with Parkinson's disease?
Address rigidity and akinesia
How does physical training affect the frequency, duration, and intensity of training benefits?
It is influenced by the frequency, duration, and intensity of training
What is a common characteristic of patients with Parkinson's disease?
Rigidity and akinesia
What is the primary benefit of physical training for patients with cardiovascular disease?
Increased stroke volume
A patient with a CVA exhibits flexor synergy. What would they find difficult to do?
Going up stairs with affected leg first
What is the primary goal of pulmonary rehabilitation for patients with cardiovascular disease?
Improve cardiovascular endurance
What is NOT a potential impairment resulting from a lesion in the temporal lobe of the brain?
Wernicke's aphasia
What is the initial plan of care for a newborn with whole arm paralysis resulting from a traction injury at birth?
partial immobilization of the limb across the abdomen, followed by gentle ROM after immobilization
What is the correct exercise prescription for a 65-year-old male with chronic obstructive pulmonary disease?
begin exercise with levels of 1.5 METS and exercise slowly, 3 times per week
What is the most essential strategy in the beginning for a patient with a 10-year history of scleroderma?
gentle mobilization and soft tissue manipulation
What is the best technique for a postpartum patient with stress incontinence during the beginning of the exercise program?
Supine, squeeze the spincters and hold for 3 seconds
What is a potential complication of a lesion in the temporal lobe of the brain?
Wernicke's aphasia
What is the primary goal of physical therapy for a patient with chronic obstructive pulmonary disease?
improve cardiovascular endurance
What is the best approach for treating a patient with scleroderma?
gentle mobilization and soft tissue manipulation
Study Notes
Median Nerve Involvement
- A 29-year-old data encoder complains of numbness and tingling in the right hand due to median nerve involvement.
- Recommendation to ease symptoms: provide frequent rest periods of 15 minutes every hour.
Exercise Techniques
- Approximation: a technique that facilitates contraction and stability through joint compression using gravity, manual contacts, or weight belts.
Preventing Pneumonia
- To prevent pneumonia in non-ambulatory patients, PT can recommend bedside sitting 2-3 times a day.
Muscle Weakness
- A muscle can be weak as a prime mover but strong in abnormal mass movement patterns.
- Weakness can be due to being relatively overcome by spastic antagonistic muscles.
Exercise Programs
- Rigid progressive resistive exercise using weights is suitable for strengthening.
- Flexibility exercises for the trunk can improve mobility.
- Aerobic capacity/endurance conditioning programs like aquatic exercises improve cardiovascular health.
Impairments
- Temporal lobe lesion impairments: emotional liability, difficulty with memory loss, Wernicke's aphasia.
Newborn Arm Paralysis
- Initial plan of care for a newborn with whole arm paralysis: passive mobilization of the shoulder in overhead motions.
Chronic Obstructive Pulmonary Disease (COPD)
- Exercise prescription for COPD patients: exercise at 75-80% of the target heart rate, 3 times a week.
Scleroderma Management
- Essential strategy for scleroderma patients: gentle exercises to improve function and endurance.
Stress Incontinence
- Pelvic floor exercises for postpartum patients: start with supine, squeeze the sphincters, and hold for 3 seconds.
Physical Training
- Training effects can be maintained by one or two days of exercise per week.
- Physiological changes in skeletal muscles and the cardiorespiratory system occur with training.
CVA Patient Management
- A CVA patient with extensor synergy will find difficulty going down stairs with the affected leg first.
Parkinson's Disease Management
- Exercise intervention for Parkinson's patients: quadruped position, upper extremity PNF D2 flexion and extension.
Cardiovascular Response to Exercise
- Trained patients will have a larger stroke volume during exercise.
A data encoder complains of numbness and tingling in the right hand due to median nerve involvement. What would be a suitable recommendation to the supervisor to alleviate the symptoms?
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