23 Questions
What is NOT a goal of physical therapy?
Medication assisted recovery
Physical therapists are entry level doctoral degrees and are able to see patients without referrals.
True
Physical Therapist Assistant has associate degrees and work with a PT.
True
What statement is NOT true for Occupational Therapy?
Requires of a doctoral degree
Where are you referring this patient?
Upper extremity surgery = OT Spine and lower extremity surgery = PT Sports, orthopaedics, industrial, wellness, cardiovascular & pulmonary, pelvic health, persistent neurological, and more = PT Mostly hand and UE conditions (traumatic crush injuries, or persistent neurological compromise) = OT
Therapeutic ultrasound may reduce pain while increasing blood flow via vibrations to warm the tissues. What is the evidence of this?
Poor
When is Electric Stimulation (TENS) used in practice?
For at home treatments
A patient had ortho surgery for an ACL tear. What medical device can be used to increase contraction of muscles in the post-op setting?
Electric Stimulation (Muscle Stim)
A patient has superficial tendinopathies, what can be used to delivery dexamethasone and electrical pulses?
Iontophoresis
A post-operative patient is not able to bear full weight, what medical device can be used for lowering intensity training to yield changes in muscle size and strength?
Blood-flow restriction
What manual therapy is used to reduce pain and improve motion via small amplitude thrust applied to joints?
Manipulation
What therapy can be used in addition to exercise and with/without electrical stimulation to help reduce guarding and pain for subacute pain?
Dry Needling
Physical therapists don’t need specific diagnosis (for orthopaedics) and a referral is not required.
True
Physical therapists do not need frequency or duration order from an MD/PA/NP/DO, or specific exercises or guidelines.
True
The PT will conduct an evaluation and communicate plan to you as the patient’s medical provider
True
What brace can be used for carpal tunnel and acute wrist sprains? This brace will allow finger and hand use while limiting tension on median nerve or irritated ligaments.
Cock-up splint
What brace can be used for acute ankle sprains or persistent ankle instability to her limit inversion and eversion of the ankle thus decreasing pain and reinjury?
Ankle stabilizing orthoses
What brace can be used for knee pain, but has limited evidence for supportive use?
Neoprene knee sleeve
What brace is used for lateral epicondylagia but still allows for painless and free grip use during the irritable phases?
Forearm strap
A patient with a severe ankle sprain needs a brace that allows for ambulation and unsupported ROM for recovery, what are you going to recommend?
Pneumatic walker
What brace can you order to limit mobility through the midfoot and forefoot for patients that underwent bunionectomy or has metatarsalgia?
Post-op shoe
What brace allows for painless and free quadricep use in patella tendinopathy?
Chopat strap
If a patient suffers from a joint injury (GH, AC, clavical, SC joint), what can you use to allow for support and restricted movement?
Sling
Study Notes
Physical Therapy
- Physical therapists have entry-level doctoral degrees and can see patients without referrals.
- Physical therapist assistants have associate degrees and work with physical therapists.
Occupational Therapy
- One statement that is NOT true about occupational therapy is not mentioned in the text.
Therapeutic Ultrasound
- Therapeutic ultrasound reduces pain and increases blood flow via vibrations, warming the tissues.
- Evidence of this includes increased blood flow and reduced pain.
Electric Stimulation (TENS)
- TENS is used to reduce pain and increase muscle contraction.
Post-Operative Care
- After orthopedic surgery (e.g., ACL tear), physical therapists use medical devices to aid in recovery.
- These devices include:
- Electric Stimulation (TENS) to increase muscle contraction.
- therapeutic ultrasound to reduce pain and increase blood flow.
- Neuromuscular Electrical Stimulation (NMES) to increase muscle contraction.
Manual Therapy
- Joint mobilization is a manual therapy used to reduce pain and improve motion via small amplitude thrust applied to joints.
Bracing
- Braces can be used to aid in recovery and reduce pain for various injuries, including:
- Wrist and carpal tunnel syndrome: a wrist brace that allows for finger and hand use while limiting tension on the median nerve or irritated ligaments.
- Ankle sprains or instability: an ankle brace that limits inversion and eversion, decreasing pain and reinjury.
- Knee pain: a knee brace with limited evidence for supportive use.
- Lateral epicondylagia: a brace that allows for painless and free grip use during irritable phases.
- Severe ankle sprains: a brace that allows for ambulation and unsupported ROM for recovery.
- Bunionectomy or metatarsalgia: a brace that limits mobility through the midfoot and forefoot.
- Patella tendinopathy: a brace that allows for painless and free quadricep use.
- Joint injuries (GH, AC, clavicle, SC joint): a brace that allows for support and restricted movement.
Test your knowledge on the goals of physical therapy and identify what is NOT a goal of physical therapy.
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