Health and Rehabilitation Techniques

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Questions and Answers

Which instruction is appropriate for assisting a patient in regaining normal breathing?

Take a slow deep breath through pursed lips, and exhale slowly through your nose only (correct)

Breathe in through pursed lips, and breathe out slowly through your nose

Breathe in through your nose, and exhale slowly through pursed lips

Take small breaths through your nose only, and exhale quickly through pursed lips

At what age should a therapist begin to introduce the skill of holding and drinking from a bottle to a baby?

12 to 14 months

10 to 12 months (correct)

8 to 10 months

6 to 8 months

What is the method of sampling called where participants are asked to share with others who meet similar criteria?

Quota sampling

Random sampling

Stratified sampling

Snowball sampling (correct)

What is the Hawthorne effect in a research study?

Participants alter their behavior due to awareness of being observed Signup and view all the answers

What is the likely grading of consciousness for a patient with brain injury who responds to stimuli but does not obey commands according to the Ommaya Scale?

2 Signup and view all the answers

In patients with cervical rib syndrome, which structures are commonly affected?

Common carotid artery and inferior trunk of the brachial plexus Signup and view all the answers

For a patient weighing 70 kg engaged in an exercise protocol requiring 3-4 METS, which activity is appropriate?

Level walking at 1.5 mph Signup and view all the answers

What is a possible cause for excessive knee flexion observed during gait training in a patient with a transtibial amputation?

The socket is aligned in excessive flexion Signup and view all the answers

Which phenomenon occurs when a patient exhibits mass flexion of the lower extremity in response to resistance applied at the elbow?

Raimiste's phenomenon Signup and view all the answers

What type of breathing is recommended to help stabilize a patient’s breathing rate?

Deep slow breathing through pursed lips Signup and view all the answers

Which technique is least likely to facilitate hand opening in a patient post-stroke?

Avoid touching the interossei Signup and view all the answers

In assessing a patient's persistent shoulder pain, which selective tissue tension assessment would be most informative?

Active range of motion Signup and view all the answers

Which of the following statements about cervical rib syndrome is incorrect?

It primarily affects the lower limbs. Signup and view all the answers

When a patient complains of significant discomfort during ultrasound treatment on the dorsum of the foot, what may this indicate?

Inadequate coupling agent used Signup and view all the answers

When providing breathing instructions, which statement would be least effective?

Breathe deeply through the mouth and exhale slowly Signup and view all the answers

What type of sampling involves dividing a population into subgroups and then sampling from these groups?

Stratified sampling Signup and view all the answers

Which postural finding is not commonly associated with pregnancy during a postural examination?

Decrease in lumbar lordosis Signup and view all the answers

What is an appropriate breathing technique to instruct a patient struggling with normal breathing?

Inhale slowly and deeply, then exhale gently through pursed lips Signup and view all the answers

In a physical therapy setting, what could be a consequence of the placebo effect?

Patients feeling better through belief in treatment effectiveness Signup and view all the answers

Which parameter measures the partial pressure of carbon dioxide in arterial blood?

Partial pressure of carbon dioxide Signup and view all the answers

What should a physical therapist document if they observe mass flexion of the right lower extremity when resistance is applied?

Raimiste’s phenomenon Signup and view all the answers

What is the arterial saturation level indicated in the case?

85% Signup and view all the answers

For a patient using forearm crutches and an ankle-foot orthosis, which gait pattern is typically adopted?

Swing-to gait pattern Signup and view all the answers

What is the typical partial pressure of arterial oxygen for a properly ventilated individual?

92 mmHg Signup and view all the answers

What is the optimal position for the lower extremities while a patient is sitting for postural modification?

90 degrees of hip flexion, 90 degrees of knee flexion, and 10 degrees of dorsiflexion Signup and view all the answers

Which exercise can be performed while wearing a Milwaukee brace for scoliosis?

Posterior pelvic tilt in supine with hips and knees flexed Signup and view all the answers

Before taping an athlete's ankle prophylactically, which position should the ankle be in to prevent injury?

Inversion, dorsiflexion, abduction Signup and view all the answers

How is the patient's description of short-lived intense anxiety best classified?

Panic disorder Signup and view all the answers

Which range of hip and knee flexion is not acceptable for postural modification in patients with low back pain?

60 degrees of hip flexion, 90 degrees of knee flexion, and 0 degrees of dorsiflexion Signup and view all the answers

In what position should a below-knee amputation patient ideally be positioned during therapy?

Supine with legs extended Signup and view all the answers

Which exercise is least appropriate for a patient rehabilitating with a Milwaukee brace?

Seated torso rotation Signup and view all the answers

What is the primary focus of corrective exercises done with a Milwaukee brace?

Maintaining proper posture during brace wear Signup and view all the answers

What is the most appropriate initial response if a therapist feels that 80% of patients receive little clinical benefit from a proposed treatment regime?

Discuss with the physician the rationale for requesting modalities Signup and view all the answers

During an examination of a patient with a traumatic brain injury, the therapist observes non-purposeful mumbling. What should the therapist do next?

Discuss the identified inconsistency with the referring physician Signup and view all the answers

On the 6-20 Borg Rating of Perceived Exertion scale, what score suggests a patient is working at a moderate to hard intensity?

16 out of 20 Signup and view all the answers

If a therapist identifies an inconsistency in lumbar range of motion while a patient lifts an object, what should be the therapist's response?

Document the findings and adjust treatment if necessary Signup and view all the answers

According to the Rancho Los Amigos levels of cognitive functioning, how would a patient who mumbles non-purposeful phrases be classified?

Level III: Localized response Signup and view all the answers

What is the recommended action if a physical therapist finds a patient attempting to strike them during an evaluation?

Leave the room and call for assistance immediately Signup and view all the answers

In the context of physical therapy, what is the purpose of using the Borg Rating of Perceived Exertion scale?

To gauge the patient's perceived level of exertion during activity Signup and view all the answers

What action should a therapist take if they suspect that the physician’s treatment request is not beneficial for patients?

Address the concern with the physician professionally Signup and view all the answers

Study Notes

Sitting Postures for Low back pain

An optimal position for sitting involves:
- 90 degrees of hip flexion
- 90 degrees of knee flexion
- 0 degrees of dorsiflexion

Rehabilitating a Patient with Scoliosis

A Milwaukee brace is used to correct spinal curvature
Correctional exercises for scoliosis while wearing the brace include posterior pelvic tilt in supine with hips and knees flexed

Ankle taping for Prophylactic Protection

To optimize ankle protection during taping before sport, the ankle should be positioned in slight eversion, dorsiflexion, and abduction

Panic Disorder

Characterized by short-lived, recurrent, unpredictable episodes of intense anxiety

Sampling Techniques

Snowball sampling is used when research participants identify other subjects who meet the inclusion criteria

Internal Validity

Hawthorne effect occurs when subjects in a research study modify their behavior because of being observed

Exercise Protocol for Cardiac Rehabilitation

An example of an appropriate activity for a patient in Phase II cardiac rehab with 3-4 METS is walking on a treadmill at 3 mph

Raimiste's Phenomenon

After a stroke, a patient may experience mass flexion of the right lower extremity with right elbow flexion resistance

Breathing Exercises

A physical therapist can instruct patients to improve breathing rate by breathing in through the nose, and exhale slowly through pursed lips

Early Intervention Motor Skills

Introduce bottle-feeding skills around 8 to 10 months of age

Cervical Rib Syndrome

Patients with cervical rib syndrome can experience tingling and numbness in the upper extremity, often when carrying heavy objects at their side
Structures commonly affected by cervical rib include the subclavian artery and the inferior trunk of the brachial plexus

Determining Treatment Effectiveness

Physical therapists should discuss with physicians the rationale for requesting specific modalities for each patient

Rancho Los Amigos Levels of Cognitive Functioning

A patient who mumbles non-purposeful phrases and attempts to strike the therapist in the head can be classified at Level 4 on the Rancho Los Amigos Scale

Gait Deviations in Transtibial Amputation

Excessive knee flexion from heel strike to mid-stance in gait training may result from the socket being set posterior in relation to the foot

Ultrasound Therapy for Burns

If a patient experiences significant discomfort during ultrasound therapy, it's prudent to discontinue the treatment

Postural Changes During Pregnancy

A postural change not commonly associated with pregnancy is a decrease in cervical lordosis

Ambulatory Ability in a Patient with a Spinal Cord Injury

A patient with a T1 paraplegia would be able to ambulate independently in the parallel bars using bilateral ankle-foot orthoses

Heart Rate Variability (HRV)

Maintaining a rating of 12 out of 20 on the 6-20 Borg Rating of Perceived Exertion scale may help improve a patient's HRV

Inconsistency in Physical Findings

If a therapist observes an inconsistency in a patient's measured lumbar range of motion during a physical examination, it's best to discuss this discrepancy with the referring physician

Arterial Blood Gas Analysis

Normal partial pressure of carbon dioxide is 40 mmHg

Selective Tissue Tension Assessment for Shoulder Pain

Resisted isometrics would be most useful for assessing a specific upper extremity muscle injury in a patient with persistent shoulder pain

Assessment of a Patient with Fibromyalgia

If a therapist identifies an inconsistency in a patient with fibromyalgia, they should discuss this with the referring physician instead of confronting the patient directly

Level of Consciousness

A patient who responds correctly to stimuli but does not obey commands is at Level 1 of consciousness on the Ommaya Scale

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Description

This quiz covers essential techniques and practices for managing low back pain, scoliosis rehabilitation, ankle taping, and understanding panic disorder. Additionally, it touches on sampling techniques and factors affecting internal validity in research. Test your knowledge on these critical health and exercise topics!