Kahoot Review - Unit 3

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Questions and Answers

When guarding on stairs, which is MOST accurate?

  • Stand directly to the side of the pt when ascending and descending
  • Stand behind the pt while descending the stairs for the first time.
  • Stand between the pt and direction they are most likely to fall. (correct)
  • Stand where the pt prefers to have assistance.

Pt plays for DC Spirit w/ orders for NWB R LE gait train w/ walker. The most appropriate action for the PT is

  • Gait train with walker and cues to keep all weight off
  • Gait train using axillary crutches and a swing through pattern
  • Call the physician and discuss alternative devices
  • Call the physician and discuss alternative WB restrictions (correct)

Which cue is appropriate for sit-->stand w/ TTWB LLE?

  • Kick the LLE forward off the ground
  • Extend both knees and place feet farther away from the chair (correct)
  • Flex knee, raise hip into excessive flexion to avoid breaking precaution
  • Lean to the right when coming to stand

Which of the following statements is MOST correct?

<p>Pts who are PWB can use a cane (B), Pts who are WBAT can use a rolling walker (D)</p> Signup and view all the answers

When fitting a walker, what is MOST important to consider to maximize energy efficiency?

<p>Angle of the elbow (D)</p> Signup and view all the answers

The cue is "L crutch, R foot, R crutch, L foot" this is what gait pattern?

<p>4 point (D)</p> Signup and view all the answers

Which of the following is NOT considered a WB restriction?

<p>WBAT (A)</p> Signup and view all the answers

Pt w/ L CVA and fair balance. What is most appropriate?

<p>Place all 4 legs of the walker, step L foot then R foot past the L (D)</p> Signup and view all the answers

Pt w/R CVA uses hemiwalker, amb 150' needs 50% help to progress AD & L LE. What level of Assistance would you document?

<p>Mod A (B)</p> Signup and view all the answers

Which of the following approaches is MOST accurate to train a pt in PWB 30%?

<p>Limb Load Monitor (A)</p> Signup and view all the answers

Pt s/p surgery with mild weakness throughou LLE and impaired balance using a cane. What is MOST appropriate?

<p>Turn toward your L when turning (B)</p> Signup and view all the answers

The most energy efficient gait pattern for a person w/ SCI and long leg braces using B loftstrand crutches long term is:

<p>Swing through (A)</p> Signup and view all the answers

A pt is LLE PWB 20%, the PT is instructing sit to stand. What is the BEST instruction?

<p>I am going to guard and help by blocking anterior tibia on the R (A)</p> Signup and view all the answers

A 62 y.o. rec athlete progressed in rehab to begin sport specific ex to return to tennis. What is BEST functional ex?

<p>Lunges 8 x 10' (A)</p> Signup and view all the answers

To create a POC that addresses UE strength and steady state static balance, which is MOST appropriate?

<p>Standing on floor while performing shoulder extension with red therband (C)</p> Signup and view all the answers

Pt has decreased heel strike, increased tripping, tight soleus. What is BEST to promote better walking pattern?

<p>Stationary bike x 5', prone hold-relax soleus stretch 6 sec hold x30 sec x8 (B)</p> Signup and view all the answers

The descent phase of a lunge is an example of a(n):

<p>Closed chain activity (D)</p> Signup and view all the answers

All are true about circuit training EXCEPT

<p>A pt must have greater than a 4/5 muscle strength to be appropriate (A)</p> Signup and view all the answers

A pt has been hospitalized for 2 weeks and has decreased force production. This is a example of what principle?

<p>Reversibility (B)</p> Signup and view all the answers

Which of the muscle fibers is most resistant to fatigue

<p>Type I (D)</p> Signup and view all the answers

You run really fast to rescue a dog from a car. What primary energy system are you using?

<p>Phosphagen (ATP-PC) (B)</p> Signup and view all the answers

The BEST exercise for the pt is ALWAYS heel raises

<p>It Depends! (A)</p> Signup and view all the answers

Flashcards

What is 2 + 2?

The answer is 4

What is 3 x 7?

The answer is 21

What is 10 - 5?

The answer is 5

What's 8 divided by 4?

The answer is 2

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What is 12 / 3?

The answer is 4

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Name this symbol: +

This is the addition symbol

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Name this symbol: -

This represents subtraction

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Name this symbol: x

This denotes multiplication

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Name this symbol: /

This means division

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Square root of 9

The answer is 3

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Study Notes

Kahoot Review - Unit 3

  • Stair Guarding: Stand between the patient and the direction they are most likely to fall when ascending/descending stairs.

  • Patient with NWBR LE Gait Train: Gait train with walker, cues to keep all weight off the affected leg.

  • Sit-to-Stand with TTWB LLE: Extend both knees, place feet further away from the chair, then kick the affected leg forward off the ground.

  • PWB and Cane Use: Patients using a cane who are considered PWB (partial weight bearing).

  • Walker Fitting: Height of the wrist crease is important in maximizing energy efficiency when fitting a walker.

  • Gait Pattern: "L crutch, R foot, R crutch, L foot" is a 2-point gait pattern.

  • Weight-Bearing Restrictions: PWB, NWB (non-weight bearing), TTWB (toe-touch weight bearing), WBAT(weight bearing as tolerated).

  • L CVA Patient with Fair Balance: Place cane in the right hand, then move the cane and the right leg forward together, then the left foot and left crutch together, to stand.

  • Hemiwalker Assistance: Moderate assistance (Mod A) for a patient who uses a hemiwalker, ambulates 150 feet, needs 50% assistance on both legs.

  • PWB (20%): Instruct to lift the affected leg off the ground as they come to stand.

  • Sport-Specific Exercise (REC Athlete): SAQ's (single leg agility hops) for tennis recovery or return to sport.

  • UE Strength/Steady State Balance: Sitting on an exercise ball, performing PNF (proprioceptive neuromuscular facilitation, for example, bicep curls) exercises while standing on a wobble board can train UE strength and balance.

  • Decreased Heel Strike, Tripping, & Tight Soleus: Stationary biking, and progressive stretches like prone hold-relax soleus stretches.

  • Circuit Training: Alternates body regions between stations, stresses aerobic and anaerobic systems. Rest time must be considered based on individual needs.

  • Overload Principle: Volume = Frequency x Intensity x Time

  • Decreasd Force Production: Demonstrates the reversibility principle, where lack of use can lead to a decrease in strength

  • Energy System for Exercise: Phosphagen (ATP-PC) system is used for very rapid bursts of energy like rescuing a dog.

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