Physical Therapy Best Practices Quiz
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Questions and Answers

What can be a consequence of using contaminated hydrotherapy tanks?

  • Enhanced patient satisfaction
  • Improved rehabilitation outcomes
  • Increased risk of pseudomonas aeruginosa infections (correct)
  • Decreased need for physical therapy

    • Which organization represents over 88,000 physical therapists?

  • Centers for Disease Control and Prevention
  • American Physical Therapy Association (correct)
  • American Medical Association
  • Association for the Advancement of Wound Care

    • What is a primary goal of the ABIM Foundation?

  • To promote unhealthy therapeutic practices
  • To develop new physical therapy technologies
  • To advance medical professionalism in healthcare (correct)
  • To conduct research on hydrotherapy effectiveness

    • What is one of the roles of physical therapists according to the APTA?

    <p>Helping individuals restore movement after injury or illness</p> Signup and view all the answers

    What specific effect does whirlpool therapy have on the body?

    <p>It increases lower extremity volume</p> Signup and view all the answers

    Which resource focuses on water use in hydrotherapy tanks?

    <p>Centers for Disease Control and Prevention</p> Signup and view all the answers

    What is the evidence regarding the use of heat for long-term outcomes in musculoskeletal conditions?

    <p>There is limited evidence for its effectiveness.</p> Signup and view all the answers

    What should be emphasized in strength training programs for older adults?

    <p>Individualized programs should match abilities and goals.</p> Signup and view all the answers

    Following a diagnosis of acute deep vein thrombosis (DVT), what is advised regarding bed rest?

    <p>Ambulation is encouraged after anti-coagulation therapy.</p> Signup and view all the answers

    What can be a negative consequence of passive treatment strategies in physical therapy?

    <p>Increased fears about physical activity.</p> Signup and view all the answers

    Why is it important to establish baseline strength levels for older adults?

    <p>To ensure appropriate dosage and progression for strength gains.</p> Signup and view all the answers

    What is a consequence of under-dosing strength training in older adults?

    <p>Physiologically inadequate strength gains.</p> Signup and view all the answers

    In the context of physical therapy, what does the term 'active treatment program' refer to?

    <p>Patient-engaged activities aimed at improving health.</p> Signup and view all the answers

    What is the recommended approach for patients after achieving anticoagulation goals following DVT?

    <p>Incorporate ambulation and activity unless contraindicated.</p> Signup and view all the answers

    What may prolonged bed rest lead to in patients diagnosed with DVT?

    <p>Harm if not medically necessary.</p> Signup and view all the answers

    What is the primary reason to avoid using continuous passive motion (CPM) machines after total knee replacement?

    <p>They do not provide clinically important benefits.</p> Signup and view all the answers

    Which of the following is a reason to question the use of CPM in uncomplicated total knee arthroplasty?

    <p>There are protocols advocating for early mobilization.</p> Signup and view all the answers

    What should be considered when using CPM machines following total knee arthroplasty?

    <p>The costs and risks associated with their use.</p> Signup and view all the answers

    Why are whirlpools discouraged for wound management?

    <p>They pose risks of bacterial cross-contamination.</p> Signup and view all the answers

    Which alternative methods are suggested for treating wounds instead of whirlpools?

    <p>Directed wound irrigation or pulsed lavage.</p> Signup and view all the answers

    What type of tissue can be harmed by whirlpool treatments?

    <p>Fragile tissue.</p> Signup and view all the answers

    Who is responsible for advocating effective alternatives to CPM in post-operative rehabilitation?

    <p>Physical therapists.</p> Signup and view all the answers

    What is a significant consequence of using whirlpools for wound treatment?

    <p>Complications in extremity edema.</p> Signup and view all the answers

    What should patients do if they have specific questions about rehabilitation procedures?

    <p>Directly consult their health care provider.</p> Signup and view all the answers

    What was the method used by the American Physical Therapy Association to gather suggestions for the Choosing Wisely® list?

    <p>Direct requests to all 88,000 members.</p> Signup and view all the answers

    What method was used to rank and prioritize the recommendations?

    <p>Modified Delphi technique</p> Signup and view all the answers

    How many strategies were included in the final survey presented to APTA members?

    <p>Nine</p> Signup and view all the answers

    Which of the following documents APTA’s disclosure and conflict of interest policy?

    <p><a href="http://www.apta.org">www.apta.org</a></p> Signup and view all the answers

    What type of study was conducted by Ulus Y et al. on therapeutic ultrasound?

    <p>Randomized double-blind controlled clinical study</p> Signup and view all the answers

    Which intervention was associated with improved function in patients with adhesive capsulitis according to the literature?

    <p>Manual therapy</p> Signup and view all the answers

    What outcome did Graham N et al. review regarding heat and cold therapies for neck pain?

    <p>Overall effectiveness in pain relief</p> Signup and view all the answers

    What was the focus of the systematic review conducted by Gebremariam L et al.?

    <p>Physiotherapy and manual therapy for subacromial impingement syndrome</p> Signup and view all the answers

    What was a central theme in the article by Silva NL et al. concerning strength training?

    <p>Influence of strength training variables on strength gains</p> Signup and view all the answers

    Which of the following was NOT a part of the recommendations ranking process?

    <p>Selection based on personal experiences</p> Signup and view all the answers

    What did Green S et al. investigate in their systematic review?

    <p>Physiotherapy interventions for shoulder pain</p> Signup and view all the answers

    What is the primary focus of Valenzuela's 2012 systematic review?

    <p>Efficacy of progressive resistance training in nursing homes</p> Signup and view all the answers

    Which study discusses the dose-response relationship in resistance training for older adults?

    <p>Nicola F, Catherine S</p> Signup and view all the answers

    What aspect of physical activity does Kahn et al.'s systematic review address?

    <p>Physical activity in patients with deep venous thrombosis</p> Signup and view all the answers

    Which publication discusses the efficacy of continuous passive motion after total knee arthroplasty?

    <p>Cochrane Database Syst Rev</p> Signup and view all the answers

    Which of the following studies is NOT focused on ambulation or mobility post-surgery?

    <p>Valenzuela on resistance training</p> Signup and view all the answers

    What type of review is presented in the study by Gay et al. regarding treatment outcomes?

    <p>Systematic review and synthesis of literature</p> Signup and view all the answers

    What does the systematic review by Brosseau et al. primarily analyze?

    <p>Efficacy of continuous passive motion post-knee arthroplasty</p> Signup and view all the answers

    Which research highlights the clinical features of early ambulation in managing specific conditions?

    <p>Aissaoui N et al.</p> Signup and view all the answers

    Which guideline focuses specifically on pressure ulcer prevention and treatment?

    <p>Institute for Clinical Systems Improvement Protocol</p> Signup and view all the answers

    What is the overall outcome discussed by Anderson et al. regarding ambulation after deep vein thrombosis?

    <p>Enhanced patient recovery rates</p> Signup and view all the answers

    Study Notes

    Five Things Physical Therapists and Patients Should Question

    • Don't use heat (superficial or deep) for long-term musculoskeletal conditions: Limited evidence for long-term benefit; short-term pain relief is possible, but an active treatment plan is more effective for pain, mobility, function, and quality of life. Passive treatments may increase anxiety and prolong recovery.

    • Don't prescribe insufficient strength training for older adults: Match exercises to individual abilities and goals. Appropriate exercise frequency, intensity, and duration improve strength, quality of life, and reduce fall risk in older adults. Improperly dosed programs are inadequate to increase strength.

    • Don't recommend bed rest after DVT (deep vein thrombosis) treatment: Ambulation is recommended unless other significant medical concerns exist. Prolonged bed rest is potentially harmful.

    • Don't use continuous passive motion (CPM) machines after uncomplicated total knee replacement: CPM does not provide clinically meaningful benefits for function, pain, or quality of life after uncomplicated TKA (total knee arthroplasty). Early mobilization is preferred and more effective.

    • Don't use whirlpools for wound management: Whirlpool use increases risk of bacterial cross-contamination and tissue damage. Directed wound irrigation or pulsed lavage with suction are more appropriate alternatives.

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    Related Documents

    APTA Choosing Wisely List 2014-2015 PDF

    Description

    Test your knowledge on the essential practices and misconceptions in physical therapy. This quiz covers critical considerations for patient care, especially in musculoskeletal treatment and elderly care. Understand the implications of certain treatment methods and their impact on recovery.

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