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

What specific effect does whirlpool therapy have on the body?

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

Which resource focuses on water use in hydrotherapy tanks?

<p>Centers for Disease Control and Prevention (C)</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. (C)</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. (C)</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. (B)</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. (D)</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. (C)</p> Signup and view all the answers

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

<p>Physiologically inadequate strength gains. (A)</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. (C)</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. (A)</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. (A)</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. (D)</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. (D)</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. (A)</p> Signup and view all the answers

Why are whirlpools discouraged for wound management?

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

What type of tissue can be harmed by whirlpool treatments?

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

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

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

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

<p>Complications in extremity edema. (B)</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. (B)</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. (A)</p> Signup and view all the answers

What method was used to rank and prioritize the recommendations?

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

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

<p>Nine (B)</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> (B)</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 (A)</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 (B)</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 (C)</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 (D)</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 (A)</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 (B)</p> Signup and view all the answers

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

<p>Physiotherapy interventions for shoulder pain (D)</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 (C)</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 (A)</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 (C)</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 (C)</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 (D)</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 (C)</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 (A)</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. (C)</p> Signup and view all the answers

Which guideline focuses specifically on pressure ulcer prevention and treatment?

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

Flashcards

Heat therapy for long-term musculoskeletal outcomes

Limited evidence shows that superficial or deep heat doesn't improve long-term musculoskeletal conditions. While short-term pain relief might occur, heat should be part of a carefully designed active treatment plan, rather than a standalone solution.

Strength training dosage in older adults

Older adults need strength training programs tailored to their abilities and goals, not under-dosed programs. Exercise should be appropriate for the individual.

Bed rest after DVT and anticoagulation

Post-diagnosis of acute deep vein thrombosis (DVT), with anticoagulation therapy started, bed rest is not recommended unless there are significant medical concerns.

Musculoskeletal conditions treatment (strategy)

Active treatment plans, rather than heat alone, are crucial for musculoskeletal conditions to have a positive outcome.

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Older adult strength training

Strength training programs for older adults should be tailored to their individual abilities and goals, avoiding under-dosing.

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DVT and activity

Following acute DVT and initiation of anticoagulation, activity is generally recommended unless there are overriding medical reasons to avoid it.

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Under-dosed exercise

Strength training for older adults shouldn't be under-dosed; frequency, intensity, and duration must be appropriate for the individual.

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Active treatment plan

A carefully designed plan incorporating exercise is more effective for musculoskeletal conditions than passive treatments like just heat.

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DVT recovery & bed rest

Unnecessary prolonged bed rest following DVT (with anticoagulation) can be harmful. Activity is recommended unless specifically contraindicated.

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CPM for TKA

Continuous Passive Motion (CPM) machines are not recommended for uncomplicated total knee replacements (TKA).

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CPM benefits

CPM does not improve knee extension, flexion, function, pain, or quality of life significantly after TKA.

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Early mobilization

Post-operative rehabilitation protocols now frequently support early movement after TKA.

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Whirlpool wound care

Whirlpools are inappropriate for treating wounds post-surgery due to risks.

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Whirlpool risks

Whirlpool therapy can cause cross-contamination, tissue damage and edema.

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Hydrotherapy alternatives

Directed wound irrigation or pulsed lavage with suction are better hydrotherapy options.

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Interprofessional teams

Teams involving various healthcare professions that work together on patient care.

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Choosing Wisely®

Recommendation that advocates for appropriate procedures.

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Patient Consultation

Consult with health care providers for specific needs/situations.

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Physical Therapist Role

Advocating for effective alternatives to CPM for most patients.

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Modified Delphi Technique

A method used to rank and prioritize recommendations, based on established criteria.

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Choosing Wisely Criteria

Established standards used to evaluate recommendations for healthcare practices.

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Literature Search

An extensive search for information from published academic papers.

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Expert Panel Review

Experts evaluating research and providing a ranking of recommendations.

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APTA Member Survey

A survey of APTA members to select top recommendations from a list.

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Final List Selection

Selecting the top five strategies from the survey results. A prioritized selection of recommendations.

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APTA Board Approval

Final approval of the selected strategies by the APTA Board of Directors.

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Therapeutic Ultrasound

A treatment for certain conditions, like some types of arthritis.

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Adhesive Capsulitis

A condition characterized by shoulder stiffness.

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Strength Training

Exercises that improve muscle strength and power.

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Progressive Resistance Training

A type of exercise that involves gradually increasing the amount of weight or resistance used during workouts.

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Strength Training in Elderly

A type of exercise that focuses on improving muscle strength and endurance in older adults.

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Dose-Response Relationship (Resistance Training)

The relationship between the amount of resistance training and the resulting improvement in strength and fitness.

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Early Ambulation

Starting to walk or move around as soon as possible after an event or procedure, especially after being bedridden.

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Deep Vein Thrombosis (DVT)

A blood clot that forms in a deep vein, usually in the leg.

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Pulmonary Embolism

A blood clot that travels to the lungs, blocking blood flow.

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Continuous Passive Motion (CPM)

A physical therapy technique that uses a machine to gently move a joint through its range of motion.

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Total Knee Arthroplasty

A surgical procedure to replace a damaged or diseased knee joint with an artificial one.

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Pressure Ulcer Prevention

Strategies to prevent sores or wounds from developing on skin areas that are pressed or rubbed against surfaces for prolonged periods.

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Venous Ulcer Guideline

A set of recommendations or protocols for treating venous ulcers, which are leg ulcers caused by poor blood flow.

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ABIM Foundation Mission

The ABIM Foundation's goal is to improve the health care system by promoting medical professionalism among physicians, trainees, and other healthcare stakeholders.

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What does APTA represent?

The American Physical Therapy Association (APTA) advocates for over 88,000 physical therapists, assistants, and students nationwide.

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What are physical therapists' roles?

Physical therapists use research-backed treatments to help individuals reduce pain, restore movement, prevent injuries, and achieve fitness and wellness.

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What is the goal of APTA?

The APTA aims to improve the health and well-being of individuals in society.

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Hydrotherapy Tank Safety

The CDC provides guidelines for safely using hydrotherapy tanks to prevent infections, emphasizing water quality and proper cleaning procedures.

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Whirlpool Bathtub Infections

A contaminated drain in a whirlpool bathtub can lead to serious Pseudomonas aeruginosa infections, highlighting the importance of hygiene in medical settings.

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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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