Physical Therapy Techniques & Guidelines
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Questions and Answers

What technique can be applied to the patella to promote increased extension?

  • Medial tilt
  • Superior glide (correct)
  • Distal glide
  • Lateral glide

Which of the following represents a contraindication for stretching using grade III and IV mobilizations?

  • Moderate muscle tightness
  • Joint stability
  • Mild discomfort
  • Hypermobility (correct)

In the context of documentation, which element does NOT belong in the 'Body structure' category?

  • Body function
  • Impairments
  • Participation restrictions (correct)
  • Contextual factors

What is an indication for soft tissue mobilization via massage?

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

What is a primary consideration when documenting physical therapy compared to physical therapy assistant interventions?

<p>Skill level of the provider (C)</p> Signup and view all the answers

Match the following patella mobilization techniques with their effect:

<p>Distal glide = Increases flexion Superior glide = Increases extension Medial glide = Corrects laterally displaced patella Medial tilt = Corrects laterally displaced patella</p> Signup and view all the answers

Match the contraindications for stretching (grade III and IV) with their descriptions:

<p>Hypermobility = Excessive joint movement Joint effusion = Swelling in the joint Inflammation = Response to injury or irritation Empty end feel = Indicates severe spasm or instability</p> Signup and view all the answers

Match the elements of the ICF with their corresponding definitions:

<p>Impairments = Problems in body function or structure Activity limitations = Difficulties in executing tasks Participation restrictions = Problems with involvement in life situations Contextual factors = Environmental and personal influences</p> Signup and view all the answers

Match the following soft tissue mobilization indications with their benefits:

<p>Decreases pain = Promotes relaxation Improves circulation = Enhances tissue healing Increases range of motion = Reduces stiffness Provides sensory input = Improves body awareness</p> Signup and view all the answers

Match the components of SOAP notes with their descriptions:

<p>Subjective = Patient's reported feelings or perspective Objective = Measured data and observations Assessment = Evaluation of findings Plan = Future treatment strategy</p> Signup and view all the answers

Flashcards

Patella Mobilization

Techniques to manipulate the patella for improved knee function.

Scapular Mobilization

Techniques to manipulate the scapula for better shoulder/arm function, often done in side-lying.

Contraindications for Stretching

Conditions where stretching should be avoided (e.g., high pain, hypermobility, joint effusion).

ICF Documentation Element

International Classification of Functioning, Disability, and Health - A framework for documenting impairments, activity limitations, and participation restrictions in patient care.

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Massage Contraindication

Conditions (e.g., congestive heart failure) where massage should not be performed because of potential harm.

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Patellar Glide for Flexion

A mobilization technique where the patella is gently moved distally to increase knee flexion range of motion.

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Patellar Tilt for Lateral Displacement

A mobilization technique where the patella is moved medially and tilted inward to correct a laterally displaced kneecap.

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Scapular Mobilization Positions

Side-lying positioning allows for various scapular mobilizations, targeting protraction/retraction, anterior/posterior tilt, and upward/downward rotation for improved shoulder function.

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Stretching Contraindication: Hypermobility

Stretching should be avoided in individuals with hypermobility, as it can increase joint instability and risk of injury.

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Massage Contraindication: Congestive Heart Failure

Massage is contraindicated in individuals with congestive heart failure, as increased blood flow can put a strain on the heart.

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Study Notes

Patella Mobilization

  • Distal glide increases flexion.
  • Superior glide increases extension.
  • Medial glide and medial tilt correct lateral patellar displacement.

Scapula Mobilization

  • Sidelying position is used for scapular mobilization.
  • Protraction/retraction, anterior/posterior tilt, upward/downward rotation are mobilized.
  • Mobilization can be done during patient movement for assisted treatment.

Stretching Contraindications (Grade III & IV)

  • Hypermobility.
  • Joint effusion.
  • Inflammation.
  • Excessive pain or resistance.
  • Empty end feels and severe multidirectional spasms (possible serious pathology).
  • Conditions weakening the patient (osteoporosis, infection).

Documentation (Including ICF)

  • Include comments related to medical necessity/reason for skilled intervention.
  • Differentiate between Physical Therapist (PT) and Physical Therapist Assistant (PTA) responsibilities.
  • SOAP notes should include essential information for gait, transfers, physical agents, exercises, and other interventions.

ICF Elements

  • Impairments, activity limitations, and participation restrictions.
  • Body structure vs. body function.
  • Environmental and personal contextual factors.

Soft Tissue Mobilization (Massage)

  • Indications, contraindications, and benefits.
  • Contraindications include congestive heart failure and kidney disease.

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Description

Test your knowledge on patella mobilization, scapula mobilization, and contraindications for stretching in physical therapy. This quiz will also cover documentation practices, including the ICF framework, essential for effective physical therapy interventions.

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