Physical Therapy Techniques Overview
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Questions and Answers

What is the primary cause of Chronic Obstructive Pulmonary Disease (COPD)?

  • Genetic predisposition
  • Cigarette smoking (correct)
  • Occupational exposure
  • Air pollution

Which component is not included in the International Classification of Functioning, Disability, and Health (ICF)?

  • Activity limitations
  • Body functions
  • Disease progression (correct)
  • Environmental factors

Which of the following is NOT a method used for monitoring patients in a cardiac ICU?

  • Blood pressure measurement
  • Oxygen saturation monitoring
  • Intracranial pressure (correct)
  • Electrocardiogram

What does the Borg Breathing Scale recommend for patients in phase 1 of cardiac rehabilitation concerning Rate of Perceived Exertion (RPE)?

<p>Below 13 (A)</p> Signup and view all the answers

Which respiratory condition is described as a genetic and multisystemic disease?

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

Which of the following is not one of the points to pay attention to in an exercise program for a female patient with advanced osteoporosis?

<p>Including warm-up and cool-down exercises (D)</p> Signup and view all the answers

Which assessment tool is commonly used to gauge balance ability and fall risk in geriatric individuals?

<p>Timed Get Up and Go Test (A)</p> Signup and view all the answers

Which musculoskeletal risk is not associated with inappropriate aerobic endurance exercise in older adults?

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

Which of the following is not considered a symptom of scleroderma?

<p>Osteophyte formation (C)</p> Signup and view all the answers

Which treatment option is not typically used for managing fibromyalgia?

<p>PNF (Proprioceptive Neuromuscular Facilitation) (A)</p> Signup and view all the answers

Which of the following does not qualify as an inflammatory or articular disease?

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

Which of the following methods is inappropriate during walking training for Parkinson's Disease patients?

<p>Incorporating many obstacles in the home (D)</p> Signup and view all the answers

Which of the following statements about spinal cord injuries assessment methods is incorrect?

<p>Berg Balance Scale is specific to spinal cord injuries (A)</p> Signup and view all the answers

Which of the following correctly describes the use of diadinamic currents?

<p>Used primarily for connective tissue stimulation and treatment of painful conditions. (A)</p> Signup and view all the answers

What is a known contraindication for applying interferential current?

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

What are wand exercises used for?

<p>Restoring voluntary muscle control in the affected upper extremity. (C)</p> Signup and view all the answers

Which of the following statements about scoliosis is incorrect?

<p>The end vertebra is defined as the vertebra located at the curve's midpoint. (D)</p> Signup and view all the answers

Which component is not part of the PRICE protocol in injury management?

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

In the treatment of a 20-year-old patient with new-onset pain and edema, how long should a cold pack be applied?

<p>15 minutes (A)</p> Signup and view all the answers

What is the appropriate daily usage of a full-time orthosis?

<p>22-23 hours (A)</p> Signup and view all the answers

What does the combining form 'myelo-' refer to?

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

Which statement about isometric exercises is correct?

<p>The muscle remains the same length while contracting. (C)</p> Signup and view all the answers

Which statement about standard posture is incorrect?

<p>Thoracal vertebrae are convex toward the anterior. (B)</p> Signup and view all the answers

What is neuropraxia characterized by?

<p>Temporary conduction cessation without degeneration. (D)</p> Signup and view all the answers

Which statement is true regarding hip joint flexion range of motion measurement?

<p>The pivot point is the anterior superior iliac spine. (C)</p> Signup and view all the answers

Which two events in the inflammatory reaction need to be switched for correct order?

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

Which statement is NOT true for tendon ruptures?

<p>All tendon ruptures require surgical intervention. (C)</p> Signup and view all the answers

Which technique is considered an inhibition technique?

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

Which of these is NOT indicated for rhythmic stabilization?

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

Which statement about hip muscle strength measurements is incorrect?

<p>The Tensor fascia lata muscle test is performed in a standing position. (C)</p> Signup and view all the answers

Which option does NOT represent a purpose of passive normal joint movement?

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

Which of the following is NOT a characteristic of the Swan neck deformity?

<p>It results from a dysfunction of the flexor tendons. (B)</p> Signup and view all the answers

Identifying which of the following is false about pain transmission is crucial. What is incorrect?

<p>A alpha fibers are involved in pain perception. (D)</p> Signup and view all the answers

What is inaccurate regarding postoperative amputee rehabilitation?

<p>Psychological support is unnecessary for adapting to the prosthesis. (C)</p> Signup and view all the answers

Which statement about the straight leg test is incorrect?

<p>It primarily assesses lower back flexibility. (A)</p> Signup and view all the answers

Which of the following statements about classical massage is false?

<p>It provides venostasis. (A)</p> Signup and view all the answers

What is incorrect about anthopometric measurements of the forearm?

<p>The elbows should be extended during measurement. (B)</p> Signup and view all the answers

Flashcards

Interferential Current

A type of electrical stimulation that uses two alternating currents with different frequencies to create an interference pattern, which creates a deeper penetration and wider area of treatment.

Diadinamic Currents

A specific type of electrical stimulation with alternating currents of low frequency, used for pain relief and tissue repair.

Wand Exercises

Exercises using objects like sticks, canes, and towels to assist with regaining normal joint movement in the upper extremity.

Scoliosis

A sideways curvature of the spine, often accompanied by rotation of the vertebrae.

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Spinal Deformity

A condition involving a sideways curvature of the spine, often accompanied by rotation of the vertebrae.

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Phonophoresis

A type of therapeutic ultrasound that uses a medium, like a gel, to transmit the ultrasound waves into the body.

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HALO

A type of orthotic device that completely surrounds the head, often after surgery or trauma.

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Ice Pack

A method of applying cold therapy using a plastic bag filled with crushed ice wrapped in a towel.

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Lumbar lordosis and muscle imbalances

Increased lumbar lordosis leads to shortening and tightening of the lumbar extensor muscles (back muscles) and lengthening and weakening of the gluteal muscles (buttocks muscles).

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Passive normal joint movement goal

The goal of passive normal joint movement is to prevent and reduce contractures (tightening of muscles and joints).

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MG Biofeedback therapy uses

MG Biofeedback therapy is used for various purposes, including improving muscle control, relaxation, and reducing pain. Providing relaxation in the antagonist muscle in spasticity is not a typical goal.

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NMES application

Neuromuscular Electrical Stimulation (NMES) can stimulate muscles, but not as a primary method for facilitating involuntary motor function. Other methods are used for involuntary muscle activation.

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Pes planovalgus orthoses

Pes planovalgus orthoses, also known as arch supports, are used to provide medial longitudinal arch support, reduce excessive pronation, and improve foot stability.

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Postoperative amputee rehabilitation

Postoperative amputee rehabilitation involves teaching patients to properly use and care for their prosthesis, including putting it on and taking off.

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Forearm length measurement

The forearm length measurement is taken with the shoulders and arm relaxed, and the elbows EXTENDED, not flexed. The distance between the acromion and olecranon is measured.

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Tensor fascia lata muscle test

The Tensor fascia lata 2 value muscle test is typically performed in a seated position, not supine.

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What is an isometric exercise?

Exercises where the muscle contracts without changing length, maintaining a steady, isometric contraction. This can involve pushing or pulling against a stationary object or resistance.

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What is Neuropraxia?

In this stage, the nerve fibers are still intact, but the myelin sheath and Schwann cells are preserved. This is the mildest form of nerve injury, usually resolving on its own.

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What is Scoliosis?

A condition characterized by a sideways curvature of the spine, often accompanied by rotation of the vertebrae.

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What are Eccentric Exercises?

Exercises that involve lengthening a muscle while it's under tension. These are crucial for strengthening tendons and preventing injuries.

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What is Deep Vein Thrombosis (DVT)?

A common complication after hip replacement surgery, where a blood clot forms in a deep vein, usually in the leg.

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What is Gluteus Medius Atrophy?

This is when the muscle responsible for stabilizing the hip joint (gluteus medius) weakens after hip replacement surgery.

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What is Patellofemoral Pain Syndrome?

This is a common condition affecting the front of the knee, causing pain and discomfort especially during activities involving bending or straightening the knee.

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What is the Asymmetric Tonic Neck Reflex (ATNR)?

A type of reflex that arises when the head is turned to one side, resulting in an extension of the arm and leg on the same side, and flexion of the arm and leg on the opposite side. This is a normal reflex in babies that should integrate by around 6 months of age.

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Todd Davies method principle

The side of the chin faces extension, while the side of the occiput faces flexion when performing exercises.

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What is COPD?

A chronic respiratory disease characterized by persistent airflow limitation and inflammation of the airways, making it difficult to breathe.

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Exercise precaution for osteoporosis patients

Warm-up and cool-down exercises are crucial, especially for patients with osteoporosis. They help prepare the body and prevent injuries.

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What is the main cause of COPD?

The most important cause of preventable COPD is cigarette smoking. Smoking damages the lungs and weakens the airways, leading to inflammation and narrowing.

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What is cystic fibrosis?

A genetic and multisystemic respiratory disease that affects the lungs, pancreas, and other organs. It leads to the production of thick, sticky mucus that clogs the airways, causing breathing problems and infections.

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Timed Up and Go Test

The Timed Up and Go test assesses an individual's balance, mobility, and fall risk by measuring the time it takes them to stand up from a chair, walk a predetermined distance, and return to the chair.

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What is cardiac physiotherapy?

A physical therapy approach focused on the diagnosis, treatment, and management of patients with cardiac and pulmonary conditions. It aims to improve cardiovascular health, lung function, functional capacity, and overall well-being.

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Musculoskeletal risk of aerobic exercise in older adults

Ischemia, or reduced blood flow to tissues, is not typically considered a musculoskeletal risk associated with aerobic exercise in older adults. However, other risks like joint pain, muscle strain, and cardiovascular issues can arise.

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What phase of cardiac rehabilitation is in-hospital after an MI?

The stage of cardiac rehabilitation that occurs after an MI, typically in a hospital setting. It focuses on monitoring vital signs, promoting rest, and initiating gentle exercises to gradually increase activity levels.

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Symptom of scleroderma

Osteophyte, a bony growth on a joint, is not a symptom of scleroderma. Common symptoms include skin thickening, joint pain, and Raynaud's phenomenon.

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Fibromyalgia treatment option

PNF, or proprioceptive neuromuscular facilitation, is not a treatment option for fibromyalgia. Other approaches include exercise, medication, and cognitive behavioral therapy.

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Articular inflammatory disease

Osteoarthritis, a condition affecting the joints, is not considered an articular inflammatory disease. It's categorized separately.

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Most severe type of Spina Bifida

Myelomeningocele, the most severe form of Spina Bifida, involves protrusion of the spinal cord and meninges through the spinal opening, leading to significant neurological deficits.

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Study Notes

Diadinamic Currents

  • MF is generally used for connective tissue stimulation and painful conditions caused by spasm after DF.

Interferential Current Contraindications

  • Hypertension is a contraindication.

Wand Exercises

  • Used when voluntary muscle control in the affected upper extremity is restored.
  • Involves using objects like sticks, canes, and towels to aid in completing normal joint movement.

Scoliosis Definition

  • The end vertebra is not located in the middle of the curve, is not included in the curve, and does not involve rotation.

Spinal Deformity Effects

  • All listed effects are possible consequences.

Ultrasound

  • Therapists may use phonophpresis for intermediate materials.

Classic Massage Application

  • Stroking, kneading, and stroking are used to apply massage to a muscle.
  • Deep stroking must not be used for the eye area.

Postural Analysis

  • Genu recurvatum cannot be seen from the anterior position.

Shortness Tests

  • To test the m. TFL, the patient should be positioned on their prone position.

PRICE Protocol

  • React is not a component of the PRICE protocol.

Cryotherapy Indications

  • Mental retardation is not an indication of cryotherapy.

Ice Packs

  • Physiotherapists must remove the pack to inspect the skin.

Cold Packs

  • In new-onset pain and edema (within 24 hours of injury) apply a cold pack for 15 minutes.

Halo

  • For full-time orthosis, usage should be prescribed 22-23 hours daily.

Spinal Cord Vertebrae

  • Spinal cord consists of cervical, thoracic, sacral, and coccygeal vertebrae. (33, 7, 12, 5, 5, and 4)

Spinal Cord Combining Form

  • The combining form for spinal cord is myelo-.

Pertaining to Birth

  • Natal refers to pertaining to birth.

High Blood Pressure

  • Hypertension is the medical term for higher than normal blood pressure.

Speech Loss

  • Phasia means speech loss.

Treatment Session Focus

  • Treatment sessions should focus only on current symptoms.

Straight Leg Test Error

  • Incorrect. The pivot point for measuring straight leg test is crista iliaca, not the anterior superior iliac spine.

Muscle Group Shortening/Lengthening

  • An individual with increased lumbar lordosis will have shortening of the lumbar extensor/gluteal muscle groups and increased lengthening of the opposing muscle group.

Passive Normal Joint Movement

  • Removing contractures is a goal of passive normal movement.

MG Biofeedback Therapy

  • Providing relaxation in the antagonist muscle in spasticity is not a use of MG Biofeedback therapy.

Neuromuscular Electrical Stimulation

  • Facilitation of involuntary motor function is not an effect of Neuromuscular Electrical Stimulation.

Pes Planovalgus Orthoses

  • Supporting elements for pes planovalgus orthoses include medial longitudinal arch support, internal heel wedge, and Thomas heel application.

Postoperative Amputee Rehabilitation

  • Prosthesis application and removal are elements of postoperative amputee rehabilitation.

Anthropometric Measurements

  • Forearm length measurement, with the shoulders and arms relaxed, and the elbow flexed, the distance between the acromion and olecranon is measured.

Hip Muscle Strength Measurements

  • The tensor fascia lata 2 value muscle test is not done in the supine position.

Mobilization Techniques

  • Glide movements are performed after the joint is slightly tractioned.

Trunk Extension-Flexion Goniometric Measurements

  • The pivot point for trunk extension-flexion is the crista iliaca, not the anterior superior iliac spine.

Pain Transmission

  • Sensory neurons responsible for pain transmission are A delta and C fibers (small diameter), not A alpha and beta fibers (large diameter).

Resistance Exercise Application

  • Resistance should be applied close to the muscle being worked, not proximal.

Upper Extremity Muscle Strength Assessment

  • The patient should be in a prone position when evaluating shoulder internal rotation.

Knee Joint Muscle Strength Measurements

  • Knee flexion 3-4-5 muscle test values should be evaluated in the supine position.

Swan Neck Deformity

  • Swan neck deformity is characterized by hyperextension of the PIP joint, not flexion.

Isometric Exercises

  • Isometric exercises involve muscle contraction without changing length or shortening.

Standard Posture

  • Thoracic vertebrae are in a concave, not convex, position towards the anterior.

Seddon Classification

  • Temporary cessation of nerve conduction, without nerve degeneration and with Schwann cells and myelin sheath present is termed neuropraxia.

Brain Damage in CP

  • Brain damage in Cerebral Palsy is not considered progressive.

Hip Joint Flexion Measurement

  • The pivot point for hip flexion measurement is the anterior superior iliac spine.

Inflammatory Reaction Events

  • Increasing intercapillary pressure and increasing capillary blood flow are the correct order.

Tendon Ruptures

  • Grade I tendon ruptures do not lead to strength loss.

Tendinopathy Injury Risk

  • Eccentric exercises are specifically designed to reduce the risk of re-injury in tendinopathies.

Arthroplasty Complications

  • Deep vein thrombosis and gluteus medius atrophy are possible hip arthroplasty complications.

Patellofemoral Pain Syndrome Rehabilitation

  • Vastus lateralis strengthening is important in patellofemoral pain rehabilitation.

Patellar Tendinitis

  • Isometric exercises of the lower extremity are not the most important preventive exercises for patellar tendinitis.

Physiotherapy Ice Application

  • Ice application is an important part of initial phase physiotherapy. Physiotherapists should stand opposite the patient's diagonal.

Facilitative Techniques

  • All listed options are techniques used in facilitation.

Inhibition Technique

  • Hold and relax is an inhibition technique.

Rhythmic Stabilization

  • Cerebellar problems are not indications for rhythmic stabilization.

Neuromodulation Applications

  • All listed options are applications of neuromodulation.

CIMT Knowledge

  • Proper knowledge for CIMT involves I, III, and IV.

Brunnstrom Stage 2

  • All listed options are true about Brunnstrom Stage 2.

Asymmetric Tonic Neck Reflex

  • Extremities on the chin side go into extension, while the opposite (occipital side) goes into flexion with asymmetric tonic neck reflex.

Todd Davies Method

  • The bilateral and symmetrical approach is the key principle of the Todd Davies method.

Osteoporosis Exercise Program

  • Warming-up and cool-down exercises should be included in an exercise program for osteoporosis patients.

Fall Risk Assessment

  • The timed get-up and go test is used to assess balance and fall risk.

Aerobic Exercise Risks in Older Adults

  • Skeletal muscle ischemia is one of the potential musculoskeletal risk factors associated with inappropriate aerobic exercise.

Scleroderma Symptoms

  • Osteophyte is not a symptom of scleroderma.

Fibromyalgia Treatment

  • PNF (proprioceptive neuromuscular facilitation) is not a treatment option for fibromyalgia.

Articular and Inflammatory Diseases

  • Osteoarthritis is not excluded as one of the diseases.

Fibromyalgia Symptoms

  • Pain in 11 of 18 sensitive points during digital pressure application is a characteristic symptom.

Rheumatoid Arthritis Symptoms

  • Morning stiffness lasting less than 30 minutes is a characteristic symptom.

Ankylosing Spondylitis

  • Pain relief is not an aim of physiotherapy in ankylosing spondylitis.

Spina Bifida

  • Myelomeningocele is the most severe type of spina bifida.

Brachial Plexus

  • The deltoideus muscle can be affected by the Erb-Duchenne paralysis (brachial plexus).

Constraint-Induced Movement Therapy

  • Combining constraint-induced movement therapy with bilateral activities is not a correct combination.

Osteoblastic Activity

  • Increasing osteoblastic activity is a consequence of using a tilt table for verticalization.

Neuromuscular Diseases

  • The main issue in spinal muscular atrophy is in peripheral nerves.

Parkinsonism

  • Parkinsonism is characterized by bradykinesia, rigidity, tremor and a loss of postural control.

Multiple Sclerosis and Treatment Methods

  • Hot water exercise is not suitable for patients with multiple sclerosis.

Parkinson's Disease Walking Training

  • Obstacles are not appropriate for walking training in Parkinson's Disease patients.

Spinal Cord Injury Assessment

  • Berg Balance Scale is an assessment method for spinal cord injury.

Stroke Patient Conditions

  • All listed conditions are possible conditions in stroke patients.

Johnstone Splints

  • Splints are not inflated by a pump.
  • Normal development starts with side-lying position and ends with standing.

Airway Clearance Techniques

  • Respiratory muscle training is not an adult airway clearance technique.

COPD Symptoms

  • All listed symptoms are COPD characteristics.

COPD Cause

  • Cigarette smoking is the leading cause of COPD.

Cystic Fibrosis

  • Cystic Fibrosis is a genetic and multisystemic respiratory disease.

Lower Extremity Training

  • Lower extremity training is a must in pulmonary rehabilitation because of muscle atrophy.
  • Recommended RPE is below 13 according to Borg Breathing Scale.

Post-MI Phase

  • Phase 1 is the in-hospital phase following a myocardial infarction.

Peripheral Edema Considerations

  • Central cyanosis is not associated with peripheral edema.

Cardiac Physiotherapy Terminology

  • Cardiopulmonary is a cardiac physiotherapy terminology.

Head and Neck Pattern Exercise Order

  • Correct order of head and neck exercises is to tuck chin in, bend down look to the right hip, push arms down, tuck chin, and roll head down, reach to the left knee. Chopping is suitable.

Margaret Johnstone Technique

  • Using pressure splints is a component of the Margaret Johnstone technique.

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Description

This quiz covers various physical therapy techniques and concepts, including diadinamic currents, interferential current contraindications, and specific exercises for rehabilitation. It discusses the applications and effects of ultrasound, classic massage techniques, and the importance of postural analysis in treatment. Test your knowledge on these essential topics in physical therapy.

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