Questions and Answers
Which mechanism of injury is most consistent with apophysitis of the ischial tuberosity?
Which test would be the MOST useful to identify the presence of asthenia?
What is the MOST appropriate modification to treatment parameters for a patient with discomfort during intermittent compression?
What are the MOST appropriate ambulation parameters to increase ambulation distance for a patient with chronic arterial disease?
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When should exercise be discontinued for a patient based on O2 sat measurements?
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Which assistive device would be the MOST appropriate for a patient rehabilitating from a TBI with good strength but impulsivity?
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What type of catheter is MOST commonly performed with surgical insertion?
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Study Notes
Apophysitis of the Ischial Tuberosity
- Commonly occurs in athletes due to traction forces during activities like hurdling.
- Most consistent mechanism of injury associated with runners competing in hurdles.
- Other athletes' conditions linked to different anatomical origins:
- Soccer players: AIIS from rectus femoris.
- Tennis players: Iliac crest from abdominal and hip muscles.
- Sprinters: ASIS from sartorius origin.
Asthenia Identification
- Asthenia refers to generalized muscle weakness related to cerebellar issues.
- Most useful test for identifying this condition is manual resistance to assess muscle strength.
- Other cerebellar pathology tests include:
- Marching in place for movement disorders.
- Alternating finger to nose for dysdiadochokinesia.
- Placing feet on floor markers for dysmetria.
Intermittent Compression for Ankle Sprain
- Treatment involves using intermittent compression on an elevated limb.
- Initial inflation pressure set at 50 mmHg with an on/off ratio of 40/20 seconds for 20 minutes.
- If discomfort occurs during treatment, the most appropriate modification is to increase the off time to allow greater rest and decrease discomfort.
Chronic Arterial Disease and Ambulation
- Patients exhibit symptoms like cool skin, decreased temperature sensitivity, and intermittent claudication.
- Primary goal is to increase ambulation distance with short duration, frequent intervals being the most effective.
- Recommended exercise should consist of intervals lasting 3-5 minutes, followed by resting periods for symptom resolution.
Oxygen Saturation Guidelines Post Bone Marrow Transplant
- Patients’ exercise tolerance should be monitored through O2 saturation measurements.
- It is appropriate to discontinue exercise if O2 saturation drops below 90%, indicating potential arterial hypoxemia.
Appropriate Assistive Device for TBI Patient
- For patients with impulsivity but fair standing balance and good strength, a walker offers the greatest stability.
- Other devices assessed:
- Cane: provides insufficient assistance.
- Axillary crutches: require higher coordination levels.
- Lofstrand crutches: demand more balance than the patient possesses.
Urinary Catheter Post-Surgery
- A suprapubic catheter is commonly placed via surgery, leading to a 2-day PT restriction.
- Other catheter types include:
- Condom catheter: external use for males, non-surgical.
- Foley catheter: non-surgical, does not require PT restrictions.
- Swan-Ganz catheter: for measuring pulmonary arterial pressure, not related to urination.
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Description
This quiz focuses on the mechanics of injuries related to physical therapy, specifically apophysitis of the ischial tuberosity. You will encounter various scenarios where athletes might experience this condition and learn the correct mechanisms of injury associated with each sport. Test your knowledge and prepare for your PTA exam!