Rehab: Unit 3

Short Term

A decrease in pain, decrease in inflammation and an increase in ROM are all _____ Goals

10

Aerobic activity should be performed in episodes of at least (#) minutes.

Intermediate

An increase in muscle strength, endurance and power are all _____ goals.

Long-Term

An increase in strength, coordination and return to pre-injury function are all _____ goals.

Contract

(PNF Hold/relax): Following a passive stretch of a targeted muscle have the patient isometrically _____ against your resistance for 10 seconds.

Feet flat on floor, weight distributed evenly, hips and knees flexed to 90 degrees, eam, shoulder and hip in a vertical line.

Describe the correct fitting for an exercise ball.

Maximum hr (220-age) - resting hr = heart rate reserve X 50 to 85% + resting heart rate

Describe the karvonen method for determining target heart rate.

Contract Relax Antagonist Contract

Describe what the acronym CRAC refers to when performing proprioceptive neuromuscular facilitation (PNF)

5

Following an isometric contraction in PNF Hold/relax, the patient should relax for (#) seconds.

150/75

For substantial health benefits, adults should do at least (#) minutes a week of moderate-intensity or (#) minutes a week of vigorous-intensity aerobic physical activity or an equivalent combination of moderate and vigorous intensity aerobic activity.

20

Isometric exercises should be performed in the acute phase of therapeutic exercise at (#) degree intervals through pain free ROM.

50-85

It is recommended that exercise be performed in the range of _____% of the patient's maximal heart rate.

Marble pick up, towel crunches and the alphabet

List 3, non-weight bearing, lower extremity proprioceptive exercises.

Decreased ROM and flexibility, joint contracture, muscle spasm, muscle tightness, pre-activity warm up or post activity cool down.

List 5 indications for stretching.

Acute joint sprain, acute muscle strain, hypermobility, thrombosis/embolism, recent fracture, extreme pain with motion

List 6 contraindications for stretching.

Passive, active assisted, active and resistive

List the four modes of exercise.

Static

Slow and stable stretching is known as _____ stretching.

30/20

The ACSM and the AHA recommend (#) minutes of moderately intense cardio per day, five days a week or (#) minutes of vigorously intense cardio per day 3 days a week for patients over 65

F.I.T. (Frequency, Intensity, Time)

The ____ principle states that in order to gain any benefit from exercise the program must be changes periodically.

S.A.I.D. (specific adaptations to imposed demands)

The _____ principle states that when the body is placed under stress it will attempt to overcome/accommodate this stress by becoming stronger.

Passive ROM, Active ROM and manual resistance exercise

The following therapeutic exercise types are recommended during the sub-acute phase of healing.

220-age

The traditional method for calculating maximal heart rate is _____.

general body condition and psychological aspects

Therapeutic exercise is also responsible for maintaining _______ and incorporating______.

Muscle strength, muscle coordination, cardiovascular endurance, skill patterns

Therapeutic exercise restores _____.

Borg (Rate of perceived exertion)

There is a rough correlation between _____ , perceived exertion and pulse.

Progressive Overload

This principle states continued gains in rehabilitation program require ever increasing loads.

Eccentric

This type of muscle contraction is associated with the feeling of second day sore and is due to micro muscle fiber tearing.

PNF

This type of stretching is considered to be very effective and involves stretching and contraction of the muscle.

Ballistic

This type of stretching uses rapid bouncing motion to stretch muscle

True

True or False: If you fail to explain proper stretching techniques to a patient they may injure themselves further.

True

True or False: Once a patient isometrically contracts the antagonist muscle in PNF CRAC stretching for ten seconds, no further stretching should be performed.

False (Passively stretch muscle farther than initial stretch)

True or False: Once a patient performing PNF hold/relax has passively stretched the target muscle, then isometrically contracted against your resistance they should once again passively stretch the targeted muscle to the same degree as the initial stretch.

False (reevaluate program periodically)

True or False: Once the patient's exercise program is set there is no need to reevaluate it unless their progress stagnates.

True

True or False: PNF is typically performed with a partner

True

True or False: Rehabilitation with proprioception should begin as soon as the patient can move without pain.

False (should be done on a regular basis)

True or False: aerobic exercise can be done intermitted with positive effect.

True

True or False: aerobic exercise is important to maintaining or enhancing cardiovascular conditioning.

True

True or False: exercise should be done to the patient's level of ability.

True

True or False: if a patient is exercising moderately they should be able to talk but can only say a few words if exercising vigorously...this is called the talk test.

False (any one of the components may be altered)

True or False: in order for the F.I.T. principle to be met, two out of the three components must be altered.

True

True or False: preferable, aerobic activity should be spread throughout the week.

Active assisted

Use _____ exercise to maintain elasticity and contractility of muscles, to increase circulation, to provide sensory feedback, and to develop coordination and motor skills.

Physical activity readiness questionaire

What does PAR Q stand for?

1

When measuring METS (oxygen consumption), (#) Mets = quiet sitting.

60-70/ 70

When monitoring exercise intensity, the heart rate should be at _____% for moderate exercise and above (#)% for vigorous exercise.

Davis' Law

____ states that stress to applied muscle tissue will maintain muscle strength and size and promote muscular hypertrophy.

Active Assisted

_____ exercise in which the patient is assisted by the clinician during exercise to accommodate for weakness or pain.

Therapeutic

_____ exercise is concerned with restoring normal body function following an injury, accident or traumatic event.

Passive

_____ exercise is directed and performed by the clinician. The patient does not take part actively in the range of motion and mobility of non-contractile joint structures.

Resistive

_____ exercise is used to gain muscle strength, power and endurance and can be provided through dumbbells, elastic bands, etc.

Active

_____ exercise is when the patient does normal voluntary movements through range of motion.

Resisted active

_____ exercise recommended for the chronic phase of healing.

Passive

_____ exercise should be used if a patient is unable to move a segment, if active movement is too painful, to maintain muscle elasticity, to maintain joint/soft tissue function and to minimize joint contracture.

Proprioceptive Neuromuscular Facilitation (PNF)

_____ is a form of flexibility training that involves both the stretching and contraction of the muscle group being targeted.

Isokinetic

_____ is a muscle contraction through a range of motion where the speed of movement is constant.

PAR Q

_____ is a screening tool used to assess the readiness of an individual to begin an exercise program.

Isotonic

_____ is muscle contraction where the joint moves through a range employing a constant resistance.

Slow controlled stretching

_____ is one of the most effective means by which to gain flexibility and joint ROM.

Eccentric

_____ muscle contraction where, as tension increases and the joint moves through a ROM, there is a lengthening of the muscle as the origin and insertion of the muscle move away from each other.

Concentric

_____ muscle contraction where, as tension increases and the joint moves through a ROM, there is a shortening of the muscle as the origin and insertion of the muscle approximate.

Golgi Tendon

_____ organs detect changes in muscle tension.

Wolff's Law

_____ states that stress applied to bone will maintain mineral metabolism and promote bone hypertrophy.

Isometric

______ is muscle contraction with no observable joint movement, used in the early stages of rehabilitation.