ES wound healing, (ulcers)
- monophasic
- puksed
- direct current
inspect skin
before using new orthosis
mitral valve
listen over the 5th intercostal space medial to clivivular line
aortic vavlve
second right intercostal space near the sterna border
pulmonic valve
second L intercostal space near the sternal border
tricuspid vavle
over the left sternal border in the 4th or 5th intercostal space
Berg Balance sore
- below a 36 have a fall risk of close to 100%
- above 26 means decrease risk of falls
exercse
- increases strength of bones
- Decreases blood triglycerides
- increase tensile strength of tendons
- exercise taining will increase long volume and diffusion
cardiace rehab leveL I
- will be able to suprevides self-moitred walking for 5-10 minute period
AVOID
- isometeics
- UE exercises
L3-$ disc protrusion
- numbness in ateriomedial thigh and knee
- quad weakness
L4, L5, S1 sisc
numbness in the back of the clad
- DF and PF weakness
L2-S1
0 numbness and wealnes in thighs lest feet and perimenu,
S1-S2
numbness and gastrac oand solues atrphy
partial thickness burn
AROM
Positioning
SPlint
aal help address scar contacture
scar contractures
- lotion, compression (only hypotrphic scarring), and allograft will not help scar contractures
NWB twith good strength and balance
axillary scrutches
spinal stenosis with weak abs
- do posterior pelvic tilts
- dont do gin l�ve abdominal core like double leg lifts
accessory nerve 11
- trapeziius
Hypoglossal 12
- responsible for tongue muscles
glossopharengeal 9
gag refelx
absucens 6
lateral rectus of the eyes
lats
tstin in prone
post setl
prion shoulder and to 90 and elbow flexed to 90
missle elt
test in stting poisont
what is target HR for
- HR and oxygen intake have a liner relationshop
- exec rose can be exorcise as ocygent irate activity and have a linear relationship know into is ratlin can enussr proper exercise intensity in being acgoeived
hpyeremia
o exicess blodd i n lbloe veells
arteria l insuffucency
- elevating leg for less than 2 mint produce a noticall pall fool out a a reactive hyperemia when leg is returned into a dependent position\
remia ais a vsiodialiton isn respinese to sischemau
metateiarsl stress fx
dur to ivre use
tarsal tunnel syndrom is associate with rauma, inflammation, fluid rent ion and boabioimt food biomechanix
...
morton neuroma
idiopathic
turf toe
hyperdorsifelxion to 1 matotho MTP
pt feels pain in hold -relax stretch techniqe
- is feels pin then reice the cmuskt contraction to sumac and decrease the stretch force
lumbar traction
- pelvic belt just above iliac crest
- thoracic belt over the lower rib cage
cellulitis
- redness
- edema
- streakikng
- cam be a medical emergent is reaches th lymph nodes
herpes zoster
- rash in a dermatolam aptterl
impetigo
- rashe
NO edema or streaking
quiret balnce
- limtiation in the ankles
hip stratget -
large petuburations
spestic synergy of CVAs
- leg IR, adduction, ext
- knee ext
- Foot - inversion
minimize tone of spastic CVAs
or hi p IR and ankle inv
Pneumatic intemittent comprsssion setting
- Make sure it is a least than he diastolic pressure
- Ratio is 3 on, 1 off
high predictive validity
- validity concer an thinstuments ability to mease with is is inter to measure
- lakiklhgoow of fallen is that the glance nest is intended to measure. the sencin psiecifiall decries the predictive valsitntin whifjhc ouan sitcom o a test can be used to pre
reliability
address the consistently or preodiucablity of a mesurement
powe id rge abilti tof
abiti to test stiatiit to fin tth e statitwstica dinnfetent that does uxrtotef realted to the noym bee if subjects need for a sutdy
precision
the exactness if a meanseure and usually refers to the number if decimal place ti which a number si taejen when reporting a measurement and is a function to the senstictivit of the measuring instrument
spinal shock
- flaccid paralysis,
- loss of reflex activity
- loss wow eel and bladder control
continuous exercise
constant without rest or tansition
interval rtaining
exercise interval followed by a relief interval. relief can be a reduced workload
circuit training
series of exercises
circuit interval trininga
...
going down dtep
walker , weak let then strong leg
grade I sperins
strong yet painful isometirc contraction
grade II psiran
weak and painful isometric contraction
venous insufficency
limb would have edema, suprifiacil veins would be dilates
- oain is worsened in dpednedncy, symptoms are relived by elvation
hemosiderin staining
redness in chroic cinssuffucney
venous indufuurngin
ulcers can develop
arteria lisndufucnet
trophic changes, diminsheis or absence pulse
id patetn has intemrittent claiduatuin
ask the m habout their cariacd symtpmtoms
- keep walk ing then rest til symptoms come back
DVTs
do leg squeeze
restrict lung disease
reducced vida; capacity tolat big in , big out
- rediudcal volue will be the same
- decrease functiona redicual cpacitt
0 epiratoryt flow rates are the same
vital capacity
big in big out
dyspnea with COPD
- do pursed lip brathing
hand washin
- when hand s are visibly soiled with blood or bodily fluid
- after expose to bacterilanthracis
- after using th e restroom
alcohl rimb rub
good after using gloves are not visilee isoiled
C6 still have
- wrist extensors
- pec major,
-teres maor
- can use rim proectin wx
- can also d o independent slide board transfer
C6 don't have iti lato
...
stop treat meant if all the goals are met
...
ulnar deviation
- 0-30
whats most important for peripheral neuropathy
- proper footwear
othehtiso to walwign ceigorimgeorgimno
radioactive iodine is used to treat
hyperthyroidism
ghypoglcemia
- treated with carbs
hypoparathyroidism
0 manged pharmaacoclgicall with calcium and phosphate
hyperaleime
increawed K
tX: with increased ca, durtietci ir thoer rx
the MCL
has good vascular supple and anatomical potion the prevents undue stress
pcl and acle hekl wile with grade I and II
...
ACL - not good vausclat supply
...
transparent film
- red wound base
- moist
- scant exudatye
hydrogel dressing
- non adgerent
- some absoprbaitvoe qualities
- when a wound needs moisture
-can see through
Hydrocolloid dressing
adherent
-molable wafe
- wterfprrof backing
- for minimum to moderate drainiage
Alginate dressing
- from seaweed
- absiorb excessive exudate
- promote autolytic debridement
transparent film
- clear
- adherent
- nonabosoribing
- partial thinkness wount
- promost autolytive devridement
flexion compsensation
through thoracic of extension
abduction compentation
ahoulder abduction
medial rotation compenstaion
scap prtraction
hypertentsion comeinaito
scapular elevationq
sever spasticity
CONTRAINDIATNO for an aFO with sping dorsiflexion assit
AFO with sping dorsiflexion assist
- Muscualr dystrophy
- poliomyelitisis
- Fibualr (peroneal nerve palsy)
radial nerve innervation
- radial nerve
- extenaosr carpi radialis
- extensor carpi ulnaris
- supinator, exors poilicliis
median nerve
pronator teres
musclaitanemsous nerve
biceps
after execs in crdaic level 3
- carbon dioxide elimination increase
- cardiac output wil increase with max work
- stroke volume would increase with sumac work
- Resting He will decrease
ankylosing spondylitis
will have kyphosis
- nned to maximize back extensor and ROM exerivses
sensation monfilamtent stest
good indicator for people with DM and are conned about ulcers on their feet- contact press use AGB is four wound healing
GBC
- diast to prox, hyporefelixno
lateral leg
- common fibular peroneal nerve
common peroneal nerve innervation
...
tibial nerve innervation
back
epigastric area
diaphragm weaknenss
-upper chest rises,
- epigastrci are doen not
forcd epiration
rectus abdomoins
corpulmaonse aka r side heater failire
decreased bp , increased HR
decerease stoke vole in in R horeo
pulmonayry hypertionaoin
-decrease caridai cout mpallo hdiemeorifmergopaltghoptomaoktok4t im markg ecetiomal dypsone sefskefk
Hr in crease but carida out pout put decreases
-sroekf voireokrgpo
lytic lesion
bankart lesion
- avulsion injur due to anterori dislcoation
- eafftes gthe gleonid labirm
Hills sachs lesion
- bony defect on the humeral head is clued a hills sachs lesionposterl ioamn taoifwe
SLAP lesion
- superior labral anterior posterior tear that involves the labrum and bicipital tendon
carpal tunnel syndrom
paresthesia of the lateral three digits
0weakness in abiitkotgh oposllicsie bre not oiwisoeit or finger iectensors
transfers
- tranfer patient to stronger side
- let pat do as much work as possible
edema grade
Pitting edema 1+ - depression that is barely detectable
2+ remain s less than 5 seconds
- 3+ pistting efem. takes 15- 30 seconds to resolve
4+ depression that let greater than 30 seconds
girth measurements
use cirumferentails measurement
hot packs
CONTRAINDICATED for 4+ edema
cleele 4 Pitting edema
cusine intermitt compression pumps
- cryo can be be used to relief pain andedeam
estim can be used withemdea
abdnomra lsnyer gy of UE with CVA
- scarp retaction and elevation
- should er abductin and ER
- eb io flectionfore armi suoination wilst and finger flexion
for GERD
lat on left side
finklestein test
- tests abductor policies and longus
- extensor policis and brevis
steriognoisis
- rcoenginition widen its in our hanve
poor poropiroit - take over hi
thake overt iwalith vusiuall watch their extrimiuters
systemic symptoms
- fever, diapheroris, night sweats, nausea, vomiiting, diarrehea, pallor, dizziness/syncope, and weigh loss
contitiintal symotim
...
HI saou
...