PT Procedures Quiz 2

Card Set Information

PT Procedures Quiz 2
2011-09-01 19:35:25
Body Mechanics functional limitation terminology transfers bed mobility short term vs long positioning

9/1/11 Body Mechanics, functional limitation terminology, transfers & bed mobility, short term vs. long term positioning
Show Answers:

  1. 3 Anatomical curves of the Spine
    • Cervical
    • Thoracic
    • Lumbar
  2. Where is the COG (Center of Gravity) located?
    Anterior to the 2nd sacral vertebra (s2)
  3. Torque
    • The effectiveness of a force in a lever system; T=F X D
    • -Greater force applied over greater distance = greater torque
  4. Base of Support (BOS)
    The area on which an object rests and that provides support for that object
  5. BOS of humans
  6. Vertical line of gravity
    • an imaginary vertical line that passes through the center of gravity of an object
    • Humans: S2-->Feet
  7. Principles of Body mechanics when handling patients or equipment
    • -Lower the torque necessary to complete
    • the task by moving closer to an object
    • -Further reduce the torque necessary by
    • moving your COG close to the object's
    • COG
    • -Increasing your stabilty
    • -Use large muscle groups and joints whenever possible (gluts, hamstrings, quads)
    • -Allow motor planning to occur by
    • preparing and planning for challenging
    • lifting activities
    • -Pushing prefferred to pulling &
    • horizontal movements of vertical
    • movements
    • -Use forces to your advantage (ex.
    • momentum)
  8. How to increase your BOS
    • -Increasing BOS (widening Feet)
    • -Maintaing your VLG w/in your BOS
  9. VLG
    Vertical Line of Gravity
  10. 3 Lifting Models
    • -Traditional
    • -Lumbar Lordosis
    • -One Leg Stance
  11. Tradition Lifting Model
    Use posterior pelvic tilt to reduce lordotic posture prior to initiating lift
  12. Lumbar Lordosis Models
    Maintain the spines normal lordotic posture during lifts
  13. 3 Examples of Lumbar Lordosis Models
    • -Deep Squat: uses full squat with
    • vertical trunk
    • -Power Lift: uses partial squat witha
    • more horizontal trunk
    • -Straight leg lift: uses straight parallel
    • lower extremeties
  14. Deep Squat (lordosis model)
    Uses full squat w/ vertical trunk
  15. Power Lift (lordosis model)
    Uses partial squat w/ a more horizontal trunk
  16. Straight Leg Lift (lordosis model)
    Uses straight parallel lower extremities
  17. One Leg Stance
    Used for light objects
  18. Pushing, pulling, ect.
    • -Use parallel force
    • -Plan for inertia
    • -Use equipment, if necessary, to engage
    • good body mechanics
    Trunk flexion w/ rotation (don't flex at the waist and twist at the same time)

  20. Independent
    Patient is consistently able to perform skill safely with no one present
  21. Surpervision
    Patient requires some one w/in arms reach as a recaution; low probability of patient requiring assistance
  22. Minimum Assist (Min PA)
    Patient is able to complete majority of the activity w/o physical assistance. patient completes at least 75% of activity (25% caregiver)
  23. Moderate Assist (Mod PA)
    Patient is able to complete part of the activity w/o assistance 50% patient, 50% caregiver
  24. Maximum Assist (Mas PA)
    Patient is unable to participate in teh activity; able to complete less than 25% of activity
  25. Close Guarding--Generally used for Walking
    Person assisting is positioned as if to assist but not touching the patient; full attention on the patient with fair prabability of patient needing assistance
  26. Contact Guarding
    Person assisting is positioned w/ hands on patient but not providing any specific physical assistance; high probability of patient requiring assistance
  27. Cues
    Patient requires visual/ verbal cues to complete task
  28. Transfer
    Safe movement of a person from one surface or location to another
  29. Mobility Activites refer to...
    respositioning of a recumbent patient or to activities that precede a surface or location change
  30. Goals of transfer and mobility activities
    • -move patient for purposeful activity
    • -move patient to maintain joint & skin
    • integrity
    • -provide training and experience in
    • functional rehabilitation activities
  31. Supine
    Laying on dorsal surface (back)
  32. Prone
    Laying on ventral surface (belly/stomach)
  33. Mobility activities
    • -adjust patient's position
    • -1st steps in restoring mobility
    • -Patient should mentally & physically
    • participate in these activites even
    • when assistance is required
    • -Use your knowledge of Body
    • Mechanics when performing these
    • activities
    • -Can be used as part of a
    • strengthening & rehab program
  34. Transfers (Dependant/Assisted)
    • -Prepare the patient, the environment &
    • yourself
    • -Know your limits and get help when
    • needed
    • -Know your patient both physically and
    • mentally
    • -Organize your environment
    • (start-->finish)
    • -Explain all expectations to your
    • patient. Be clear as to what your
    • expectations of him/her are (lower
    • cognition recieves simple instruction
    • even w/ low expectation)
    • -Confirm patients understanding (ask if
    • they understand, ask them questions
    • about the instruction & have them
    • repeat it back to you)
    • -Give clear instructions to anyone
    • assisting w/ transfers
    • -Assemble any necessary equipment
    • -Incorporate patient teaching whenever possible
    • -Precautions:
    • --Shoes
    • --Belt
    • --Monitor special medical equipment
    • --Do not leave patients unattended
    • at the end of transfer until safety
    • is certain
  35. Weight Bearing Restriction
    Physian based decision for patient recovering from surgery or procedure. Doctor decides how much weight can be placed on lower extremity.
  36. Hookline
    Position-- laying supine, both knees bent, feet flat on the surface o_./\_
  37. Short Sitting
    Knees Bent
  38. Long Sitting
    Knees extended
  39. Sitting EOB
    Edge of Bed
  40. Sitting Supported
    Holding on to something or sitting w/ back against supporting surface (ex. back of chair)
  41. Sitting Unsupported
    Hands on lap, not leaning on anything
  42. 2 Types of Patient Positioning
    Short Term & Long Term
  43. Short Term Positioning
    • 1) Comfort
    • 2) Visual & physical access to body part
    • being treated

    --20 to 30 minutes for treatment
  44. Long Term Positioning
    • Used when patient is unable/unwilling to move themselves. They are dependant of someone else to move them
    • -bed/chair bound
    • -diminished sensation
    • -diminished cognition/communication
    • skills
    • -Obese
    • -Medically complex
    • -recent surgery, fracture or acute
    • illness
    • -recent skin graft, burns or other skin
    • related problems
  45. Aim of Long Term Positioning (3)
    • 1) Prevent skin breakdown
    • 2) Prevent Contractures
    • 3) Maximize potential for return to
    • functional mobility
  46. Draping
    • Dressing of the Patients
    • -Provides modesty and dignity to
    • patients who are in treatment or at rest
  47. 4 rules of Draping
    • 1) Expose body part as needed for
    • treatment
    • 2) Maintain neat drape around the rest
    • of the body
    • 3) Provide clear instructions reguarding
    • removal of clothing
    • 4) Supply gowns w/ instructions as
    • appropriate

    • --only expose what is necessary. Have
    • utmost respect for the privacy of the
    • patients--