Various conditions and treatments! Group interventions
Terms in this set (88)
disease of fascia ofnpalm and digits. deformities of flexion in digits. skin thick and contracted.
vasomotor dysfunction results from abnormal reflex. symptoms: sever pain, edema,discoloration,temp changes, vasomotor instability
fracture ofmdistal radius with dorsal displacement
fracture ofmdistal radius with volar displacement
interventions for fractures are?
immobilization phase: -AROM of joint above and below stabilized part
-edema control: elevation, retrogrademmassage, compression
-light ADL with no resistance
mobilization phase:- edema control
-AROM. progress to prom with docotrs orders
-light functional activites
- pain managemnt and strenghtening
stenosing tenosynovitis of abductor policis longus and extensor policus brevis. pain and swelling over radial styloid. needs thumb spica splint, work modification, ice massage, gentle AROm
lateral and medial epicondylitis
lateral- overuse of wrist extensors..tennis elbow
medial- overuse of wrist flexors..gold elbow
wrist splint, ice massage,stretching,work mod,strenghthening as pain decreases
tenosynovitis of finger flexors. trigger finger splint (MCP extended, IP joints free), scar massage, edema control, tendon gliding, work mod, nerve compression
carpal tunnel syndrome
nerve compression at the wrist. numbness and tingling of thumb, index, and radial half of fingers. wrist splint at neutral worn at night and day only during activity., activity modification, ergonomics, surgical intervention,post op edema control, arom,nerve gliding,sensory re ed, strenghtneing
cubital tunnel syndrome
ulnar nerve compression at the elbow. numbness tingling ulnar aspect forearm and hand. pain elbow. weak grip. need elbow splint to prevent extreme elbow flexion, elbow pad to decrease compression when leaning, work mod., surgical decompression, edema control post op, scar manag, arom, nerve gliding, strenghtneing, MCP flexion splint if clawing is noted
radial nerve palsy
radial nerve compression. aka saturday night palsy.weakness of paralysis of wrist extensors, MCP and thumb . causes wrist drop. need dynamic extension splint, work mod, strenghtrning, post op rom, nerve fliding, strenghtening 6-8 wks post op, adl
rotator cuff tendonitis
overuse. causes weakeness. need: activity mod, avoid above shoulder acitvity till pain subsides, avoid sleeping with arm overhead or add and internal rot, decrease pain with positioning and modalities, restore pain free rom, strengthening below shoulder level
adhesive capsultis. - frozen shoulder
restricted shoulder PROm, limited in external rotation, then abduction, then internal rotation, then flexion. inflammation and immobility. interventions include : prom, modalities, adl
systemic symmetrical inflammation of synovial fluid of joints. pain stiffness limited rom fatigue weight loss limited adl activites swelling anddeformities. ulnar deviation, boutinere and swan neck. needs ; restinghand splint is acute phase. ulnar drift splint to prevent deformity, silver ring splints to prevent boutinere and swan neck, dynamic mcp extension splint with radial pull for post op mcp arthroplasty. joint protection techniques, energy cons, AROM the gentle prom if able, heat modalities except not in acute phase. parrafin, strenghtening and adl when not in acute
PIP flexion, DIP hyperextension
PIP hyperextension, DIP flexion
fractures in utero and during birth. brittle bones that fracture easily, deformities of the arms and legs, eye abnormailties. interventions: activity adaptation and assistive device, env modification, preventative positioning and protective splinting, activites to increase muscle strength, weight bearing to fasilitate bone growth, family ed
bed mobility, bedside adl, upper extremity strengthening, functional transfers and ambulation with appropriate weightt bearing status and precautions, assistive device training
no flexion beyond 90*
no adduction....dont cross legs
dont bend at hip.
terminal device training, prosthesis treatment: rom of uninvolved jioint, desensitization, wrapping, adl training, skin care, standing tolerance, wc mobility
superficial-partial thickness and deep partial thickness :wound care, gentle arom and prom to tolerance, edema control, splinting,adl activity
full thickness: post op 72 hrs dressing changes, splint at all times. 5-7days: begin arom, light adl, sterile whirlpool
7days+ : prom as tolerated, adl activites.
when wounds r healed use massage, compression garments, strengthening
anti-deformity positions post burn injury
neck neutral to sl extension
trunk extension, scapula retraction
shoulder abd 90* and external rotation
elbow 0-10 extesion
forearm neutral to supination
wrist 30-45 extension
hand MCPs 70 flexion, IP extension, thumb abducted
hip 10-15 abd
ankle 5 dorsiflexion
splints: wrist 20-30 extension MCP 50-70 flexion IP full extension thumb abducted and extended
PAMS, tens and heat, massage
proper positiong and body mechanic training
splint in resting position
work hardening, ergonomics
CNS movement disorder , slow progressive, degenerative. tremors, rigidity,postural instability, mask face, akinesia
primitive reflexes, automatic reactions, hyperesponsive reflexes, clonus, variable tone, asymmetry, involuntary movements, feeding difficulties, cog and or other dev delayss
neural tube defect. prognosis depends on level of tubal defect in spinal column. ocasional slight instability and neiromusclular impairments such as mild gait involvment, bowel or bladder problems.. sensory/motor deficits below level of lesion resulting in deformities or paralysis of LE.
duchenne muscular dystrophy
absent muscle protein, enlargement of calf , thi and forearm muscles. really adipose tissue which causes weakness. progressive . prognosis 20s
progressive supranuclear palsy
loss of voluntary eye movement, bradykinesia, rigidity, axial dystonia, dementia. progressive
chorieform movmemts and intellectual deterioration, psych disturbances
cerebellar, spinocerebellar disorders
ataxia, dysmetria, dysdiadochokinesia, hypotonia, tremor, dysarthria, nystagmus
progressive. muscle weakeness and atrophy, cramps precede weakness, spasticity,dysarthria, dysphagia etc.
brachial plexus disorder
secondarys to traction from birth, cancer or injuries. sympoms mixed motor and sensory disorders of coresponding limb.
gullian barre syndrome
acute rapidly progressive form of polyneuropathy charachterized by symmetric muscular weakness and mild distal sensory loss
progressive. epidosic muscle weakeness, ptosis, diplopia, muscle fatigue, dysarthira, dysphagia, proximal limb weakness
post polio syndrome
good prognosis unless complications. symptoms: new muscle weakness, fatigue, musle pain, cold intolerance, atrophy, loss of functional skills
progressive. demylenation. parastesia in one or more extemeties or face, weakness/clumsiness, visial disturbances, emotional disturbances, vertigo, blacder dysfunction, spasticity etc.
thickening of blood vessels
mild to moderate chest pain. usually lasts less than 20 minutes
prolonged ischemia, injury and death of myocardium by occlusion of one ormore arteries. results in tissue death. heart attack
CHF congestive heart failure
heart unable to mainatin adequate circulation of blood to mert the metobolic needs of the body.
peripheral vascular disease
1: arterial diseases such as; artriosclerosis obliterans, thromboangotis obliterans, diabetic agiopathy, raynads phenonmon.
2: venous disease such as; varicose veins, DVT, chronic venous insuffiency, lyphedema
poor expiratory flow rates
increased reactivity to trachea and bronchi to various stimuli
cardiac rehab stage 1
reading, radio, table games, light handwork
cardiac rehab stage 2
sitting crafts, no isometrics
cardiac rehabb stage 3
sitting card playing, crafts, piano, typing, machine sewing
cardiac rehab stage 4
candlepin bowling, canoing slow, golf putting, light gardening, driving, grooming standing shaving, sweeping, dusting lighlty
cardia stage 5
swimming, light carpentry, washing dishes standing, ironing, making beds
cardiac stage 6
swimming, slow dancing, roller blading slow, volleyball, badminton, ping pong, showering, stripping and making beds, mopping
chronic progressive lung disease, production of abnormal mucus
RDS respiratory distress syndrome
lungs collapse after each breathe
GERD gastric esophageal reflux disease
lower esophageal sphincter doesnt operate properly sending food back up. interventions: elevated sleeping, meds, diet modification, stress management
swallowing disorder. family centered interrvention to determine dinner alternatives. food modification, postural interventions, , swallowing adaptations, cold stim to inferior faucal arches via chilled dental exam miror to eleicit swallow reflex, strenghtening oral movements.
small bowel obstruction
decreased gross movements like bending, stooping, foot care, dressing and bathing are affected
a symptom of a sympathetic nerve impairment, generally occuring in spinal cord injury above T6. its an extreme rise in blood pressure. medical emergency. intervention: immediate medical management. find the cuase and remove it. prevention: teach frequent presuure rleiving techniques, catheter co mpliance, well balance diet, prevention
renal : diabetes, hypertension
causes deficits in : motor dysfunction, sensory dysfunction ( neurophathy, vision prob), cognitive dysfunction, perceptual dysfunction,psych prob. decrease ADL and IADL
rheumatic, connective tissue disease associated with impaired immune response. intervention: keep fingers and toes warm, dress inlayers, meds, biofeedback, oxygen if necesary,dietary modifications if necsary,protective gloves if fibrosis of skin is present, stop exersize if myositis apparent.. encourage skin inspection, actovity modification, splinting if necesary, support groups
self explanatory. quality of life focus intervention
practice standard precautions to avoid contamination.
MRSA methicillin resistant staph..aureus
surgical wound skin infection. rednedd, swelling and pain at site, fever, drainage, chest oain, skin absess, cough,fatigue,muscle ache,rash, dysnea
make a fasial splint to prevent deformities. clip or pincer mold of the inside and outer lip of the mouth on the involved side. elastic attaching mouth mold to ear peice.. electrical stim to nerves in face, teach person to manually assist buccal closure and prevent drooling. counseling body image issues
acute care: positioning, splinting, suportive care
rehab phase for any dysfunction; motor, sensory etc., pulseox moniter, work modification
pressure that interupts normal circulation. interventions: prevention, wc cushions, weight shifting every 30 min for 30 seconds or every 60 min for 60 secs. integrate weight shifting into daily activties. proper skin care training, med management
medical emergency. fist call 911 then place ice packs along arterial pressure points, hypothermia blankets, iv, meds
designed to gather info about the indivuduals task and group interaction skills that can be used to develop treatment plans
task oriented groups
assist memebers in becoming aware of their needs, values, ideas and feelings, through the performance of a shared task.
assist memebes to aquire and develop group interaction skills. 5 levels of interaction: parralell, project, egocentric, cooperative, mature
indivudual tasks with minimal interaction
common, short term activites requiring some interaction and cooperation
egocentric cooperative group
require joint interaction on long term tasks., but completion of task is not the focus. memebers begin to express needs adddress others needs
work together cooperativly, not to complete task but to interact and meet emotional needs.
responsive to all memebers needs and can carry out variety of tasks. good balance between task and meeting memeber needs
designed for learning specific skills
focus on discussion of activites or issues that occur outside of group
concerned with meeting health needs and maintaining function
highly structured to assist low functioning patients in developing basic skills
mildred ross 5 stage group
sensorimotor integration. 5 stages: oreinting members to group, gross motor activites, calming perceptual motor activities, cognitive stim activity, brief closure discusions
focus is rotaed so individual can join any time and cover each topic
create environment free of distractions thatntrigger hallucinations, use high structure, simple and concrete, if person hallucinating, redirect them to reality based thinking.
set limits and immediatly adress behavior during session.
internentions :highly structured activities that shift focus from one patient to another. set limits.
PDD/ autism spectrum disorder
impaired social interaction, impaired non verbal behaviors, difficulty relating to others, lack social reciprocation, diffculty communicating, diffculty initiating speech, lack exploratory, imitative or pretend play, repetetive stereotype behaviors, diffcult sensory proccessing
lack social interaction, restricted interests, clumsiness,delayed developmental motor milestones. normal to superior intelligence
loss of purpesful hand movements, sterotypical hand movements, tone starts hyotonic, then spastic, then rigid producing ataxia and stiff gait, deterioration in cognition, praxis etc. prognosis over 10 yrs after onset
RAD reactive attachment disorder
type. 1: inhibited type, persistent failure to initiate or respond appropriatly. interactions are inhibited, highly ambivilant.
type 2: disinhibited,indescriminate sociability, exessive familiarity with strangers
interventions:environmental, home modifications, social skills training, sensory modulation, school based practice...