Physical Dysfunction Midterm (Wheeled Mobility And Seating/Pam)

Biofeedback refers to the use of instrumentation to train patients in various techniques such as muscle relaxation or recruitment using sensory information (sound/lights). It is a process that enables individuals to learn how to control physiological functions that are normally involuntary, such as heart rate, blood pressure, and muscle tension. By providing real-time feedback on these functions, patients can develop self-regulation skills and improve their overall well-being.

The ideal pelvic position in a wheelchair is a level pelvis with a neutral to slight anterior tilt and neutral rotation. This position helps to maintain proper alignment and stability while sitting in a wheelchair. A level pelvis ensures equal weight distribution, while a slight anterior tilt helps to prevent sliding forward and promotes proper posture. Neutral rotation of the pelvis ensures that the hips and spine are properly aligned, reducing the risk of discomfort or injury.

For individuals who need only standard back height, you can measure from the seat level to the armpit area and then subtract four inches.

Patient is encouraged to exercise during the application

Posterior tilt can cause a host of problems while anterior tilt is not as common or concerning.

Adding 2 inches to the widest hips/thigh measurement is the correct answer because it allows for proper wheelchair seat width. This additional width ensures that the individual using the wheelchair has enough room to sit comfortably without feeling cramped or restricted. Adding more width than necessary can cause the individual to be in a "sling position," which may lead to discomfort or pressure sores. Therefore, adding 2 inches strikes a balance between providing enough space for comfort and avoiding potential issues.

When placing a patient in a wheelchair, the most important thing to evaluate is the pelvis position. This is because the pelvis acts as the foundation for the rest of the body and plays a crucial role in maintaining proper posture and stability. A correct pelvis position helps to distribute the patient's weight evenly, prevents pressure ulcers and discomfort, and ensures proper alignment of the spine and lower extremities.

The ASIS (anterior superior iliac spine) is the most appropriate landmark to check for proper pelvic obliquity in wheelchair positioning. The ASIS is located at the front of the pelvis and is commonly used as a reference point to assess pelvic alignment. By comparing the position of the ASIS on both sides, any asymmetry or tilting of the pelvis can be identified. This is important in wheelchair positioning to ensure proper weight distribution and prevent discomfort or pressure sores. The other options, such as humeral landmarks, clavicular prominence, and PSIS (posterior superior iliac spine), are not directly related to pelvic obliquity assessment.

To determine the proper wheelchair arm height, it is recommended to add one inch to the initial measurements. This additional inch ensures that the armrests are at a comfortable and ergonomic height for the individual using the wheelchair. By adding this extra inch, it allows for better support and reduces strain on the arms and shoulders while using the wheelchair. Therefore, the statement "True" accurately reflects the need to add one inch to the initial measurements for proper wheelchair arm height.

Hydrotherapy used for debridement and as a stimulant for open wounds

It is not appropriate to immediately start the modality without checking if the doctor's order for PAM (Physical Agent Modalities) was appropriate. As a healthcare professional, it is important to ensure that the treatment aligns with the patient's condition and needs. Therefore, it is necessary to verify the appropriateness of the doctor's order before proceeding with the modality.

Physical agent modalities are therapeutic interventions used in conjunction with other treatment methods to enhance their effectiveness. They are not typically used as stand-alone treatments but rather as additional techniques to support the main treatment approach. Additionally, physical agent modalities can also be used as preventative measures to reduce the risk of certain conditions or injuries. Therefore, the correct answers are "An adjunctive treatment" and "Preventative treatment."

Remember, dip method is the most common but not as effective for transferring heat.

TENS (transcutaneous electrical nerve stimulation) is a therapy that uses low-voltage electrical currents to relieve pain. It works by stimulating the nerves and blocking pain signals from reaching the brain. Unlike other electrical stimulation therapies, TENS does not cause muscle contractions. Instead, it targets the nerves directly, providing pain relief without the need for muscle movement. Therefore, the statement "TENS does not elicit muscle contractions" is true.

FES should be used as a kind of AAROM. It should not be turned up high enough that the patient doesn't have to do anything to contract his muscles.

When measuring for wheelchair seat depth, it is recommended to add 2-3 inches to your initial measurement. This additional space allows for better comfort and prevents the user from sliding forward in the seat. It also provides enough room for proper posture and prevents pressure sores or discomfort that can occur from a seat that is too shallow.