uses the tibia to trap meniscus between the femoral condyles of the femur and the tibia - pt supine bring knee at 90 rotate each side to find if the problem is medial or lateral - a positive test is indicated by pain, clicking or popping within the joint and may signal a meniscus tear. | McMurrays Test |
Test for ACL damage - pull tibia anteriorly while anchoring femur | Lachmans Test |
supine position - grasp heel and top of the foot - draw the foot anteriorly - positivie test if a rupture of the anterior talofibular ligament | Anterior Drawer test |
caused by a narrow supacromial impingement - rotate internally raise arm anteriorly narrowing space - healthy should not have pain - inflammation of bursa and supraspinatus tendon if their is pain | Neer Test |
elevate arm to 90 degrees forward flexion - passive internal rotation - pain this can be an induction of impingement on the supraspinatus muscle | Hawkins Kennedy Test |
lesion or impingement of subscapularis muscle- dorsal along spine in back - look for abnormal movement of scapula movement and see flexibility and you can test with pressure on the hand. | Lift off test |
less than 140 mg/dL (7.8 mmol/L) is normal | Normal Blood Glucose Levels (not fasting) |
A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal | Fasting Blood Glucose Levels |
Myosin is attached to actin because of tropomyosin and troponin calcium relationship ---they spin to reveal the binding site | Cross Bridge Formation |
Myosin head pulling on actin and slides toward M line | Power Stroke |
ATP attaches to myosin head | Cross bridge detachment |
Reactivation of myosin head | As ATP is split into ADP and P cocking of the myosin head occurs |
Dilates your blood vessels and that increases the amount of blood your heart pumps and lowers blood pressure. They also raise blood flow, which helps to lower your heart's workload | Angiotensin converting enzyme inhibitor |
Work by blocking the effects of the hormone epinephrine, also known as adrenaline. | Beta Blockers |
1. Establish a common ergonomic assessment method and set of tools
2. Involve the workplace athletes performing the job
3. Conduct the Objective Portion of the Assessment
4. Assess the data you’ve collected
5. Create a plan moving forward | Steps to Conducting an Effective Ergonomic Risk Assessment |
A. The nature of the treatment
B. The expected benefits of the treatment
C. The material risks of the treatment
D. Alternative courses of action
E. The likely consequences of not having the treatment | Informed consent |
Causes an increase in salt and water reabsorption into the bloodstream from the kidney thereby increasing the blood volume, restoring salt levels and blood pressure. | Aldosterone |
Also called water pills, are medications designed to increase the amount of water and salt expelled from the body as urine. | Diuretics |
Achieve their goals - if not you have to maintain continuity of care | Discharging a Patient |
KINS can only communicate dysfunction not a diagnosis | Communicating a Diagnosis |
the assessment of human movement and performance and its rehabilitation and management to maintain, rehabilitate or enhance movement and performance.” | The scope of practice of kinesiology is defined as |
1) The incapable person's guardian
2) Attorney
3) Rep at the Consent and Capacity Board
4) Spouse or Partner
5) A Child or Parent of the incapable person
6) A parent of the incapable person who has only a right or access
7) A brother or sister
8) relative 9) The Public Guardian and trustee | SDM Hierarchy (9) |
A conflict of interest occurs where a person has a duty to one person or group that could reasonably be compromised by a conflicting obligation or interest | Conflict of Interest |
Null hypothesis is true but incorrectly rejected | Type 1 Error |
Null hypothesis is false but incorrectly accepted | Type 2 Error |
1) Inform the pt (is there a risk of harm? will they understand?)
2) Inform the pt if they are deemed capable in the future they can make decisions on other matters
3) Inform them an SDM will be making the decision
4) Inform them that they can appeal the decisions at the CCRB
5) Objects to the SDM - another person can be appointed by CCRB
6) Inform the pt that her incapacity will be reassess
7) In simple language or providing a written consent to treatment
8) The pt's incapacity will be documented in the pt's health record | What should you do if someone is incapable? |
Moderate intensity at least 5 days/week; vigorous-intensity at least 3 days a week or a combo of moderate and vigorous 3 -5 days/week | ACSM Guidelines CV fitness - Frequency |
Moderate-intensity (3-6 METS or 40-60% VO2R or HRR) or vigorous intensity (more
than 6 METS or 60%-90% VO2R or HRR)
• Or a combination | ACSM Guidelines CV fitness - Intensity |
for healthy individuals increase duration 5 – 10 mins every 1-2 weeks for the first
4-6 weeks of their exercise program
• Time: 30-60 mins of moderate-intensity, 20-60 mins of vigorous-intensity, or a combination of
both | ACSM Guidelines CV fitness - Progression and Time |
aerobic activities that can be maintained continuously and that involve large muscle
groups and require little skill to perform | ACSM Guidelines CV fitness - Mode |
for most adults, target 1000 kcal/week moderate-intensity exercise
• Daily pedometer steps: >5,400 – 7,900 steps daily when combined with the
recommended duration | ACSM Guidelines CV fitness - Volume |
Epimysium, Endomysium, Perimysium, fascicle, muscle fibres, muscle fibre myofibre. | Skeletal muscle layers superficial to deep |
Ask – whether patient is regularly active and satisfied with physical functioning
• Advise – the patient to pursue a more active lifestyle to maintain physical functioning
• Assess – the patient’s readiness to change, especially noting barriers
• Assist – in an active way to help find solutions to problems and overcome barriers
• Arrange – for follow-up to ensure that the patient succeeds in becoming more active | Self-determination theory 5 As |
The model defines the key factors that influence health behaviors as an individual's perceived threat to sickness or disease (perceived susceptibility) | The Health Benefit Model |
The theory states that attitude, subject norms, and perceived behavioral control, together shape an individual's behavioral intentions and behaviors. | The Theory of planned behavior |
Pre - Contemplation = No intention to change
Contemplation = Serious consideration of change in behavior
Preparation = Individual is intending to take action - but hasn't yet | Trans theoretical Model - Stages and level of preparedness 1 - 3 |
Action = Individuals modify their behavior experiences and/or environment in order to overcome problem
Maintenance = Individual works to prevent relapse and consolidate gains. | Trans theoretical Model - Stages and level of preparedness 4 and 5 |
• Openness to experience
• Conscientiousness (achievement-striving, self-discipline)
• Extroversion (energetic approach to the world)
• Agreeableness (compliance)
• Neuroticism (feelings of tension and nervousness) | Digman's BIG FIVE (OCEAN) |
What are the 6 constructs of the health belief model | 1) Perceived Susceptibility
2) Perceived Severity
3) Perceived Benefits
4) Perceived Barriers
5) Cues to action
6) Self-Efficacy |
Medium and High | Type 11a Fibers - Size and Mitochondrial density |
Very fast and Low | Type 11b Fibers - Contraction time and Resistance to Fatigue |
1) Attitudes towards behavior
2) Subjective Norms
3) Perceived Behavioral Control | The Theory of Planned behavior (3) |
Self-determination theory (3 principals) | Autonomy, Competence and relatedness |
Inverted-u principle | relationship between arousal level and performance; as arousal level
increase, performance improves – bit only to a point. If arousal continues to increase, performance begins to be degraded |
the act of organizing and producing several movements as a
single unit; a common feature of skilled performance | Movement-output chunking |
sensory receptors located in the muscles that provide the NS with info
about changes in muscle length | Muscle spindles |
Cutaneous receptors | proprioceptive sense organs located in most skin areas that signal
info about pressure, temperature and touch |
M1 response | monosynaptic stretch reflex, latency of 30 – 50ms |
polysynaptic, functional stretch reflex, with a latency of 50-80ms (aka longloop reflex) | M2 response |
relatively complex, coordinated reaction to a particular stimulus, with a
latency of 80-120ms; it is flexible yet faster than the M3 response | Triggered reaction |
voluntary reaction time response, latency of 120 – 180ms | M3 response |
skill performed in an environment that is unpredictable or in motion and that
requires performers to adapt their movements in response to dynamic properties of the
environment | Open skill |
re physical exercises performed where the hand (for arm movement) or foot (for leg movement) is fixed in space and cannot move. | Closed kinetic chain exercises |
Closed skill | A skill performed in an environment that is predictable or stationary and that
allows performers to plan their movements in advance |
the components of a control system that can vary independently and
that are controlled to produce effective action | Degrees of freedom |
Central pattern generator | Control mechanism that produces mainly genetically defined,
repetitive actions, such as locomotion or chewing; analogous to a motor program |
Generalized motor program | a motor program that defines a pattern of movement rather
than a specific movement; this flexibility allows performers to adapt the generalized
program to produce variations of the pattern that meet various environmental demands |
Invariant features | characteristics of a movement that remain constant when the surface
features of the movement change |
depression of clavicle
elevation of first rib | Subclavius - Action |
flexion at elbow joint - coronoid process and the tuberosity of the ulna | Brachialis - Action and Insertion |
flexes, medially rotates, and adducts the hip | Gracilis - Action |
Flexion, abduction, and lateral rotation of the hip, flexion of the knee | Sartorius - Action |
External rotation of arm and stabilization of glenohumeral joint | Infraspinatus - Action |
Internally rotates and adducts humerus; stabilizes shoulder | Subscapularis - Action |
1) The assessment
2) The assessment or examination to show the general nature of the person’s condition
3) The taking of a person’s health history
4) The communication of an assessment
5) Treatment that in the circumstances poses little or no risk of harm to the person | When do you NOT have to obtain consent (but maybe should anyway) |
Calculating caloric expenditure | (METS x 3.5 x weight (kg)) / 200 |
Flexion of elbow, supination and pronation of the radioulnar joint to 90 | Brachioradialis - Action |