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PAEDIATRIC PHYSIOTHERAPY. ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED £8.52   Add to cart

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PAEDIATRIC PHYSIOTHERAPY. ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED

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  • PHYSIOTHERAPY
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  • PHYSIOTHERAPY

Benefits of continuing to exercise on MS, oedema, fitness etc. thought to outweigh heat risk, can also help relieve pelvic pain. But increase water intake, rests, monitor Dermatology - ANSWER- Skin reacts to water in a time-dependent manner > 3 hours greatly increases trans epidermal water lo...

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  • November 1, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PHYSIOTHERAPY
  • PHYSIOTHERAPY
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PAEDIATRIC PHYSIOTHERAPY. ALL EXAM REVISION QUESTIONS

AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)

100% GUARANTEED

Benefits of continuing to exercise on MS, oedema, fitness etc. thought to outweigh heat risk, can

also help relieve pelvic pain. But increase water intake, rests, monitor


Dermatology - ANSWER- Skin reacts to water in a time-dependent manner > 3 hours greatly

increases trans epidermal water loss (TEWL)

Water disrupts intracellular lipid spaces with changed epidermal barrier, increases permeability

and lowers threshold for release of cytokines

Higher susceptibility to irritants *for 24 hours

All = dry skin = increased changes of trauma, irritation, dermatitis

Pool disinfectants common skin irritants


Skin care in the pool - ANSWER- Limit length of water exposure and temperature


Avoid soap and soap-based body wash

Shower <5 minutes in tepid water

Moisturise - reduced TEWL, smooth skin surface by filling in gaps and strengthening epidermal

barrier - at least once per day, ideally after bathing

Barrier cream prior to pool entry if skin issues

,Exercise choices in the pool - ANSWER- Consider principles of immersion and properties of

water .

Consider safety for each type of exercise and set up

Think about goals of exercising in pool vs. on land


ROM/stretching - ANSWER- Conflicting evidence about effect of heat = more relaxed, feel

more supported, pressure input = may be able to go further into range

Can be a good environment to stretch when warm, relaxed

Need to set up to isolate and stretch desired muscle group

Consider using floats to use buoyancy to assist


CV exercise - ANSWER- Pool can be a greater environment for CV exercise due to fact that

CO is increased and lung volumes are decreased

Buoyancy and decreased WB in water means less loading on LL, so increased intensity of exercise

can be done

UL exercise load can be increased with principles of drag and turbulence

Kicking, swimming, aqua aerobics, running, repetitive arm exercises, jumps, treading water


Strengthening - ANSWER- Less WB = less load for functional exercise


Good for very weak patient, but unsure if relevant for functional walkers - think about progressing

strengthening in the pool.

,PROGRESS: decrease depth of exercise/single leg, increase speed (increased load from

turbulence), increase SA of moving part (increased load from turbulence), change effect of

buoyancy, increase reps and sets

Stability required to isolate and strengthen appropriately

Pool is inherently a more unstable environment: more core control needed to stabilise

So consider need to hold onto side of pool, stand is shallower water to isolate desired muscle group

vs. increasing the challenge and stability needed when strengthening


Strengthening and buoyancy - ANSWER- Buoyancy assisted exercises use the buoyancy of the

water to assist a movement (floating up)

Buoyancy counter balance - exercise aims to move without the effects of buoyancy (across parallel

to surface of water) - eliminating effect of gravity

Buoyancy resisted - require exercise to involve moving down against the force of buoyancy


Strengthening: EVIDENCE - ANSWER- Agonists and antagonists are active in differing

amounts and depending on how the instructions are given

Single, maximum speed and effort seated knee extension showed more quads activation and

minimal hamstrings

Repetitive knee flexion/extension showed high antagonist activation early in range - can be good

if goal is to improve stability around joint and wanting co-contraction e.g. Knee or shoulder post

ACL or improving multi-direction movement.

For isolating contraction: perform slowly, wait for water to settle between F/E

, Equipment - ANSWER- Can be used to increase load or support the body or a segment


Kickboards

Dumbbells

Paddles

Ankle cuffs (weights or floats)

Steps, seats, stairs

Beanie floats


Walking in water - ANSWER- Comfortable walking speed in water 2.7 times slower than on

land

Walking in water uses SAME PATTERN as on land

Muscles torques required at ankle and knee extension were reduced, knee and ankle offloaded

more than hip

Muscle torques at hip and knee flexion similar

Walking at comfortable speed in water may offload ankle and knee more than hip

In backwards: more activation of paraspinal muscles - have to try and hold trunk may

Need to measure speed of walking and record depth of walking

Need to walk fast if want to strengthen knees and ankles

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