engleza manual kineto

8/13/2019 Engleza Manual Kineto

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ADINA RĂDULESCU

*

E NGLISH IN K INETOTHERAPY.

A PRACTICAL E NGLISH HANDBOOK


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ADINA RĂDULESCU

Editura Fundaţiei Romnia de !ine"##$

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English in Kinetotherapy. A practical English handbook

CONTENTS

CUVÂNT ÎNAINTE

UNIT 1

THE !AIN PARTS OF THE BODY

I!PERATI%E SENTENCES &SED IN RELA'ATION TRAININGTECHNI(&ESPREPOSITIONS

UNIT 2

THE SKELETAL SYSTE!INTERROGATI%E PRONO&NS AND AD%ERBS &SED BEFORE THE%ERB TO BEASKING (&ESTIONS

UNIT 3THE !&SC&LAR SYSTE!AD)ECTI%ES * BASIC KNO+LEDGE

DESCRIBING A CERTAIN !&SCLE

UNIT 4

E'A!INING THE PACIENT

POLYSE!ANTIC +ORDS

THERAPIST,PATIENT DISCO&RSE * GREETINGS- IDENTIFICATION

AND INTROD&CTORY DIALOG&ES


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ADINA RĂDULESCU

UNIT 5TYPES OF IN)&RIES

PASSI%E !ODAL CONSTR&CTIONS

PRESENT TENSE SI!PLE AND PRESENT PERFECTTHERAPIST,PATIENT DISCO&RSE * PATIENT/S SY!PTO!S ANDCO!PLAINTSFOR!AL AND INFOR!AL !EDICAL TER!S

UNIT 6

THERAPE&TIC E'ERCISES

+ORD FOR!ATION * DERI%ATIONTHERAPIST,PATIENT DISCO&RSE * RECO!!ENDING DIFFERENTTHERAPE&TIC E'ERCISES

UNIT 7THERAPE&TIC PROCED&RES IN HANDLING THE PATIENTPASSI%E %ERBAL CONSTR&CTIONSTHERAPIST,PATIENT DISCO&RSE * POSITIONING AND HANDLINGTHE PATIENT

UNIT 8!&SC&LOSKELETAL AND CONNECTI%E TISS&E DISORDERSPRONO&NCING TONG&E,T+ISTERSDESCRIBING SY!PTO!S AND RECO!!ENDING THERAPE&TICE'ERCISES

UNIT 9POST&RAL PROBLE!S

CONDITIONAL CLA&SES

$


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THERAPIST,PATIENT DISCO&RSE * I!PRO%ING CO!!&NICATION

UNIT 10RE%ISION E'ERCISES

BIBLIOGRAP!

CUVÂNT ÎNAINTE

S0e1i2i1u3 4tudierii 3im5i3or 4tr6ine 7n 1adru uni8er4itar e4tere0re9entat de tre1erea de 3a 4tudierea 3im5ii 4tr6ine 3a modu3 :enera33a a0ro2undarea ei 0e di8er4e domenii de 40e1ia3itate. ;n 2un1ţie de40e1ia3i9area 0entru 1are 4tudenţii o0tea96- ei 8or 4tudia- 7n 1a9u3

no4tru- en:3e9a e1onomi16- tiinţe de 3im5a en:3e96- 4t60nirea unor te=ni1i de mun16indi8idua36 >i- de a4emenea- a unui ni8e3 mediu de 1uno>tiinţe:enera3e 0e domeniu3 re40e1ti8 de 40e1ia3itate.

!anua3u3 de 2aţ6 4e adre4ea96 4tudenţi3or 4e1ţiei de

Kinetotera0ie- din 1adru3 Fa1u3t6ţii de Edu1aţie Fi9i16 >i S0ort a&ni8er4it6ţii S0iru Haret Bu1ure>ti- att anu3ui I 1t >i anu3ui II de4tudiu. E3 r640unde unei ne8oi rea3e * a1eea de a a8ea un in4trument

0ra1ti1 de 3u1ru 0entru de426>urarea a1ti8it6ţii de 4eminar.Con>tienti9area a8antai- 0oate 1e3 mai

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ADINA RĂDULESCU

im0ortant- 0o4i5i3itatea de a 3u1ra 7ntr,o 13ini16 4au 1a5inet de 0ro2i31u 0er4ona3 >i 13ienţi 4tr6ini 2ie 7n Romnia 2ie 0e4te =otare * a

1on4tituit moti8aţia 0rin1i0a36 0entru menţinerea intere4u3ui4tudenţi3or 2aţ6 de a1ea4t6 di41i03in6 de 4tudiu >i 0entru o5ţinerea unui1erti2i1at de 1om0etenţ6 3in:8i4ti16 0e 40e1ia3itatea en:3e96 medi1a36-e3i5erat 7n 1adru3 Centru3ui de Lim5i Str6ine a3 &ni8er4it6ţii S0iruHaret.

!anua3u3 e4te 4tru1turat 0e # 1a0ito3e &nit4- andu,4e 0etrei 1om0onente 0rin1i0a3e? un 1or0u4 de te"te de specialitate- 1are,>i a4o1ia96 di8er4e eer1iţii de 8o1a5u3ar- tradu1eri de tet >i eer1iţii

de redare 4e3e1ti86 a in2ormaţiei 0re9entate " o 4e3e1ţie a unor proble#e de gra#atic$ a 3im5ii en:3e9e- e2e1tuat6 7n 2un1ţie de1riteriu3 2re18enţei anumitor 4tru1turi :ramati1a3e 7n 3im5ai un 4et de %disc&rs&ri' kinetoterape&t(pacient - aate 0e temati1a2ie16rui 1a0ito3- a8nd 1a 41o0 2ami3iari9area 4tudenţi3or 1u uti3i9areaunui 3im5a< ora3- in2orma3- 1are 1om03etea96 3im5ai4timu3area intere4u3ui 4tudenţi3or 0entru 1on4u3tarea unor materia3e de40e1ia3itate 7n 3im5a en:3e96. i- nu 7n u3timu3 rnd- eer1iţii3e de 3a2ie1are 42r>it de &nit * J1reate our on dia3o:ue4- J1on4iderour4e32 a4 a inetot=era0i4t et1. te4tea96 1a0a1itatea 4tudenţi3or de a4e e0rima 3i5er >i 2ire41 7n 3im5ate JRo3e 03ain:.

Cu 40eranţa >i dorinţa 16 a1e4t manua3 8a r640unde ne8oii 0ra1ti1e a 4tudenţi3or de a a0ro2unda 3im5a en:3e96 0entru o 8iitoare 0ra1ti16 inetotera0euti16- 1on4tituind 7n a1e3a>i tim0 un 4timu3ent 0entru o 0er2e1ţionare 0ermanent6- 0rin 1on4u3tarea unei 5i53io:ra2iia1tua3i9ate 7n 3im5a en:3e96- 7n1=ei 0rin a 3e mu3ţumi 4tudenţi3or din

0rime3e :eneraţii 1u 1are am 3u1rat 0entru ai 0ra1ti1 a3 a1e4tui manua3.

M


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UNIT I

TE (AIN PARTS O) TE BOD!

I(PERATIVE SENTENCES USED IN RELAATIONTRAINING TECNI+UES

PREPOSITIONS

1, R'%- #.' /$$ #'# $#% &'%%#$ #'."' %-&#' -$ #.' ' $&-

J)rainer*s introd&ction? T=i4 re3aation 0ro1edure i4 one t=at =a4 5een 0ra1ti4ed 2or man ear4 no. It =a4 5een 4tudied 5 re4ear1=er4

and 2ound to 5e e22e1ti8e. You i33 2ee3 8er re3aed and 1a3m a4 are4u3t. It i4 not t=e 4ame a4 =0no4i4 and ou i33 not 3o4e1on41iou4ne44 at an 0oint.T=e 0ro1edure4? !ae our4e32 a4 1om2orta53e a4 ou 1an 5e1omeaare o2 t=e 4ur2a1e underneat= ou 3et our 5od 4ett3e into itnoti1e =o it 4u00ort4 ou noti1e t=e 0oint4 o2 1onta1t 5eteen ouand t=e 23oor? our =ead 4=ou3der4 40ine ri54 =i04 =ee34e35o4 2orearm4 and =and4 2ee3 our 5od 4inin: into t=e

4ur2a1e ou are 3in: on 2ee3 our 5od :ettin: =ea8ier a4 t=eten4ion e554 aa 2ee3 at 0ea1e. Tae one :ood 5reat= and a4 ou3et it out- 2ee3 it 1arrin: a33 our ten4ion4 aa t=en 3et our

5reat=in: 4ett3e into a :ent3e r=t=mA4 ou 3ie or 4it- re23e1t on t=e idea t=at ou are :oin: to :i8e t=enet =a32,=our to our4e32. No te3e0=one 1an rin: 2or ou no door5e33di4tur5 ou no one i33 1a33 our name. You ma =ear 4ound4 aroundou? 8oi1e4- =orn4- 4iren4- 5an:4 and re84 t=in o2 t=em a4 5ein:

out4ide our or3d. +it= t=e4e t=ou:=t4 in mind- dra an ima:inar

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1ir13e around our4e32- a5out t=ree 2eet 2rom t=e 1entre. Create anima:inar 5u553e t=in o2 t=e interior a4 yo&r 40a1e our on

0ri8ate 40a1e. Fee3 =o 4a2e it i4 4a2e to :et in tou1= it= our4e32.Turn our t=ou:=t4 inard.)rainer*s ter#ination o+ the proced&re? I am :oin: to 5rin: t=i4re3aation 4e444ion to an end Id 3ie ou :radua33 to 5e1omeaare o2 t=e room 2ee3 t=e 23oor1=air underneat= ou o0en ouree4 :i8e our 3im54 a 2e :ent3e 4tret1=e4 =a8e t=e 2ee3in: t=atou are a3ert and read to 1arr on it= our 3i2e+it= our ee4 o0en- rai4e our ee5ro4 2ee3 t=e ten4ion and

re3ea4e t=e ten4ion 2ron 2ee3 t=e ten4ion and re3ea4e it 4=utour ee4 ti:=t3 2ee3 t=e ten4ion and 3et it :o it= our ee44ti33 13o4ed- 40end a 2e minute4 re3ea4in: ten4ion in t=i4 0art o2 our2a1eC3o4e t=e '$ &#' #.' R$


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@ VOCABULAR! PRACTICE

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ADINA RĂDULESCU

0ad 0erniţa de:etu3ui- 2in:ernai3 un:=ie- nu13e arti1u3aţiade:etu3ui

, 5i1e04- t=ora1=e4t tora1e- 5rea4t 0ie0t- ni003e mame3on-a5domen- 4toma1=- ai4t ta3ie- na8e3um5i3i1u4 5uri1- 5ottom>e9ut- 5utto14 2e4e, =i0 >o3d- 3e:- t=i:= 1oa046- 1a32 :am56- 4=in1annon 5one23uieru3 0i1ioru3ui- ti5ia- nee :enun1=i- nee 1a0 rotu36- an3e:3e9n6- in4te0 41o5itura :3e9nei- 4o3e ta306- =ee31a31aneu41631i- toe4 de:ete de 3a 0i1ioare.

5, C.$$' #.' &.# $&- #.%# >'# $


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a 4toma1= 5 ai4t 1 a5domen d t=roat

. No5od i4 0er2e1t and 1are3e44ne44 i4 =i4 A1=i33e4...a toe 5 arm 1 =ee3 d =ead#. He i4 a3in: on t=e ti04 o2 =i4 4o a4 not to aaet=e 5a5.a 2eet 5 toe4 1 2in:er4 d 4o3e

6, (%#. "; #.' /$$ $&- #. #.'& -'/#$

. ri4t a. t=e t=i1- 23e4= 0art o2 t=e 5a1 o2 t=e3e:- 5eteen t=e an3e and t=e nee

". 2ore=ead 5. 3ar:e mu413e at t=e 2ront o2 t=e u00erarm- =i1= 5end4 t=e e35o

. =i0 1. t=e 4ma33 de0re44ion 5eneat= t=e arm=ere it


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. a5domen . eit=er o2 t=e to eterna3 o0enin:4 o2t=e no4e

". 5i1e04 3. 0art o2 t=e =uman 3e: 5eteen t=e neeand t=e =i0

@ VOCABULAR! PRACTICE

Here i4 a 3i4t o2 t=e mo4t 1ommon3 u4ed 0re0o4ition4 o2 03a1e and

0o4ition?

%>$=' U dea4u0ra- de dea4u0ra- mai 4u4 de%&$%$ U de,a 3un:u3- tran48er4a3%&$"-&$"- U de '.- 7n 40ate3e- 7na0oia /&$# $/ 7n 2aţa 7n- 7n interioru3#$ 7n- 7n40re interior indi1nd 06trunderea- 4tr65aterea 40aţiu3ui$ 0e- dea4u0ra$#$ 0e- dea4u0ra indi1nd mi>1are 0entru atin:erea 0o9iţiei

$='& 0e4te- dea4u0ra#.&$". 0rin- 0rintre"-'& dede4u5t- 4u5 indi1nd 1onta1t 1u 4u0ra2aţa 4u0erioar6

Ot=er ord4 indi1atin: mo8ement and dire1tion?ARDS % F%&- ;&': #&': -H- -&'%JB%%&- FJ U 7na0oi- in8er4- 0e 40ateD$%&- FJ U de41endent- 40re 0artea in2erioar6

)$&%&- FJ U 7nainte- 7n 2aţ6

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I%&- FJ U 7n6untru- 16tre interior L'/#%&- FJ U 16tre 4tn:a- din40re 4tn:aO"#%&- FJ U 16tre40re eterior- 7n a2ar6T$%&- U 40re- 16tre- 7n dire1ţiaU;&.# U dre0t- 8erti1a3U;%&- FJ U a41endent- 40re 0artea 4u0erioar6S-'%? U 3atera3- o53i1- 7ntr,o 0arte

KP%& $&

7, R'%- #.' /$$ $


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V Ro33 our ee4 in a 13o1i4e 1ir13e No noti1e t=e 4en4ation4 o2ten4ion. Pau4e Ro33 t=em no in an anti13o1i4e dire1tion.

V P3a1e our 0a3m donard4 on a 4ur2a1e ta53e- 1=air arm or t=i:= 0re44 our 2in:erti04 into t=e 4ur2a1e- drain: t=em toard4 our 0a3m 4o t=at our =and :radua33 tae4 on t=e 4=a0e o2 a 40iderHo3d t=e 0o4ition- 2ee3 t=e ten4ion in t=e =and and t=en 3et t=e ten4ion:o and re3a t=e mu413e4.V Kee0in: our toe4 2irm3 in 1onta1t it= t=e 23oor- rai4e our =ee34u0 in t=e air No 2ee3 t=e ten4ion in our 1a32 mu413e4 Re3adro0 our =ee34 to t=e :round and noti1e t=e re3ie2- t=e 1om2ort- t=e

arm tin:3in: 4en4ation in our 1a38e4.

9, C&'%#' ?$"& $ &'%%#$ #'."'M &#' -$ /=''%i 7ndoiţi 1or0u3 40re 4tn:a. Re8eniţi 7n 0o9iţia iniţia36. A0oiridi1aţi mna 4tn:6 >i 7ndoiţi 1or0u3 40re drea0ta. Re0etaţi mi>1areade 1in1i ori.. ;ndoiţi,86 u>or trun1=iu3 7n 2aţ6. Atin:eţi,86 :enun1=ii- a0oi:am5e3e- a0oi :3e9ne3e >i da16 0uteţi 1=iar >i de:ete3e de 3a 0i1ioare.$.Stnd 0e un 41aun- 03a4aţi,86 am5e3e 1oate 0e 1oa04e- 7ntindeţi,86

ante5raţe3e >i mi>1aţi,86 de:ete3e.@. ;n1=ideţi o1=ii- ridi1aţi mini3e dea4u0ra 1a0u3ui >i ar1uiţi,86 u>ortrun1=iu3 0e 40ate. Staţi 7n 0o9iţie # 4e1unde >i a0oi re8eniţi 7n

0o9iţia iniţia36.M. P3a4aţi,86 am5e3e mini 0e >o3duri. ;ndoiţi,86 u>or :enun1=ii >i a0oirotiţi,86 1or0u3 3a 4tn:a >i 3a drea0ta. O54er8aţi 1e 4imţiţi 3aarti1u3aţii3e >o3du3ui.Q. ;ntindeţi,86 5raţe3e 3atera3. A0oi 7ndoiţi,3e din 1oate 40re 7n 2aţ6- 3a

ni8e3u3 um6ru3ui. Re0etaţi mi>1area de 1te ori doriţi.

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. Staţi :=emuiţi 0e 8r2uri3e 0i1ioare3or- 1u 1a0u3 a03e1at >i 1umini3e atrnnd 0e :enun1=i. Simţiţi 1um 8i 4e re3aea96 mu>1=ii:tu3ui. !enţineţi 0o9iţia 1t doriţi.. Staţi 1u 0i1ioare3e de06rtate >i 1u mini3e 0e >o3d. ;n13inaţi,86 40redrea0ta- ridi1nd 0i1ioru3 4tn:. !enţineţi 0o9iţia 0entru @ 4e1unde.A0oi re0etaţi 7n dire1ţia o0u46.#. Staţi 1u 0i1ioare3e de06rtate >i 1u mini3e 7ntin4e 3atera3 >i 1u

0umnii 4trn>i. Rotiţi,86 4imu3tan 5raţe3e- tra4nd un 1er1 mi1 7n aer.;n1er1aţi rotirea 5raţe3or 7n am5e3e dire1ţii. O54er8aţi 1e 4e 7ntm0361u mu>1=ii 5raţe3or >i 0ie0tu3ui.

UNIT 2TE SELETAL S!STE(INTERROGATIVE PRONOUNS AND ADVERBS USEDBE)ORE TE VERB TO BEASING +UESTIONS

1, R'%- #.' /$$ #'# %- &#' -$ #.' ' $&-

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JT=e 2un1tion o2 t=e 5one4 i4 to 2orm a =ard 4e3eton 2or t=e 4o2termateria34 o2 t=e 5od- to en13o4e and 0rote1t 4ome o2 t=e mo4t

im0ortant 8ita3 or:an4. Bone de8e3o0ment tae4 03a1e at a 8er ear3 0eriod. In em5roni1 3i2e- t=e 0art4 de4tined to 5e1ome 5one4 1on4i4to2 a 1on:erie4 o2 1e334 =i1= 1on4titute4 t=e 4im03e4t 2orm o2 1arti3a:e.T=i4 tem0orar 1arti3a:e i4 an ea1t miniature o2 t=e 5one =i1= indue 1our4e i4 to tae it4 03a1e. T=e 0ro1e44 o2 o44i2i1ation i4 43o andnot 1om03eted unti3 adu3t 3i2e. T=e net 4te0 i4 t=e o44i2i1ation o2 t=einter1e33u3ar 4u54tan1e and o2 t=e 1e334 1om0o4in: t=e 1arti3a:e. T=e

0eriod o2 o44i2i1ation 8arie4 mu1= in di22erent 5one4. It 1ommen1e4

2ir4t in t=e 13a8i13e- in =i1= t=e 0rimiti8e 0oint a00ear4 durin: t=e2i2t= ee net in t=e 3oer


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2, P&$$"' %- '%& #.' %


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ADINA RĂDULESCU

3, C$%


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5rea4t5one 2orm a 4in:3e 1o3umn- t=e 40ina3 1o3umn". 3i:ament 5. Trian:u3ar 5one t=at 2orm4 t=e 5a1 o2 t=e

0e38i4. 4u33 1. Te38e 0air4 o2 1ur8ed 5one4 etendin:

2rom t=e 5a15one round t=e 1=e4t$. 8erte5rae d. Narro- 5on and 1ur8ed 1o3umn * a4 a

1a53e 2or t=e 40ina3 1ord@. 13a8i13e e. Ba4in,4=a0ed 2rameor o2 5one4 at t=e

3oer end o2 t=e 5odM. 40ine 2. Tou:= =ite 23ei53e ti44ue atta1=ed to

5one4 and


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Q GRA((AR

INTERROGATIVE PRONOUNS AND ADVERBS USEDBE)ORE TE VERB TO BE

+=en 2ormin: interro:ati8e 4enten1e4 it= t=e 8er5 TO BE t=e ru3e to 5e remem5er i4 to 03a1e t=e ord4 in t=e 2o33oin: order?

AT

IC

ERE F,J %&' F;,J ;&''# $>'#

! % F,J '&' F;,J ;%# $>'#

OO (AN!

AT i4 u4ed to a4 4ome5od to 40e1i2 one or more t=in:4- 03a1e4- 0eo03e- et1 2rom an inde2inite num5er?

3hat are the #ain ca&ses o+ #&sc&lar /eakness73hat is the shape o+ the spinal coln7

IC i4 u4ed to a4 4ome5od to 40e1i2 one or more t=in:4- 0eo03e- et1 2rom a 3imited num5er?

3hich is the best treat#ent in this sit&ation73hich is the shortest and the #ost c&r1ed o+ all the ribs7

! , mean4 2or =at rea4on or 0ur0o4e?3hy is physical therapy better than s&rgery in #y case7

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ERE * mean4 in or to =at 03a1e or 0o4ition?

3here is the stern sit&ated7O mean4 in =at a or manner? 2o/ is the stern described in ter#s o+ shape4 position4

str&ct&re and de1elop#ent7

O (AN! * i4 u4ed to inWuire a5out t=e num5er o2 t=in:4?

2o/ #any phalanges are +or each +inger4 e"cept the thb7

5, A "'#$ /$& #.' "-'&'- ;.&%' " #.' #'&&$%#='$&- what, which, where, why, how, how many %- #.' ='&> to be.T.' /&# #$ .%=' >'' -$' /$& ?$" % '%% and />"%,

$. T=e 0ate33a i4 a 4ma33- 23at- trian:u3ar 5one 4ituated %# #.' %#'&$&;% $/ #.' '' $#.

@. T=e 41a0u3a i4 4ituated 5eteen t=e 2ir4t and 4e8ent= ri54.

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ADINA RĂDULESCU

M. T=e 4ternum =a4 t=e 4=a0e o2 % %'# $&-- 1on4i4tin: o2 t=ree 0art4.

Q. T=at 2orm o2 1arti3a:e =i1= enter4 into t=e 2ormation o2 t=e '- $ % $##$ ?'- "-'& % '='&'? %;;'- /$&'. a4 t=ree Wue4tion4

. T=ere are 206 di4tin1t 5one4 in t=e entire 4e3eton o2 an adu3t.

#. T.' ";'&$& '#&'


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6, R'%- #.' /$$ '#&%# %- #&%%#' #.'< #$ R$"%&?, P&$=- % %'& #$ #.'' "'#$ %$ #'#?$"& %%#$


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ADINA RĂDULESCU

@. Din 1te oa4e e4te 2ormat 1raniu3 >i 1are 4unt a1e4teaM. Care arti1u3aţie e4te 1e3 mai 2re18ent a2e1tat6 7n 2ra1turi

Q. Cte 8erte5re are 1o3oana 3om5ar6 Dar 1o3oana tora1a36. &nde e4te 03a4at a1romionu3. Cum e4te de41ri4 4ternu3 7n at3a4u3 de anatomie#. De 1e e4te inter8enţia 1=irur:i1a36 mai 0otri8it6 7n a1e4t 1a9 de1t2i9ioinetotera0ia 4au 5a3noetera0ia

K P%& $& 8. uestion!answer exercise

U ?$"& %%#$


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UNIT 3

TE (USCULAR S!STE(ADECTIVES BASIC NOLEDGEDESCRIBING A CERTAIN (USCLE

1, R'%- #.' /$$ #'# %>$"# #.'


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ADINA RĂDULESCU

8u3nera53e to trauma- 0e1u3iar3 4u41e0ti53e to 3o1a3 and 44temi1in23amator di4order4.

A1ute in23ammation or ti44ue dama:e o2ten 5e1ome4 1=roni1- 0er=a04 5e1au4e o2 1ontinuou4 mo8ement and me1=ani1a3 4tre44e4.!u41u3o4e3eta3 di4order4 are ma


27/125


, mu41u3ar 1ontra1tion 1ram0 U 1ontra1ţie mu41u3ar6, mu41u3ar enduran1e U re9i4tenţ6 mu41u3ar6, mu413e 2ati:ue U o5o4ea36 etenuare mu41u3ar6, mu41u3ar =0ertro0= U =i0ertro2ie mu41u3ar6, mu413e tone U tonu4 mu41u3ar , =0otoni1 mu413e4 U mu>1=i =i0otoni1i, =0ertoni1 mu413e4 U mu>1=i =i0ertoni1i, mu413e ri:idit U ri:iditate mu41u3ar6, mu413e 40a4m U 40a4m mu41u3ar

, 40a4ti1it U 40a4ti1itate, mu413e 40rain U 3uaţie, mu413e 4train U 7ntindere mu41u3ar6, mu413e 4tren:t= U 2orţ6 mu41u3ar6, mu41u3ar ten4ion U ten4iune mu41u3ar6, mu41u3ar eane44 U 4365ire mu41u3ar6

3, (%#. #.' .%/'#'' $"


28/125

ADINA RĂDULESCU

3atera33.@. A =0ertoni1 mu413e 2ee34

e. :i8e4 an indi1ation o2

t=e 4tate o2 t=emu41u3ature.

M. I2 ou =a8e o54er8edmu413e eane44-

2. an e8a3uation o2 t=e1ondition and 2un1tionin:o2 t=e mu413e4-


29/125


to 1ontro3 5reat=in:$. 2i5re4 d. %er narro 53ood 8e44e34

1onne1tin: arterie4 and 8ein4 int=e 5od

@. ner8e e. Fi5rou4 mem5rane4 =i1= 2orm3inin:4 2or 5od 1a8itie4 and 1o8ermu413e4 and or:an4

M. 1a0i33arie4 2. Stron: 5and or 1ord o2 ti44uet=at


30/125

ADINA RĂDULESCU

, Pre4ent Parti1i03e 2orm4? 4=ort in2initi8e Z ,ING? increasing4rela"ing4 gro/ing

, Pa4t Parti1i03e 2orm4? 4=ort in2initi8e Z ,ED 2or re:u3ar 8er54?red&ced4 +lattened4 e"panded or t=e t=ird 2orm o2 irre:u3ar 8er54? c&t4hidden4 +roen.

"xample#

)his relaxing at#osphere and these stimulating e"ercises /ill ha1e a pronounced e++ect on yo&r back #&scles.

+"%/%#=' %-'#=' in13ude a33 t0e4 o2 ad


31/125


thin 9thinner % the thinnest " $ %-'#=' * >?%> endin: in ,/" and ,&'-#&?%> or ;"&?%> =i1= 2orm t=eir de:ree4 o2 1om0ari4on

5 0eri0=ra4ti1 mean4?


32/125

ADINA RĂDULESCU

5, R'&'%- #.' #'# %>$"# #.' : .$$ #.' %;;&$;&%#' "//' #.' >$, S$ sternal

t=ora 1om2ort40=ere to identi2mu413e to 1ontra1ta5domen a11e444toma1= memoranoma3 to 1onne1t2i5re to di:e4t2e8er =ea3t=1ure in2e1tion=e30 0ain

"


33/125


7, T&%%#' #.' /$$ '#'' #$ E.: " #.' '=$%>"%&? %- &%


34/125


35/125


t=e mu413e4 o2 t=e 2ree u00er 3im5? t=e mu413e4 o2 t=e u00er arm t=e mu413e4 o2 t=e 2orearmt=e mu413e4 o2 t=e =and

D, T.'


36/125

ADINA RĂDULESCU

UNIT 4

EA(INING TE PACIENT

POL!SE(ANTIC ORDS

TERAPISTPATIENT DISCOURSE GREETINGS:IDENTI)ICATION AND INTRODUCTOR! DIALOGUES

1, R'%- #.' /$$ #'# %- .' #.' $%&? >'$ #$#&%%#' #.' "$ $&-, &#' -$ $#.'& "$ $&-%- #&? #$ %;;&$


37/125


eaminer or t=e 1=an:e in 0atient/4 1ondition 2rom t=e 3a4teamination ma in23uen1e t=e 1our4e o2 t=e treatment.Kno3ed:e o2norma3 0arameter4 4=ou3d 5e u4ed to de1ide =et=er an o2 t=e te4tre1ord4 4=o a need 2or 1are in eamination and treatment.[ btaining a record o+ i##ediate past and c&rrent treat#ent and#edication. It i4 im0ortant t=at 1urrent medi1ation4 are noted 2or t=e4ema =a8e 4ome e22e1t on 4e3e1tion o2 or 0re1aution4 in admini4tratin:our treatment4.+=en eaminin: t=e 0a1ient 4ome t=in:4 need to 5e 0ro8ided? a 13ean-e33 8enti3ated- adeWuate3 armed area- 4uita53e 1o8erin:4 2or t=e

0a1ient- t=e 0o4ition o2 t=e eamination 1ou1= or ta53e in re3ation tot=e 3i:=tin: and- Wuite im0ortant- 8er5a3 1on2identia3it.T=ere are4ome 4ma33 te4tin: de8i1e4 t=at t=e eaminer need4? a ta0e mea4ure- a

0in- a :oniometer- a re23e =ammer- 4ome 1otton oo3- te4t tu5e41ontainin: =ot and 1o3d ater.E41ortin: t=e 0atient to t=e eamination area 1an 5e an o00ortunit too54er8e =i4=er a5i3it to a3 unaided- t=e t0e o2 :ait a5norma3itie4i2 an- t=e :enera3 mien and 0o4ture.Su11e442u3 Wue4tionin: 0rodu1e4 maimum in2ormation it= t=eminimum o2 Wue4tion4 and i4 a 4i33 t=at im0ro8e4 it= 0ra1ti1e.Li4tenin: to t=e 0atient/4 an4er4 reWuire4 0atien1e- in4tant aarene44and inter0retation- and 3i4tenin: to t=e 4i3en1e4 i4 eWua33im0ortant.+=at t=e 0atient 2ai34 to 4a ma =a8e :reat re3e8an1e.Pa30ation i4 a 4i33 t=at i4 a1Wuired 5 0ra1ti1e. It reWuire4 t=at our=and4 4=ou3d 5e re3aed- in 2irm 1om2orta53e 1onta1t- and aare o2

=at i4 under t=em.T=e 2o33oin: 0ro1edure4 are to 5e u4ed =en 0a30atin: 2or 40e1i2i1 anatomi1a3 2eature4? 03a1e more o2 our =andt=an ou need in 1onta1t it= t=e area to 5e eamined- 3i2t our 0a3m a3itt3e to redu1e t=e 1onta1t- 4o t=at on3 t=e 2in:er 0ad4 are tou1=in:2irm3 enou:=.Your 2in:er4 4=ou3d 5e 4trai:=t 4o t=at our nai34 areun3ie3 to 5e in 1onta1t. Remem5er t=at too =ard a 0re44ure i33 2ee33ie a dri33 di::in: in and too 3i:=t a 0re44ure i33 2ee3 3ie a 5utter231omin: to re4t. In neit=er 1a4e i33 ou 2ee3 or 2ind ant=in:.

Q


38/125

ADINA RĂDULESCU

A3a4 a33o1ate 4u22i1ient time 2or an initia3 eamination o2 t=e 0atient- and i2 t=e eamination turn4 out to 5e more time,1on4umin:

t=an our ori:ina3 e4timate- 1om03ete on3 0art o2 t=e ta44 and1on13ude t=e eamination at a 2urt=er 4e44ion.Ada0ted 2rom !.Ho33i4- P.Yun: * atient e"a#ination andassess#ent +or therapists

GLOSSAR!#$ '%' % '#%: % ' $;&;&$& #$ %#' -'-.%&' '#'&%&'%''#%# "'#:


39/125


-& >"&."#$ - % /'

2, S% #.' #'# %>$=' $ % #$ %'& #.' /$$ "'#$. += i4 t=e 0atient/4 initia3 eamination im0ortant". +=at 4=ou3d 5a4i1 in2ormation a5out t=e 0atient in13ude. += doe4 t=e 0re4ent eaminer need to 1=e1 t=e 0atient/4 0riormedi1a3 eamination 4=eet$. += doe4 t=e eaminer need to note t=e 0atient/4 1urrentmedi1ation@. +=at t=in:4 need to 5e 0ro8ided =en eaminin: t=e 0atientM. +=at te4tin: de8i1e4 doe4 t=e eaminer u4eQ. +=at 4=ou3d t=e eaminer o54er8e =i3e e41ortin: t=e 0atient to t=eeamination area. +=en 1an e 4a t=at Wue4tionin: t=e 0atient =a4 5een 4u11e442u3. +=at 0ro1edure4 are to 5e u4ed =en 0a30atin: t=e 0atient#. +=at 4=ou3d 5e done i2 t=e 2ir4t eamination tae4 3on:er t=an

e0e1ted

3, C&'%#' ?$"& $ '%


40/125

ADINA RĂDULESCU

=omonm4 and ord4 t=at are 0o34emanti1. T=ere i4 4ti33 a 1riteriont=at 1an =e30 u4 di4tin:ui4= one notion 2rom t=e ot=er? =i3e it=

=omonm t=e ord4 t=at =a8e t=e 4ame 2orm do not 4=are an4emanti1 re4em53an1e in t=eir meanin:4- it= 0o34emanti1 ord4 e1an ea4i3 noti1e a 4emanti1 2eature 1ommon to a33 t=e e3ement4 o2 a13a44. Here are to eam03e4 2or ea1= notion?

Heart, a4 a 0o34emanti1 ord- =a4 a 4emanti1 2eature a44o1iated ,that o+ being the central part o+ a body4 o+ one6s li+e or o+ so#ethingelse , t=at i4 1arried o8er 2rom one eam03e to t=e net?

E1en i+ his heart stopped beating +or se1eral seconds4 he did not die.

I think yo& sho&ld get to the heart o+ the #atter. 2e is #y heart 4 #y reason o+ li1ing.alf a4 a yo&ng o+ cattle 8iţe3 or o2 1ertain ot=er mamma34 4u1= a4t=e 5u22a3o- e3e0=ant- :ira22e and =a3e and calf a4 the thick +leshy

part o+ the back o+ the leg bet/een the ankle and the knee are to=omonm4 t=at =a8e not=in: in 1ommon- 4emanti1a33 40eain:.!oreo8er- 5 3ooin: ord4 u0 in a di1tionar- one 1an a34odi4tin:ui4= 5eteen 0o34emanti1 ord4 and =omonm4 a4 t=e 2ormerare 3i4ted it= di22erent num5er4 under t=e 4ame 3ei1a3 entr- =i3et=e 3atter are 3i4ted and treated a4 4e0arate ord4? 1a32 and 1a32 ".

4, C.$$' /&$< %


41/125


". -.%&' mean4?a an o22i1ia3 0ermi44ion 2or 45 to 3ea8e- a2ter =e =a4 1arried out adut di41=ar:e a 4o3dier- a 0atient- re3ea4e a 0ri4oner 2rom 1u4tod 5 un3oadin: 1ar:o 2rom a 4=i01 2irin: a :un- 3aun1=in: 23in: ea0on4 arro4

. >%&$"- mean4?a 0art o2 a 8ie- 41ene or de41ri0tion t=at 2orm4 a 4ettin: 2or t=e1=ie2 o5


42/125

ADINA RĂDULESCU

\ to tae an eamination\ 5a1:round on t=e 1om0an4 2inan1ia3 0o4ition\ 0a442ai3 an eamination\ time,4a8in: de8i1e U a0arat de u9 1a9ni1\ medi1a3 eamination\ 3a5our,4a8in: de8i1e U di40o9iti8 me1ani1\ to 5e under eamination\ an e03o4i8e de8i1e U di40o9iti8 e03o9i5i3\ to 4taee0 in t=e 5a1:round

4t3i4ti1 de8i1e U 2i:ur6 de 4ti

$"


43/125

36, (%#. '%. $/ #.' $

%, ;%#'# >, #$"' , .'%--, /$$# ', >$##$< /, ;' , '&='

. a mo8a53e or:an in t=e mout=- u4ed in ta4tin:- 3i1in:-

4a33oin: and 40eain:". 2oam on t=e to0 o2 a 0oured 5eer. a 0er4on =o i4 re1ei8in: medi1a3 1are in =o40ita3$. 0art o2 t=e 5od on =i1= one 4it4- 5utto14@. a mea4ure o2 3en:t= eWua3 to " in1=e4M. ro o2 5one4 a3on: t=e 5a1 o2 =uman4 and 4ome anima34-

5a15one

Q. 5o3dne44- 1oura:e. a 0er4on 1a0a53e o2 a11e0tin: de3a t=at 1an 4ti33 remain 1a3m. 0art o2 t=e 5od- 1ontainin: t=e ee4- no4e- mout= and 5rain#. a 3an:ua:e- dia3e1t or idiom. t=e 3oe4t 0art o2 t=e 3e:- 5e3o t=e an3e- on =i1= a 0er4on oranima3 4it4

". :round under t=e 4ea- 3ae or ri8er. an o2 t=e 5und3e o2 2i5re4 1arrin: 4en4or or motor im0u34e4

5eteen t=e 5rain and a33 0art4 o2 t=e 5od

$. an o2 t=e 4=ar0 need3e,3ie 0art4 on 4ome 03ant4 1a1tu4e4 andanima34 =ed:e=o:4

@. 1=ie2 0er4on o2 a :rou0 or or:ani9ationM. a 23a0 o2 3eat=er on a 4=oe- under t=e 3a1e4 or 5u13e4 to 0rote1tt=e in4te0


44/125

Q. t=e 3oe4t- dee0e4t or 2art=e4t remo8ed 0art o2 a t=in:. t=e 5a1 0art o2 a 5oo t=at i4 8i4i53e =en it i4 in a ro on a

4=e32. ri5 or 8ein in a 3ea2 or an o2 t=e 8ein4 o2 an in4e1t/4 in:"#. menta3 a5i3it or natura3 ta3ent 2or 4omet=in:.

7, &#' ?$"& $ $#'# /$& #.' -//'&'# li#b$ #atern$\ to ha1e lost:+ind one6s tong&e > a(i pierde:redobndi grai&l \ the head o+ the +a#ily > cap&l +a#iliei\ head o++ice > sedi& central \ to ha1e a good head +or b&siness4 +ig&res > a a1ea cap de

a+aceri4 ci+re\ at the +oot:botto# o+ the stairs:hill: #o&ntain:list:page > !n

partea de &n id !nalt de F picioare\ to +all on one6s botto# > a c$dea !n +&nd \ the botto# o+ the sea:lake:ri1er > +&nd&l #$rii:lac&l&i:r&l&i\ to go to the botto# > a se sc&+&nda\ to lose:regain one6s ner1e > a(i pierde:redobndi c&ra a a1ea c&ra a(i !ncorda toate p&terile


45/125

Y TERAPISTPATIENT DISCOURSE

G&''#: -'#/%#$ %- #&$-"#$&? -%$"'

Here are 4ome eam03e4 o2 initia3 :reetin:4 and introdu1tordia3o:ue4 u4ed 5e2ore t=e eamination tae4 03a1e?

T.' #.'&%;#

\ 5ood #orning4 8rs. Gohnson. Let #e introd&ce #ysel+. I a# yo&r therapist4 Dr. 5reen.

\ lease co#e in and take a seat.\ 8ake yo&rsel+ co#+ortable. I /ill be /ith yo& in a second.\ 8y na#e is Dr.5reen. I think /e talked on the phone4 didn6t

/e7\ I re#e#ber yo&. @o& /ere #y patient last year. 2o/ is yo&r

back7\ @o& are Dr. )ho#son6s sister4 aren6t yo&7 2e told #e all

abo&t yo&.

I"& %>$"# #.' ;%#'#X ;&$>'


46/125

\ I &nderstand that yo& ha1e seen se1eral therapists be+ore. 2o/ can I help yo&7

P&$&%$=',!$" % % ' $


47/125

@. Pa30area 0a1ientu3ui >i te4tarea :radu3ui 46u de mo5i3itate 4untindi1ii 13are 7n 4ta5i3irea a2e1ţiunii 0re9ente >i indi1areati0uri3or de eer1iţii 1ore40un96toare.

UNIT 5

T!PES O) INURIES

PASSIVE (ODAL CONSTRUCTIONS

PRESENT TENSE SI(PLE AND PRESENT PER)ECT

TERAPISTPATIENT DISCOURSE PATIENTXSS!(PTO(S AND CO(PLAINTS

)OR(AL AND IN)OR(AL (EDICAL TER(S

1, R'%- #.' /$$ '#&%# %- .' #.' $%&? >'$ /$&' $&-, T.' #&%%#' #.'' #'# #$ R$#%#$ %/#'& /&%#"&'

JPatient re=a5i3itation 4=ou3d 5e:in immediate3- de0endin: on t=et0e o2 2ra1ture and 4o2t ti44ue 4ta5i3it. Ad


48/125

; -$%#$

JHi0 di43o1ation i4 an ort=o0aedi1 emer:en1 and mu4t 5e redu1edimmediate3. It o11ur4 0rimari3 in 1on


49/125

GLOSSAR!

&'.%>#%#$ &'%>#%&'

/&%#"&' /&%#"&%-%'# $# %"%' %-%'##$ -'&'%' % &'-"': -


50/125

"xample#

Sho&ld begin

Sho&ld be #obilied

Q GRA((AR

PASSIVE (ODAL CONSTRUCTIONS

A33 41ienti2i1 3an:ua:e4 mae u4e o2 0a44i8e 1on4tru1tion4 to e0re44im0er4ona3 o54er8ation4- a8oid mentionin: unnon or inde2inite4u5


51/125

)he pathologic anato#y must be care+&lly defined be+oretreat#ent is deter#ined.

)hese pills must be taken t/ice a day4 on an e#pty sto#ach.

+it= moda3 8er54 t=e tran42ormation 2rom a1ti8e 8oi1e to 0a44i8e8oi1e i4 made 5 ee0in: t=e moda3 un1=an:ed and u4in: a 0a44i8ein2initi8e?

A#=' V$' [ P%=' V$'

Sho&ld a1oid ] sho&ld be a1oided moda3 Z BE Z 0a4t 0arti1i03e *4=ort in2.Z ED

8&st take → #&st be taken moda3 Z BE Z 0a4t 0arti1i03e * t=e rd

2orm o2 irre:u3ar 8er54

3, I' #.' /$$


52/125

$. C3eanin: t=e ound .. in a =urr.@. Bot= t=e eaminer and t=e 0atient .. ma44 =en t=eound i4 eamined.M. Steri3e in4trument4 and :3o8e4 ..Q. T=e eaminer =i4 attention to t=e 1ir1u3ation and4in and t=en to 5one4- tendon4 and ner8e4.. T=e de0t= o2 t=e ound it= a 40on:eor a 5ru4=.. Su40e1ted dama:e to tendon4 and ner8e4 .

5 dire1t 8i4ion.

#. A re:iona3 53o1 or :enera3 ane4t=eti1 de0endin:on t=e 0atient/4 a:e and t=e 4e8erit o2 t=e in


53/125

Q. I2 4uita53e in4trument4 are a8ai3a53e and i2 t=e 4ur:eon i4 re4ted=e ma undertae repair o+ se1ered ner1es on t=e da o2 in


54/125

di22eren1e 5eteen a /$&


55/125

+it=out a44umin: to 1o8er at 3ea4t 0art o2 t=e 4m0tom4 and 0ro53em4t=at 0atient4 ma =a8e =en 1omin: to 4ee a inetot=era0i4t- 4omeeam03e4 o2 1ommon 1om03aint4 are 0re4ented 5e3o?

P%#'#X ?


56/125

\ 8y +ingers tre#ble a lot and e1en #y hands ha1e started shaking.;J#i tre#&r$ degetele i chiar i #inile.=

Q GRA((AR *resent *erfect and *resent &ense +imple are t=e ten4e4 norma33u4ed to e0re44 1om03aint4 in t=e a5o8e 4enten1e4.

7, I-'#/? '%. #'' #.' '#'' %>$=' %- %? .$ #.'? %&'/$&


57/125

@. I XXXXXXXX a3read XXXXXXXXX 0ra1ti4e t=i4 4tret1=in:eer1i4e t=ree time4. Ye4- 5ut ou 4ti33 XXXXXXXXXXX not doit ri:=t.

9, T&%%#' #$ E. " P&''# P'&/'# S


58/125

UNIT 6

TERAPEUTIC EERCISES

ORD )OR(ATION DERIVATIONTERAPISTPATIENT DISCOURSE RECO((ENDINGDI))ERENT TERAPEUTIC EERCISES

1, R'%- #.' /$$ #'# %- &#' -$ #.' ' $&-M #.'#&%%#' # #$ R$


59/125

($>#? o2 4o2t ti44ue4 and %%' and t=e a1Wui4ition o2 /"#$% are a33interre3ated and are 1om03e a40e1t4 o2 motor 1ontro3. C$$&-%#$re2er4 to t=e a5i3it to u4e t=e ri:=t mu413e4 at t=e ri:=t time it=a00ro0riate inten4it. It i4 t=e 5a4i4 o2 4moot= and e22i1ient mo8ementt=at 1an o11ur on a 8o3untar or in8o3untar 3e8e3. B%%' re2er4 tot=e a5i3it to maintain t=e 1enter o2 :ra8it o8er t=e 5a4e o2 4u00ort-u4ua33 =i3e in an u0ri:=t 0o4ition. It i4 a dnami1 0=enomenon t=at

in8o38e4 a 1om5ination o2 4ta5i3it and mo5i3it. Fina33- /"#$% re2er to t=e 8aried motor 4i334 ne1e44ar to 2un1tioninde0endent3 in a33 a40e1t4 o2 dai3 3i8in:. Learnin: 2un1tiona3 motorta44 in8o38e4 1on4tant re0etition o2 4im03e to more 1om03e motora1ti8itie4- u4e o2 4en4or 1ue4 ta1ti3e- 8i4ua3 to en=an1e motor

0er2orman1e and a4 t=e Wua3it o2 mo8ement im0ro8e4- 4o 4=ou3d t=e40eed and timin: o2 mo8ement4.Ada0ted 2rom Caro3n Ki4ner^Lnn A33en Co35 * )herape&tic

E"ercise. Ho&ndations and )echni,&es


60/125

GLOSSAR!-?/"#$ -/"'&'#$&%#$ &'/%'&': &'#%>&'$'%' #%>'%'- ;$#$ ;$W' $&'# %-$;#%#%&&? $"# % -';: % &'%W%#$ &''=' % -'#-': &'%%-'';>&'%#. ''&' ''&" -' &';&%' ;&$/"-%"#$ -$>H-&': $>'&'


61/125

2, +uestion!answer exercise# R'&'%- #.' #'# %>$=' $ ;%&%&%;.,O' #"-'# % ..'& $'%"' $' $& #$ "'#$ /$&'%. ;%&%&%;. %- .'.' .$"- %'& # '#.'& >? &';&$-"/&%$"# ?$"& ;.?% %>#', A ?$"& -'


62/125

ORD )OR(ATION DERIVATION

Deri8ation it= 4u22ie4 and 0re2ie4 i4 one o2 t=e mean4 o2 ord2ormation. Genera33- t=ere are 4ome t0i1a3 noun ad%' /$&


63/125

6, E#&%# /&$< #.' #'# %>$=' FT.'&%;'"# ''&'J % #.'-'&=%#$% %-'#=' %- "-' #.'< #$ #.'& $&&';$-"// %#'$&?

"xample#

therape&tic% +&nctional res&lting '- prolong&ed =' e++ecti1e? dailyFJ$" conscio&s%>' co#+ortable? sensory

7, )- #.' $&&';$- >%' /$&%' /$&


64/125

V'&> N$"to 0re44ure 0re44ureto Wue4tion Wue4tion

to e4timate e4timateto eer1i4e eer1i4e

Yet- 4ometime4 t=ere are 4ome 43i:=t 40e33in: di22eren1e4 5eteen t=enoun and it4 1orre40ondin: 8er5 t=at 1an ea4i3 0a44 unnoti1ed?

V'&> N$"To 0ra1tie 0ra1tieTo re40on- re40on'

10, G=' $#.'& '%,

11, &#' #.' '$- $"


65/125

". treat XXXXXXXX . di43o1ate XXXXXXXX

12, R'&#' #.' '#'' >'$ " #.' $" #.' '$-$"


66/125

Li4tenin: to t=e 0atient4/1om03ain4 and 4m0tom4 i33 norma33 5e2o33oed 5 t=e t=era0i4t/4 re1ommandation4 re:ardin: di22erentt=era0euti1 te1=niWue4 and eer1i4e4. Here are 4ome eam03e4 o2 4u1=

inetot=era0 eer1i4e4 t=at t=era0i4t4 ma re1ommend to t=eir 0atient4?

'#$#.'&%;#X &'$


67/125

14, C$-'& ?$"&'/ % % '#$#.'&%;#M .$$' $' #?;' $/ #.'''&' %>$=' %- ';% #.' >% ;&$'-"&' #$ % $'%"';%#'# $/ ?$"&,

15, C$-'& ?$"&'/ % % ;%#'# #. % '% -?/"#$ F?$"% .$$' $' $/ #.' ?"%&?

. E4te 2oarte im0ortant 46,ţi a3e:i un 0ro:ram de eer1iţii 1are46,ţi 2ie 1u ade86rat de a


68/125

#. Toate 1a0a1it6ţi3e noa4tre 2i9i1e 0ot 2i 0ertur5ate atun1i 1nd4unt ne8oiţi 46 2im imo5i3i9aţi 3a 0at 0entru o 0erioad6

0re3un:it6 de tim0.

UNIT 7TERAPEUTIC PROCEDURES IN ANDLING TEPATIENTPASSIVE VERBAL CONSTRUCTIONSTERAPISTPATIENT DISCOURSE ;$#$ %- .%-

#.' ;%#'#

1, R'%- #.' /$$ '#&%# %- #.' $=' #.' #% #.%# /$$#.''%& $#&$ %- #%>#?

JDe8e3o0 a5i3it to 4=i2t t=e 5od ei:=t. I2 t=e 0atient 1annot 5ear2u33 ei:=t- 5e:in in t=e 0ara33e3 5ar4 it= 0art o2 t=e ei:=t 5orne ont=e =and4. T=e 0atient 4=i2t4 anterior3- 4ide to 4ide- and o53iWue3.!anua3 re4i4tan1e to t=e motion is added it= 0re44ure a:ain4t t=e

0atient/4 0e38i4.

T$ &'%' /'$ $/ #.' .; #. #.' '' '#'-'- 2and place#ent


69/125

J+it= t=e 0atient/4 nee 2u33 etended- 4u00ort t=e 0atient/4 3oer3e: it= our arm or 4=ou3der.Sta5i3i9e t=e o00o4ite etremit a3on: t=e anterior a40e1t o2 t=e t=i:=

it= our ot=er =and or a 5e3t or it= t=e a44i4tan1e o2 anot=er 0er4on.+it= t=e nee in maimum eten4ion- 23e t=e =i0 a4 2ar a4 0o44i53e.

Alternate position.Knee3 on t=e mat and 03a1e t=e 0atient/4 =ee3 a:ain4t our 4=ou3der.P3a1e 5ot= o2 our =and4 a3on: t=e anterior a40e1t o2 t=e di4ta3 2emurto ee0 t=e nee etended.T=e o00o4ite etremit is stabilied in eten4ion 5 a 5e3t or toe3 and=e3d in 03a1e 5 t=e t=era0i4t/4 nee.

T$ &'%' -$&/'$ $/ #.' %' #. #.' '' '#'-'-

2and place#ent JGra40 t=e 0atient/4 =ee3 1a31aneu4 it= one =and.Sta5i3i9e t=e anterior a40e1t o2 t=e ti5ia it= our ot=er =and.Pu33 t=e 1a31aneu4 donard it= our t=um5 and 2in:er4 and :ent3

0u4= u0ard on t=e =ead4 o2 t=e metatar4a34.

T$ &'%' &# '#'$ 2and place#ent JPronate t=e 2orearm and :ra40 t=e 0atient at t=e 0a3mar a40e1t o2 t=e=and. Sta5i3i9e t=e 2orearm. To 3en:t=en t=e ri4t 23eor4- etend t=e

0atient/4 ri4t- a33oin: t=e 2in:er4 to 0a44i8e3 23e. Alternate position

Su00ort t=e 0atient/4 2orearm on t=e ta53e 5ut a33o t=e =and to dro0o8er t=e ed:e o2 t=e ta53e. T=en 0a44i8e3 etend t=e ri4t. T=i4 ma 5e more 1om2orta53e 2or t=e t=era0i4t or ne1e44ar i2 t=e 0atient =a4 a4e8ere ri4t 23eion 1ontra1ture.Caro3n Ki4ner^Lnn A33en Co35 * )herape&tic E"ercise.

Ho&ndations and )echni,&es

TASS


70/125

. Enumerate t=e mo8ement4 t=at are 0o44i53e at t=e 4=ou3der


71/125

to 3en:t=ento 4u00ort

3, C$


72/125

T.'&%;# 4ometime4 hypnotie #.'& ;%#'#,

4u5' tran40ort'-

Pre4entPer2e1t

=a4=a8e2ound

=a4=a8e >'' 2ound

Pa4t Per2e1t =addi41=ar:ed

=ad >'' di41=ar:'-

Future Ten4eSim03e

i334=a33in13ude

i334=a33 >' in13ud'-

Future Per2e1t i334=a33 =a8e=ea3ed

i334=a33 =a8e >'' =ea3'-

Conditiona3 ou3d re1o8er ou3d >' re1o8er '-Per2e1t

Conditiona3ou3d =a8e

4a8edou3d =a8e >'' 4a8'-

Gerund 0ra1ti4in: >' 0ra1ti4'-


73/125

4, P"# #.' ='&> >&%'# #$ #.' ;%=' =$' $/ #.' #''-%#'-

"xample#

)he range o+ #otion o+ the ankle is restored ;restore 9 resent )enseSi#ple= by per+or#ing stretching e"ercises.

1, T=e an3e XXXXXXXXXXXXXXXXXXX immo5i3i9e * resent)ense Si#ple in a 4=ort 1a4t 2or to $ ee4.

2, T=e 0atient/4 3oer 3e: XXXXXXXXXXXXXXXXXXX e3e8ate * resent )ense Contin&o&s no.

3, Su11e44i8e ei:=t,5earin: 4tre44e4 XXXXXXXXXXXXXXXXim0o4e * ast )ense Si#ple on t=e 2eet.

4, T=e4e 2au3t 2oot 0o4ture4 XXXXXXXXXXXXXXXXXX 1au4e * resent er+ect 5 t=e e1e44i8e addu1tion o2 t=e 2ore2oot.

5, T=e re=a5i3itation 0ro:ram XXXXXXXXXXXXXXXX 4tart * H&t&re )ense Si#ple a4 4oon a4 0o44i53e.

6, Litt3e e22ort XXXXXXXXXXXXXXX reWuire * resent )enseSi#ple to maintain t=i4 0o4ition 2or etended 0eriod4.

7, An3e and 2oot motion4 XXXXXXXX 0re8iou43 XXXXXXXXXXXX0er2orm * ast er+ect 5 t=e 0atient.

8, T=e 4ame motion XXXX no XXXXXXXXXXXX re0eat * resent)ense Contin&o&s it= t=e 0atient in a3ternate 0o4ition.

9, !an 5a3an1e a1ti8itie4 XXXXXXXXXXXXXXXXX 0ra1ti4e * ast)ense Si#ple 5ut it=out an re4u3t.

10, !u41u3ar enduran1e XXXXXXXXXXXXXXXXX in1rea4e * resent er+ect

5 0er2ormin: t=e 4ame eer1i4e4 2or a re0eatednum5er o2 time4.

5, C.%' #.' /$$ '#'' /&$< A#=' V$' #$ P%='V$'M #.' "-'&'- -&'# $>'# >'$


74/125

)he patient so#eti#es describes pain +ro# #&scle spas# as aheadache.

ain +ro# #&scle spas# is so#eti#es described as a headache.

. I2 t=e 0atient ';'&' a1ute in23ammation- =e 4=ou3d 5e 03a1ed in a 3e44 irritatin: 0o4ition.

". I2 a di4 3e4ion i4 t=e 1au4e o2 t=e a1ute 5a1 0ain- t=et=era0i4t /&# #%' mea4ure4 to a33e8iate t=e 0ain.

. In


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\ )he patient is hook(lying.\ )he patient is cross(sitting.

\)he patient is heel(sitting.

\ )he patient is on hands and knees.\ )he patient is prone4 /ith hands placed &nder the sho&lders.\ )he patient is s&pine4 /ith the +oot pointing &pright to keep

the hip ne&tral to rotation.\ )he patient is sitting4 /ith the +orear# s&pported on the

treat#ent table4 /rist o1er the edge o+ the table.\ )he patient is standing4 /ith the hands placed in the lo/(back

area.

\T'%< $& 7, R'%- #.' /$$ hand placement %- stabili/ation procedure-%#$ #$ % #.'&%;#;%#'# ;%& .$ #.' "#&%#'#.'< /&$# $/ #.' %,

\ 5rasp the patient6s /rist /ith yo&r lo/er hand.\ lace yo&r thb on the anterior s&r+ace o+ the pro"i#al end

o+ the cla1icle.\ lace a belt aro&nd yo&r sho&lder and &nder the patient6s

thigh to help hold the /eight o+ the lo/er e"tre#ity.\ S&pport the patient6s leg /ith the +ingers o+ the top hand

&nder the patient6s knee and the lo/er hand &nder the heel.\ Stabilie the patient6s pel1is /ith the top hand or ar#.

\ Stabilie the patient6s pel1is by +le"ing the opposite hip andholding the thigh /ith the hands. )he hip to be #obilied is inresting position.

\ Sitting on a lo/ stool4 stabilie the leg bet/een yo&r kneesand place one hand on the anterior aspect o+ the tibia.

\T'%< $&


76/125

8, R'%- #.' /$$ therapeutic techniues #$ % #.'&%;#;%#'#;%& .$ #.' "#&%#' #.'< /&$# $/ #.' %

\ er+or# elbo/ +le"ion and e"tension /ith the +orear# pronated as /ell as s&pinated.

\ Hle" the patient6s hip and knee to OP degrees s&pport theknee /ith the top hand.

\ &ll the +oot a/ay +ro# the long a"is o+ the leg in a distaldirection by leaning back/ard.

\ Hle" the elbo/ to OP degrees and abd&ct the sho&lder to OP

degrees.\ Rotate the her&s by #o1ing the +orear# like a spoke on a/heel.

\ Hle" the patient6s knee &ntil disco#+ort is e"perienced in theanterior thigh.

\ Instr&ct the patient to arch the back by pressing against the +loor /ith the back o+ the neck and the sacr.

9, T&%%#' #$ R$$=',

KP%& $& 10, O' #"-'# >' =' % .%- $"# $#% -%#$ /$&% #.'&%;'"# ''&', ' $& .' &'%- #.' #'# %- #.' #%"#&%# #.' #%' $/ #.' ''&', T.' #% /$& #.' $#.'&

#"-'# #$ &#' -$ #.' $#'# $/ #.' ''&' .' %#.#, T.' ''&' >' &';'%#'- '='&% #


77/125

)he patient is standing4 /ith the hands placed on the sho&lders. )he patient bends his body side/ays /ith one hand o1er his head. )he#o1e#ent is repeated three ti#es +or each side. )hen the patient

ret&rns to the initial position.

11, C&'%#' ?$"& $ #.'&%;'"# ''&': " #.' '%


78/125

UNIT 8(USCULOSELETAL AND CONNECTIVE TISSUEDISORDERSPRONOUNCING TONGUETISTERSDESCRIBING S!(PTO(S AND RECO((ENDINGTERAPEUTIC EERCISES

1, R'%- #.' /$$ -'/#$ %-


79/125

4ittin: 2or 0ro3on:ed 0eriod4 o2 time- or e1e44i8e 0=4i1a3 e22ortin8o38in: t=e 5a1 mu413e4.

E. A ra0id3 0ro:re44i8e- de:enerati8e di4ea4e o2 t=e u00er and 3oermotor neuron4 1=ara1teri9ed 5 atro0= o2 t=e =and4- arm4- 3e:4- and-e8entua33- t=e entire 5od. Se8ent 0er1ent o2 indi8idua34 die it=in @ear4 o2 dia:no4i4.

F. A 1=roni1 44temi1 de:enerati8e di4ea4e 1=ara1teri9ed 5in23ammation o2 t=e 1onne1ti8e ti44ue4 and mani2e4ted 0rimari3 inand around 0eri0=era3 ' $$%#$ $"##&; % -';Z: #&''">$-&% %&'% W$' ">$-&%'

&";#"&'- %%' - - %%$ &";#;$$& ;$#"&' ;$#"& -'/'#"$%%


80/125

!a4terin: 4tre44,em0=a4i4 i4 one o2 t=e e4 to 0ronoun1in: mu3ti,433a53e medi1a3 term4. En:3i4= mae4 u4e o2 a ;&' #&'

h g g h; , na3 ro , #%#'

4, P%' #.' /$$ #.&''?%>' $&- #.'& $&&';$-#&''' #&'

h g g g h g


81/125

% , tro * 0= 44 , #' , mi1

5, P%' #.' /$$ /$"&?%>' $&- #.'& $&&';$-#&''' #&' h g g g g h g g =%,1i,na,ted 0neu,' #&'

g g h g in,de,;',dent

6, )- #.' $&&';$- #&''$"# #.'


82/125

T.' -$&-'& C%"' S?


83/125

3,A?$S;$-?#

t=e ea1t 1au4e i4unnon. A =i:=er

t=an e0e1ted 3e8e3o2 HLA,B"Q ti44ueanti:en i4 4een in# o2 indi8idua34it= t=e di4ea4e. Iti4 t=ree to 2ourtime4 more1ommon in ment=an in omen- andon4et t0i1a33o11ur4 5eteen "#and $# ear4 o2a:e.

'%&? ?


84/125

5, L$ B%P%

!u413e 40rain or4train- art=riti4- atumor- or a

ru0tured 1arti3a:edi4 5eteen8erte5rae 0oor

0o4ture- o5e4it-en3ar:ed 0ro4tate:3and- 4a::in:a5domina3mu413e4- 4ittin: 2or

0ro3on:ed 0eriod4o2 time- ore1e44i8e 0=4i1a3e22ort in8o38in: t=e

5a1 mu413e4.

T=e 0ain ma 5ea11om0anied 5 mu413eeane44 or 40a4m4. It

ma radiate don t=e 5a1 o2 one or 5ot=3e:4- a4 in 41iati1a. Itma 5e 4tarted orin1rea4ed 5 1ou:=in:-4nee9in:- ri4in: 2rom a4eated 0o4ition- 3i2tin:-4tret1=in:- 5endin:- orturnin:.

6, T'-#%-T'$?$=#

Re0etiti8emo8ement4- 4train-or e1e44i8e-una11u4tomed

eer1i4eunder3in:44temi1 di4ea4er=eumatoidart=riti4- :out-413ero4i4 midd3e,a:ed and o3deradu3t4 and at=3ete4or indi8idua34 it=

o11u0ation4reWuirin: re0etiti8emotion are at:reate4t ri4.

T=e in8o38ed tendon4u4ua33 4=o 8i4i53e4e33in: t=e


85/125

e03anation4in13ude :eneti14-meta5o3i1

di4tur5an1e4- andeterna3 a:ent4.

d40=a:ia a4mmetri140read o2 mu413eeane44 to t=e re4t o2

t=e 5od 40a4ti1it2a41i1u3ation4=0era1ti8e dee0tendon and eten4or

03antar re23ee4.%#' ?$=' %- % ?$"&-'


86/125

Athlets or indi1id&als /ith occ&pations re,&iring repetiti1e#o1e#ents are 1ery likely to s&++er +ro# )endinitis and )enosyno1itis.Q &rue

8en are three ti#es #ore likely than /o#en to be a++ected by Rheatoid Arthritis. Q 1alse

9, T&%%#' #.' $#'# $/ #.' .% %>$=' " % $=' $ % #$


87/125

trainin: tra1tion5a1 5ra1e in 40e1ia31a4e4.

5, L$ B% P% e. P=4i1a3 t=era0 to maintain mu413e

4tren:t= o11u0ationa3 t=era0 2ora1ti8it o2 dai3 3i8in: 4u00ort 40ee1=t=era0 to aid 1ommuni1ation 403int42or neutra3


88/125

&herapist2s recommandations#

\ Considering yo&r aggra1ated


89/125

UNIT 9POSTURAL PROBLE(S

CONDITIONAL CLAUSESTERAPISTPATIENT DISCOURSE I(PROVINGCO((UNICATION

1, R'%- #.' /$$ #'#: $"# #.' $%&? >'$ %-#&%%#' #.' #'# #$ R$


90/125

23ei5i3it- 5ut i2 t=e 2au3t 0o4ture 1ontinue4- 4tren:t= and 23ei5i3itim5a3an1e4 i33 e8entua33 de8e3o0.L$&-$# ;$#"&'T=i4 0o4ture i4 1=ara1teri9ed 5 an in1rea4e in t=e 3um5o4a1ra3 an:3e-an in1rea4e in t=e 3um5ar 3ordo4i4- and an in1rea4e in t=e anterior

0e38i1 ti3t and =i0 23eion. T=i4 i4 o2ten 4een it= an in1rea4ed t=ora1i10=o4i4 and 2orard =ead and i4 1a33ed a ?;.$$&-$# ;$#"&'.R'%'- $& $".'- ;$#"&'T=i4 0o4ture i4 a34o 1a33ed %?>% . T=e entire 0e38i1 4e:ment i44=i2ted anterior3- re4u3tin: in =i0 eten4ion and t=e t=ora1i1 4e:menti4 4=i2ted 0o4terior3- re4u3tin: in 23eion o2 t=e t=ora on t=e u00er3um5ar 40ine. T=i4 re4u3t4 in an in1rea4ed 3ordo4i4 in t=e 3oer 3um5arre:ion- an in1rea4ed 0=o4i4 in t=e 3oer t=ora1i1 re:ion- and u4ua33a 2orard =ead. +=en 4tandin: 2or 0ro3on:ued 0eriod4- t=e 0er4onu4ua33 a44ume4 an a4mmetri1 4tan1e in =i1= mo4t o2 t=e ei:=t i4

5orne on one 3oer etremit- it= 0eriodi1 4=i2tin: o2 ei:=t to t=eo00o4ite etremit.)%# $>% ;$#"&'T=i4 0o4ture i4 1=ara1teri9ed 5 a de1rea4ed 3um5o4a1ra3 an:3e- ade1rea4ed 3um5ar 3ordo4i4- =i0 eten4ion- and a 0o4terior ti3tin: o2 t=e

0e38i4.)%# ";;'& >% ;$#"&'T=i4 0o4ture i4 1=ara1teri9ed 5 a de1rea4e in t=e t=ora1i1 1ur8e-de0re44ed 41a0u3ae- de0re44ed 13a8i13e- and a 23at,ne1 0o4ture. It i4a44o1iated it= an ea::erated mi3itar 0o4ture 5ut i4 not a 1ommon

0o4tura3 de8iation.

It i4 not norma3 2or a 0er4on to a3a4 maintain :ood 0o4ture.T=ere2ore- t=e 0atient 4=ou3d 5e in4tru1ted to u4e 1ue4 t=rou:=out t=eda to 1=e1 0o4ture. For eam03e- t=e 0atient 1an 5e in4tru1ted to1=e1 t=e 0o4ture e8er time =e or 4=e a34 0a4t a mirror- ait4 at ared 3i:=t =i3e dri8in: a 1ar- 4it4 don 2or a mea3- enter4 a room- or

5e:in4 ta3in: it= 4omeone. I2 t=e 0atient 5e1ome4 aare o2 =i4=erdai3 routine4- t=e 1an 5e u4ed a4 reminder4 to 0ra1ti4e maintainin: a:ood 0o4ture.


91/125

Caro3n Ki4ner^Lnn A33en Co35 * )herape&tic E"ercise. Ho&ndations and )echni,&es

GLOSSAR!#$ >'%& $'X >$-? %Z "' $&;";$#"&% /%"# -'/'# ;$#"&%$=, $H&%%?>% %&' ;&' ;%#'#$ ./# % -';%%: .%#%' ;$W': ;$#"&>'%&: >$&': >$&' % ;"%: % -"'/%# $>% ;$#"&' ;$#"& %;%#W%# % W$' /'&$%&' %;%#'"/%# ";;'&>% ;$#"&' ;$#"& %;%#W%# % W$' ";'&$%&' %;%#'"#.$&% "&=' "&>"& #$&%-';&''- %;"%' $


92/125

@. +=at are t=e 8i4i53e 4i:n4 o2 kypholordotic post&reM. +=at 0o4tura3 =a5it doe4 t=e 43ou1=ed 0atient mani2e4t =i3e

4tandin:Q. +=at are t=e 1=ara1teri4ti14 o2 23at u00er,5a1 0o4ture. +=at met=od4 1an a 0atient u4e to 1orre1t a 2au3t 0o4ture. +=at are t=e 1au4e4 o2 2au3t 0o4ture4- in our o0inion#. Ho do ou 1orre1t our 2au3t 0o4ture4 =en ou 5e1ome

aare o2 t=em

Q GRA((AR

CONDITIONAL CLAUSES

Conditiona3 13au4e4 1on4i4t o2 to 0art4? t=e 4u5ordinate 13au4e or t=e/ ,13au4e and t=e main 13au4e. T=ere are t=ree main t0e4 o21onditiona3 13au4e4 and 8ariou4 mied t0e4. Ea1= t0e i4 u4ed toe0re44 di22erent rea3unrea3- 0re4ent0a4t 1ondition4- u4in: 1ertain

0air4 o2 ten4e4. T=ere are a34o man e1e0tion4 2rom ea1= t0e 5ut4tudent4 dea3in: it= 1onditiona34 2or t=e 2ir4t time 4=ou3d 4im03

1on1entrate on t=e 5a4i1 ru3e4 t=at i33 5e 0re4ented in t=e 2o33oin:1=art?

T?;' I/%"' (% %"' ('%T?;' I P&''# #''

the patientmustshould see

a doctor.

I


93/125

I+ yo& get tired, take a break andthen start again.

T?;'II

P%# #''


94/125

1, I2 t=e 0atient . to 2ee3 di41om2ort- a4 =im to1orret t=e 2au3t 0o4ture.

2, I2 ou ere a53e to noti1e =at 0o4ture 1au4e4 our 3o 5a1 0ain- ou it.

3, I2 ou modi2 our 43ee0in: 0o4ture- our mornin: 0ain4 .

4, I2 =e . =i4 re3aation eer1i4e4- =e ou3d not=a8e :ot 4ti22,ne1ed.

5, I2 ou are e0erien1in: an 0ain- . 0o4ture.6, I2 ou =a8e a 4edentar


95/125

em03oee4 .. e0re44 t=eir 1om03aint4- 4omemea4ure4 . 0a44i8e * tae.

1 You no =at t=e 4a- t=at it a33 =a00en4 2or a rea4on Taem eam03e. I2 # .. 0a44i8e * not 5e in


96/125

M. He =a4 t=e 4ur:er ri:=t no. T=e 1=an1e4 o2 4u11e44 main1rea4e to a5out "#.

Q. T=e in2e1tion 40read. T=at i4 = =e needed t=at ur:enttreatment.

. T=e dia:no4i4 i4 1orre1t. T=e 2ami3 i33 =a8e to e8a3uate t=eiro0tion4.

. You do not 40end enou:= time re3ain:. T=at i4 = ou area3a4 1om03ain: a5out 5ein: tired.

#. T=e4e t=era0euti1 eer1i4e4 are to 5e 0ra1ti4ed e8er da.T=e 0re8ent t=e 0atient/4 1ondition 2rom :ettin: or4e.

6, T&%%#' #.' /$$ $-#$% '#'' #$ E.

1, Da16 0ra1ti1i a1e4te eer1iţii re:u3at- 8ei do5ndi 23ei5i3itatea>i re9i4tenţa ne1e4are 0entru menţinerea 4ta5i3it6ţii 40ina3e.

2, Da16 8rei 46,ţi u>ure9i a1e4t6 durere a1ut6- tre5uie 7n 0rimu3rnd 46,ţi modi2i1i o5i1eiuri3e 0o4tura3e.

3, Nu 0oţi o5ţine 4ta5i3itate 0o4tura36 da16 nu 7n8eţi 46,ţi

1ontro3e9i :reutatea 1or0ora36.4, Da16 a> 2i >tiut 16 o5o4ea3a mu41u3ar6 m6re>te ri41u3 de

a11identare- nu m,a> mai 2i antrenat att de mu3t.5, Da16 e>ti o5o4it >i te 4imţi mu3t mai re3aat 7ntr,o 0o9iţie

:r5o8it6- 1ore1tea96,ţi imediat a1ea4t6 tendinţ6 ne46n6toa46.6, Da16 0er4i4taţi 7n a 86 menţine de2e1te3e 0o4tura3e 0entru mu3t

tim0- a1ea4ta 8a du1e 3a 4365ire mu41u3ar6 >i 3a re9i4tenţ6mu41u3ar6 redu46.

7, Da16 me4eria 86 4o3i1it6 46 4taţi a03e1aţi 0entru 0erioade7nde3un:ate de tim0- nu uitaţi 46 2a1eţi o 0au96 41urt6 din or6,n or6 >i 46 86 2a1eţi eer1iţii3e de 7ntindere.

8, Da16 0a1ienţii ar 2i mai 1on>tienţi de 0ro:ramu3 3or de mi>16ri4i:ure- nu 3e,ar mai 2i team6 de o nou6 a11identare.

9, Da16 un 0a1ient 1u =andi1a0 2i9i1 8rea 46 2ie inde0endent- e38a tre5ui 46 7n8eţe 1um 46,>i modi2i1e mediu3 7n1onin6- 3o1u3 de mun16 et1.


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10, Da16 0a1ienţii dore41 1a 0ro:ramu3 3or de eer1iţii 46 2iee2i1ient- ar tre5ui 46 1unoa46 mai 7nti 2oarte 5ine te=ni1i3e

0o4tura3e >i numai a0oi 46 3e >i ee1ute.

b TERAPISTPATIENT DISCOURSEI


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. @o& had to deal /ith /orse than this be+ore$. Can yo& #anage practising this e"ercise by yo&rsel+ no/7

@.@o& ha1e to take #y /ord +or it

M. Are yo& /ith #e on this7Q. Don6t gi1e &p ne #ore try. 2a1e yo& e"perienced any #&scle spas#s d&ring this

e"ercise7. 0end yo&r tr&nk laterally and hold the position."#. Did yo& take #y hint7". I+ yo& need a helping hand I6# not going any/here

"". Do yo&r best It6s /orth trying". Does it still h&rt /hen yo& +le" yo&r knee7"$. @o& /ill ha1e to learn to tr&st #e."@. )&ck in yo&r chin and li+t yo&r head."M. Did yo& get #y #essage7"Q. Do yo& still +eel pins and needles in yo&r +eet7". I gi1e yo& #y /ord on this Don6t yo& do&bt it

". Li+t both ar#s si#&ltaneo&sly.#. Are yo&r +ingers still nb no/7

8, C&'%#' ?$"& $ #.'&%;#;%#'# -%$"' " #.' '


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M. E%


100/125

.

8rs. Slender 2ello4 Dr. 3alsh7 Dr. 3alsh Speaking. 8rs. Slender Ah4 8rs. Slender here. Dr. 3alsh @es4 hello4 8rs. Slender. It is good that yo& ret&rned #ycall.

8rs. Slender Is there anything /rong4 doctor7 Dr. 3alsh No4 nothing to /orry abo&t. I ha1e


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8r. Sti++ @o& kno/ ho/ things are. I a# no longer yo&ng and keeping&p /ith the ne/ly hired

Dr. )ho#son 3hat abo&t yo&r /orking ho&rs7 2a1e yo& considered

/orking part(ti#e7 8r. Sti++ I6# a+raid this is not an option in #y +ield. Dr. )ho#son )hen4 I hate to bring yo& the bad ne/s4 b&t yo& sho&ldconsider retiring. ther/ise..

_` P%& $& 10, C&'%#' ?$"& $ -%$"': #% /&$< #.' /$$ ##'

5ntroductory dialogues, &he first examination, *rogramming the

first session, 3ecommending a better treatment, *roposing a newexperimental programme, "xplaining how the devices work, How to

focus your effort, ealing with home exercises programme, etc.


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UNIT 10REVISION EERCISES

1, C$


103/125

$. In a33 2orm4 o2 t=ere i4 a 43o 3o44 o24tren:t= it= in1rea4in: di4a5i3it and de2ormit.

@. i4 t=e di403a1ement o2 an 0art o2 t=e 5od2rom it4 norma3 0o4ition t=i4 a003ie4 mo4t o2ten to a 5onemo8ed 2rom it4 norma3 0o4ition it= a


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. .. i4 a :enera3i9ed- 0ro:re44i8e redu1tion o2 5one ma44 a4 5one re4or0tion out4tri04 5one 2ormation-1au4in: 4e3eta3 eane44 and 2ra1ture4.

a O4teome3iti4 5 O4teoart=riti41 R=eumatoid Art=riti4d O4teo0oro4i4.

$. InadeWuate 1a31ium intae- ear3 meno0au4e- 4edentar 3i2e,4t3e- endo1rine di4order4- 0ro3on:ued immo5i3it are 4ome o2t=e 1au4e4 o2 ..

a O4teoart=riti4 5 An3o4in: S0ond3iti41 O4teo0oro4i4d Amotro0=i1 Latera3 S13ero4i4.

@. An a5norma3- in1rea4ed de:ree o2 2orard 1ur8ature o2 an 0art o2 t=e 40ine i4 t=e 1=ara1teri4ti1 o2 .

a 0=o3ordoti1 0o4ture 5 3ordoti1 0o4ture

1 43ou1=ed 0o4tured 23at 3o,5a1 0o4ture.M. . are ne1e44ar to treat


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3, )- #.' &$$#='&> #.%# #.' /$$ $" %&' -'&='- /&$&';'%# re0etition-

re0eater-re0eata53e-re0eated-re0eatin:-re0etitiona3

re0eated3

5, )- #.' $&&';$- #&''' $&- %- ;&$$"'#.'< %$&-? a22e1ted- a::ra8ated- a3i:nment- 1om0re44ion-1ontra1ture- de2ormit- di4ea4e- duration- 2a41i1u3ation-=0ereten4ion- ina1ti8it- 0o3ordoti1- 3um5o4a1ra3- 0eri1arditi4-re13iner- 4tren:t=enin:- 4ti22ne44- 4u53uation- tranWui3i9er.


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6, C$


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am5i:uitie4 =i1= a33o$ .. to 5e madeV 5ein: rea3i4ti1 in our @. o2 ot=er 0eo03eV :i8in: one4e32 M tomae a mi4tae- a4 it i4 0art o2 5ein:=uman to mae mi4tae4 Q..V di4tan1in: one4e32 i2 1ir1um4tan1e44eem to 5e o8er=e3min:- one 1an tr4te00in: 5a1 menta33 to :et a more . 8ieV introdu1in: =umour at ..moment4 =en a 0er4on 4mi3e4 and3au:=4 t=e # . re40on4etae4 o8er.

REINTERPRET

EPECT

PER(IT

OCCASION

OBECTSUIT

RELA

7, R'%- #.' #'# >'$ %- .$$' #.' ='&$ #.%# >'# $


108/125

Se8ere 0ain 1au4e4 0a3e 4in- 1o3d 4eat- k.. 5um04-k ide 0u0i34- and =i:=er 3e8e34 o2 0u34e- 5reat=in: rate- 53ood # ..-and mu413e . +=en 5rie2- 4tron: 0ain 4tart4 to :o aa-

t=e 0u34e ma 5e 43oer and t=e 53ood 0re44ure 3oer t=an 5e2ore t=e 0ain 5e:an. I2 0ain o11ur4 o2ten or i4 3on: term- t=e 0u34e " .and 53ood 0re44ure ma not :o u0 mu1=. I2 0ain 3a4t4 2or man da4-t=e to 2i:=t in2e1tion4 ma 5e 3o4t. T=e 0atientl4 tone o28oi1e- 40eed o2 40ee1=- 1rie4- :roan4- or ot=er 4ound4- 2a1e and 5odmo8ement4- or attem0t4 to it=dra are noted 5 t=e 0=4i1ian.It i4 =ard to $ 4tron: or 3on:,term 0ain- 5ut a 0atient 1an3earn to 3i8e a3mo4t @ .. e8en it= 4ome 0ain.

. a i33u4ion 5 rea3it 1 dream d 0er1e0tion". a into3era53e 5 im0o44i53e 1 ea4ier d irritatin:. a indi8idua3 5 o5


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. +=en 0er2ormin: t=i4 ind o2 4tret1=- ou mu4t ee0 our4=oe4 on.

$. Patient4 4=ou3d 0er2orm 23ei5i3it eer1i4e4 0rior to and a2tera 4tren:t=enin: 0ro:ram.

@. An e22e1ti8e 4tret1=in: or 23ei5i3it routine 4=ou3d not 1au4e 0ain or e1e44i8e 4tre44 to ti44ue4.

M. Patient4 4=ou3d 43i:=t3 5end t=eir nee4 =en 0er2ormin:2orard,5endin: eer1i4e4.

Q. You i33 arm u0 t=e ti44ue4 it= :ent3e r=t=mi1 a1ti8itie4.. In1rea4e t=e 0a1e o2 a1ti8it 4o t=at ou 1an maintain t=e

tar:et =eart rate 2or # to "# minute4.. To a8oid in


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M. I2 ou do not ant to 5e in


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1 It 1ou3d 5e ar:ued t=at 4moin: =a4 more to do it= re3aation t=an4moin: a54tinen1e =a4- and man 0eo03e 5e1ome 4moer4 5e1au4et=e 0er1ei8e 1i:arette4 a4 5ein: a 4our1e o2 menta3 1a3m. Hoe8er-

man 4u1= 0eo03e t=en i4= to Wuit 4moin:. (uittin: i4 a44o1iatedit= 4tre44- =i1= mean4 t=at t=e 4ame 0eo03e ma 5e 4eein:re3aation trainin:. Hea3t= 1are 0ro2e44iona3 in1rea4in:3 2indt=em4e38e4 2a1ed it= :rou04 o2 0eo03e =o are 4tru::3in: to :i8e u01i:arette4 and 2or =om re3aation trainin: =e4 5een 0re41ri5ed.

11, T&%%#' #$ E.

a Staţi 7ntin>i 4au a>e9aţi 7ntr,o 0o9iţie 0e 1are o 4imţiţi 1omod6.;n1=ideţi o1=ii. Simţiţi 1um 7n1e0eţi 46 86 re3aaţi. Pe m64ur6 1etru0u3 >i mintea 4e 1a3mea96- 0ermiteţi,i 3o1u3ui dumnea8oa4tr640e1ia3 46 ia 1ontur 7n ima:inaţia dumnea8oa4tr6. O54er8aţi

0ri8e3i>tea- 4unete3e >i miro4uri3e a1e4tui 3o1. A0oi- 7n1er1aţi 46 4imţiţi1um mu>1=ii 4e re3aea96- e3iminnd ten4iunea de 0e4te 9i.

5 Staţi a>e9aţi- 1u t630i3e unite 16tre interior >i 1u :enun1=ii 7ndre0taţi3atera3 16tre eterior. P3a4aţi,86 mini3e 7n i odi=niţi,86 1oate3e 0e 1oa04e. A064aţi u>or 1u 1oate3e a4u0ra 1oa04e3or. A0oiodi=niţi,86. A064aţi a0oi din nou. Ar tre5ui 46 4imţiţi o 7ntindere

0361ut6 7n 9ona >o3du3ui.

1 Pentru a 7n86ţa 46 1ondu1eţi re3aaţi- 7n 0rimu3 rnd identi2i1aţi:ru0e3e mu41u3are de 1are a8eţi ne8oie 0entru 1ondu4. Da16 o54er8aţi

16 a1e4te :ru0e 4unt ten4ionate- re3aaţi,3e. %eri2i1aţi da16 >i mu>1=ii 0e 1are nu,i 4o3i1itaţi 1nd 1ondu1eţi- 1um ar 2i mu>1=ii 2eţei- 4untre3aaţi. Nu uitaţi 9ona umeri3or. !enţineţi,86 re3aaţi >i atun1i 1nd8iraţi 4au 41=im5aţi 8ite9a.

d Eer1iţii3e de 7ntindere 4unt att de uti3e 0entru 16 a1=i3or 46 2un1ţione9e

mai 5ine- dar 7i >i 0rote


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ori- o5i>nuim 3a modu3 in1on>tient 46 ne 7ntindem- du06 1e am 4tatmu3t tim0 7n a1eea>i 0o9iţie. Se 0are 16 tru0u3 no4tru ne,o 1ere. Ne7ntindem du06 1e dormim- du06 1e 4t6m 1u ore3e 3a 5irou- du06 1e

3u1r6m a03e1aţi 7n :r6din6

GLOSSAR!

40ine40ina3 1o3umn5a15oneU

1o3oana 8erte5ra36

8erte5ra- ,ae5on rin: U 8erte5r640ina3 1ordmarro U m6du8a 40in6riiri5 U 1oa4t6

arti1u3ar 1arti3a:e U 1arti3a< arti1u3ar 4ternum5rea4t5one U 4ternt=ora1i1 1a:e U 1u>16 tora1i164=ou3der :ird3e U 1entur6 41a0u3ar641a0u3a4=ou3der 53ade U omo03at- 41a0u3613a8i13e1o33ar5one U 13a8i1u364a1rum U o4 4a1ra31o11 U 1o11i4

arti1u3ation


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1onne1ti8e ti44ue U ţe4ut 1ono3dt=i:= U 1oa0461a32- 1a38e4 U :am56- ,e4=in1annon 5one U ti5ia- 23uieru3 0i1ioru3ui

0ate33a- ,aenee 1a0 U rotu36in4te0 U 41o5itura :3e9nei4o3e U ta306

5oe34 U inte4tinedia0=4i4 U dia2i96e0i0=4i4 U e0i2i96e0i0=4ea3 1arti3a:e 1arti3a< e0i2i9ar

53ood 8e44e34 U 8a4e 4an:uinemu413e 5u3 U ma46 mu41u3ar6mu41u3ar 1ontra1tion 1ram0 U 1ontra1ţie mu41u3ar6mu41u3ar enduran1e U re9i4tenţ6 mu41u3ar6mu413e 2ati:ue U o5o4ea36etenuare mu41u3ar6mu41u3ar =0ertro0= U =i0ertro2ie mu41u3ar6mu413e tone U tonu4 mu41u3ar =0otoni1 mu413e4 U mu>1=i =i0otoni1i=0ertoni1 mu413e4 U mu>1=i =i0ertoni1imu413e ri:idit U ri:iditate mu41u3ar6mu413e 40a4m 40a4m mu41u3ar 40a4ti1it U 40a4ti1itatemu413e 40rain U 3uaţiemu413e 4train U 7ntindere mu41u3ar6


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mu413e 4tren:t= U 2orţ6 mu41u3ar6mu41u3ar ten4ion U ten4iune mu41u3ar6mu41u3ar eane44 U 4365ire mu41u3ar6=0oine4ia U =i0oine9ie=0erine4ia U =i0erine9ie4ta4i4 U 4ta96mu41u3ar d4tro0= U di4tro2ie mu41u3ar6e3e1tromo:ra0= U e3e1tromio:ra2ie1arti3a:e di4 U di41 1arti3a:ino4art=riti4 U artrit6medi1a3 =i4tor U anamne96medi1a3 eamination 4=eet U 2oaie de o54er8aţie 13ini16te4tin: de8i1e4 U in4trumente de te4tareta0e mea4ure U ru3et6- 0an:3i16 de m64urat:oniometer U :oniometrure23e =ammer U 1io16ne3 0entru te4tarea

re23ee3or1otton oo3 U 8at6te4t tu5e U e0ru5et6:ait U um53et- mer4mien U ţinut6- 1om0ortament403int U ate36

5ra1e U orte96ei:=t,5earin: eer1i4e U eer1iţiu de 4u4ţinere a

:reut6ţii 1or0ora3eran:e o2 motion U :rad de mo5i3itate4tren:t=enin: eer1i4e4 U eer1iţii de 7nt6rire mu41u3ar6a8a41u3ar ne1ro4i4 U ne1ro96 a8a41u3ar64e3eta3 in


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Uarterio413ero4i4=ardenin: o2 t=earterie4 U

artero413ero96

4edati8e43ee0in: 0i33do0e U 4edati8ana3:e4i10ain i33er U ana3:e9i1. 1a3mantmo1ardia3 in2ar1tion=eartatta1 U

in2ar1t mio1ardi1

=a3ito4i45ad 5reat= U =a3ito96a3o0e1ia5a3dne44 U a3o0e1ieta1=1ardia0a30itation4 U ta=i1ardie=0o:31aemia3o 53ood 4u:arU

=i0o:3i1emie

=0er:31aemia =i:= 53ood4u:ar

=i0er:3i1emie

an3o4in: 40ond3iti45am5oo40ine U

40ondi3it6 an1=i3o9ant6

40rain one/4 an3eri4tU a,>i 3ua :3e9na7n1=eieturaminii

4train one/4 mu413e U a 4u2eri o 7ntindere mu41u3ar6 0u33 one/4 =am4trin: mu413e U a,>i 7ntinde un tendon

mu41u3ar tear0u33 a 3i:ament U a 4u2eri o ru0tur6 3i:amentar64na0 a tendon U a 4u2eri o ru0tur6 de tendon1=i353ain2ro4t5ite U de:er6tur61ardio8a41u3ar 2itne44 U tonu4 1ardio8a41u3ar

03a4ter 5anda:e U 0an4ament :i04at 03a4ter 1a4t U 2orm6matriţ6 de :i044ti1in: 03a4ter U 3eu1o03a4t


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BIBLIOGRAP!

Bu41=5a1=er- R. !.- Randa33- L. B. , ractical 5&ide to 8&sc&loskeletal Disorders. Diagnosis and Rehabilitation- Butterort= *Heinemann- "##".Co5ui3d- C. , English 5&ides. 3ord Hor#ation- Hae0er Co33in4Pu53i4=er4- .


124/125

Donate33i- R. and Oen4,Bur=art- H. , E++ects o+ i##obiliation onthe e"tensibility o+ periartic&lar connecti1e tiss&e. Go&rnal o+rthopaedic and Sports hysical )herapy- .

Garri4on- S. ). , 2andbook o+ hysical 8edicine and Rehabilitation 0asics- ). B. Li00in1ott Com0an- @.Gra- H. , Anato#y. Descripti1e and S&rgical - London- t=ePromotiona3 Re0rint Com0an Ltd.-.Ho33i4- !. and Yun:- P. , atient E"a#ination and Assess#ent +or)herapists- B3a1e33 S1ienti2i1 Pu53i1ation4- 2ir4t 0u53i4=ed @.Ho3me- R. , ES ideas. Recipes +or teaching pro+essional andacade#ic English- Lon:man- 2ir4t 0u53i4=ed M.Ho3e- E. T. and Fran4- B. D. , 2ealth:Hitness Instr&ctors

2andbook. 2an Kinetics- C=am0ai:n- I. L.- M.Hut1=in4on- T. and +ater4- A. , English +or Speci+ic &rposes-Cam5rid:e &ni8er4it Pre44- 2ir4t 0u53i4=ed Q.Ki4ner- C. and Co35- L. A. , )herape&tic E"ercise. Ho&ndations and)echni,&es- P=i3ade30=ia- F. A. Da8i4 Com0an- M.!a=er- ). C. , International 8edical Co##&nication in English-Edin5ur:= &ni8er4it Pre44- Edin5ur:=- #.!1Cart=- !. , Vocab&lary- O2ord &ni8er4it Pre44- 2ir4t 0u53i4=ed#."+ord Ad1anced Learner6s Encyclopedic Dictionary4 "+ord"+ordUni1ersity ress- 2ir4t 0u53i4=ed .Pr3o:- H. , English honetics and honology- Ed. ALL- Bu1ure>ti-Q.Pane- R. A. , Rela"ation )echni,&es. A ractical 2andbook +or the

2ealth Care ro+esional - C=ur1=i33 Li8in:4tone- Ne Yor- @(uir- R.- Green5aum- S.- Lee1=- G.- S8art8i- ). , A Co#prehensi1e

5ra##ar o+ the English Lang&age- Lon:man- @.Randa33- L. B. , hysical 8edicine and Rehabilitation- 4e1ondedition- +. B. Saunder4 Com0an- "###.Ri3e- D. , Check @o&r Vocab&lary +or 8edicine. A 3orkbook +orUsers- Peter Co33in Pu53i4=in:.


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Sine3nio8- R. D. , Atlas o+ 2an Anato#y- 8o3. * )he Science o+ 0ones4 Goints4 Liga#ents and 8&scles- !IR Pu53i4=er4- !o41o- 2ir4t 0u53i4=ed .

)he 8erk 8an&al o+ Diagnosis and )herapy- Siteent= Edition- !erRe4ear1= La5oratorie4- &. S. A.- ".)he "+ord(D&den ictorial English Dictionary. Science and

8edicine- O2ord &ni8er4it Pre44.-T=om4on- A.). and !artinet- A.%. , A ractical English 5ra##ar4O2ord &ni8er4it Pre44- M.a=aria- C. , Ele#ente de patologie a aparat&l&i loco#otor - Ed.Paideia- Bu1ure>ti- $.

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