Wednesday, November 16, 2011

QUESTION PAPER FROM MANCHESTER METROPOLITAN UNIVERSITY, UK

ADVANCED PHYSIOTHERAPY STUDIES

YOU ARE EXPECTED TO DEMONSTRATE CRITICAL APPRAISAL OF THE LITERATURE TO JUSTIFY YOUR ANSWERS

ANSWER 1 QUESTION:

SECTION A – MEASUREMENT OF PAIN

1.      Use the literature to critically discuss the most appropriate pain assessment tool for the following patient.
·      History of low back pain for 10 years
·      Not worked for 2 years
·      History of depression due to back pain
·      Husband assists her in getting dressed, does all shopping and housework.
·      Repeated episodes of failed treatment.

2.      You are planning a research study to investigate the effectiveness of ultrasound in the treatment of pain due to an acute supraspinatus tendonitis.
Using the literature critically evaluate and justify the choice of pain measurement tool for this study.

SECTION B – RESPIRATORY


3.      Clarke (1992) suggested that asthma and exercise have a difficult relationship.
Critically evaluate this statement with reference to current literature.

4.      Exercise is used in the management of patients with cystic fibrosis.
Critically evaluate how exercise may be used for a patient with moderate to severe disease.

SECTION C – NEUROLOGY

5.      The Barthel index was developed as a generic outcome measure and is often used with patients following stroke. Using the available literature, critically evaluate the strengths and weaknesses of this measure.

6.      Some outcome measures are said to measure disability, others impairment or handicap. Using examples of outcome measures and the available literature illustrate the differences between these terms and explain how an understanding of these concepts might influence the choice of outcome measure to be used with a patient who has experienced stroke.

Wednesday, November 2, 2011

STROKE


CARDIO REHABILITATION

Cardiac rehabilitation is a programme of exercise and information sessions that help you get back to everyday life as quickly as possible. It aims to help you:
  • understand your condition
  • recover from your surgery or heart attack
  • make changes to your lifestyle that will help improve your heart health
  • reduce the risk of a heart attack.

Who is it for?

Cardiac rehabilitation is available to anyone who has had:
  • a heart attack
  • a coronary angioplasty
  • heart surgery

IMMUNE SYSTEM


The immune system is the body's defense against infectious organisms and other invaders. Through a series of steps called the immune response, the immune system attacks organisms and substances that invade body systems and cause disease.
The immune system is made up of a network of cells, tissues, and organs that work together to protect the body. The cells involved are white blood cells, or leukocytes, which come in two basic types that combine to seek out and destroy disease-causing organisms or substances.
Leukocytes are produced or stored in many locations in the body, including the thymus, spleen, and bone marrow. For this reason, they're called the lymphoid organs. There are also clumps of lymphoid tissue throughout the body, primarily as lymph nodes, that house the leukocytes.
The leukocytes circulate through the body between the organs and nodes via lymphatic vessels and blood vessels. In this way, the immune system works in a coordinated manner to monitor the body for germs or substances that might cause problems.
The two basic types of leukocytes are:
  1. phagocytes, cells that chew up invading organisms
  2. lymphocytes, cells that allow the body to remember and recognize previous invaders and help the body destroy them
A number of different cells are considered phagocytes. The most common type is the neutrophil, which primarily fights bacteria. If doctors are worried about a bacterial infection, they might order a blood test to see if a patient has an increased number of neutrophils triggered by the infection. Other types of phagocytes have their own jobs to make sure that the body responds appropriately to a specific type of invader.
The two kinds of lymphocytes are B lymphocytes and T lymphocytes. Lymphocytes start out in the bone marrow and either stay there and mature into B cells, or they leave for the thymus gland, where they mature into T cells. B lymphocytes and T lymphocytes have separate functions: B lymphocytes are like the body's military intelligence system, seeking out their targets and sending defenses to lock onto them. T cells are like the soldiers, destroying the invaders that the intelligence system has identified.
Here's how it works:
When antigens (foreign substances that invade the body) are detected, several types of cells work together to recognize them and respond. These cells trigger the B lymphocytes to produce antibodies, specialized proteins that lock onto specific antigens.
Once produced, these antibodies continue to exist in a person's body, so that if the same antigen is presented to the immune system again, the antibodies are already there to do their job. So if someone gets sick with a certain disease, like chickenpox, that person typically doesn't get sick from it again.
This is also how immunizations prevent certain diseases. An immunization introduces the body to an antigen in a way that doesn't make someone sick, but does allow the body to produce antibodies that will then protect the person from future attack by the germ or substance that produces that particular disease.
Although antibodies can recognize an antigen and lock onto it, they are not capable of destroying it without help. That's the job of the T cells, which are part of the system that destroys antigens that have been tagged by antibodies or cells that have been infected or somehow changed. (Some T cells are actually called "killer cells.") T cells also are involved in helping signal other cells (like phagocytes) to do their jobs.
Antibodies also can neutralize toxins (poisonous or damaging substances) produced by different organisms. Lastly, antibodies can activate a group of proteins called complement that are also part of the immune system. Complement assists in killing bacteria, viruses, or infected cells.
All of these specialized cells and parts of the immune system offer the body protection against disease. This protection is called immunity