# data[].attributes.body
Can the mobility exercises be balance exercises? Since you need balance to mobilise

MOBILITY HAS TO BE EITHER RELATED TO WALKING OR MOBILITY OF THE PART. THE QUESTION WILL SPECIFY THIS. IF THE SCENARIO REQUIRES BALANCE EXERCISE RELATE THIS TO WALKING WHEN YOU REASON OUT THE EXERCISE TO THE PATIENT.

# data[].attributes.body
Will we get to look at a timer during the exam so we know when we should wrap things up?

I WILL REQUEST THE INVIGILATOR TO PUT THIS UP ON SCREEN.

# data[].attributes.body
For mobility and strengthening exercises, how many exercises should we teach? 3-4?

WE DISCUSSED 3 MAXIMUM BUT MINIMUM OF 2 AND SHOW PROGRESSION FOR EACH.

# data[].attributes.body
If I plan to conduct the 6-minute shuttle walk test for assessment, do I need to do the entire 6 minutes? Considering there's only a 10-minute window, this leaves insufficient time for other assessments.

CHOOSE FUNCTIONAL ASSESSMENTS THAT ARE SIMPLE AND FIT WITHIN THE TIME. A 10MTS WALK TEST WILL BE EASIER TO DO AT HOME/COMMUNITY. SO THINK COMMUNITY FOR ALL ASPECTS OF YOUR ASSESSMENTS AND TREATMENT.

# data[].attributes.body
For the group exercise class, when you said we should include 3-4 exercises including one of each element, does that mean UL, LL, trunk, and aerobic exercise or is it up to you what you include based on the condition?

THE SCENARIO WILL TELL YOU WHERE THE PROBLEM IS AND THEN FOCUS ON THAT PART. EX SHOULDER CLASS OR BACK CLASS. FOR BALANCE CLASS EXERCISE SHOULD COVER STRENGTH, FLEXIBILTY AND BALANCE. DON'T FORGET YOUR WARM AND COOL DOWN EXERCISE.

# data[].attributes.body
For group exercise, how much time should we allocate to warm up/main/ cool down? Or is it best to choose a certain number of exercises to complete in each part?

THREE EXERCISES AND THEN ONE WARM UP AND ONE COOL DOWN WILL BE GOOD.

# data[].attributes.body
For self-management, will you need to also perform an assessment of the patient in order to determine goals and progression etc.?

NO YOU WILL NOT HAVE TIME FOR AN ASSESSMENT IN THE EXAM. SO COVER THE SM STRATEGIES LIKE GOALS, EDUCATION, EXERCISES, MOTIVATION, MONITORING, REVIEW, SAFETY. USE THE RUBRIC TO SEE WAHT ELEMENTS NEED TO BE COVERED.

# data[].attributes.body
What assessment could we do for lower back pain? Should we focus on the lower back or focus on functionality such as sit to stand?

The assessment of the lower back should follow the standard approach of any regional assessment: history, observation, active movements, passive movements, special tests, all as appropriate

# data[].attributes.body
For post-MI what other assessment can we do besides a walking test? What do we do for the cardio-resp training?

Assessment:- Pulse Rate, Heart Rate, Walking Test, Borg Perceived Exertion Scale

What do we do for the cardio-resp training?

Training :- Please see link

# data[].attributes.headline
can we do auscultation as an assessment for cardio-respiratory? 

# data[].attributes.subject
can we do auscultation as an assessment for cardio-respiratory? 

# data[].attributes.body
If you consider it is appropriate for the case study. It is possible to choose from the range of patient facing tests to assess their condition. Therefore, the techniques you have learned.

1. Patients can present with many different problems

2. Determine the main problems and the affect each has on the patient in the case study

3. Consider what assessment tools you need to best assess the problems you have identified.

4. Have justification and rationale for the tools you have used

# data[].attributes.headline
for self management do we have to demonstrate and get the patient to perform specific exercises or should we just talk through general exercise advice?

# data[].attributes.subject
for self management do we have to demonstrate and get the patient to perform specific exercises or should we just talk through general exercise advice?

# data[].attributes.body
It is generally advisable to ensure patient's have understood your instructions and can actually perform the exercise(s) that you have prescribed in your management plan, especially if the exercise(s) are the primary intervention. Demonstrating and then asking them to perform the exercises in front of you is a good way to ensure this is the case.

I AGREE. DON'T FORGET THE OTHER ELEMENTS OF SM TOO.

# data[].attributes.headline
For assessment, if a measure is really good but too long for example the berg balance scale, can we take a section of that.. for example a couple items from it? 

# data[].attributes.subject
For assessment, if a measure is really good but too long for example the berg balance scale, can we take a section of that.. for example a couple items from it? 

# data[].attributes.body
Because outcome measures will have been evaluated as reliable and valid as a whole, once you start to use only one or more individual elements/items from the measure, the reliability and validity cannot be assumed. It may well be reliable and valid or it may be useless, but unless this 'shortened' version has been tested seperately, we just won't know either way. However, if there is absolutely no other option, then it may be justifiable, but this is not a 'safe' option.

FIND SIMPLER OPTIONS THAT MEET THE SAME AIM. THINK CHRONIC, THINK COMMUNITY (LIMITED RESOURCES AND TIME), THINK FUNCTIONAL ESPECIALLY FOR NEURO.

# data[].attributes.headline
The only breathing exercises we have learnt are pursed lip breathing (which could be argued to be too short for one whole breathing exercise), diaphragmatic breathing and ABCT technique. For Post MI, ABCT would be inappropriate, so that just leaves pursed lip breathing and diaphragmatic- can we teach another breathing exercise such as box breathing for example?

# data[].attributes.subject
The only breathing exercises we have learnt are pursed lip breathing (which could be argued to be too short for one whole breathing exercise), diaphragmatic breathing and ABCT technique. For Post MI, ABCT would be inappropriate, so that just leaves pursed lip breathing and diaphragmatic- can we teach another breathing exercise such as box breathing for example?

# data[].attributes.body
In post MI, in terms of breathing exercises, you may need to allow the patient to obtain breathing control, through positioning, relaxed breathing, diaphragmatic breathing and there may be a need for them to increase lung volume - so adapt the techniques to meet the needs of the patient based on clinical reasoning.

# data[].attributes.headline
What are the differences between cardio-respiratory exercises and aerobic endurance exercises?

# data[].attributes.subject
What are the differences between cardio-respiratory exercises and aerobic endurance exercises?

# data[].attributes.body
Cardio-respiratory exercises incorporate aerobic (endurance) exercise - please sign in to Canvas 2024_2025 and review revision materials posted in Week 6

# data[].attributes.body
PLEASE FIND IT IN YOUR ANNOUNCEMENT AND ON CANVAS. THIS EXAM WILL BE ON THE THURSDAY AND FRIDAY AFTER THE ACUTE CARE MODULE EXAM.

YOUR EXACT TIMINGS WILL BE SENT TO YOU BY THE ADMINISTRATORS.

# data[].attributes.body
What assessment could we do for TBI?

SIMILAR ONES TO STROKE. BUT LOOK ON SHIRLEY RYAN WEBSITE FOR SPECIFIC EXAMPLES.

# data[].attributes.body
Is MS a condition we need to know for the exam?

IF IT IS NOT ON THE LIST THEN NO.

# data[].attributes.body
Will there be a pulse oximeter in the exam room?

Yes

# data[].attributes.headline
Is the treatment of chronic pain essentially how to improve/reverse central sensitization? 

# data[].attributes.subject
Is the treatment of chronic pain essentially how to improve/reverse central sensitization? 

# data[].attributes.body
Not always. Central sensitization is one mechanism through which pain can become persistent (chronic). However, it is not the only mechanism. Technically, central sensitization occurs only in the dorsal horn of the spinal cord, but other parts of the CNS also control pro-nociceptive or anti-nociceptive mechanisms. Additionally, it is possible for innervated tissues (e.g. osteoarthritis of a joint) to be become persistent sources of nociception. Similarly, neuropathic pain (e.g. damage to a nerve root) can become persistent.

# data[].attributes.body
When it comes to the exercises, on the powerpoint presentation it is written as "mobility/cardio-respiratory" and "strengthening/aerobic & endurance" exercises.
Will we be tested on one or the other, for example either mobility exercises OR CR exercises AND strengthening OR aerobic endurance exercises?

IT WILL BE ONE OR THE OTHER THAT IS SUITABLE FOR CARDIO RESPIRATORY OR OTHER ELEMENTS.

# data[].attributes.body
I feel as if there is a lot of overlap between mobility exercises and strengthening exercises, as well as CR exercises and aerobic exercises. How can i differentiate between them?

MOBILITY COULD BE WALKING OR MOBILITY (STRETCHING, FLEXIBILITY, MOBILISATION) OF THE PART AS IN MSK. STRENGTHENING REFERS TO MUSCLE/GROUP OF MUSCLES BEING STRENGTHENED.

CR EXERCISES CAN BE RESPIRATORY TRAINING, BREATHING ETC.,

ENDURANCE EXERCISES CAN BE FOR ENTIRE BODY TO IMPROVE TOLERANCE AND ENDURANCE AND FATIGUE (APPLICABLE TO NEURO, MSK OR CR PATIENTS)

# data[].attributes.body
May I ask if it is necessary to explain the condition/ disease briefly to the patients at the beginning of the exercise class before the warm up, thank you.

USUALLY EDUCATION IS A PART OF GROUP EXERCISES PROGRAMME. BUT WHEN THEY EXTEND OVER 12 WEEKS ONE WEEK CAN BE DEDICATED TO TEACHING THE PATIENTS ABOUT THE CONDITION. HOWEVER, SINCE THIS IS A 10 MIN SESSION START WITH INTRO AND GOAL AND LEAVE OUT INFORMATION ON DISEASE PATHOLOGY ETC.,

# data[].attributes.headline
Can you please upload the LBP/Chronic pain revision session powerpoint to canvas?

# data[].attributes.subject
Can you please upload the LBP/Chronic pain revision session powerpoint to canvas?

# data[].attributes.body
Done!

# data[].attributes.body
Does pulse oximetry its own considered as one assessment technique?

Yes it would and you would be thinking about its application (treatment skill), Reasoning and Justification, Conduct and Communication with model and examiner, -so as with other assessment skills there is a fair bit to think about

# data[].attributes.body
If measuring ROM is one of the assessment, do we need to use the goniometer and report the degree or we could do it by observation.

Yes, goniometry is accepted as a a more precise and reliable method of measurement for certain joints with greater intra-rater and inter-rater reliability E.g. Hip, Knee, Ankle, Elbow, Shoulder, Wrist and Hand. However, accuracy will decrease and is more difficult when attempting to measure spinal mobility therefore other methods of assessing ROM ought to be considered.

# data[].attributes.body
Some general guidance

Lungs - Pulmonary Rehabilitation Perspectives

Hearts - Cardiac Rehabilitation Perspectives

Cardiac Rehabilitation Programme

# data[].attributes.attachment_link.title
Cardiac Rehabilitation: Home Exercise Programme - Royal Berkshire NHS Foundation Trust

# data[].attributes.attachment_link.description
Exercise programme to follow once discharged from hospital following treatment for a heart condition

# data[].attributes.body
Are we allowed to ask the patient to rate their pain as an assessment?

Yes. Rating pain intensity, using a verbal NRS, is a sensible and appropriate way to quantify a patient's pain

# data[].attributes.body
Please can some information on OA be posted on canvas or sent to us as we have not received any info on this condition and it was not covered in any of the revision sessions / Please can we have some more info on OA, as this has not been covered through the module or in the revision sessions.

Please use a variety of sources such as NICE guidelines and peer reviewed literature to inform assessment and management strategies. https://www.nice.org.uk/guidance/ng226

There is also a helpful literature review of peer reviewed sources that informed the NICE guidance and may help you with your reading to inform choice of exercises 'Evidence review for the clinical and cost- effectiveness of exercise for the management of osteoarthritis' https://www.nice.org.uk/guidance/ng226/evidence/c-clinical-and-cost-effectiveness-of-exercise-for-the-management-of-osteoarthritis-pdf-11250452848

For further information and sources on behaviour change interventions for example: joint protection principles, cognitive- behavioural therapy and educational programmes please see the following review with a range of peer reviewed literature sources listed which have been used to further inform NICE guidance. https://www.nice.org.uk/guidance/ng226/evidence/k-clinical-and-cost-effectiveness-of-treatment-packages-for-the-management-of-osteoarthritis-pdf-405016302424

Versus arthritis and their website has some helpful information for patients. https://www.versusarthritis.org/about-arthritis/

This is not an exhaustive list and further independent reading, research, and critical appraisal will be necessary.

# data[].attributes.attachment_link.description
Read about arthritis - including each type of condition, exercise, treatments, symptoms, real experiences, data, information for young people and professionals.

# data[].attributes.headline
Could ABCT be considered a repository exercise ? 

# data[].attributes.subject
Could ABCT be considered a repository exercise ? 

# data[].attributes.body
PLEASE READ THE CASE STUDY TO DETERMINE IF ACBT IS AN APPROPRIATE COMPONENT OF MANAGING THE PATIENT PRESENTATION. REMEMBER ACBT IS A TECHNIQUE THAT IS ADAPTED TO THE PATIENT AND HAS X3 COMPONENTS - TWO OF WHICH ARE BREATHING EXERCISES TO ACHIEVE DIFFERENT PATIENT OUTCOMES : BREATHING CONTROL / LOW LUNG VOLUME. THEREFORE YOU WILL NEED TO BE CLEAR ABOUT THE PATIENT'S PROBLEMS , CLINICALLY REASON YOUR TREATMENT SO IT FOLLOWS A LOGICAL AND SUPPORTABLE STRATEGY.

# data[].attributes.body
It says on here that low back pain assessment should follow the standard approach including special tests. We have never been taught special tests for the lower back, should we be finding these ourself through research?

It's useful to state what you mean by "on here". However, a standard approach to any clinical assessment is:

Clinical history

Observation

Active movements (if appropriate)

Palpation

Passive movements (of appropriate)

Special tests (if appropriate)

Regarding low back pain (LBP), as you have been told on several occasions, there are multiple mechanisms, sources (i.e. tissues), and causes (i.e. pathology) that could give rise to LBP. You have been shown several tests that relate to these. For example, the Straight Leg Raising Test is one special test that measures mechanical sensitivity in the sciatic nerve and the nerve roots from which it is constituted (i.e. L4-S2), which would indicate neuropathic pain. There are also special tests to check nerve conduction, both afferent (sensory: peripheral nerve and dermatome) and efferent (motor: peripheral nerves and myotomes). Deep tendon reflexes are also special tests. Disc provocation tests (see Mark Laslett's work) are special tests. Referral for blood tests (e.g. inflammatory markers) are also special tests. Your clinical reasoning should tell you which tests are appropriate. In addition, special tests have properties such as sensitivity and specificity, which relate to how well they can identify a particular condition or pathology; this is more advanced but something to bear in mind and start looking into.

Yes, please do start to read around the literature!

# data[].attributes.body
Is the 2 minute walk test a valid assessment of COPD/Post MI? Thanks

Yes-Research has shown this can show clinical meaning change

# data[].attributes.body
Is observation a valid assessment tool for low back pain?

Observation is an important component of a clinical assessment of any condition, including back pain. Examples of its importance include: observing antalgic posture, scoliosis, active ranges of motion, gait, rashes (including psoriasis, which has an association with axial spondyloarthritis), signs of neurological deficit, etc. Testing vitals can also be included under observation.

However, in isolation, observation is insufficient and you should incorporate the following approach:

Clinical history

Observation

Active movements (if appropriate)

Palpation

Passive movements (if appropriate)

Special tests (if appropriate)

# data[].attributes.headline
Cardio-respiratory Assessment  Walk Test

# data[].attributes.subject
Cardio-respiratory Assessment  Walk Test

# data[].attributes.body
To avoid confusion and for clarity

1. Walk tests can be used to assess the patient.

2. You can choose the walk test you would use

3. Justify the reasons for selecting the test

4. BUT THINK CAREFULLY HOW MUCH TIME YOU HAVE TO DEMONSTRATE THIS SO YOU CAN COMPLETE THE OTHER SECOND ASSESSMENT COMPONENT IN THE ALLOCATED TIME

5. THEREFORE YOU COULD CONSIDER THE 2 MINUTE WALK TEST AS IT IS A MEASURE - The 2MWT is to be a reliable and valid test for the assessment of exercise capacity and responsive following rehabilitation in patients with moderate-to-severe COPD. It is practical, simple, and well-tolerated by patients with severe COPD symptoms.

# data[].attributes.body
Chronic pain is widely defined as pain beyond 12 weeks (3 months). By contrast acute pain is less than 6 weeks. Sub-acute pain is in-between.

# data[].attributes.body
Low back pain (LBP) is one of many common pain problems that may become chronic. As you might recall from the lecture and revision sessions, the best evidence-based approach is as follows:

1. Identify the dominant pain mechanism: either nociceptive, neuropathic, nociplastic, or inflammatory

2. Identify the most likely source (i.e. tissue) in which the mechanism is in operation (e.g. bone, muscle, viscera, nerve, ligament, etc.)

3. Identify the most likely cause that has triggered this mechanism in this tissue (e.g. bone fracture, muscle tear, malignancy, nerve compression, ligament rupture, etc.)

4. Base your intervention upon the above – ideally, this would (be a referral to) reverse or remove the cause, but often this is not possible, or too risky, and we have to try to resolve the problem through other means

# data[].attributes.headline
Would an assessment of LBP be possible in a community setting? Would observation and ROM be acceptable in the community along with special tests or would more functional tests like TUG be more appropriate?

# data[].attributes.subject
Would an assessment of LBP be possible in a community setting? Would observation and ROM be acceptable in the community along with special tests or would more functional tests like TUG be more appropriate?

# data[].attributes.body
The majority of the ‘clinical’ LBP assessment can be reproduced in the home environment because they do not require much equipment at all.

As you know, we incorporate the following:

Clinical history – no problem in the home

Observation – no problem

Active movements – no problem

Palpation – no problem

Passive movements – possible , if the patient can lie down. However, passive movement are not fundamental to LBP assessment.

Special tests – Power and sensory testing (e.g. peripheral nerves, myotomes, dermatomes, tendon reflexes) can all be assessed either in sitting or supine (on the couch); some neurodynamic testing is also possible (slump test in sitting, straight leg raising lying supine on a couch, etc.).

# data[].attributes.body
Will we be asked about inflammatory conditions such as rheumatoid arthritis and polymyalgia rheumatica specifically if we have chronic pain?

Inflammatory conditions (RA, AxSpA, polymyalgia rheumatica, psoriatic arthritis, etc...) were covered in your lectures and may feature in the case studies. You should also show your awareness and knowledge of these conditions when considering differential diagnoses for pain presentations (back pain, upper limb pain, lower limb pain, etc.).

In addition to lectures, you had a specific practical session on appropriate exercises for RA of the hands and upper limb (based on the SARAH Trial), so these would be useful to revise. There will definitely be RA cases amongst those used in the assessment.

The nature of inflammatory conditions makes them become chronic. However, you will be aware that chronic pain is not limited to inflammatory conditions and so awareness of other conditions that may become chronic (OA, neuropathic pain, pain, etc.) will be necessary too.

# data[].attributes.headline
Assessments for RA, PR, AxSpA, psoriatric arthritis etc.

# data[].attributes.subject
Assessments for RA, PR, AxSpA, psoriatric arthritis etc.

# data[].attributes.body
What assessment(s) can we do for these types of conditions?

# data[].attributes.headline
Will there be a blood pressure cuff/machine or pulse oximeter available during the exam?

# data[].attributes.subject
Will there be a blood pressure cuff/machine or pulse oximeter available during the exam?

# data[].attributes.body
Yes there will be

# data[].attributes.headline
Will there be a measuring wheel to measure the distance they've walked during the 2 minutes walking test?

# data[].attributes.subject
Will there be a measuring wheel to measure the distance they've walked during the 2 minutes walking test?

# data[].attributes.body
Given the confines of the examination space - you will be an area to walk (e.g. corridor) within and a guide to what distance is covered in x1 length

MARK THE AREA AND REPEAT THE SAME LENGTH FOR THE ENTIRE PERIOD TO MEASURE THE DISTANCE.

# data[].attributes.body
Do we need to ask for the preferred name of each patient in the group exercise class?

Most often you don't in real life. But since there are only 4 people ask them to settle them in.

# data[].attributes.headline
If we were to use tug test as an assessment will there be a way we can measure 3 metres for them to walk and will we have access to a stop watch to time them

# data[].attributes.subject
If we were to use tug test as an assessment will there be a way we can measure 3 metres for them to walk and will we have access to a stop watch to time them

# data[].attributes.body
YES AND YES. OR USE MOBILE AS SOME STUDENTS SUGGESTED DURING THE SESSION AS THEY ARE FAMILIAR WITH IT THAN THE STOP WATCH.

# data[].attributes.headline
For TBI and PD, will the focus be on lower limbs or could it also be upper limbs?

# data[].attributes.subject
For TBI and PD, will the focus be on lower limbs or could it also be upper limbs?

# data[].attributes.body
WE DID UL AS A SCENARIO IN THE REVISION SESSION. AND YES IT CAN BE UL OR LL THAT YOU NEED TO DESIGN REHAB FOR.

# data[].attributes.headline
If we get chronic pain as a condition during the exams, will we be given a specific condition that can cause chronic pain or will we only be told that the patient has chronic pain? 

# data[].attributes.subject
If we get chronic pain as a condition during the exams, will we be given a specific condition that can cause chronic pain or will we only be told that the patient has chronic pain? 

# data[].attributes.body
The latter makes sense to me for the assessment area (I.e. investigating pain mechanism) but I don’t really know how it would work for the other areas (e.g. group exercises - so we would just do a group exercise to relieve “general chronic pain?”)

# data[].attributes.body
Can you confirm that RA and MS are not in the exam? thank you

MS IS NOT INCLUDED EVEN THOUGH IT WAS TAUGHT. BUT RA WAS TAUGHT AND IT WILL BE INCLUDED.

# data[].attributes.body
The exam prep ppt on canvas says there are only 9 conditions we could possibly get in the exam, but in previous answers on padlet more have been listed. could you confirm if it is only the 9 on the powerpoint or the others that have been suggested like RA and PMR?

CHRONIC PAIN INCLUDES RA. I BELIEVE YOU WERE TAUGHT RA. HENCE IN THE SESSIONS WE DISCUSSED INCLUDING THIS AND THE EXAM GUIDELINES WERE UPDATED. HENCE RA IS INCLUDED IN THE EXAM.

# data[].attributes.headline
In this padlet, you replied some questions (CR ex and post MI) with a link to canvas, but when I click on the link it shows '"Access denied You don't have access to view this resource." 

# data[].attributes.subject
In this padlet, you replied some questions (CR ex and post MI) with a link to canvas, but when I click on the link it shows '"Access denied You don't have access to view this resource." 

# data[].attributes.body
Go to the Canvas pages for 2024_2025 (Week 6) for the materials

# data[].attributes.headline
Does the 10 minutes include the examiner asking for questions, or will the questioning section be separated from the 10 minutes of exam time?

# data[].attributes.subject
Does the 10 minutes include the examiner asking for questions, or will the questioning section be separated from the 10 minutes of exam time?

# data[].attributes.body
IT INCLUDES QUESTION TIME (AROUND 3 MINS)

# data[].attributes.headline
In the revision session today it was mentioned that things like rotator cuff tendinopathies and other MSK problems can be in the exam. I was just wondering if this could be confirmed because i thought it was only the conditions listed in the guide. 

# data[].attributes.subject
In the revision session today it was mentioned that things like rotator cuff tendinopathies and other MSK problems can be in the exam. I was just wondering if this could be confirmed because i thought it was only the conditions listed in the guide. 

# data[].attributes.headline
Can we use questionnaires for assessments or should we stick to more physical assessments?

# data[].attributes.subject
Can we use questionnaires for assessments or should we stick to more physical assessments?

# data[].attributes.body
You can use either. But how will you know which condition or even element of the question you are going to get and how many questionnaires will you have at hand? So this strategy is a bit risky.

# data[].attributes.headline
When it says teach a cardio-respiratory exercise, are examples of these like ACBT breathing / postural positioning? The are aerobic/endurance exercises doing marches for example for 2 minutes or more long term like cycling on a bike?

# data[].attributes.subject
When it says teach a cardio-respiratory exercise, are examples of these like ACBT breathing / postural positioning? The are aerobic/endurance exercises doing marches for example for 2 minutes or more long term like cycling on a bike?

# data[].attributes.body
Also, can assessments be outcome measures like the TUG test for example?

1) Cardio-respiratory exercises can include ACBT, Other breathing exercise, positioning and breathing - respond to the case study as set

2) Aerobic/ endurance - yes please look at the examples provided form the Trusts that are posted in Canvas - just make the prescription (FITT) case appropriate.

3) TUG and similar tests yes as reliable and valid outcome measures measures

# data[].attributes.body
Mrs A (68yrs old) was diagnosed with stroke of the left brain 6 years ago andwas rehabilitated for the weakness of her rt upper limb and lower limbs. She is able to walk independently indoors with a stick and able to do her ADL
independently indoors. However she struggles to walk outside of her house and on the pavement with her stick due to weakness of her rt lower limb.

This is one of the model exam scenario on Canvas.

Question: ***** For mobility exercises, other than stretching or ROM exercises, can sit-to-stand or side-stepping be considered as mobility exercises to help this patient return to walking, or are these categorised as strengthening exercises, for which I will get no mark when doing these in a mobility ex. question?

# data[].attributes.headline
Are we expected to perform special tests for the chronic pain section? If so, is it only the shoulder ones as covered in the revision sessions? Because if not, it feels like we are expected to revise all the special tests we did in msk last semester for one section 

# data[].attributes.subject
Are we expected to perform special tests for the chronic pain section? If so, is it only the shoulder ones as covered in the revision sessions? Because if not, it feels like we are expected to revise all the special tests we did in msk last semester for one section 

# data[].attributes.body
1) Education - the condition

2) Patient centred goal setting

3) Exercise management and prescription, implementation and supervision for independent activity outside of a class

4) Physio and Patient self monitoring

5) Wider support and services / other professionals

6) Plan for review, on-line, hybrid, face to face ?

7)P/S and Wellbeing - work within scope (find out about support, social engagement, personal responses to their illness and disease burden - emotional and psychological needs - key in COPD and MI

# data[].attributes.headline
Do positions for breathlessness and positioning for drainage count as respiratory exercises?

# data[].attributes.subject
Do positions for breathlessness and positioning for drainage count as respiratory exercises?

# data[].attributes.body
Positioning may well be implicated to respond to the case study - but unto themselves they are not respiratory exercises - you would clinically reason how the positioning was important to the respiratory exercises you are adding to your management and treatment plan

# data[].attributes.headline
Can you confirm whether we have to attend the exam in full placement uniform (tunics) or whether we can wear our polo shirts as done in practicals 

# data[].attributes.subject
Can you confirm whether we have to attend the exam in full placement uniform (tunics) or whether we can wear our polo shirts as done in practicals 

# data[].attributes.body
Yes you can come in your practical kit as you will be modelling within your session for another person.

# data[].attributes.headline
If we chose to do ROM as an assessment technique, is it a requirement to use a goniometer? I understand that it improve reliability and accuracy however on placement I have been told that during community assessments it is easier to 'eyeball' this due to time restraints. 

# data[].attributes.subject
If we chose to do ROM as an assessment technique, is it a requirement to use a goniometer? I understand that it improve reliability and accuracy however on placement I have been told that during community assessments it is easier to 'eyeball' this due to time restraints. 

# data[].attributes.body
Agree, functional ROM tests are better in the community. But you can be critical about your assessments in the practical.

# data[].attributes.headline
How would you teach aerobic/endurance exercises? Do I teach them, e.g., knee raises for a minute, or rather educate them on FITT and Borg, e.g., 10-minute walks a day?

# data[].attributes.subject
How would you teach aerobic/endurance exercises? Do I teach them, e.g., knee raises for a minute, or rather educate them on FITT and Borg, e.g., 10-minute walks a day?

# data[].attributes.headline
The reply is quite vague regarding choosing ROM as an assessment, are we expected to review goniometry and inform examiner of readings? Or can we just do functional and explain in the questioning how goniometry can be more accurate. In the revision sessions, you demonstrated just eyeballing ROM performing functional movements 

# data[].attributes.subject
The reply is quite vague regarding choosing ROM as an assessment, are we expected to review goniometry and inform examiner of readings? Or can we just do functional and explain in the questioning how goniometry can be more accurate. In the revision sessions, you demonstrated just eyeballing ROM performing functional movements 