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Manual KINETO
Manual KINETO
ENGLISH IN KINETOTHERAPY.
CONTENTS
CUVÂNT ÎNAINTE
UNIT 1
THE MAIN PARTS OF THE BODY
IMPERATIVE SENTENCES USED IN RELAXATION TRAINING
TECHNIQUES
PREPOSITIONS
UNIT 2
THE SKELETAL SYSTEM
INTERROGATIVE PRONOUNS AND ADVERBS USED BEFORE THE
VERB TO BE
ASKING QUESTIONS
UNIT 3
THE MUSCULAR SYSTEM
ADJECTIVES – BASIC KNOWLEDGE
DESCRIBING A CERTAIN MUSCLE
UNIT 4
EXAMINING THE PACIENT
POLYSEMANTIC WORDS
THERAPIST-PATIENT DISCOURSE – GREETINGS, IDENTIFICATION
AND INTRODUCTORY DIALOGUES
UNIT 5
TYPES OF INJURIES
PASSIVE MODAL CONSTRUCTIONS
PRESENT TENSE SIMPLE AND PRESENT PERFECT
THERAPIST-PATIENT DISCOURSE – PATIENT`S SYMPTOMS AND
COMPLAINTS
FORMAL AND INFORMAL MEDICAL TERMS
4 ADINA RĂDULESCU
UNIT 6
THERAPEUTIC EXERCISES
WORD FORMATION – DERIVATION
THERAPIST-PATIENT DISCOURSE – RECOMMENDING DIFFERENT
THERAPEUTIC EXERCISES
UNIT 7
THERAPEUTIC PROCEDURES IN HANDLING THE PATIENT
PASSIVE VERBAL CONSTRUCTIONS
THERAPIST-PATIENT DISCOURSE – POSITIONING AND HANDLING
THE PATIENT
UNIT 8
MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS
PRONOUNCING TONGUE-TWISTERS
DESCRIBING SYMPTOMS AND RECOMMENDING THERAPEUTIC
EXERCISES
UNIT 9
POSTURAL PROBLEMS
CONDITIONAL CLAUSES
THERAPIST-PATIENT DISCOURSE – IMPROVING COMMUNICATION
UNIT 10
REVISION EXERCISES
BIBLIOGRAPHY
CUVÂNT ÎNAINTE
5 English in Kinetotherapy. A practical English handbook
UNIT I
THE MAIN PARTS OF THE BODY
IMPERATIVE SENTENCES USED IN RELAXATION
TRAINING TECHNIQUES
PREPOSITIONS
and found to be effective. You will feel very relaxed and calm as a
result. It is not the same as hypnosis and you will not lose
consciousness at any point.’
The procedures: ‘Make yourself as comfortable as you can… become
aware of the surface underneath you… let your body settle into it…
notice how it supports you… notice the points of contact between you
and the floor: your head… shoulders… spine… ribs… hips… heels…
elbows… forearms and hands… feel your body sinking into the
surface you are lying on… feel your body getting heavier as the
tension ebbs away… feel at peace…. Take one good breath and as you
let it out, feel it carrying all your tensions away… then let your
breathing settle into a gentle rhythm…’
‘As you lie or sit, reflect on the idea that you are going to give the
next half-hour to yourself. No telephone can ring for you; no doorbell
disturb you; no one will call your name. You may hear sounds around
you: voices, horns, sirens, bangs and revs… think of them as being
outside your world. With these thoughts in mind, draw an imaginary
circle around yourself, about three feet from the centre. Create an
imaginary bubble… think of the interior as your space… your own
private space. Feel how safe it is… safe to get in touch with yourself.
Turn your thoughts inward.’
Trainer’s termination of the procedure: ‘I am going to bring this
relaxation sesssion to an end… I’d like you gradually to become
aware of the room… feel the floor/chair underneath you … open your
eyes… give your limbs a few gentle stretches… have the feeling that
you are alert and ready to carry on with your life…’
‘With your eyes open, raise your eyebrows… feel the tension… and
release the tension… frown… feel the tension… and release it… shut
your eyes tightly… feel the tension… and let it go… with your eyes
still closed, spend a few minutes releasing tension in this part of your
face…
Close the jaws firmly, noticing the sensations you get from the
action… hold it… and… discontinue… let your jaw drop… feel the
tension leaving you… and continuing to leave you… then repeat the
8 ADINA RĂDULESCU
action…. Next, bare your teeth… feel the tension in the cheeks… hold
it for a few seconds… and release the tension…. Make a tight ‘O’ with
your lips… hold it, while you register tension in the lips… and cancel
the action….
Press your tongue against your teeth… feel the pressure and release
it… Now pull the tongue back towards the throat. Feel the muscles
drawing it back and note the sensations you get from this action…
and… release it… ”
(R. A. Payne – Relaxation Techniques)
2. Read the text again, select the words that designate: a) parts of
the body, b)verbal constructions expressing commands and c)
prepositions or other words indicating direction and place them in
three different columns.
♣ VOCABULARY PRACTICE
4. Pronounce and learn the names of the main parts of the human
body. For some notions two alternative terms have been provided:
The head:
- eyes, eyelids (pleoape), eyelashes (gene), eyebrows (sprâncene);
- nose, nostrils (nări);
- ears, ear lobe;
- mouth, lips (buze), gum (gingie), tooth - teeth, tongue (limbă), jaw
(falcă), upper jaw /maxilla (maxilar), under jaw (mandibulă);
- forehead (frunte), cheek (obraz), cheek bone (os maxilar), chin
(bărbie), dimple (gropiţă în obraz), dimple in the chin /fossette
(gropiţă în bărbie).
The neck:
- throat;
9 English in Kinetotherapy. A practical English handbook
The body:
- shoulder, shoulder blade/scapula (omoplat);
- limb (membru), arm/upper limb (braţ), armpit/axilla (subsuoară),
forearm (antebraţ), hand, elbow (cot), crook of the arm (îndoitura
braţului), palm, wrist/carpus (încheietura mâinii), fist (pumn), fingers
– thumb (degetul mare), forefinger (deget arătător), middle finger, ring
finger (deget inelar), little finger, finger tip (vârful degetului), finger
pad (perniţa degetului), fingernail (unghie), knuckle (articulaţia
degetului);
- biceps, thorax/chest (torace), breast (piept), nipple (mamelon),
abdomen, stomach, waist (talie), navel/umbilicus (buric), bottom
(şezut), buttocks (fese);
- hip (şold), leg, thigh (coapsă), calf (gambă), shin/cannon bone
(fluierul piciorului, tibia), knee (genunchi), knee cap (rotulă), ankle
(gleznă), instep (scobitura gleznei), sole (talpă), heel/calcaneus
(călcâi), toes (degete de la picioare).
5. He fell and hurt his ……… really bad, as he was not wearing
his knee-pads when roller skating.
a) ankles b) legs c) knees d) toes
6. The underside both of a foot and a shoe is called a …………..
a) heel b) sole c) shin d) toe
7. I ate an icecream yesterday and now I have a sore
…………….
a) neck b) eye c) jaw d) throat
8. You should not drink so much coffee on an empty
……………..
a) stomach b) waist c) abdomen d) throat
9. Nobody is perfect and carelessness is his Achilles’………...
a) toe b) arm c) heel d) head
10. He is walking on the tips of his ………… so as not to awake
the baby.
a) feet b) toes c) fingers d) sole
♣ VOCABULARY PRACTICE
►◄Pair work
7. Read the following commands to your deskmate and ask
him/her to follow your indications and practise the exercises.
Then, change activities:
• Lean your forearms vertically on the wall. With your heels on the
ground and your knees straight, let your hips sink forwards.
8. Read the following sentences and translate them into
Romanian:
• Without moving your head, turn your eyes upwards behind your
closed lids.
• Roll your eyes in a clockwise circle… Now notice the sensations of
tension…. Pause… Roll them now in an anticlockwise direction.
• Place your palm downwards on a surface (table, chair arm or thigh);
press your fingertips into the surface, drawing them towards your
palm so that your hand gradually takes on the shape of a spider…
Hold the position, feel the tension in the hand and then let the tension
go and relax the muscles.
• Keeping your toes firmly in contact with the floor, raise your heels
up in the air… Now feel the tension in your calf muscles… Relax…
drop your heels to the ground and notice the relief, the comfort, the
warm tingling sensation in your calves.
UNIT 2
THE SKELETAL SYSTEM
INTERROGATIVE PRONOUNS AND ADVERBS USED
BEFORE THE VERB TO BE
ASKING QUESTIONS
1. Read the following texts and write down the new words:
“The function of the bones is to form a hard skeleton for the softer
materials of the body, to enclose and protect some of the most
important vital organs. Bone development takes place at a very early
period. In embryonic life, the parts destined to become bones consist
of a congeries of cells which constitutes the simplest form of cartilage.
This temporary cartilage is an exact miniature of the bone which in
due course is to take its place. The process of ossification is slow and
not completed until adult life. The next step is the ossification of the
intercellular substance and of the cells composing the cartilage. The
period of ossification varies much in different bones. It commences
first in the clavicle, in which the primitive point appears during the
fifth week; next in the lower jaw. The ribs also, and the long bones of
the limbs, appear soon after. For a long period after birth, a thin layer
of unossified cartilage remains between the diaphysis and epiphyses,
until their growth is finally completed.”
(Henry Gray – Gray`s Anatomy. Descriptive and Surgical)
“Almost all the elements of the joints of adults are also present in the
joints of the newborn. The most active factor determining the
formation of a joint after birth are the muscles which exert an action
on the given joint, i.e. the work of a joint.
The development of bone articulations is directly dependent on the
formation of the bony and connective-tissue structures and muscular
tissue. All the elements encountered in the joints of the newborn
continue their formation and acquire the geometrical shapes of the
articular surfaces characteristic of each joint of an adult. ”
16 ADINA RĂDULESCU
♣ VOCABULARY PRACTICE
2. Pronounce and learn the names of the main parts of the skeletal
system. Add more terms to the list:
■ GRAMMAR
INTERROGATIVE PRONOUNS AND ADVERBS USED
BEFORE THE VERB TO BE
1. There are twelve ribs on each side of the thoracic part of the spinal
column.
How many ribs are on each side of the thoracic part of the spinal
column?
2. The foot consists of three divisions: the tarsus, metatarsus and
phalanges.
Which are the three divisions of the foot?
3. The leg consists of three bones: the patella (knee cap), placed in
front of the knee, the tibia and fibula.
________________________________________________________
__?
20 ADINA RĂDULESCU
________________________________________________________
__?
________________________________________________________
__?
________________________________________________________
__?
7. That form of cartilage which enters into the formation of the joints
is called articular cartilage.
________________________________________________________
__?
________________________________________________________
_?
________________________________________________________
_?
21 English in Kinetotherapy. A practical English handbook
________________________________________________________
_?
►◄ Pair work
8. Question-answer exercise: Using your anatomy courses notes,
ask your deskmate questions about the skeletal system.
23 English in Kinetotherapy. A practical English handbook
UNIT 3
THE MUSCULAR SYSTEM
ADJECTIVES – BASIC KNOWLEDGE
DESCRIBING A CERTAIN MUSCLE
1. Read the following texts about the muscular system and write
down the new words:
“There are more than 600 skeletal muscles in the human body and
their total mass accounts for up to 28-35 per cent of the body mass in
females, up to 40-45 per cent in males, and up to 45-55 per cent in
athlets. Up to 50 per cent of the total weight of the skeletal muscles
fall to the share of the muscles of the lower limbs, up to 30 per cent to
those of the upper limbs, and up to 20 per cent to the share of the
muscles of the head and trunk.
Each muscle has a developed network of blood vessels. The
contraction of a muscle promotes rapid flow of blood, i.e. the muscle
is a peculiar ‘pump’ which forces the blood forward. Under conditions
of reduced motor activity (hypokinesia) in an active mode of life or
when prolongued bed-rest is necessary, this function of the skeletal
muscles is excluded as a result of which the blood flows slower,
metabolic processes are reduced and stasis occurs. In contrast, under
conditions of motor activity the reserve capillaries open, new
capillaries form, and nutrition of the skeletal muscles improves.”
(R. D. Sinelnikov – Atlas of Human Anatomy)
♣ VOCABULARY PRACTICE
musculature.
6. If you have observed f…. an evaluation of the
muscle weakness, … condition and functioning
of the muscles, joints and
bones of the body.
7. Involuntary movements g. … is a method of
and tremors … contracting and relaxing a
skeletal muscle without
moving that part of the
body.
8. Low back pain at the base h. … that records changes
of the spine can be caused in the electrical potential
by … during muscle
contractions.
9. Musculoskeletal sysytem i. … are signs of some
assessment is … neurological disorders.
10. A hypotonic muscle feels j. …then a detailed test
… will be necessary for each
muscle.
the body
5. nerve e. Fibrous membranes which form
linings for body cavities and cover
muscles and organs
6. capillaries f. Strong band or cord of tissue
that joins muscle to bone
7. muscular dystrophy g. Slender threads of which many
human, animal or plant tissues are
formed
8. diaphragm h. Tubes (arteries, veins or
capillaries) through which blood
flows in the body
9. biceps i. Broad, thick, triangular muscle,
situated at the upper and anterior
part of the chest that draws the arm
towards the body
10. pectoral muscle j. Long-lasting illness in which the
muscles become gradually weaker
■ GRAMMAR
ADJECTIVES – BASIC KNOWLEDGE
Participial and qualificative adjectives
Degrees of comparison
According to the way they form their degrees of comparison
adjectives fall into three categories:
1) monosyllabic (or short) adjectives and bisyllabic adjectives
ending in -er, -y and –ly which form their corresponding degrees of
comparison by adding –er and –est (synthetic comparison):
thick – thicker – the thickest
thin –thinner – the thinnest
2) long adjectives – bisyllabic (ending in -ful and -re),
trisyllabic or plurisyllabic which form their degrees of comparison
by periphrastic means: more and (the) most (analytic comparison):
extensive – more extensive – the most extensive
3) adjectives with irregular degrees of comparison:
29 English in Kinetotherapy. A practical English handbook
5. Reread the texts about the muscular system and extract all the
adjectives. Group them according to their attributive or
predicative position. For derivational adjectives indicate the noun
that they derive from and their suffix or prefix as in the following
examples:
Example:
Stern + -al = sternal
thorax comfort
sphere to identify
muscle to contract
abdomen access
stomach memory
anomaly to connect
fibre to digest
fever health
cure infection
help pain
►◄ Pair work:
8. Using your anatomy courses notes, choose a certain muscle and
ask your deskmate to describe it.
UNIT 4
EXAMINING THE PACIENT
POLYSEMANTIC WORDS
THERAPIST-PATIENT DISCOURSE – GREETINGS,
IDENTIFICATION AND INTRODUCTORY DIALOGUES
GLOSSARY
to cease = a înceta, a se opri
prior to = înainte de
discharge = externare
assessment = evaluare, estimare
previously = mai înainte, în prealabil
perusal = citire, lectură atentă
former job = slujbă anterioară
retirement = pensionare
36 ADINA RĂDULESCU
10. What should be done if the first examination takes longer than
expected?
♣ VOCABULARY PRACTICE
POLYSEMANTIC WORDS
Many words that are pronounced and spelt in the same way can be
used in different contexts with different meanings. They are
polysemantic words. Polysemy is closely related to homonymy and it
is sometimes difficult to distinguish between words that are
homonyms and words that are polysemantic. There is still a criterion
that can help us distinguish one notion from the other: while with
homonymy the words that have the same form do not share any
semantic resemblance in their meanings, with polysemantic words we
can easily notice a semantic feature common to all the elements of a
class. Here are two examples for each notion:
Heart, as a polysemantic word, has a semantic feature associated -
that of being the central part of a body, of one`s life or of something
else - that is carried over from one example to the next:
Even if his heart stopped beating for several seconds, he did not die.
I think you should get to the heart of the matter.
He is my heart, my reason of living.
Calf as a young of cattle (viţel) or of certain other mammals such as
the buffalo, elephant, giraffe and whale and calf as the thick fleshy
part of the back of the leg between the ankle and the knee are two
homonyms that have nothing in common, semantically speaking.
Moreover, by looking words up in a dictionary, one can also
distinguish between polysemantic words and homonyms as the former
38 ADINA RĂDULESCU
are listed with different numbers under the same lexical entry, while
the latter are listed and treated as separate words: calf1 and calf 2.
1. examination means:
a) written exercises, oral questions or practical tasks, set to test a
candidate’s knowledge and skill;
b) physical inspection of a patient or parts of his body, in order to
verify health or diagnose disease;
c) the formal interrogation of a person on oath (an accused or a
witness) by a lawyer in a lawcourt.
2. discharge means:
a) an official permission for (sb) to leave, after he has carried out a
duty (discharge a soldier, a patient, release a prisoner from custody);
b) unloading (cargo) from a ship
c) firing (a gun), launching flying weapons (arrows)
3. background means:
a) part of a view, scene or description that forms a setting for the
chief objects, people;
b) information that is needed to understand a problem;
c) a person’s social class, education, training or experience;
d) a low level of sound, lighting whose purpose is to be an
unobtrusive or appropriate accompaniment to something else, such as
a social activity, conversation or the action of a film.
4. device means:
a) a machine or tool adapted for a special purpose (time-saving
device, safety device, an explosive device etc);
39 English in Kinetotherapy. A practical English handbook
examination paper
background music
entrance examination
working-class background
to take an examination
background on the company’s financial position
pass/fail an examination
time-saving device = aparat de uz caznic
medical examination
labour-saving device = dispozitiv mecanic
to be under examination
an explosive device = dispozitiv explozibil
to stay/keep in the background
stylistic device = figură de sti
l
6. Match each of the meanings below to one of the seven
polysemantic words in the box:
☼ THERAPIST-PATIENT DISCOURSE
Greetings, identification and introductory dialogues
The therapist:
Good morning, Mrs. Johnson. Let me introduce myself. I am
your therapist, Dr. Green.
Please come in and take a seat.
Make yourself comfortable. I will be with you in a second.
My name is Dr.Green. I think we talked on the phone, didn`t
we?
I remember you. You were my patient last year. How is your
back?
42 ADINA RĂDULESCU
►◄ Pair work
43 English in Kinetotherapy. A practical English handbook
UNIT 5
TYPES OF INJURIES
PASSIVE MODAL CONSTRUCTIONS
PRESENT TENSE SIMPLE AND PRESENT PERFECT
THERAPIST-PATIENT DISCOURSE – PATIENT`S
SYMPTOMS AND COMPLAINTS
FORMAL AND INFORMAL MEDICAL TERMS
1. Read the following extracts and check the glossary below for
new words. Then translate these texts into Romanian:
Hip dislocation
“Hip dislocation is an orthopaedic emergency and must be reduced
immediately. It occurs primarily in conjunction with severe multiple
trauma from high-speed motor vehicle accidents. The longer the hip
remains dislocated, the more likely is the possibility of complications,
including avascular necrosis of the femoral head and posttraumatic
arthritis. Most dislocations of the hip can be reduced by close
manipulation and this treatment should take precedence over treatment
of all other skeletal injuries.”
(Adapted from David G. LaVelle – Acute Dislocations)
GLOSSARY
rehabilitation = reabilitare
fracture = fractură
adjacent joint = articulaţie adiacentă
to decrease = a reduce, diminua
to increase = a mări, intensifica
splint = atelă
brace = orteză
foot attachment = dispozitiv de fixare a piciorului
weight-bearing exercise = exerciţiu de susţinere a greutăţii
corporale
range of motion = grad de mobilitate
strengthening exercises = exerciţii de întărire musculară
to occur = a se petrece, a avea loc
in conjunction with = în legătură cu
avascular necrosis = necroză avasculară
femoral head = cap femural
arthritis = artrită
to take precedence over smth = a avea loc înainte, a avea
prioritate faţă de
skeletal injury = leziune a sistemului scheletic
sprain = luxaţie, scrântire
to relieve pain = a alina durerea
swelling = umflătură
rupture = ruptură, hernie
overload = încărcare excesivă
muscle strain = întindere musculară
46 ADINA RĂDULESCU
2. Scan the texts above for modal constructions (can, may, should,
must etc) and write them down. Then, underline the passive ones
as in the examples below:
Example:
Should begin
Should be mobilized
■ GRAMMAR
PASSIVE MODAL CONSTRUCTIONS
Example:
The surgeon should closely follow the progress of patient`s
regeneration.
The progress of patient`s regeneration should be closely followed by
the surgeon (agent).
☼ THERAPIST-PATIENT DISCOURSE
Patient`s symptoms and complaints
Formal and informal medical terms
A B
1. thyroid cartilage a. dizziness
2. halitosis b. bamboo spine
3. maxilla c. lower jaw
4. alopecia d. palpitations
5. spine e. heart attack
6. tachycardia f. Adam`s apple
7. mandible g. low blood sugar
8. myocardial infarction h. bad breath
9.ankylosing spondylitis i. womb
10. subluxation j. backbone
11. thorax k. flu
12. influenza l. chest
13. hypoglycaemia m. dislocation
14. uterus n. upper jaw
15. vertigo o. baldness
■ GRAMMAR
Present Perfect and Present Tense Simple are the tenses normally
used to express complaints in the above sentences.
52 ADINA RĂDULESCU
7. Identify each tense in the sentences above and say how they are
formed.
Example:
Have sprained = Present Perfect Simple; formation: the auxiliary verb
have + past participle of the regular verb sprain (short infinitive +
-ed)
Have torn = Present Perfect Simple; formation: the auxiliary verb
have + past participle of the irregular verb tear (tear, tore, torn)
UNIT 6
THERAPEUTIC EXERCISES
WORD FORMATION – DERIVATION
THERAPIST-PATIENT DISCOURSE – RECOMMENDING
DIFFERENT THERAPEUTIC EXERCISES
54 ADINA RĂDULESCU
1. Read the following text and write down the new words; then
translate it into Romanian, using the glossary below.
THERAPEUTIC EXERCISES
“The goals of therapeutic exercises include the prevention of
dysfunction as well as the development, improvement, restoration or
maintenance of strength, endurance and cardiovascular fitness,
mobility and flexibility, stability, relaxation, coordination, balance and
functional skills.
Strength is the ability of a muscle or muscle group to produce tension
and a resulting force during a maximal effort, either dynamically or
statically, in the relation to the demands placed upon it. To increase
strength, a load that exceeds the metabolic capacity of the muscle
must be used during exercise. To produce greater muscular tension, a
high-intensity exercise (exercise performed against heavy loads) must
also be used, but for a relatively low number of repetitions.
Muscular endurance is the ability of a muscle to contract repeatedly
or generate tension, sustain that tension and resist fatigue over a
prolonged period of time. It is necessary for performing repeated
motor tasks in daily living, such as walking or climbing stairs. Active
exercises that challenge the oxygen transport system will increase
endurance - the major goal of cardiac rehabilitation programs.
Exercises are usually directed to large muscle groups, as in walking,
running, swimming and cycling and are to be prolonged and
performed for 15 to 45 minutes or more.
Mobility of soft tissues and joints is necessary for the performance of
normal functional movements.
Flexibility is the ability to move a single joint or series of joints
through an unrestricted, pain-free range of motion. It is dependent
upon the extensibility of muscles, which allows muscles that cross a
joint to relax, lengthen and yield to a stretch force.
Stability is usually required in more proximal structures, such as the
trunk, hips and shoulder girdle, for effective positioning and motion of
the arms and hands or legs and feet.Stabilization exercises are the
55 English in Kinetotherapy. A practical English handbook
GLOSSARY
dysfunction = disfuncţie
restoration = refacere, restabilire
maintenance = menţinere
strength = forţă, vigoare
endurance = rezistenţă fizică
cardiovascular fitness = tonus cardiovascular
56 ADINA RĂDULESCU
balance = echilibru
functional skills = abilităţi funcţionale
load = greutate
a high-intensity exercise = exerciţiu cu intensitate crescută
fatigue = oboseală
motor tasks = sarcini motorii
to challenge = a solicita
range of motion = grad de mobilitate
to lengthen = a se lungi, întinde
to yield to = a ceda, a nu rezista la
stretch force = forţă de întindere
stable = stabil
well-aligned position = poziţie corect adoptată
carry out = a îndeplini, a realiza
to relieve = a destinde, relaxa
deep-breathing exercise = exerciţiu de respiraţie profundă
acquisition = dobândire, obţinere
smooth movement = mişcare lină, fără întreruperi
upright position = poziţie verticală
sensory cues = indici senzoriali
to enhance = a mări, intensifica
motor performance = randament motoriu
timing = sincronizare
►◄ Pair-work
2. Question-answer exercise: Reread the text above on paragraphs.
One student will ask his/her colleague one or two questions for
each paragraph and he/she should answer it either by reproducing
fragments from the text or by freely expressing a summary of that
fragment. Here is an example for the first paragraph:
Example:
What are the main goals of therapeutic exercises?
57 English in Kinetotherapy. A practical English handbook
ing is used to form the present participle that can be used as a verbal
category (She came walking across the field.), as a noun (Walking can
sometimes be very relaxing.) or as an adjective (He was reading a
very amusing novel.). The suffix –ly is the most common adverb-
forming suffix (rapidly, daily, usually). Still, there are some adjectives
that contain the –ly suffix: daily schedule, monthly payment. The
following exercises are meant as forms of practising the word
formation process.
-ed: prolongued
-ive: effective
-ly: daily
-(i)ous: conscious
-able: comfortable
-y: sensory
There are many nouns in English that have an identical form with their
corresponding verbs:
Verbs Nouns
to pressure pressure
to question question
to estimate estimate
to exercise exercise
60 ADINA RĂDULESCU
Yet, sometimes there are some slight spelling differences between the
noun and its corresponding verb that can easily pass unnoticed:
Verbs Nouns
To practise practice
To respond response
10. Give other examples of nouns that have the same form as their
corresponding verbs and write contexts in which the same word
functions both as a noun and as a verb.
11. Write in the second column the corresponding nouns for the
verbs listed in the first column. The first one has been done for
you as an example:
include inclusion_
1. examine ________
2. prescribe ________
3. operate ________
4. assess ________
5. decide ________
6. retire ________
7. interpret ________
8. confirm ________
9. immobilize ________
10. rehabilitate ________
11. swell ________
12. treat ________
13. dislocate ________
12. Rewrite the sentences below using the nouns in the second
column (exercise 11) instead of their corresponding verbs. Do not
change the meaning of the sentences:
61 English in Kinetotherapy. A practical English handbook
Example:
It was more than vital to include Mr. Dean in our clinical study.
Mr. Dean`s inclusion in our clinical study was more than vital.
☼ THERAPIST-PATIENT DISCOURSE
Recommending different therapeutic exercises
Kinetotherapist`s recommandations:
13. Translate the above sentences into Romanian and say whether
you are familiar with these exercises; give examples of such types
of exercises.
UNIT 7
THERAPEUTIC PROCEDURES IN HANDLING THE
PATIENT
64 ADINA RĂDULESCU
1. Read the following extracts and then solve the tasks that follow
them:
Kneel on the mat and place the patient`s heel against your shoulder.
Place both of your hands along the anterior aspect of the distal femur
to keep the knee extended.
The opposite extremity is stabilized in extension by a belt or towel and
held in place by the therapist`s knee.”
TASKS
VERBS NOUNS
flexion
extension
abduction
adduction
rotation
to pronate
to supinate
resistance
pressure
to stabilize
to lengthen
to support
ADJECTIVE ADVERB
67 English in Kinetotherapy. A practical English handbook
possible
manual
anteriorly
obliquely
comfortable
necessary
gently
passively
fully
horizontal
severe
■ GRAMMAR
PASSIVE VERBAL CONSTRUCTIONS
Example:
subject agent
4. Put the verbs in brackets into the passive voice of the tense
indicated:
Example:
The range of motion of the ankle is restored (restore – Present Tense
Simple) by performing stretching exercises.
69 English in Kinetotherapy. A practical English handbook
Example:
The patient sometimes describes pain from muscle spasm as a
headache.
Pain from muscle spasm is sometimes described as a headache.
☼ THERAPIST-PATIENT DISCOURSE
Positioning and handling the patient
►◄ Pair work
6. Read the following positioning indications to your colleague-
patient who will then illustrate them in front of the classs:
☺Team work
7. Read the following hand placement and stabilization procedure
indications to a therapist-patient pair who will then illustrate
them in front of the classs.
☺Team work
8. Read the following therapeutic techniques to a therapist-patient
pair who will then illustrate them in front of the classs:
Pull the foot away from the long axis of the leg in a distal
direction by leaning backward.
Flex the elbow to 90 degrees and abduct the shoulder to 90
degrees.
Rotate the humerus by moving the forearm like a spoke on a
wheel.
Flex the patient`s knee until discomfort is experienced in the
anterior thigh.
Instruct the patient to arch the back by pressing against the
floor with the back of the neck and the sacrum.
►◄Pair work
10. One student will be given a hand out containing indications for
a therapeutic exercise. He or she will read the text and then start
illustrating the stages of the exercise. The task for the other
student is to write down the content of the exercise while watching
it. The exercise will be repeated several times. At the end the
teacher or a third student will compare the two texts and
comment on their degree of similarity. Here is an example of a
hand out:
Example:
The patient is standing, with the hands placed on the shoulders. The
patient bends his body sideways with one hand over his head. The
movement is repeated three times for each side. Then the patient
returns to the initial position.
12. Translate into English, using the new vocabulary of this unit:
UNIT 8
MUSCULOSKELETAL AND CONNECTIVE TISSUE
DISORDERS
PRONOUNCING TONGUE-TWISTERS
DESCRIBING SYMPTOMS AND RECOMMENDING
THERAPEUTIC EXERCISES
74 ADINA RĂDULESCU
1. Osteoarthritis
2. Rheumatoid Arthritis
3. Ankylosing Spondylitis
4. Osteoporosis
5. Low Back Pain
6. Tendinitis and Tenosynovitis
7. Amyotrophic Lateral Sclerosis
GLOSSARY
disorder = disfuncţie, afecţiune, boală
primarily = în primul rând
to harden = a întări
bone resorption = resorbţie osoasă
to outstrip = a depăşi, întrece
subcondral areas = zone subcondrale
ruptured cartilage disk = disc cartilaginos rupt
poor posture = postură defectuoasă
sagging muscles = muşchi căzuţi, lăsaţi
lining = îngroşare
tendon sheath = teacă/înveliş al tendonului
♦ PRONOUNCING TONGUE-TWISTERS
Example:
76 ADINA RĂDULESCU
Example:
first syllable stress second syllable stress
■□ □■
spi - nal ro - tate
Example:
first syllable stress second syllable stress
■□ □ □■□
a - tro – phy sys - te - mic
Example:
first syllable stress second syllable stress
■□ □ □ □■□□
vac-ci-na-ted pneu-mo-ni-a
Example:
De-ge-ne-ra-tive □■□□□
DESCRIBING SYMPTOMS AND RECOMMENDING
THERAPEUTIC EXERCISES
plantar reflexes.
late symptoms:
paralysis of vocal
cords; paralysis of chest
muscles, necessitating
ventilatory support.
►◄Pair work
7. Check if your deskmate has attentively read the chart by asking
him/her questions like these:
8. Extract or create sentences using the chart above and ask your
deskmate to say if they are true or false.
Example:
Athlets or individuals with occupations requiring repetitive
movements are very likely to suffer from Tendinitis and Tenosynovitis.
→ True
►◄ Pair work
11. Consider yourself as a kinetotherapist and choose the best way
to recommand the corresponding therapeutic exercises to your
colleague - patient who may ask you many questions regarding the
duration, the difficulty and the expected results of such an
exercise programme. Use the charts with medical information,
symptoms and treatments above. Here are some examples to help
you:
Example:
Therapist`s recommandations:
Considering your aggravated joint pain and your stiffness
following inactivity, it is to your best interest that you should
start these therapeutic exercises.
84 ADINA RĂDULESCU
Patient`s questions:
In what way will my general condition be improved after
starting these therapeutic exercises?
How long will this therapy be and how many sessions a week
are necessary?
Will this therapy be painful? How difficult are the exercises?
Do I have to make any changes in my diet or in my daily
routine?
Will this short-term therapy prevent the disease from getting
worse?
85 English in Kinetotherapy. A practical English handbook
UNIT 9
POSTURAL PROBLEMS
CONDITIONAL CLAUSES
THERAPIST-PATIENT DISCOURSE – IMPROVING
COMMUNICATION
POSTURAL PROBLEMS
“Posture is a position or attitude of the body, the relative arrangement
of body parts for a specific activity, or a characteristic manner of
bearing one`s body.
A postural fault is a posture that deviates from normal alignment but
has no structural limitations. The postural pain symdrome refers to
the pain that occurs from mechanical stress when a person maintains a
faulty posture for a prolongued period; the pain is usually relieved
with activity. There are no abnormalities in muscle strength or
flexibility, but if the faulty posture continues, strength and flexibility
imbalances will eventually develop.
Lordotic posture
This posture is characterized by an increase in the lumbosacral angle,
an increase in the lumbar lordosis, and an increase in the anterior
86 ADINA RĂDULESCU
pelvic tilt and hip flexion. This is often seen with an increased thoracic
kyphosis and forward head and is called a kypholordotic posture.
Relaxed or slouched posture
This posture is also called swayback. The entire pelvic segment is
shifted anteriorly, resulting in hip extension and the thoracic segment
is shifted posteriorly, resulting in flexion of the thorax on the upper
lumbar spine. This results in an increased lordosis in the lower lumbar
region, an increased kyphosis in the lower thoracic region, and usually
a forward head. When standing for prolongued periods, the person
usually assumes an asymmetric stance in which most of the weight is
borne on one lower extremity, with periodic shifting of weight to the
opposite extremity.
Flat low-back posture
This posture is characterized by a decreased lumbosacral angle, a
decreased lumbar lordosis, hip extension, and a posterior tilting of the
pelvis.
Flat upper back posture
This posture is characterized by a decrease in the thoracic curve,
depressed scapulae, depressed clavicle, and a flat-neck posture. It is
associated with an exaggerated military posture but is not a common
postural deviation.
It is not normal for a person to always maintain good posture.
Therefore, the patient should be instructed to use cues throughout the
day to check posture. For example, the patient can be instructed to
check the posture every time he or she walks past a mirror, waits at a
red light while driving a car, sits down for a meal, enters a room, or
begins talking with someone. If the patient becomes aware of his/her
daily routines, they can be used as reminders to practise maintaining a
good posture.”
(Carolyn Kisner&Lynn Allen Colby – Therapeutic Exercise.
Foundations and Techniques)
GLOSSARY
to bear one`s body = a-şi susţine corpul
87 English in Kinetotherapy. A practical English handbook
■ GRAMMAR
CONDITIONAL CLAUSES
a) I met my wife in hospital ten years ago. I had fallen on ice and
broken my leg. She was a nurse in my orthopaedics ward. Just
imagine! If I (1)………….. (not fall) on ice and (2) …………….
(not brake) my leg, I (3) …………………. (never meet) her. So I
could say that there is nothing so bad as not to be good for
something.
c) You know what they say, that it all happens for a reason… Take
my example. If (10) …………….. (passive – not be) injured in
that car accident last year, I (11) …………… (accept) that job
offer in Paris. But here I am now… working in this rehabilitation
clinic… If people (12) ……… (know) how to deal with their
disabilities, they (13) ……………. (be able) to accept them more
easily.
Example:
a) The patient suffers from osteoporosis. Then, he will need
physical therapy, exercise and postural training.
If the patient suffers from osteoporosis, then he will need
physical therapy, exercise and postural training.
b) The patient did not sleep on a firm mattress. He had to take pain
killers and muscle relaxants for his poor back.
If the patient had slept on a firm mattres, he would not have had to
take pain killers and muscle relaxants for his poor back.
1. This injury is severe. That is why the patient may run the risk
of paralysis.
2. He got injured in a football match. He had his left leg broken.
3. I worked hard to finish my science project. I had mild low
back pain for a week after.
4. My mother has a low resistance. She catches diseases very
easily.
5. The old man got panic-striken. His heart started beating more
rapidly.
6. He has the surgery right now. The chances of success may
increase to about 20%.
7. The infection spread. That is why he needed that urgent
treatment.
92 ADINA RĂDULESCU
☼ THERAPIST-PATIENT DISCOURSE
Improving communication
A. THERAPIST`S INSTRUCTIONS
B. CHECKING IF THE PATIENT GOT THE MESSAGE
C. OFFERING ASSISTANCE FOR THE PATIENT
D. ENCOURAGING THE PATIENT
E. BUILDING MUTUAL TRUST
F.GETTING A POST-PRACTISE FEED-BACK FROM THE
PATIENT
Example:
Do you see my point?→B.(CHECKING IF THE PATIENT GOT THE
MESSAGE)
1. Fixing an appointment
2. Changing an apointment
3. Returning a call
4. Taking a family history
5. Taking a social history
6. Examining a patient
A.
Dr. Thomson: Well, are you married?
Mr. Stiff: Yes, of course, who isn`t ?
Dr. Thomson: Do you have any children?
Mr.Stiff: Yes, but they are no longer living with us.
Dr. Thomson: What about your parents? Are they in good health?
Mr. Stiff: My mother died last year. Bone cancer. And my father suffers
from osteoarthritis.
Dr. Thomson: I`m sorry to hear that.
B.
Secretary: Wilkinson Rehabilitation Centre. Hello, may I help you?
Mr. Jones: Yes, hello. I am calling to fix an appointment, to see Dr.
Wilkinson.
Secretary: Right. Let me check his schedule. Er… how about 25th of
September?
Mr. Jones: Oh, I `m afraid it is a bit late. I have an urgent matter, you
see…
Secretary: Well, what about 21st of September, at 11 a.m.?
Mr. Jones: Oh, that`s better, thank you.
Secretary: Call us, please, in case you can`t make it.
Mr. Jones: Thank you, it would not be the case.
C.
Dr. Richards: Could you just take off your clothes so that I can
examine you?
96 ADINA RĂDULESCU
D.
Mrs. Slender: Hello, Dr. Walsh?
Dr. Walsh: Speaking.
Mrs. Slender: Ah, Mrs. Slender here.
Dr. Walsh: Yes, hello, Mrs. Slender. It is good that you returned my
call.
Mrs. Slender: Is there anything wrong, doctor?
Dr. Walsh: No, nothing to worry about. I have just received your X-
rays and it looks that your ankle is not broken, but just sprained.
Mrs. Slender: Oh, what a relief!
Dr. Walsh: Please, come to see me tomorrow and we`ll discuss more
about it.
E.
Secretary: Wilkinson Rehabilitation Centre. Hello, may I help you?
Mr. Jones: Yes, hello. I`m Jones, I called you a couple of days ago…
Secretary: Yes, Mr. Jones. What can I do for you?
Mr. Jones: It is about my appointment. I won`t be able to make it. I
wonder if we could possibly move it to the 25th of September?
Secretary: First of all, Mr. Jones, you change your appointment at
short notice and then you want to fix the day for your future
appointment?
Mr. Jones: I`m very sorry if I have cause you any inconvenience. Shall
I call back another time?
97 English in Kinetotherapy. A practical English handbook
F.
Dr. Thomson: Yes, you are still working, isn`t it?
Mr. Stiff: Yes, two more years till my retirement.
Dr. Thomson: Have you pushed yourself too hard lately?
Mr. Stiff: You know how things are. I am no longer young and keeping
up with the newly hired ……
Dr. Thomson: What about your working hours? Have you considered
working part-time?
Mr. Stiff: I`m afraid this is not an option in my field.
Dr. Thomson: Then, I hate to bring you the bad news, but you should
consider retiring…. Otherwise…..
►◄ Pair work
10. Create your own dialogues, starting from the following titles:
Introductory dialogues, The first examination, Programming the
first session, Recommending a better treatment, Proposing a new
experimental programme, Explaining how the devices work, How to
focus your effort, Dealing with home exercises programme, etc.
98 ADINA RĂDULESCU
UNIT 10
REVISION EXERCISES
c) sitting cross-legged;
d) side-lying, with one arm up.
2. To adduct the arm means:
a) to draw or pull the arm towards the median axis of the
body;
b) to flex and elongate the arm successively;
c) to pull away the arm from the median axis of the
body;
d) to turn the arm around its own axis.
3. ………………….. is a generalized, progressive reduction of
bone mass as bone resorption outstrips bone formation,
causing skeletal weakness and fractures.
a) Osteomyelitis;
b) Osteoarthritis;
c) Rheumatoid Arthritis;
d) Osteoporosis.
4. Inadequate calcium intake, early menopause, sedentary life-
style, endocrine disorders, prolongued immobility are some of
the causes of ……………..
a) Osteoarthritis;
b) Ankylosing Spondylitis;
c) Osteoporosis;
d) Amyotrophic Lateral Sclerosis.
5. An abnormal, increased degree of forward curvature of any
part of the spine is the characteristic of …………….
a) kypholordotic posture;
b) lordotic posture;
c) slouched posture;
d) flat low-back posture.
6. …………………………. are necessary to treat joint
dysfunctions such as stiffness, reversible joint hypomobility,
or pain.
a) strenghtening exercises;
b) stretching exercises;
c) weight-bearing exercises;
101 English in Kinetotherapy. A practical English handbook
3. Find the root-verbs that the following nouns are derived from:
examination, treatment, assessment, decision, diagnostician,
information, retirement, development, selection, questioning,
interpretation, palpation
Example:
examination ← examine (the root-verb)
Example:
verb noun adjective adverb
repeat repetition, repeatable, repeatedly
repeater, repeated,
repeating,
repetitional
7. Read the text below and choose the version that best completes
the empty spaces:
Pain is often the reason why the patient has come for attention in the
first place. Always remember that pain is a/an (1) …………….. to the
patient who may find that it is making his or her life (2)…………… .
Pain is a/an (3)………….. experience and any measurement must
incorporate a degree of (4) ………………. .
104 ADINA RĂDULESCU
GLOSSARY
BIBLIOGRAPHY