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IMF-072-01-0001-en	Why is impairment alone an insufficient scientific target for rehabilitation medicine?	Function and disability arise from disease, injury, environment and personal factors interacting, so the target also includes activity, participation, adaptation and quality of life.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0002-en	Using the International Classification of Functioning, how are weakness, difficulty dressing and inability to return to work classified?	Weakness is an impairment, difficulty dressing is an activity limitation, and inability to return to work is a participation restriction.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0003-en	What does it mean that the relationships in the International Classification of Functioning are bidirectional?	The environment shapes the consequences of impairment: inaccessible transport can magnify a modest impairment, while support and technology can permit participation despite severe impairment.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0004-en	How does a useful clinical approach combine the medical and social models of disability?	The medical model identifies pathology and treatment and the social model identifies barriers, discrimination and exclusion, so clinicians treat remediable disease while changing environments that unnecessarily disable.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0005-en	Why does walking ten metres in a quiet clinic not establish functional ability?	Function is task- and context-specific, so it does not show ability to cross a road, climb home stairs or sustain work; assessment asks what the person needs to do, under what conditions and at what cost.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0006-en	Why does bed rest increase the risk of complications beyond muscle weakness?	It rapidly reduces plasma volume, aerobic capacity, insulin sensitivity and orthostatic tolerance, increases bone resorption and shortens connective tissue, making pressure injury, thrombosis, delirium and respiratory complications more likely.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0007-en	Why can strength improve early in resistance training before muscle has hypertrophied?	Strength depends on motor-unit recruitment and neural drive as well as cross-sectional area, and early gains are substantially neural, with hypertrophy following later.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0008-en	How does oxygen consumption rise during dynamic exercise, and what happens to blood pressure and vascular resistance?	Cardiac output and arteriovenous oxygen extraction increase, with flow redistributed to active muscle; systolic pressure usually rises while systemic vascular resistance falls.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0009-en	Why does ventilation rise disproportionately to metabolic demand beyond the ventilatory threshold?	Beyond the threshold, acid produced during exercise is buffered, adding a ventilatory drive over and above the initial tracking of metabolic demand.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0010-en	Why must training load take account of symptoms after the session, not only during it?	Orthostatic intolerance, delayed pain and post-exertional exacerbation may not be visible during the activity itself, so judging only in-session tolerance can overload the person.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0011-en	Why can rapid progression injure a person who feels aerobically capable?	Tendons and ligaments adapt more slowly than cardiovascular fitness, so load can exceed tissue capacity before breathlessness limits the person.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0012-en	What distinguishes restitution, compensation and substitution in recovery?	Restitution restores the original function through healing and neural reorganisation, compensation achieves the task differently, and substitution uses equipment, environmental modification or assistance.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0013-en	What tradeoff exists between early compensation and insisting on restitution?	Early compensation can sometimes limit practice-dependent recovery, while insisting on restitution alone can delay independence.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0014-en	Why is neuroplasticity not always beneficial?	The same reorganising processes can contribute to spasticity, dystonia, chronic pain, phantom phenomena and maladaptive avoidance.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0015-en	How do variable practice and task-specific practice differ in what they improve?	Variable practice improves transfer to other conditions, while task-specific practice improves the trained activity itself.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0016-en	What examination features distinguish upper from lower motor-neuron weakness?	Upper motor-neuron lesions alter selective control and cause hyperreflexia and possible spasticity, whereas lower motor-neuron lesions cause weakness, atrophy, fasciculation and reduced reflexes.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0017-en	Why should spasticity treatment target a functional problem rather than tone measured in isolation?	Spasticity can impede hygiene, gait, sleep or care, but it sometimes supports standing or transfers, so reducing tone is useful only when it serves function.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0018-en	What distinguishes aphasia, dysarthria and dysphonia, and why does the distinction matter?	Aphasia affects language, dysarthria affects speech motor execution and dysphonia affects voice, so each requires a different rehabilitation strategy.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0019-en	How can acute protective avoidance of movement become persistent pain-related disability?	Fear, deconditioning, sensitisation and reduced self-efficacy perpetuate it, so rehabilitation explains safety and uses graded task exposure without implying the pain is imaginary.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0020-en	Why does post-exertional symptom exacerbation call for pacing rather than automatic graded progression?	It differs from ordinary deconditioning: symptoms are exacerbated after exertion, so load must be paced to the person rather than increased automatically.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0021-en	What explains early versus later recovery after stroke, and why does a test plateau not end rehabilitation?	Early spontaneous recovery reflects reperfusion, resolution of oedema and network reorganisation, followed by slower practice-dependent change; a test plateau does not prove further functional adaptation is impossible.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0022-en	Why is autonomic dysreflexia dangerous in spinal cord injury above the mid-thoracic region?	Stimuli from the bladder, bowel, skin or elsewhere can provoke an autonomic response that causes dangerous hypertension.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0023-en	Why can apparent physical recovery after traumatic brain injury be misleading?	Injury may impair memory, executive control, behaviour and emotion, so good physical recovery can conceal cognitive disability.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending
IMF-072-01-0024-en	Why should rehabilitation goals not be reduced to checklist metrics or a return to the prior body?	Relevance is set by the person's identity, culture, roles, work and acceptable tradeoffs, and recovery can include learning to live well with persistent impairment.	Integrated Medical Foundations; chapter 72, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: e96bc05bdac2da9fa3b2704329584256f824a8e88d221751f791781c34b9e17d; editorial review pending	imf lang::en chapter::072 module::072-01 review::pending