2.PTA 220-Soft Tissue Mobility and Repair Flashcards
The ability of structures or segments of the body to move or be moved in order to allow the occurrence of ROM.
Mobility
The ability to move freely, without restriction. Extensibility of soft tissues that crossor surround joints-muscles, tendons, fascia, joint capsules, ligaments, nerves, blood vessels and skin
Flexiblity
Refers to decreased mobility or restricted motion.
Hypomobility
The overstretching of a muscle well beyond the normal length of muscle and ROM of a joint and the surrounding soft tissues.
Hypermobility
The adaptive shortening of the muscle-tendon unit and other soft tissues that cross or surround a joint resulting in significant resistance to passive or active stretch and limitation of ROM, which may compromise functional abilities.
Contracture
Agonist muscular weakness accompanied by shortened tissue of antagonist *be able to give an example of what this statement means
weak triceps and tight biceps will be difficult to get full elbow /.
Hypermobility Bony block end feel Questionable bone integrity Sharp pain; increased pain Hematoma in the area After surgical shortening of tissue When muscle shortening is necessary for function; (example: tenodesis)
Contraindications for Stretching
Manual, Mechanical, Static, Cyclic
Static, Progressive, Self
Modes of stretching
Inflammatory reaction. Swelling, redness, heat. Pain at rest. Decreased function due to pain. Muscle guarding. Approx. 4-6 days.
Stages of Healing: Acute Stage
Repair and healing
Decreased signs of inflammation
Pain at end range of motion
Decreased function due to weakness more than pain.
Occurs during 10 days to 6 weeks (usually)
Stages of Healing: Subacute stage
Tissue maturation and remodeling
No signs of inflammation
Pain at end range with resistance
Continued muscle weakness, impaired optimal functioning
Compromised endurance compared to optimal functioning
Decreased neuromuscular control
Can last 6-12 MONTHS
Stages of Healing: Chronic Stage
An acute flare up of a chronic condition.
When the chronic stage of healing never truly resolves.
May feel better for a while, but the symptoms return.
Chronic Inflammation
Pain, muscle guarding, and spasm Reversible joint hypomobility Positional faults/subluxations Progressive limitation Functional immobility
Indications for Joint Mobilization
Hypermobility
Joint effusion
Inflammation
Conditions requiring special precautions; pregnancy, bone disease, unhealed fractures, total joint replacements, acute post op, systemic connective tissue diseases (RA), elderly
Contraindications and Precautions for Joint Mobilization
If the surface of the moving bone is convex, sliding is in the opposite direction of the segment’s movement
Convex on concave