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Principles and Advance Techiques of Massage > Chapter 12: Bursitis and synovitis > Flashcards

Chapter 12: Bursitis and synovitis Flashcards

1
Q

Defined as inflammation of a bursa.

A

Bursitis

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2
Q

________ - is a sac lined with synovial membrane filled with synovial fluid. It protects tissues from abrasion, due to friction against adjacent structures.

A

bursa

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3
Q

Naturally occurring bursas

A

true bursa

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4
Q

Bursas that develop as a result of, or in response to, friction, ex – in bunions.

A

false bursa

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5
Q

Locations of bursa commonly becomes inflamed.

A
  • Shoulder
  • Elbow
  • Hip
  • knee
  • Ankle
  • Foot
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6
Q

What is the Bursa in the Shoulder?

A

subacromial subdeltoid bursa

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7
Q

Bursa in the elbow that protects tricep tendon from external impact.

A

olecranon bursa

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8
Q

Two major sections of subacromial bursa/subdeltoid bursa.

A
  • Medial portion (subacromion)
  • Lateral portion (subdeltoid)
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9
Q

Prepatellar bursa is also known as:

A

housemaid’s knee

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10
Q

What is Bursa in the ankle?

A

calcaneal bursa

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11
Q

Bursa of the foot is called:

A

bunion (false bursa)

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12
Q

Bursa of the hip is called:

A

trocanteric and ischial bursa

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13
Q

What are the causes of bursitis?

A
  • Overuse (excess friction)
  • Direct trauma S
  • econdary to trauma, ex – dislocation, fracture Inflammation in adjacent structures
  • Rheumatoid Arthritis
  • Bacterial infection
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14
Q

What are the signs and symptoms of bursitis?

A
  • Local swelling
  • Pain usually constant
  • Pain exacerbated when bursa compressed, either directly, or by joint movement or muscle contraction
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15
Q

If without treatment signs and symptoms of bursitis will last for how many days?

A

can last 10 days or less, becoming a dull ache,and fade in 4 – 6 weeks

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16
Q

What is the onset of bursitis following the trauma?

A

12 to 72 hours

17
Q

Test used to identify bursitis.

A

Fluctuation test

18
Q

Fluctuation test: tap on the bursa and it creates a _____________ .

A

wave-like flutter

19
Q

Aim in the treatment of bursitis. True or False:

  1. Decrease swelling and pain
  2. Prevent or decrease adhesion formation in bursa
A

True

20
Q

What are the treatment for acute bursitis?

A
  • Passive relaxed ROM to proximal and distal joints
  • Acute techniques can be used proximal to inflammation.
  • If bursitis is due to trauma - Swedish massage, proximal to injury if indicated.
21
Q

What are the treatment for subacute bursitis?

A
  • swelling technique
  • Origin & Insertion
  • Golgi Tendon Organ
  • muscle approximation
  • Active Assisted ROM (in range, pain free)
  • Trigger Points
  • Swedish massage proximal to injury
  • Reflexive techniques distal to injury
22
Q

The following are treatment for chronic bursitis. Except:

  1. Myofascial Release
  2. Swedish massage
  3. Trigger points (stretching)
  4. Passive Relaxed ROM
  5. Joint mobilization
A

Except: 4

23
Q

Hydrotherapy is used in bursitis by using:

A

cold donut roll or ice massage

24
Q

Remedial Exercises in Subacute bursitis.

A

Passive relaxed – (therapist moves it) Gentle active free Isometrics

25
Q

Remedial Exercises in chronic bursitis.

A

Progress to full function Strengthen to reduce friction on structural elements

26
Q

Home care for bursitis includes:

A
  • Hydrotherapy
  • Remedial exercises
  • Re-educate recreational or occupational activities to prevent repetitive action syndrome
27
Q

True or False:

Bursas become adhered after repeated bouts of inflammation and as a result, do not swell up as much over-time but the pain is just as severe.

A

True

28
Q

It is the Inflammation of a synovial membrane.

A

Synovitis

29
Q

_______________ - membrane lining the capsule of a joint (or bursa).

A

Synovial membrane

30
Q

Synovial membrane can also be called:

A

synovium

31
Q

The following are causes of Synovitis. Except:

  1. Trauma/subcutaneous injury such as contusion or sprain
  2. Irritation produced by damaged cartilage
  3. Exposure to warm environment
  4. Joint infection
  5. Joint pathologies
A

Except: 3

32
Q

True or False:

In acute synovitis the joint has swelling, become tense but no pain.

A

False

  • Synovitis is painful especially at night
33
Q

Give Three signs and symptoms of synovitis.

A
  • Joint congestion
  • Membrane itself can be swollen
  • Increased fluid in joint cavity (effusion)
34
Q

In chronic synovitis what happened to the articular structures?

A

Articular structures become irregularly thickened from formation of fibrous tissue

35
Q

True or False:

In chronic synovitis what happened movement is still allowed.

A

False

  • Movement in synovitis is restricted
36
Q

What are the signs and symptoms of chronic synovitis?

A
  • Joint grating and creaking
  • Possible increased accumulation of fluid (chronic effusion)
  • If effusion persists after initial acute inflammation, there will be a decrease in ROM with a boggy end-feel
37
Q

What are the contraindications of synovitis?

A

In acute and subacute stages, Do not stretch muscle crossing joint or use joint mobs to stretch joint capsule, in order to restore movement. Just maintain ROM using Active Free ROM.

Principles and Advance Techiques of Massage (15 decks)

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