Chapter 17-Therapeutic Procedure

Question 0

Therapeutic procedure

Answer 0

The process of acquiring concise medical history, assessment procedures to determine constricted and painful conditions, developing treatment plans, performing appropriate treatment practices to address the conditions more specifically, and evaluating the results.

Question 1

Four basic steps of therapeutic procedure:

Answer 1

Assessment
Planning
Performance
Evaluation

Question 2

Assessment

Answer 2

Reviewing any information available at the onset of the process to understand the present conditions.

Question 3

Planning

Answer 3

Information gained from the assessment is used to set treatment goals, determine strategies, and select therapeutic techniques to address the specific conditions found during the assessment.

Question 4

Performance

Answer 4

The actual application of the selected techniques.

Question 5

Evaluation

Answer 5

Examines the outcome of the session in regard to the effectiveness of the selected procedure for the condition.

Question 6

Subjective pain scale

Answer 6

Useful tool to assess the relative discomfort that a client experiencing. Can be used both to describe pain before and after a massage and during certain treatment modalities. A six or a seven rating is ideal for achieving the greatest therapeutic value.

Question 7

Gait

Answer 7

A pattern or manner of walking.

Question 8

Gait assessment

Answer 8

Observing the manner in which a person walks to determine constrictions or related conditions.

Question 9

Range of motion

Answer 9

The movement of a joint from one extreme of the articulation to the other.

Question 10

Contractile tissues

Answer 10

The fibrous tissues that have tensions placed on them during muscular contractions and include muscle tissue, tendons and the muscle attachments.

Question 11

Inert tissues

Answer 11

The tissues that are not contractile such as bone, ligament, or nerves.

Question 12

End feel

Answer 12

The change in the quality of the movement as the end of the movement is achieved.

Question 13

Capsular pattern

Answer 13

The proportional limitation of any joint that is controlled by muscular contractions.

Question 14

Order of assessment of range of motion

Answer 14

Active then Passive then resisted.

Question 15

Order of movement assessment

Answer 15

Active, passive, resisted.

Question 16

Active movement assessment

Answer 16

Client makes the movement totally unassisted through the range of motion that is normal for the joint. This utilizes both contract out and in her tissues.

Question 17

Passive movement assessment

Answer 17

The practitioner moves the joint through its normal range of motion. Practitioner can sense hyper mobility or hypo mobility.therapist can also note catches, crepitus, or pain.

Question 18

During passive movement assessment if there is pain before reaching the end of the movement without muscular resistance or spasm

Answer 18

Bursitis or capsulitis may be involved

Question 19

During passive assessment movement causes a sudden painful muscle reaction or spasm

Answer 19

The body might be protecting an injury in the area. The more acute injury, the more severe the pain and spasm. Medical referral and diagnosis should be recommended.

Question 20

Passive movement assessment

Answer 20

Indicates the condition of the inert noncontractile tissues.

Question 21

Reduced range of motion during passive movement assessment that is limited but they painless, hard bone to bone and feel.

Answer 21

Osteoarthritis

Question 22

Pain and limitation in all directions during passive movement assessment and generally involve the whole joint.

Answer 22

Capsulitis or arthritis.

Question 23

Pain or limitation in one direction and not another during passive movement assessment

Answer 23

Usually caused by stretching or compressing the involved tissue. More specific assessment must be performed to isolate involved tissue.

Question 24

Active resisted movement assessment

Answer 24

Used to assess the relative strength of muscles. Also used to assess the condition of the contractile tissues.

Question 25

Muscle testing

Answer 25

Resisted isometric movement that is used to assess the condition of contract issues. Also called active resisted movement.

Question 26

A muscle test that is strong and painful

Answer 26

Indicates a lesion in the contract on the tissue such as a minor, first or second degree, muscle strain.

Question 27

A week and painless muscle test indicates…

Answer 27

Interference with the nerve supply, circulation, or energy to the muscle.

Question 28

No strength in the muscle during muscle testing.

Answer 28

Could be caused by a severed muscle tendon (3rd degree strain) or a loss of innervation.

Question 29

A very weak and painful muscle test indicates…

Answer 29

A severe lesion, possibly a torn ligament or fracture that should be referred to a doctor. In general the more severe the condition is, the more severe the pain.

Question 30

Soft tissue barriers

Answer 30

Notable physiologic changes in the quality of movement in the soft tissue that represents the limits within which the tissues can be effectively manipulated

Question 31

Resistive barrier

Answer 31

Also known as the pathologic bear, is the first sign of resistance to a movement as tissue is moved and manipulated through its range of motion.

Question 32

Physiologic barrier

Answer 32

Represents the extent of easy movement allowed during passive or active movement. When the client feels like that’s as far as it goes.

Question 33

Anatomic barrier

Answer 33

Refers to the anatomic limit of the range of particular tissue. To move beyond the anatomic barrier would cause injury and disruption of tissues and supportive structures.

Question 34

Freely flexible range of motion

Answer 34

Refers to the pliable and easily movable range of the tissue.

Question 35

TART

Answer 35

Texture
Asymmetry
Range of motion
Tenderness

Question 36

Acute

Answer 36

Refers to a condition with a sudden onset and a relatively short duration

Question 37

Chronic

Answer 37

Refers to a lingering or ongoing condition.

Question 38

Inflammatory response

Answer 38

Is a natural process of healing and repair when soft tissue is injured.

Question 39

PRICE

Answer 39

Protect, rest, ice, compression, elevation.

Question 40

Massage during regenerative phase after an Injury.

Answer 40

Gentle techniques employed to encourage alignment of the college in network such as mild tensioning or link and then with passive, pain-free range of motion and light cross fiber manipulations. Nonweightbearing active range of motion helps restore mobility, and produce strong pliable scar tissue.

Question 41

Massage during the remodeling phase of injury recovery.

Answer 41

Manipulations that slowly link and injured tissue, such as pain-free range of motion, muscle energy technique using the antagonist, and gentle stretching exercise help to reduce fibrosis and restore the tissue truthful functionality. Gentle cross fiber massage also.

Question 42

Steps to restore my soul successfully to a healthier state after dysfunction pain, or compensation

Answer 42

1. Careful assessment, 2. restore circulation and neuromuscular response to tissues, 3. release any triggerpoints and fascial restrictions in the muscle tissue and restore flexibility, 4. rebuild strength and endurance to the muscle.

Question 43

Two types of muscle fibers.

Answer 43

type I (slow twitch) and type I (Fast twitch)

Question 44

Postural muscles

Answer 44

Primarily maintain upright posture or, require endurance, and have a higher proportion of slow twitch, type one fibers.
Respond to stress and disuse by shortening and becoming hypertonic, developing triggerpoints and fibroses. Under continuous stream, the connective tissue it sickens to help support.

Question 45

Phasic muscles

Answer 45

Movement muscles, contain higher proportion of type two, fast twitch fibers that react quickly, but also fatigue quickly intend to respond to disuse and stress by weakening.
Common problems include strain, tendonitis, and microtrauma at the musculotendinous and tenoperiosteal junction.