Chp 22 Rehabilitation and Reconditioning Flashcards
Types of macrotrauma
bone trauma
joint trauma
ligamentous trauma
musculotendinous trauma
Definition of macrotrauma
a specific, sudden episode of overload injury to a given tissue, resulting in disrupted tissue integrity
Types of joint trauma
dislocation (complete displacement of the joint surfaces);
subluxation (partial displacement of the joint surfaces)
Types of ligamentous trauma
= sprain
- first degree (partial tear of the ligament without increased joint instability)
- second degree (partial tear of the ligament with minor joint instability)
- third degree (complete tear of the ligament with full joint instability)
Types of musculotendinous trauma
contusion (direct)
strain (indirect) (tears of muscle fibers)
First degree - partial tear of individual fibers; strong but painful muscle activity
Second degree - partial tear with weak and painful muscle activity
Third degree - complete tear of the fibers; very weak, painless muscle activity
Tissue healing process
- inflammatory response phase
- fibroblastic repair phase
- maturation-reomodeling phase
An activity or practice that is not advisable for rehabilitations is _____.
contraindication
Two common overuse injuries involve _____ and _____.
The most common overuse injury to _____ is a _____.
bone; tendon
bone; stress fracture
Tendinitis is an _____ of a tendon.
inflammation
De Lorme’s program progresses from _____ to _____ resistance:
1st set - 10 reps of _____% of 10RM
2nd set - 10 reps of _____% of 10RM
3rd set - 10 reps of _____% of 10RM
Oxford system progresses from _____ to _____ resistance.
light; heavy
50; 75; 100
heavy; light
Daily adjusted progressive resistive exercise (DAPRE) system requires and allows more manipulation of _____ and _____ than either the De Lorme or the Oxford system.
DAPRE involves _____ sets, with repetitions ranging from _____ to possibly only _____ during the final set.
1st set :_____ reps of 50% of the estimated 1RM
2nd set: _____ reps of 75% of the estimated 1RM
3rd set: _____ reps of 100% of the estimated of 1RM
4th set: depends on the 3rd set
intensity; volume
4; 10; 1
10; 6; max
forms of treatment required
indications
Trauma to bone can lead to a _____ or _____.
contusion; fracture
Inflammation:
pain, swelling, redness
_____ collagen synthesis
_____ number of inflammatory cells
typically last _____ days
decreased
increased
2 - 3
Fibroblastic repair:
collagen fiber production
_____ collagen fiber organization
_____ number of inflammatory cells
This phase of tissue healing begins as early as _____ after injury and may last up to _____.
decreased
decreased
2 days; 2 months
Maturation remodeling:
proper collagen fiber alignment
_____ tissue strength
production of collagen fibers has shifted to a stronger Type _____ collagen.
Tissue remodeling can last _____ to _____ after injury.
increased; I
months; years
_____ is one of the most substantial risk factor for future injury in active individuals.
Previous injury
Risk factors for upper extremity injury include _____, _____, and _____.
decreased glenohumeral ROM
scapular dyskinesis
decreased shoulder strength
_____ and _____ are often used as a structured program to reduce upper extremity injury risk.
ROM exercise; Throwers Ten
Risk factors for lower extremity injury include decreased _____, decreased _____ during jump landing, and decreased _____.
balance; neuromuscular control; lower extremity muscular strength
Two exercises that may be able to reduce lower extremity injury risk are _____ during plyometric exercise and _____ to emphasize _____.
proper jumping and landing technique; single-leg squat; unilateral strength
Side-to-side differences in strength and functional performance less than _____ may be considered acceptable.
10%
Using _____ has been shown to dramatically reduce risk of hamstring injury.
eccentric exercise