Comtusions Flashcards
Define contusions
Crushing injuries from direct blow
Define hematoma
Deeper contusion where blood is trapped within muscle / fascial tissue , decrease ROM
What we would see in assesment for contusion?
Girth
Functional test- active = mild 5-20% loss
Medium20-50% loss
Sev 50+% loss
Passive = restrict , pain at end range
Resisted = quards contusion - deep knee bend test. Mild= difficulty , med = support getting down , severe, no attemp
What are special test can be performed?
Length test Elys Obers Thomas Piriformis
What are goal in acute stage?
Decrease Edema
Decrease Spasm
Dont disturb hematoma
What are specific teqs on a ute?
Mld Ice Pnf (a/c) Gto No contact on healing tissue
What are specific teqs on sub acute?
Mld Gto Pnf Trps works on mm that refer into contusion Mm strip
What are goal for tx in chronic ?
Decrease trps
Decrease adhesion
Increase rom
Increase local circulation
Specific chronic
Mm stripping Repetitive pettrisage Skin rolling X fibre friction Mid , full rom applied
What are CI in contusion?
Avoid removing protective spasmy splint No friction on nsaid 1st 10 days if med , severe Avoid heat distally Stretching vigorous mt
What are prognosis in mild contusion?
2-3 das
What is prognosis for med severe contusion
1 weeks