Edema

Question 1

fibrous tissue replaces damaged tissue

Answer 1

scar

Question 2

fibers that come down to replace damaged tissues and get reorganized in an abnormal way

Answer 2

adhesion

Question 3

hard, large knots are usually caused by

Answer 3

sarcomere shortening

Question 4

involuntary contraction at muscle level

Answer 4

spasm

Question 5

best time for scar tissue mobilization

Answer 5

3-12 weeks

Question 6

length of granulation phase

Answer 6

24 hr

Question 7

length of fibrogenesis phase

Answer 7

5-8 days

Question 8

length maturation phase

Answer 8

4th week

Question 9

2 different soft tissue techniques

Answer 9

mechanical vs circulatory/neurological

Question 10

describe the difference btw contraction, contracture and congestion

Answer 10

contraction: feel spasm in muscle belly
contracture: speed bump in muscle belly
congestion: swelling

Question 11

what do you usually start with to shape a stump?

Answer 11

ACE wrap

Question 12

how to position someone while you wrap them?

Answer 12

part you’re wrapping should be above their heart

Question 13

depth of edema massage

Answer 13

superficial bc lymph capillaries are here

Question 14

optimal stump shape

Answer 14

cone

Question 15

6 key treatment things for a pt with edema

Answer 15

1. position
2. compression
3. education/skin inspection
4. manual therapy
5. exercise
6. measurement

Question 16

IPC

Answer 16

intermittent pneumatic compression

Question 17

normal arterial pressure

Answer 17

30 mmHg

Question 18

IPC forces fluid to….

Answer 18

return to venous and lymphatic vessels

Question 19

5 contraindications to IPC

Answer 19

1. acute pulmonary edema
2. CHF
3. DVT
4. acute fracture
5. dermatologic infection

Question 20

normal ABI range

Answer 20

1.19-.95

Question 21

customized compression for arterial wounds

Answer 21

12-25 mmHg

light compression

Question 22

customized compression for venous wounds

Answer 22

40 mmHg

high compression

Question 23

customized compression for lymphedema

Answer 23

20-40 mmHg

mod-high compression

Question 24

how to prevent bottle-necking during massage

Answer 24

massage prox tissue/bony prominences first