Exam 1 Flashcards
What are the 5 components of physical function?
Muscle performance, endurance, mobility, neuromuscular, stability, balance
considerations for exercise safety?
cardiovascular health, medication, balance, coordination, environment, performance quality
true or false? Measurement = treatment
true
for successful healing you must determine which two things?
stage of healing (tolerance) and relevant impaitments
Reps and sets parameters for strength?
3-5 sets 6-12 reps
reps and sets parameters for endurance?
3-5 sets of 20-30 reps
reps and sets parameters for tendon?
3-5 sets of 30-40 reps
rep parameter for ligament?
1000s of reps
Rep parameter for cartilage?
hours of reps
during treatment as amount of time (reps) increases load should?
decrease
what are the goals for treatment in the inflammatory phase?
protect the injured area, decrease signs of inflammation
What is the general intervention principle for inflammation phase?
PRICE, patient education, Rest, PROM
what does PRICE stand for
protect, relative rest, ice, compress, elevate
what type of patient education should you provide in the inflammation phase?
expected duration of healing, Do’s and Dont’s
what grade non-thrust techniques can you use in inflammatory phase if patient is pain dominant?
Grade I- II
when should you use PROM in the inflammatory phase?
when tolerated and if they are pain free. after first 24-48 hours
When should you use AROM during inflammatory phase?
never on the affected area. Maybe around surrounding joints IF it does not produce pain
what type of exercise should you give a patient in the inflammatory phase?
Sub-maximal isometrics that are midrange, pain free and occur multiple times a day
What kind of massage can you use in the inflammatory phase if swelling is present?
Retrograde massage
What are the goals for a patient in the proliferation phase?
Promote tissue growth, protect as needed, safe mobility, progress to more activity
Intervention principle for individuals in the proliferation phase?
safe tissue loading, patient education
how do you use education in the proliferation phase?
explain the importance of PT
in the proliferation phase what should be your guide for progressing exercse?
pain (before, during, after) and objective measures
should you use AROM in proliferation phase intervention?
if pain free
Should you use AAROM in proliferation phase intervention
if pain free
what type of exercise should you give a patient in proliferation phase?
multiangle submax isometrics, muscle endurance
What techniques can you use to improve mobility in a patient in the proliferation?
PNF to restore motion
non-thrust manipulation to improve mobility
what are the intervention goals in the maturation phase?
progress functional activities, continue tissue reorganization
Intervention principle for individuals in maturation phase?
prepare for return to ADL’s, secondary prevention (reoccurance?) discharge
what types of exercise should you be doing in the maturation phase?
any type that will fit the patients goals
how long should discomfort persist after therapeutic exercise?
24/48 hours
Number 1 thing to watch for in patients in the maturation phase?
return of signs and symptoms
benefit of sub-maximal isometrics?
inhibit nocireceptors
benefit of sub-maximal isometrics?
inhibit nociceptors
what are the signs of inflammation?
heat, redness, swelling, loss of function, pain
what are the key symptoms that a patient is in the inflammation phase?
heat, redness, swelling, guarding, pain at rest, pain gets worse while moving
What are the key symptoms that a patient is in the proliferation phase?
pain during movement and at end range. limited function
what are the key signs a patient is in the maturation phase?
no sign of inflammation, some loss of function, pain with passive movement
What does grade 5 indicate in the manual muscle test?
full ROM against maximum resistance and pass break
what does grade 4 indicate in the manual muscle test?
full ROM against moderate resistance and pass break
What does grade 3 indicate in the manual muscle test?
full ROM against gravity
what does grade 2 indicate in the manual muscle test?
full ROM gravity eliminated
What does grade 1 indicate in the manual muscle test?
visual/palpation without movement