Exercises

Question 1

Bleeding phase of repair, what exercise can be done and what does this stage entail?

Answer 1

No exercise. Allow bleeding to continue, control the swelling. Dont want excessive bleeding as excessive scar production (fibrin), RICE.
Entails- first few hrs after injury, 5 cardinal signs of inflammation

Question 2

Inflammation phase.. what can do done at this stage and what does it entail?

Answer 2

Gentle movement, help with pain and encourage/improve circulation.
Entails- vascular permability, formation of exudate -> chemical infiltration process= phagocytosis

Question 3

Proliferation stage.. what can be done at this stage and what does it entail?

Answer 3

Continue movement and exercise, movement slow and gentle and controlled, allow collgen to be laid down along lines of stress. Too mich stress/stretch and collagen will break/fail = more inflammation.
Entails- exudate reolves, fibroblasts lay down immature collagen (Type 3) in a haphazard manner.

Question 4

Remodeling.. what exercise can be done at this stage and what does it entail?

Answer 4

Apply stretch and stress the soft tissues, prevent haphazard scars as they prevent movement, weight bearing exercises to increae tensile strength.
Entails- Type 3 collagen changes to Type 1 -greater tensile strength.

Question 5

Contraindication of general exercise?

Answer 5

Cogninitive impairment 
Acute inflammation (1st 24 hrs).
Fractures (before consolidation)
Severe infection/ fever 
Pulmonary embolism

Question 6

Indication for exercise

Answer 6

1. Muscle weakness/rebuild strength

2. Weight loss

Question 7

What are the FITTP Principles?

Answer 7

Frequency
Intensity
Time 
Type
Progression