Final Lecture Exam Flashcards
Describe Grade I sprain
Stretching, small tears <50%
Describe Grade II sprain
Larger but incomplete tear >50% tear
Describe Grade III sprain
Complete tear, no end point, significant laxity
Describe Grade I sprain/strain laxity and end point
Mild laxity
Stable end point
Describe Grade II sprain/strain laxity and end point
Moderate laxity
Soft end point
Describe Grade III sprain/strain laxity and end point
Significant laxity
No end point
Describe Grade IV sprain/strain
Complete tear
Detachment of muscle or ligament from the bone
Ecchymosis
discoloration of the skin resulting from bleeding underneath, typically caused by bruising.
Difficulty bearing weight Grade I vs II vs III
I - no difficulty
II - usually have difficulty
III - almost always have difficulty
How many weeks to return to full activity after Grade I sprain?
2-4
How many weeks to return to full activity after Grade II sprain?
6-8 weeks
How many weeks to return to full activity after Grade III sprain?
12 weeks to 6 months
Phase I in the healing process is called
Inflammatory (acute)
Phase 1 lasts how long
48-72 hours
Key to controlling phase 1 is
Controlling inflammation
Acute signs of inflammation = S.H.A.R.P.
Swelling Healing A loss of function Redness Pain
The second phase of injury is called
Repair (subacute)
How long is the repair/subacute phase?
72 to 6+ weeks
The third phase is called
Remodeling (chronic)
Remodeling (chronic) phase timeline
6 weeks - 2 years
What is the goal for phase 1: inflammatory (acute)?
Control inflammation
Reduce swelling and pain
What is the goal for phase 2.1: repair (subacute)?
Regain tensile (functional) strength
What assessments and/or treatments that we’ve done in class are appropriate for stage 2.2: repair (late subacute)?
Friction techniques / Instrument assisted soft tissue massage (IASTM)
Isometrics: METs (both RI and PIR with gentle stretching)
Can work directly at site with caution to not overly stress new tissues
What is the goal for phase 3: remodeling (chronic)?
Redirect healing fibers to increase strength and orient the tissue fibers along lines of greatest stress