general tendinopathy

Question 1

what stage of tendon model is associated w/ a non-inflammatory response to acute overlaod?

Answer 1

reactive stage

Question 2

what phase of tendon model is associated w/ tendon healing?

Answer 2

disrepair phase

Question 3

what is the degenerative changes of the tendon model associated w/

Answer 3

Areas of a cellularity and large areas of disorganisation (filled w/ vessels, little collagen)

Question 4

what is the reactive on degenerative phase of tendon model

Answer 4

a hybrid tendon in which the reactive phase occurs on a tendon that is currently in the degenerative phase

Question 5

what is the MOI for tendinopathy?

Answer 5

overload or possible compression from direct blow

Question 6

what is the pain site of a tendinopathy?

Answer 6

localized tendon pain

Question 7

how can we describe the pain pattern for tendinopathy?

Answer 7

pain w/ excessive loading and activity

in early stages pain decreases w/ activity

Question 8

how would the cyriax model be described for tendinopathy?

Answer 8

AROM: pain during
PROM: pain at EOR
pain in opposite directions
RISOM: pain

Question 9

is imaging useful in diagnosis of tendinopathy?

Answer 9

no role in diagnosis or prognosis but may help w/ differential diagnosis eg tendon rupture of tenosynovitis

Question 10

how to manage a reactive tendinopathy?

Answer 10

load reduction

isometric exercises may be effective for pain relief

Question 11

how to manage tendon dysrepair and degenerative tendinopathy

Answer 11

load maanagement and progressive loading

4 stage program of exercises

Question 12

how to manage reactive on degeneraative stage of tendinopathy?

Answer 12

adress the reactive stage first

adresse the degenerative component

Question 13

what is the 4 stage of exercise program used for dysrepair and degenerative stages of tendinopaathy?

Answer 13

1. isometric exercises
2. isotonic and HSR exercises
3. increase speed and energy storage exercises
4. energy storage and release of sports specific exercises

Question 14

what parameters are suggested for isometric exercises in tendinopathy?

Answer 14

multiple times per day , 5x/week
4-5 reps
2 min rest b/w sets
exercises done in mid to nner range of ms tendon unit

Question 15

what parameters are suggested for eccentric exercises in tendinopathy?

Answer 15

2x/daily
3 sets of 15 reps
no concentric: 3
2 min rest b/w sets, 5 min rest b/w exercises

Question 16

what parameters are suggested for HSR exercises in tendinopathy?

Answer 16

3/week or EOD
3 sets of 12-15 reps initially and then progress down to 10-8-6 w/in 12 weeks
slow tempo 3:3 or 4:4
2-3 min rest b/w sets 5 min b/w exercises

Question 17

what parameters are suggested for siberngel combined exercises in tendinopathy?

Answer 17

1x daily for 3-6 months
3 sets of 15-20 reps
only studied for AT only

Question 18

what happens in the event thta ms STR and motor control are impacted?

Answer 18

undesired outcome on the tendon; pain, performance, recalcitrance

Question 19

wht happens in the event that strenght is ok but motor control is affectred in tendon

Answer 19

undesired outcome

Question 20

what happens of strenght is insufficent to perform a task, but motor control is ok ?

Answer 20

inability to perform task

Question 21

what is needed in order to perform a task

Answer 21

proper strength and motor control

Question 22

how can corticospinal control be adressed in rehab?

Answer 22

metronome

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