general tendinopathy Flashcards
what stage of tendon model is associated w/ a non-inflammatory response to acute overlaod?
reactive stage
what phase of tendon model is associated w/ tendon healing?
disrepair phase
what is the degenerative changes of the tendon model associated w/
Areas of a cellularity and large areas of disorganisation (filled w/ vessels, little collagen)
what is the reactive on degenerative phase of tendon model
a hybrid tendon in which the reactive phase occurs on a tendon that is currently in the degenerative phase
what is the MOI for tendinopathy?
overload or possible compression from direct blow
what is the pain site of a tendinopathy?
localized tendon pain
how can we describe the pain pattern for tendinopathy?
pain w/ excessive loading and activity
in early stages pain decreases w/ activity
how would the cyriax model be described for tendinopathy?
AROM: pain during
PROM: pain at EOR
pain in opposite directions
RISOM: pain
is imaging useful in diagnosis of tendinopathy?
no role in diagnosis or prognosis but may help w/ differential diagnosis eg tendon rupture of tenosynovitis
how to manage a reactive tendinopathy?
load reduction
isometric exercises may be effective for pain relief
how to manage tendon dysrepair and degenerative tendinopathy
load maanagement and progressive loading
4 stage program of exercises
how to manage reactive on degeneraative stage of tendinopathy?
adress the reactive stage first
adresse the degenerative component
what is the 4 stage of exercise program used for dysrepair and degenerative stages of tendinopaathy?
- isometric exercises
- isotonic and HSR exercises
- increase speed and energy storage exercises
- energy storage and release of sports specific exercises
what parameters are suggested for isometric exercises in tendinopathy?
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
what parameters are suggested for eccentric exercises in tendinopathy?
2x/daily
3 sets of 15 reps
no concentric: 3
2 min rest b/w sets, 5 min rest b/w exercises
what parameters are suggested for HSR exercises in tendinopathy?
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
what parameters are suggested for siberngel combined exercises in tendinopathy?
1x daily for 3-6 months
3 sets of 15-20 reps
only studied for AT only
what happens in the event thta ms STR and motor control are impacted?
undesired outcome on the tendon; pain, performance, recalcitrance
wht happens in the event that strenght is ok but motor control is affectred in tendon
undesired outcome
what happens of strenght is insufficent to perform a task, but motor control is ok ?
inability to perform task
what is needed in order to perform a task
proper strength and motor control
how can corticospinal control be adressed in rehab?
metronome
cross education
