Intervention Principles After first test Flashcards
these two things can also be done during inflammatory stage of healing usually
sub maximal isometrics, retrograde massage
gentle sub maximal isometrics assists with blank and maintenance of strength
circulation
during proliferation phase blank tissue loading should be used
progressive
proliferation phase is often up to blank weeks post injury
3
this should be used until pain during proliferation phase
arom
blank submaximal isometrics should be used during proliferation phase
multiangle
muscle fibers that are first to atrophy
slow twitch
initiation and progression of blank can be done during proliferation stage
stretching
grade 1 and 2 joint mobilization are used to blank
modulate pain
grade 3 and 4 joint mobilizations are to improve blank
range of motion
grade 1 mobes go to what percent of range
less than 25%
grade 2 mobes go to blank of the range of motion
50%
grade 3 mobes go to about blank of range of motion
full
grade 4 mobes go blank range of motion
past
grade 1,4 mobe oscillation is blank
small
grade 2, 3 mobe is blank oscillation
large
during maturation phase the pt should blank on the patient to get them back to blank
hammer, full function
proper form, stretching, and techniques for exercising should be reinforced most during blank phase
maturation
persistent discomfort past blank hours should cause concern
24
time range to stretch
30 - 60 secs
ligaments and tendons take a blank amount of time to stretch than muscles
longer
chronic inflammation, repetitive microtrauama and repreated strain overload should be treated as blank stage of healing
inflammation
a few things to look for that can cause a perpetual inflammatory process
weakness, muscle length/strength imbalance, bone misalignment, poor posture
tension loads are resisted by blank
ligaments tendons
compressive loads are resisted by blank
bone,
patients with a musculoskeletal dysfunction… two choices for intervention
add biomechanical load, remove load
contractile tissue inadequacy… we expect passive ROM should be blank than AROM
greater
tissue length inadequacy …. there will be blank between AROM and PROM
no difference
examples of tissue length inadequacy
muscle flexibility, capsuloligament extensibility, capsulolig restraint
examples of contractile tissue inadequacy
tissue reactivity, decreased muscle contractility, decreased motor control
if there is a contractile tissue inadequacy, and decreased muscle contractility, then blank and blank can be tested
endurance, sttregnth
if there is a tissue reactivity problem then what could be wrong
compression or tendon load intolerance
reactive tissues should have blank loads to get better
small
reactive tissues should not have blank put on them for treatment
high loads
two length abnormalities of tissue
inelastic, inflexible
two contractile abnormalities of tissue
strength, endurance
two infrastructure abnormalities of tissue
degenerative, osteoporosis
three things that are excessive that can cause injury
frequency, intensity, duration
if “the premorbid tissue is NORMAL and the premorbid biomechanical load is NORMAL” then
the PT will never see that patient
window of appropriate cyclic loading
wolffe’s law
