Intro Material Flashcards

1
Q

Define Osteokinematic Motion.

A

Rotation (as if you are creating part of an arch of a circle around a fixed point). Occurs perpendicular to the plane

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2
Q

Define Arthrokinematic motion.

A

Motion at the joint surface. it is dependednt on the shape of the joint. The joint will either be Oviod or Steller, and this will influence its movement.

3 types of movement can occure at the articulating surface:
Roll, slide, spine

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3
Q

Define the difference between ovoid and steller

A

Oviod joints have a convex and a concave portion. For example the glenohumeral joint has a convex humeral head and a concave glenoid fossa.

Steller joints have a combination of convex and concave, as is seen in the interphalangeal joints.

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4
Q

What is the relationship between osteokinematic motion and arthrokinematic motion?

A

osteokinematic (physiologic) and arthrokinematic (accessory) motions occur simultaneously during movement and are directly proportional to each other, with a small increment of accessory motion resulting in a larger increment of osteokinematic motion.

therefore neither can occur without the other.

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5
Q

How many degrees of freedom are there? explain them?

A

1: can swing in one direction or only spin
2: A joint that can spin & swing in one way only or it can swing in two completely distinct ways, but not spin
3: can spin and swing in 2 distinct directions

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6
Q

What is the close-packed position?

A

The position of max congruity of the opposing joint surfaces. it will involve some joint compression as the joints approximate.

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7
Q

What is the open packed position?

A

It is the position of least joint congruity. It involves an element of joint separation and is the least stable position.

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8
Q

In what position are the ligaments taught? Is fracture/dislocation or sprain/strain more common in that position?

A

Close-packed the ligaments are taught so fracture/dislocation is more likely.

In an open-packed position (when joints are at the point of least approximation) sprain/strain is more likely.

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9
Q

What factors effect the available joint motion?

A

Joint integrity (how each bone fits into the other)
elestic energy
passive stiffness (found at the end range of movement)
muscle activation

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10
Q

Factos that effect the bodies ability to with withstand stress

A

Age
Proteoglycan/collagen content of the tissue
Tissue ability to undergo change
speed at which the adaptive change needs to occue

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11
Q

Define Kinetics.

A

The study of forces created as motion changes

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12
Q

Define Mass.

A

The quantity of matter composing a body

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13
Q

Define inertia.

A

The resistance to action or to change

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14
Q

define center of gravity.

A

a point around which the weight and mass are aqually balanced in all diecions.

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15
Q

Define force.

A

A vectory quantity with magnitude, direction and point of application to a body

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16
Q

define Load

A

the type of force applied

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17
Q

Define Stress.

A

The forece per unit area that occures on the cross section of a structure in responce to an externally applied load

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18
Q

Define strain

A

the deformation that occurs within a structure in responce to externally applied loads

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19
Q

What is the load deformation curve?

A

The stress-strain curve of a structre that depicts the relationship between the amount of force applied to a structure and the structure’s responce in terms of deformation or acceleration

20
Q

What is crimp in connective tissue?

A

Slack

21
Q

What happens to collagen fibers under normal stressors?

A

They move from a position of slack to straight.

22
Q

What is creep in connective tissue?

A

When a load has been applied to the tissues for an extended period of time causing the fibers to rearrange themselves and the H2O/proteoglycans to be displaced from between the fibers

23
Q

True or false: creep is time dependent and takes at least 3 minutes to occur.

A

False - it takes at least 15 minutes.

24
Q

Three results of stress to connective tissue.

A

1) No change
2) semi-permanent change
3) permanent change

25
Q

What is Plastic Deformation?

A

when a tissue remains deformed and does not recover its prestress length

26
Q

What % increase in elongation can collagen fibers sustain before microscopic damage begins to occur?

A

3%

27
Q

What is hysteresis?

A

The loss of energy between lengthening force and recovery activity. The more chemical bonds broken with stress the greater hysteresis.

28
Q

What effect does plastic deformation have one tissue stability? (pg 131)

A

After the tissue is unable to return to original length - it requires increased excursion before the tissues develop tension. This will decrease the stability of the tissue. If enough force is applied you can get a complete rupture of the connective tissue.

29
Q

What are the characteristics of a ligamentous injury?

A
point tenderness
joint effusion (abnormal accumulation of fluid in or around the joint)
history of trauma
30
Q

What is a grade 1 sprain?

A

Painful but not unstable or swollen.

mild, tearing of a few fibers with minimal hemorrhage, no laxity or residual instability, full function and strength is maintained.
Return to sports = within 1-2 weeks
Complete healing expected in 4-6 week

31
Q

What is a grade 2 sprain?

A

moderate

sprain is incomplete tear of the ligament with mild laxity and instability, marked swelling and pain resulting in reduction of function, decrease in strength and loss of proprioception.

  • in a lower extremity, patients should crutch walk until comfortable to walk
  • usually return to sports is 8-12 weeks
32
Q

What is a grade 3 sprain?

A

severe

complete disruption of the ligament with gross instability and laxity, marked swelling, and much pain.

Loss of full function, strength and proprioception, especially if rehab is not complete or inadequate

these injuries can lead to greater risk for chronic instability or osteochondral lesions, which may lead to future surgeries

33
Q

Do overuse injuries normally effect the ligaments or tendons?

A

Tendons - these are generally injured by mechanical stressors from external forces

34
Q

What tendons injury is typically associated with tissue fatigue?

A

tendonitis

35
Q

What injury is usually the result of repetitive friction of the tendon and its sheath?

A

Tenosynovitis
AKA peritendinitis
AKA parartenonitis

36
Q

What term describes a degeneration of the tendon?

A

Tendinosis

37
Q

What are the characteristics of tendinosis? How common is it?

A

presence of dense populations of fibroblasts,
vascular hyperplasia
disorganized collagen

occurs in approx. 1/3 of the population 35 yrs. or older

38
Q

What factors will decrease adaptation to stressors in bone?

A

An increase in the applied load
An increase in the number of applied stresses
A decrease in the size of the surface area over which the load is applied

39
Q

Which bone has the highest distribution and frequency of stress fractures?

A

The tibia

40
Q

What term describes the feeling of an inflamed bursa?

A

boggy.

41
Q

What are the types of muscle injuries?

A

1) Exercise induced (delayed muscle soreness)
2) Strains (1-3 degree)
3) Contusions
4) Avulsions
5) Apophyseal
6) laserations
7) Thermal stress
8) myotoxic agents
9) excessive tension

42
Q

What is a hematoma?

A

contusions to a muscle belly

43
Q

What are the types of hematomas?

A

1) intramuscular - strain or bruise that is limited in size by the muscle fascia
2) intermuscular - when the fascia ruptures and the blood spreads into the interstitial space

44
Q

Do you sprain or strain a muscle?

A

strain

45
Q

what do you sprain?

A

ligaments

46
Q

What is the grading scale for strains?

A

I: involves a tear of a few muscle fibers with minor swelling and discomfort. Associated with no or minimal loss of strength and restriction of movement

II: Greater damage of the muscle and clear loss of strength and some loss of function

III: Involves a tear extending across the whole muscle belly. Characterized by severe pain or loss of function

47
Q

What are consequences of immobilization of the connective tissue and skeletal muscles?

A

Cartilage degeneration
A decrease in the mechanical and structural properties of ligaments
A decrease in bone density
Weakness or atrophy of muscles