Lecture 2 Flashcards
Strain
muscle and tendon
Sprain
ligament
Dislocation
complete loss of connection between 2 bones
Subluxation
partial dislocation. some continuity/connection
Tendinopathy
all problems related to tendons
Synovitis
inflammation of synovial fluid
Hemarthrosis
bleeding into tissues or joints
Bursitis
inflammation to bursa
Contusion
bruise/impact injury
Overuse syndrome
more than 1 event leading to injury
Grade 1
mild, no significant loss of continuity or stability
Grade 2
moderate pain, unable to continue activity, pain w/palpation & stress to tissue. significant number of fibers are torn.
ligament = increased joint mobility
Grade 3
severe pain, near complete or complete tear of tissue, stress to tissue is usually painless, may palpate defect
ligament = unstable
Stages of inflammation and repair
acute stage = inflammatory
subacute = repair/healing
chronic = maturation/remodeling
continued if not healed –> chronic inflammation & pain
Phase 1 Interventions
avoid excessive stretching
single-limb balance
grapevine
plank, 5x10s
side plank, 5x10s
bent knee bridge, 10x5s
low speed jogging
Phase 1 Hamstring lengthening
the diver, 3x6 reps every other day
the extender, 3x12, 2xday
Phase 2 Interventions
lateral shuffle
grapevine jog
rotating body bridge 5s on each side, 2x10 reps
supine bent knee bridge w/walk outs, 3x10
bridge on bench, single leg. 2x10
single limb balance windmills 4x8 reps
Phase 2 lengthening
the glider, 3 sets, 4 reps, 3x week
progression is increased by increasing distance
Phase 3 Interventions
skipping
rotating body bridge
sport-specific drills
forward-backward accelerations
Tissue Response Stage
Inflammation
Most apparent in 1st 48 hours
Lasting 4 to 6 days on average
cellular, vascular, chemical
Patient Response Acute Stage
Palpable pain/tenderness, swelling, heat, redness, pain at rest, loss of function
limitations in joint or muscle ROM = guarding
pain is before end range or even before actual movement
nerve endings are irritated due to altered chemical states
Goal of acute stage
protection
Goal of subacute stage
controlled motion
Goal of chronic stage
return to function