lecture 2 - soft tissue injuries and patient history taking

Question 1

Grade 1 (mild)

Answer 1

• few soft tissue fibres damaged
• minor pain and swelling
• minimal loss of ROM and function

Question 2

Grade 2 (moderate)

Answer 2

• moderate amount of soft tissue fibres damaged
• moderate pain and swelling
• moderate loss of ROM and function

Question 3

Grade 3 (severe)

Answer 3

• extensive amount of soft tissue fibres damaged
• substantial pain and swelling
• severe loss of ROM and function

Question 4

Phases of soft tissue healing

Answer 4

• inflammatory phase (0-72hrs)
• proliferation phase (48-6weeks)
• remodelling phase (3week-12months)

Question 5

Inflammatory phase

Answer 5

• pain, swelling, redness
• exudate and oedema
• peripheral muscle fibre contraction
• cell damage/protein breakdown
• phagocytosis

Question 6

Proliferation phase

Answer 6

• collagen forming phase
• ongoing phagocytosis
• new BV
• fibroblasts
• type III collagen fibres

Question 7

remodelling phase

Answer 7

• collagen -> matures and becomes denser

- more organised along lines of stress