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THER EX > lecture 2: treatment goals and managements of soft tissue lesions > Flashcards

lecture 2: treatment goals and managements of soft tissue lesions Flashcards

1
Q

what type of scar is raised , but within bound of injured region

A

Hypertrophic scar

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2
Q

what type of scar extends beyond the boundary of the injured site

A

keloid scar

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3
Q

what is collagen syntheses dependent on

A

O2

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4
Q

what can chronic inflammation occur due to

A

repeated stress and immune response

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5
Q

in the chronic inflammation there is increased production of what type of immature collagen

A

3

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6
Q

soft tissue techniques minimize what

A

edema, pian and ROm restriction

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7
Q

what is considered the best modality

A

exercise

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8
Q

what should the pateint education be for the acute stage

A

the expected duration of symptoms (4-6 days) and precautions or contraindications

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9
Q

what modalities is used to limit bleeding , reduce swelling and pain , it produces vasoconstriction and blocks pain and is combined with compression in the first 24- 48 hours

A

cryotherapy

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10
Q

what modalities reduce swelling and pain and blocks pain and alters cellular permeability

A

electrical stimulation

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11
Q

what is the purpose of massage in the acute stage

A

to move fluid and prevent adhesions

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12
Q

what do Grade I or II distraction and glide techniques do in the acute stage

A

improve fluid dynamics in the joint to maintain cartilage health

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13
Q

what direction and technique should you do joint mobs in

A

passive gliding or traction movements applied at the joint surface and oscillation technique

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14
Q

what exercise interventions are contraindicated in the acute stage

A

active movement and stretching

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15
Q

how should the mm be during exercise for the acute stage

A

low intensity , isometric mm contraction within limit of pain , place mm in th shortened position

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16
Q

what phase is the control motion phase

A

the subacute phase

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17
Q

what is the clinical signs for the subacute phase

A

decreasing inflammation and pain synchronous with tissue resistance

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18
Q

what are the 3 pt goals and interventions for teh subacute phase

A

promote tissue healing
develop mobile scar
promote function

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19
Q

what is the progression of ROM in the subacute phase to restore soft tissue , muscle and joint mobility healing

A

progress from PROM > AAROM> AROM within limit of pain

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20
Q

in what stage do you progress from multiple angle isometric exercise to isotonics within patient’s tolerance

A

subacute stage

21
Q

how does th modalities change in the subacute stage

A

changes from cold to heat to increase circulation , promote healing , reduce pain and increase tissue extensibility

22
Q

what is used as a precautionary indicator for changing from cold to heat in teh subacute phase

A

increased swelling

23
Q

what massage technique do u use int he subacute stage

A

trigger point , friction and myofascial release

24
Q

what massage type do u use to mobilize ligaments, incision sites, and muscle scar tissue or tendon adhesions

A

cross friction

25
Q

what joint mob grade do you use in subacute

A

grade 3 sustained or 3 and 4 oscillation

26
Q

what type of exercises can u do in the subacute stage

A

multiple angle , sub max isometric exercises in shortened or relaxed position

27
Q

what kind fo ROM can you do in the subacute phase

A

active movement (AROM) in pain free range to develop control of th emotion

28
Q

what kind of muscle endurance exercise do u use in the subacute phase

A

low intensity , high repetition AROM exercise

29
Q

what is the initiation and progression of stretching in subacute stage

A

warm the tissue
mm relaxation technique
stretching technique
use of new range

30
Q

exercise or activity soreness that does not decreased after ___ hours and is not resolved after __ hours is a sign of excessive stress

A

4
24

31
Q

which stage is the return to function phase and is aimed to promote remodeling

A

return to function phase

32
Q

what are the clinical signs for retunr to function phase

A

absence of inflammation
pain after tissue resistance

33
Q

what are the PT goals and intervention during the chronic stage

A

increase tensile quality of scare
develop functional independence

34
Q

what are the 7 basic movements patterns

A

squat
lunge
push
pull
bend
twist
gait

35
Q

in which stage do you provide ways to avoid re injury and safe body mechanics to the pateint

A

chronic stage

36
Q

what type of resistance are u dong in the chronic stage

A

submax to maximal

37
Q

what are the 2 modalities to control symptoms in the chronic stage

A

deep head and electrical stimulation

38
Q

what type of massage are u doing in the chronic stage

A

myofascial massage

39
Q

what grade of joint mobz are u doing in the chronic stage

A

Grade III sustained or III and IV oscillation

40
Q

what are most modalities we use for

A

to impact the inflammatory response

41
Q

what is the purpose of heat modality

A

• Increase metabolic rate
• Increase circulation
• Modulate pain
• Reduce muscle spasm

42
Q

what is the purpose of cold modality

A

• Decrease metabolic rate
• Decrease edema production
• Modulate pain
• Reduce muscle spasm

43
Q

what is the purpose of electrical stimulation modalitiy

A

• Modulate pain
• Increase muscle
contractions
• Muscle re-education
• Improve tissue environment

44
Q

• Increase metabolism
• Increase circulation
• Increase cell wall permeability
• Soften collagen
• Selectively heat tissues

what modality does these things

A

ultrasound

45
Q

• Increase muscle activation
• Decrease circulation
• Increase muscle
hypertrophy
• Increase muscle cross section area

what modality does this

A

blood flow restriction

46
Q

SOFT TISSUE TECHNIQUES HELP TO TREAT MOTION RESTRICTIONS BY…

A

• Increasing soft tissue extensibility and compliance
• Minimizing adhesions
• Between tissue layers
• Increasing circulation
• Modulating pain
• Reducing edema
• Facilitating inhibited muscles

47
Q

• Increasing soft tissue extensibility and compliance
• Controlling Inflammation
• Minimizing adhesions
• Modulating pain
• Reduced muscle guarding
• Facilitating motion of involved
tissue
• Reducing tone
• Facilitating inhibited muscles
• Reducing edema

these things are done by what to help treat motion restrictions

A

physcial agents

48
Q

• Increasing soft tissue extensibility
• Joint capsule
• Muscle-tendon units
• Controlling inflammation
• Reducing edema/effusion
• Reducing adhesions
• Modulating pain
• Facilitating motion
• Increasing strength
• Reducing pathologic increased
muscle tone
• Raising pathologically low muscle tone

what helps to treat motion restrictions by doing these things

A

therapeutic exercise

THER EX (14 decks)

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