lecture 2: treatment goals and managements of soft tissue lesions Flashcards
what type of scar is raised , but within bound of injured region
Hypertrophic scar
what type of scar extends beyond the boundary of the injured site
keloid scar
what is collagen syntheses dependent on
O2
what can chronic inflammation occur due to
repeated stress and immune response
in the chronic inflammation there is increased production of what type of immature collagen
3
soft tissue techniques minimize what
edema, pian and ROm restriction
what is considered the best modality
exercise
what should the pateint education be for the acute stage
the expected duration of symptoms (4-6 days) and precautions or contraindications
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
cryotherapy
what modalities reduce swelling and pain and blocks pain and alters cellular permeability
electrical stimulation
what is the purpose of massage in the acute stage
to move fluid and prevent adhesions
what do Grade I or II distraction and glide techniques do in the acute stage
improve fluid dynamics in the joint to maintain cartilage health
what direction and technique should you do joint mobs in
passive gliding or traction movements applied at the joint surface and oscillation technique
what exercise interventions are contraindicated in the acute stage
active movement and stretching
how should the mm be during exercise for the acute stage
low intensity , isometric mm contraction within limit of pain , place mm in th shortened position
what phase is the control motion phase
the subacute phase
what is the clinical signs for the subacute phase
decreasing inflammation and pain synchronous with tissue resistance
what are the 3 pt goals and interventions for teh subacute phase
promote tissue healing
develop mobile scar
promote function
what is the progression of ROM in the subacute phase to restore soft tissue , muscle and joint mobility healing
progress from PROM > AAROM> AROM within limit of pain