lesson plan 10 Flashcards
which of the following is not a guideline in the acute stage healing ?
- educate client
- protection of injury
- prevention of effects of immobilization
- initiation of active exercise
- initiation of active exercise
which of the following is used in the acute stage of healing?
- RICE
- eccentric exercise
- heavy resistance
- functional activities
- RICE
is complete immobilization used as a form of healing in the acute stage?
no, movement is done within PAIN FREE range to prevent atrophy or other side effects
what kind of exercise is used for someone in a sling or cast?
muscle setting
what happens when acute flare ups occur in the late subacute stage of healing?
retreat as acute
should a client experience pain in exercise during the return to function phase of healing?
no but some discomfort is normal to experience
what would passive range of motion in the acute phase help with?
maintain joint mobility for ligaments, tendons, and muscles. also improve joint nutrition
can you stretch muscles in the acute stage?
no
what kind of joint mob is appropriate for acute stage healing?
very gentle grade 1 or 2 for painful joints
when do you know a client is in the subacute stage of healing?
when client doesn’t feel constant pain
should the therapist begin exercise that involve intense movement or load in the subacute stage?
no, most clients will try to continue normal exercise in this stage but this will cause possible flare ups
what three things are criteria for starting exercise or stretching in the subacute stage?
- swelling
- no constant pain
- no pain on available range
why cant a client perform normal activity too soon in the subacute stage?
scare tissue is trying to realign and this can cause development to be paused
which of the following are done to help realign developed scar tissue in the subacute stage? (6)
- warm up pre stretch
- muscle relaxation techniques
- joint mobs
- passive stretching
- massage
- using new range of motion in everyday activities
which of the following is not used in subacute therapeutic interventions / exercised used in this stage?
- mult-angle submaximal isometric exercise
- active ROM
- progressive aerobic exercise using safe activities
- musclar endurnace
- protected weight bearing exercise
- progressive aerobic exercise using safe activities
what signs determine of someone is doing too much activity in the subacute stage?
pain on rest, fatigue, increase muscle weakness, spasm, loss of rom, and inflammation
what exercise is good to use when the client wishes to increase strength but has decrease joint play?
multi angle isometrics
which do you want to regain first in the return to function stage?
- strength
- range
- range
is eccentric, heavy resistance, or functional activity used in the chronic stage?
yes
which stage of healing should you start to correct contributing factors to injury?
subacute / moderate protection
when would you return to high demand activities or work activities?
chronic stage
what are the signs that activity is progressed too quickly in the chronic healing stage?
pain longer then 4 hours
joint swelling
decreased strength
fatiguing fast
would you continue to stretch muscles of rom is decreasing?
no
should ADL involvement be included with subacute healing?
yes, but not to full capacity
what is eccentric movement good for?
tendon lesions
what therapeutic interventions are not given in the acute stage?
- passive ROM (within pain limit)
- low joint mobs
- muscle setting
- massage
- immobilization
- sling / casting
- immobilization
a client has a sprained ankle. they complain of moderate pain with palpation which increases the pain. some fibres are torn. what grade of injury is this?
grade 2
your client has a painless strain to the ankle but was informed by the doctor of a torn ligament and loud pop at site of injury. what grade of injury is this?
grade 3.
with complete ligament tear, no nerve muscle intervention can cause the area to be painless but unusable
your client wishes to stretch a sore muscle in the acute stage of healing. is this allowed?
no its contraindicated
your client wishes to begin resistance exercises in the acute stage of healing. is this allowed? what would you recommend instead.
no this would not be allowed.
you can recommend muscle setting, low joint play, passive rom, massage, mobility work
why wouldn’t you recommend a client to continue normal work activity in the subacute stage?
muscle fibres are realigning still and tissue is starting to develop. causing any kind of trauma too soon can create delay in healing
your client now has decreased swelling, no constant pain and wishes to progress exercise. is this allowed?
yes with moderation of symptoms
what grade of joint mobs are safe for inflammations of a joint?
grade 1 or two for pain
what grade of joint mobs is safe for a client with decrease ROM?
grade 3 or 4 for stretch
