lesson plan 10

Question 1

which of the following is not a guideline in the acute stage healing ?

1. educate client
2. protection of injury
3. prevention of effects of immobilization
4. initiation of active exercise

Answer 1

4. initiation of active exercise

Question 2

which of the following is used in the acute stage of healing?

1. RICE
2. eccentric exercise
3. heavy resistance
4. functional activities

Answer 2

1. RICE

Question 3

is complete immobilization used as a form of healing in the acute stage?

Answer 3

no, movement is done within PAIN FREE range to prevent atrophy or other side effects

Question 4

what kind of exercise is used for someone in a sling or cast?

Answer 4

muscle setting

Question 5

what happens when acute flare ups occur in the late subacute stage of healing?

Answer 5

retreat as acute

Question 6

should a client experience pain in exercise during the return to function phase of healing?

Answer 6

no but some discomfort is normal to experience

Question 7

what would passive range of motion in the acute phase help with?

Answer 7

maintain joint mobility for ligaments, tendons, and muscles. also improve joint nutrition

Question 8

can you stretch muscles in the acute stage?

Answer 8

no

Question 9

what kind of joint mob is appropriate for acute stage healing?

Answer 9

very gentle grade 1 or 2 for painful joints

Question 10

when do you know a client is in the subacute stage of healing?

Answer 10

when client doesn’t feel constant pain

Question 11

should the therapist begin exercise that involve intense movement or load in the subacute stage?

Answer 11

no, most clients will try to continue normal exercise in this stage but this will cause possible flare ups

Question 12

what three things are criteria for starting exercise or stretching in the subacute stage?

Answer 12

1. swelling
2. no constant pain
3. no pain on available range

Question 13

why cant a client perform normal activity too soon in the subacute stage?

Answer 13

scare tissue is trying to realign and this can cause development to be paused

Question 14

which of the following are done to help realign developed scar tissue in the subacute stage? (6)

Answer 14

1. warm up pre stretch
2. muscle relaxation techniques
3. joint mobs
4. passive stretching
5. massage
6. using new range of motion in everyday activities

Question 15

which of the following is not used in subacute therapeutic interventions / exercised used in this stage?

1. mult-angle submaximal isometric exercise
2. active ROM
3. progressive aerobic exercise using safe activities
4. musclar endurnace
5. protected weight bearing exercise

Answer 15

3. progressive aerobic exercise using safe activities

Question 16

what signs determine of someone is doing too much activity in the subacute stage?

Answer 16

pain on rest, fatigue, increase muscle weakness, spasm, loss of rom, and inflammation

Question 17

what exercise is good to use when the client wishes to increase strength but has decrease joint play?

Answer 17

multi angle isometrics

Question 18

which do you want to regain first in the return to function stage?

1. strength
2. range

Answer 18

2. range

Question 19

is eccentric, heavy resistance, or functional activity used in the chronic stage?

Answer 19

yes

Question 20

which stage of healing should you start to correct contributing factors to injury?

Answer 20

subacute / moderate protection

Question 21

when would you return to high demand activities or work activities?

Answer 21

chronic stage

Question 22

what are the signs that activity is progressed too quickly in the chronic healing stage?

Answer 22

pain longer then 4 hours
joint swelling
decreased strength
fatiguing fast

Question 23

would you continue to stretch muscles of rom is decreasing?

Answer 23

no

Question 24

should ADL involvement be included with subacute healing?

Answer 24

yes, but not to full capacity

Question 25

what is eccentric movement good for?

Answer 25

tendon lesions

Question 26

what therapeutic interventions are not given in the acute stage? 1. passive ROM (within pain limit) 2. low joint mobs 3. muscle setting 4. massage 5. immobilization 6. sling / casting

Answer 26

5. immobilization

Question 27

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?

Answer 27

grade 2

Question 28

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?

Answer 28

grade 3. with complete ligament tear, no nerve muscle intervention can cause the area to be painless but unusable

Question 29

your client wishes to stretch a sore muscle in the acute stage of healing. is this allowed?

Answer 29

no its contraindicated

Question 30

your client wishes to begin resistance exercises in the acute stage of healing. is this allowed? what would you recommend instead.

Answer 30

no this would not be allowed. you can recommend muscle setting, low joint play, passive rom, massage, mobility work

Question 31

why wouldn't you recommend a client to continue normal work activity in the subacute stage?

Answer 31

muscle fibres are realigning still and tissue is starting to develop. causing any kind of trauma too soon can create delay in healing

Question 32

your client now has decreased swelling, no constant pain and wishes to progress exercise. is this allowed?

Answer 32

yes with moderation of symptoms

Question 33

what grade of joint mobs are safe for inflammations of a joint?

Answer 33

grade 1 or two for pain

Question 34

what grade of joint mobs is safe for a client with decrease ROM?

Answer 34

grade 3 or 4 for stretch