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remex final review > lesson plan 10 > Flashcards

lesson plan 10 Flashcards

1
Q

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
A
  1. initiation of active exercise
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2
Q

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

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

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

A

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

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4
Q

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

A

muscle setting

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5
Q

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

A

retreat as acute

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6
Q

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

A

no but some discomfort is normal to experience

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7
Q

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

A

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

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8
Q

can you stretch muscles in the acute stage?

A

no

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9
Q

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

A

very gentle grade 1 or 2 for painful joints

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10
Q

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

A

when client doesn’t feel constant pain

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11
Q

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

A

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

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12
Q

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

A
  1. swelling
  2. no constant pain
  3. no pain on available range
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13
Q

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

A

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

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14
Q

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

A
  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
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15
Q

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
A
  1. progressive aerobic exercise using safe activities
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16
Q

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

A

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

17
Q

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

A

multi angle isometrics

18
Q

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

  1. strength
  2. range
A
  1. range
19
Q

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

A

yes

20
Q

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

A

subacute / moderate protection

21
Q

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

A

chronic stage

22
Q

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

A

pain longer then 4 hours
joint swelling
decreased strength
fatiguing fast

23
Q

would you continue to stretch muscles of rom is decreasing?

A

no

24
Q

should ADL involvement be included with subacute healing?

A

yes, but not to full capacity

25
Q

what is eccentric movement good for?

A

tendon lesions

26
Q

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
A
  1. immobilization
27
Q

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?

A

grade 2

28
Q

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?

A

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

29
Q

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

A

no its contraindicated

30
Q

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

A

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

31
Q

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

A

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

32
Q

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

A

yes with moderation of symptoms

33
Q

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

A

grade 1 or two for pain

34
Q

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

A

grade 3 or 4 for stretch

remex final review (6 decks)

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