Module 4: Soft Tissue Pt 1

Question 1

how do you assess soft tissue injury?

Answer 1

1. ) ROM
2. ) Resistive Testing
3. ) Palpation
4. ) Relationship of soft tissues

Question 2

3 categories of dysfunction

Answer 2

1. ) tissue extensibility
2. ) joint mobility
3. ) stability and/or motor control dysfunction

Question 3

mass of connective tissue matrix consisting of primarily collagen and fibrin

Answer 3

fibrous adhesion

Question 4

phases of healing

Answer 4

inflammation
proliferation
maturation/remodeling

Question 5

Janda’s 4 Types of muscle weakness

Answer 5

1. ) tightness
2. ) stretch
3. ) arthrogenic
4. ) TrP

Question 6

3 possible causes of tissue hypoxia

Answer 6

1. ) mechanical
2. ) neurologic
3. ) biochemical

Question 7

higher levels of lactic acid has been found in

Answer 7

tendinopathies

Question 8

decreased circulation in muscles with

Answer 8

teninosis

Question 9

how soon does tissue hypoxia occur in isometric contraction

Answer 9

10 seconds

Question 10

chronic hypoxic degeneration without clinical or histologic signs of inflammation

Answer 10

tendinosis

Question 11

tendinosis creates what kind of palpation

Answer 11

nodular

Question 12

three fundamental elements of tendinosis

Answer 12

1. ) fibroblastic hyperplasia
2. ) vascular hyperplasia
3. ) abnormal collagen production

Question 13

occurs when the entire capsule is shortened or inflamed, or if the synovial lining of the capsule is inflamed

Answer 13

capsular pattern

Question 14

medial plica syndrome most common in

Answer 14

adolescence

Question 15

clip from lateral side or non contact

Answer 15

collateral ligament sprain

Question 16

any abrupt movement of patella between ____ and ____ degrees between flexion is abnormal

Answer 16

20 and 35 degrees

Question 17

muscles that can affect knee tracking

Answer 17

hip flexors, quads, hamstring, IT Band, calf muscle

Question 18

common in teenagers. cause by trauma to knee, inflammation, and fibrosis (jogging, bike ride, tight hamstrings)

Answer 18

medial plica syndrome

Question 19

how to test for medial plica syndrome

Answer 19

flex knee 45 degrees, IR foot and tibia and press patella medially. flex and extend knee looking for popping of plica or jumping of patella 30-60 degrees

Question 20

meniscotibial ligament sprain

Answer 20

past knee injury thats “never felt right,” pain at medial tibial plateau on passive lateral knee rotation

Question 21

overlooked cause of posteromedial knee pain

Answer 21

semimembranous tendinopathy

Question 22

occurs with long distance runners, overtraining. symptoms include pain with active IR of foot with lower leg fixed and knee flexed, excessive hamstring tightness, pinpoint pain over pes anserine

Answer 22

pes anserine bursitis

Question 23

posterolateral knee pain following twisting injury, pain on downhill running or walking, less pain with uphill

Answer 23

popliteus muscle lesion

Question 24

popliteus muscle lesion is ddx of

Answer 24

LCL tear

Question 25

painful arc incriminates

Answer 25

subacromial space

Question 26

limited passive external rotation of shoulder suggests

Answer 26

posterior dislocation, cuff tears, subcoracoid bursitis, contracted pectoral muscles

Question 27

primarily acts as stabilizing compressor of the GH joint

Answer 27

supraspinatus

Question 28

vascularity of peripheral nerves is dependent on freedom of

Answer 28

motion of surrounding connective tissue

Question 29

95% of median nerve is found between

Answer 29

humeral and ulnar heads of pronator teres

Question 30

muscle that most commonly impinges the ulnar nerve

Answer 30

subscapular

Question 31

radial branch of CTS affects what surfaces

Answer 31

1st and 2nd fingers and motor to abductor pollicus brevis, opponens pollicus, and superficial head of FP brevis

Question 32

specific muscle for motor test for CTS

Answer 32

abductor pollicis brevis

Question 33

what three things to test for for nerve entrapment testing

Answer 33

1. ) stretch 2. ) compress 3. ) activate

Question 34

most restricted motion in shoulder

Answer 34

external rotation

Question 35

most restricted motion in the hip

Answer 35

internal rotation

Question 36

what motion should be tested first

Answer 36

passive

Question 37

most commonly injured RC muscle

Answer 37

supraspinatus

Question 38

most common subluxation for shin splints

Answer 38

posterior tibia

Question 39

what should you do before tissue work

Answer 39

vibrate or warm up

Question 40

goal of soft tissue therapy is to

Answer 40

reset the neurology