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USA Term 2 > Movement Science Unit 7 > Flashcards

Movement Science Unit 7 Flashcards

1
Q

In the Acute/Inflammatory Phase of healing, what are potential exam finding that you may find?
Pain Assessment?
Palpation for condition?
AROM/PROM?
Muscle Performance?

A
  • Pain Assessment: Increased pain, high tissue reactivity
  • Palpation for condition: Increased girth, warmth, and redness
  • AROM/PROM: Pain, muscle guarding BEFORE end-range, swelling, soft or empty end-feel
  • Muscle Performance: Muscle Inhibition
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2
Q

In the Acute/Inflammatory Phase of healing, what are the Goals in managing patients in this stage? (4)

A
  • Control/Reduce pain, edema, spasms
  • Maintain soft tissue/joint integrity and mobility
  • Maintain integrity and function of associated areas
  • Facilitate healing process
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3
Q

In the Acute/Inflammatory Phase of healing, one of the Goals is to Control/Reduce pain, edema, and spasm. How would we manage this?

A

-PRICE (Protection, Rest, Ice, Compression, Elevation)
- Immobilize
- Grade 1 and 2 Joint Oscillations
- Modalities

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4
Q

In the Acute/Inflammatory Phase of healing, one of the Goals is to Maintain soft tissue/Joint Integrity and mobility? How would we manage this?

A
  • Gentle Passive ROM - No Pain
  • Muscle setting exercise
  • Massage
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5
Q

In the Acute/Inflammatory Phase of healing, one of the Goals is to Maintain Integrity and Function of Associated Areas. How would we manage this?

A
  • Active movement of associated areas (ROM, resisted, Aerobic, etc)
  • Possible adaptive or assisted devices
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6
Q

In the Acute/Inflammatory Phase of healing, one of the Goals is to Facilitate healing through Patient Education. How would we manage this?

A
  • Inform anticipated healing time and irritating factors
  • Teach HEP
  • Encourage function activities consistent with plan
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7
Q

In the Acute/Inflammatory Phase of healing, what are the Precautions and Contraindications?

A

Precautions:
- Increased Pain
- Increased Inflammation

Contraindications:
- No Resistance Exercises
- No Stretching Exercises

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8
Q

In the Subacute/Proliferation Phase of healing, what are the characteristics and clinical signs for this stage? (7)

A
  • Decreased Inflammation
  • Decreased Pain
  • Clot Resolves and Repair Begins
  • Increase Fibroblastic activity, collagen formation, formation of immature CT
  • Very Fragile Tissue
  • Appropriate loading needed
  • Typically lasts 10-17 days (14-21 days after injury), bit sometimes longer (>6 weeks)
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9
Q

In the Subacute/Proliferation Phase of healing, what are Potential Exam finding you may find?
Pain Assessment?
Palpation for condition?
AROM/PROM?
Muscle Performance?
Movement Analysis?

A
  • Pain Assessment: Decreasing Pain, low to moderate tissue reactivity
  • Palpation for Condition: Decreased girth (decreasing edema, joint effusion), decreased muscle guarding
  • AROM/PROM: Decreasing pain, pain likely AT end-range
  • Muscle Performance: Weakness Present
  • Movement Analysis: Decreased functional use of injured area and/or associated area; movement impaired
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10
Q

In the Subacute/Proliferation Phase of healing, was are the Goals in managing patients in this stage? (5)

A
  • Promote healing
  • Restore Joint/Soft Tissue Mobility
  • Develop Neuromuscular Control, Muscle Endurance and Strength
  • Maintain Function/Integrity of Associated Areas
  • Educate Patient
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11
Q

In the Subacute/Proliferation Phase of healing, one of the goals was to Promote Healing. How would we manage this?

A
  • Monitor Response to treatment
  • Protect healing tissues is needed (AD, tape, wrap)
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12
Q

In the Subacute/Proliferation Phase of healing, one of the goals was to Restore Joint/Soft Tissue Mobility. How would we manage this?

A
  • PROM -> AAROM and Isometrics -> AROM -> Weight Bearing and Low Intensity Resisted Exercises
  • Emphasize control of exercise pattern and proper mechanics
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13
Q

In the Subacute/Proliferation Phase of healing, one of the goals was to Develop Neuromuscular Control, Muscle Endurance, and Strength. How would we manage this?

A
  • Progressive strengthening and stabilizing exercises without re-injuring
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14
Q

In the Subacute/Proliferation Phase of healing, one of the goals was to Educate Patient. How would we manage this?

A
  • Inform anticipated healing time and precautions; teach HEP.
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15
Q

In the Chronic/Maturation Phase of healing, what are the Characteristics and Clinical Signs? (6)

A
  • Maturation and remodeling of Collagen and Scar Tissue
  • Return to function
  • No Inflammation
  • Minimal to no pain and/or pain at End-range with overpressure
  • Possible decreased strength, ROM and function
  • Typically begins around day 21 and can last several weeks to months
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16
Q

In the Chronic/Maturation Phase of healing, what are the Potential Exam Findings you may find?
Pain Assessment?
Palpation for condition?
AROM/PROM?
Muscle Performance?
Flexibility/MLT?
Movement Analysis?

A
  • Pain Assessment: Decreasing to no pain and/or pain only with overpressure or stress
  • Palpation for condition: No signs of inflammation present
  • AROM/PROM: Probable limitation, possible ERP
  • Muscle Performance: Probable weakness present
  • Flexibility/MLT: Probable muscle tightness
  • Movement Analysis: Probable decreased functional use and movement impairments
17
Q

In the Chronic/Maturation Phase of healing, what are the Goals in managing patients in this stage? (6)

A
  • Promote Maturation and Remodeling: Appropriately Load/Stress injured tissue
  • Increase Soft Tissue, Muscle, and/or Joint Mobility
  • Improve Neuromuscular Control, Muscle Strength, Endurance and Power
  • Improve Cardiopulmonary Endurance
  • Progress Activities and Participation in Life Situations
  • Patient Education
18
Q

In the Chronic/Maturation Phase of healing, one of the Goals was to Promote Maturation and Remodeling: Appropriately Load/Stress Injured Tissues. How would we manage this?

A
  • Progressive Exercise Program - Strength and Flexibility training
  • Load/Stress needs to replicate normal stress of specific tissue(s)
19
Q

In the Chronic/Maturation Phase of healing, one of the Goals was to Increase Soft Tissue, Muscle, and/or Joint Mobility? How would we do this?

A
  • Cross-friction massage, joint mobilization/manipulation, neuromuscular inhibition, passive stretch, massage, flexibility exercise
20
Q

In the Chronic/Maturation Phase of healing, one of the Goals was to Improve Neuromuscular Control, Muscle strength, Endurance and Power. How would we do this?

A
  • Submaximal to Maximal Exercise
  • Specificity of exercise
  • Simple to complex motions - exercise become more functional
21
Q

In the Chronic/Maturation Phase of healing, one of the Goals was to Improve Cardiopulmonary Endurance? How would we do this?

A
  • Progress safe aerobic exercises
22
Q

If the patient has Chronic Recurring Pain (Cumulative Trauma), What would be the Characteristics and Clinical Signs?

A
  • Chronic Inflammation
  • Overuse, cumulative trauma and repetitive strain injuries
  • Faulty joint mechanics, habits and postures may cause repetitive microtrauma and inflammation
23
Q

If that patient has Chronic Recurring Pain (Cumulative Trauma), how would you mange it?

A
  • Management should follow course of identified stage of healing and should also address the CAUSE of symptoms in addition to SOURCE
24
Q

What are the components of FITTVP?

A

Frequency
Intensity
Time
Type
Volume
Progression

25
Q

In the FITTVP Prescription, what does the TYPE component refer to?
(Different Therapeutic Exercises) (9)

A
  • Aerobic capacity/endurance conditioning or reconditioning
  • Flexibility Exercises
  • Strength, Power, and Endurance
  • Balance Training
  • Neuromotor development Training
  • Gait and Locomotion Training
  • Relaxation
  • Posture Training
  • Graded Motor Imagery
26
Q

In the FITTVP Prescription, what does the TIME component refer to?

A

Time spent exercising per session

  • Aerobic Exercise
    – Cycling for 15 min
    – Running 1 mine
  • Resistance Exercise
    – Number of sets and repetitions per session

Time also take the rest interval into account
- Repetitions x sets + rest time = Total time duration
-Rest time will also be determined by intensity.

27
Q

In the FITTVP Prescription, what does the Intensity component refer to?

A

The rate at which the activity is being performed of the magnitude of the effort required to perform it

  • This can be measured objectively or perceptually
  • Aerobic
    –% max HR, oxygen consumption (VO2), RPE, METs
  • Resistance
    –%1RM, RPE, RIR, velocity loss
  • Flexibility
    –Rating of perceived discomfort (can use 0-10 scale)
  • Neuromotor/Balance
    –Rating of perceived difficulty (RPD)
    –Rating of perceived stability (RPS)
    (strive for “optimal challange pont”)
28
Q

In the FITTVP Prescription, what does the Frequency component refer to?

A

The number of times per day or per week that an exercise was performed

  • Usually expressed in sessions, episodes or bouts
  • Depends on intensity and duration of the exercise
  • Long and intense exercise sessions cannot be completed frequently as shorter and less demanding sessions
  • The number of recommended exercise sessions per week will vary based on patients abilities, preferences and goals
29
Q

In the FITTVP Prescription, what does the Volume component refer to?

A

The product of frequency, intensity and time. Total volume refers to quantity and quality of weekly physical activity

  • For resistance exercise, volume is usually expressed as sets per week
  • Need to consider volume of all exercise being performed
30
Q

In the FITTVP Prescription, what does the Progression component refer to?

A

The increasing of exercise over time

  • As the individual adapts, one or more components of FITT-VP can be increased as tolerated
  • Any component of FITT can also be reduced as any time
  • Progression must follow assessment and re-evaluation

(Important Considerations)
- Not driven by adding stress
- Should be driven by performance
- Consider increasing time/duration of exercise before Intensity of Frequency

USA Term 2 (28 decks)

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