Movement Science Unit 7 Flashcards
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?
- 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
In the Acute/Inflammatory Phase of healing, what are the Goals in managing patients in this stage? (4)
- Control/Reduce pain, edema, spasms
- Maintain soft tissue/joint integrity and mobility
- Maintain integrity and function of associated areas
- Facilitate healing process
In the Acute/Inflammatory Phase of healing, one of the Goals is to Control/Reduce pain, edema, and spasm. How would we manage this? (4)
- PRICE (Protection, Rest, Ice, Compression, Elevation)
- Immobilize
- Grade 1 and 2 Joint Oscillations
- Modalities
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? (3)
- Gentle Passive ROM - No Pain
- Muscle setting exercise
- Massage
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?
(2)
- Active movement of associated areas (ROM, resisted, Aerobic, etc)
- Possible adaptive or assisted devices
In the Acute/Inflammatory Phase of healing, one of the Goals is to Facilitate healing through Patient Education. How would we manage this? (3)
- Inform anticipated healing time and irritating factors
- Teach HEP
- Encourage function activities consistent with plan
In the Acute/Inflammatory Phase of healing, what are the Precautions and Contraindications?
Precautions:
- Increased Pain
- Increased Inflammation
Contraindications:
- No Resistance Exercises
- No Stretching Exercises
In the Subacute/Proliferation Phase of healing, what are the characteristics and clinical signs for this stage? (7)
- 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)
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?
- 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
In the Subacute/Proliferation Phase of healing, was are the Goals in managing patients in this stage? (5)
- Promote healing
- Restore Joint/Soft Tissue Mobility
- Develop Neuromuscular Control, Muscle Endurance and Strength
- Maintain Function/Integrity of Associated Areas
- Educate Patient
In the Subacute/Proliferation Phase of healing, one of the goals was to Promote Healing. How would we manage this? (2)
- Monitor Response to treatment
- Protect healing tissues is needed (AD, tape, wrap)
In the Subacute/Proliferation Phase of healing, one of the goals was to Restore Joint/Soft Tissue Mobility. How would we manage this? (2)
- PROM -> AAROM and Isometrics -> AROM -> Weight Bearing and Low Intensity Resisted Exercises
- Emphasize control of exercise pattern and proper mechanics
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?
- Progressive strengthening and stabilizing exercises without re-injuring
In the Subacute/Proliferation Phase of healing, one of the goals was to Educate Patient. How would we manage this?
- Inform anticipated healing time and precautions; teach HEP.
In the Chronic/Maturation Phase of healing, what are the Characteristics and Clinical Signs? (6)
- 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
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?
- 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
In the Chronic/Maturation Phase of healing, what are the Goals in managing patients in this stage? (6)
- 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
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? (2)
- Progressive Exercise Program - Strength and Flexibility training
- Load/Stress needs to replicate normal stress of specific tissue(s)
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?
- Cross-friction massage, joint mobilization/manipulation, neuromuscular inhibition, passive stretch, massage, flexibility exercise
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? (3)
- Submaximal to Maximal Exercise
- Specificity of exercise
- Simple to complex motions - exercise become more functional
In the Chronic/Maturation Phase of healing, one of the Goals was to Improve Cardiopulmonary Endurance? How would we do this?
- Progress safe aerobic exercises
If the patient has Chronic Recurring Pain (Cumulative Trauma), What would be the Characteristics and Clinical Signs? (3)
- Chronic Inflammation
- Overuse, cumulative trauma and repetitive strain injuries
- Faulty joint mechanics, habits and postures may cause repetitive microtrauma and inflammation
If that patient has Chronic Recurring Pain (Cumulative Trauma), how would you mange it?
- Management should follow course of identified stage of healing and should also address the CAUSE of symptoms in addition to SOURCE
What are the components of FITTVP?
Frequency
Intensity
Time
Type
Volume
Progression
In the FITTVP Prescription, what does the TYPE component refer to?
(Different Therapeutic Exercises) (9)
- 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
In the FITTVP Prescription, what does the TIME component refer to?
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.
In the FITTVP Prescription, what does the Intensity component refer to?
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”)
In the FITTVP Prescription, what does the Frequency component refer to?
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
In the FITTVP Prescription, what does the Volume component refer to?
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
In the FITTVP Prescription, what does the Progression component refer to?
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
