MSK objective soft tissue assessment

Question 1

What are the symptoms for:

Muscle tear
Ligament tear
Tendon disorder

Answer 1

Muscle tear - pain, inflam
Ligament tear - instability, pain, inflam
Tendon disorder - overused condition

Question 2

Explain how mechanotherapy works

Answer 2

Loading a tissue by exercise, exciting the cells, producing more tissue, improving tissue strength = low pain

Question 3

What are two ways of assessing ligaments

Answer 3

Feeling the end feel

Seeing pain response

Question 4

What are the soft tissue treatments?

Answer 4

Specific soft tissue mobilisations -stretch 
Deep transverse frictions
Muscle lengthening
Trigger point
Exercises
Accessory stretch

Question 5

How do SSTMs work?

Answer 5

Stimulate cells and alter remodelling - cause scar fibres to align in direction of stretch = increased strength

Question 6

What are deep transverse frictions and how do they work?

Answer 6

Apply force to a fibre causing numbing and then going deeper

Break down adhesions
Increase blood supply
Activate cells in area
Re-orientate fibres = increase strength

Question 7

What are the contraindications of deep transverse frictions?

Answer 7

Open wounds
Clotting disorders
Skin infections 
Acute inflam
Active growth plates
Over foreign body
Bursitis

Question 8

What are the causes of soft tissue injuries?

OMADIE

Answer 8

Overuse - performing a task with frequency
Misuse - putting abnormal stress through a tissue
Abuse - excessive force through tissues
Disuse - deconditioning
Intrinsic factors - age, genetics
Extrinsic factors - environment, equipment