MSK - Treatment

Question 1

When would you prescribe AROM (what goals)?

Answer 1

Increase ROM
Maintain ROM
Maintain strength
Reduce swelling

Question 2

When would you prescribe AAROM (what goals)?

Answer 2

Increase ROM
Maintain ROM
Maintain strength
Reduce swelling
\+ if AROM is not tolerated

Question 3

When would you prescribe PROM (what goals)?

Answer 3

Increase ROM
Maintain ROM
Reduce swelling
+ if AAROM is not tolerated

Question 4

When would you prescribe stretching (what goals)?

Answer 4

Increase ROM
Maintain ROM
Decrease sensation/perception of tightness
Pain (modulate pain perception)
Collagen remodelling

Question 5

What are the 3 types of muscle contraction and when would you prescribe each?

Answer 5

Isometric - maintain and increase strength when movement is not tolerated or contraindicated (i.e. early post op, early in injury)
Eccentric - tendon remodelling, later phases of recovery
Concentric - for general strengthening

Question 6

What are the muscles of the outer and inner core?

Answer 6

Outer: posterior oblique sling - lats, thoracodorsal fascia, glut max (c/l); anterior oblique sling - obliques, anterior abdominal fascia, adductors (c/l); lateral sling - glut med, min, adductors (c/l); deep longitudinal sling - erectors, thoracodorsal fascia, sacrotuberous ligament, BF
Inner: TA, diaphragm, multifidus, pelvic floor

Question 7

What are indications for mobilization?

Answer 7

Pain, muscle guarding, spasm
Reversible joint hypomobility
Positional faults/subluxations

Question 8

What are some possible things to educate people on?

Answer 8

Condition, exercises, why they should do their exercises, managing symptoms, what to avoid, alternative methods to perform activities, using splints, braces, compression wraps, potential complications and how to prevent, contraindications or precautions