PT9111 - Lecture 16 (Modalities 1) Flashcards
Therapeutic Modality
Clinical tool to stimulate specific body tissues to perform normal functions
What are 4 effects of therapeutic modalities
- Modify stages of tissue repair
- Relieve pain
- Alter collagen extensibility
- Modify muscle function
What are the 4 stages of tissue repair
- Hemostasis
- Inflammation
- Proliferation
- Maturation/Remodeling
What is the time course and function of hemostasis
Time course: Within seconds of injury
Function: To stop bleeding (fibrin clot with vasoconstriction -> vasodilation)
What is the time course and function of inflammation
Time Course: 1-3 days post-injury
Function: Identifies and removes foreign material
Name 3 inflammation mediators and function
- Mast cells -> vasoconstriction/dilation
- Leukocytes (WBC) -> phagocytosis and removal of cellular debris caused by injury
- Prostaglandins -> sensitize pain receptors, attract WBC, and increase vascular permeability
T or F: NSAIDs inhibit prostaglandin synthesis which may decrease improved long-term revovery
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5 cardinal signs of inflammation
- Red
- Hot
- Swollen
- Pain
- Loss of function
What is the time course and function of proliferation
Time Course: 3-4 days post injury to 3 weeks
Function: Form granulation tissue made of collagenous scar tissue, angiogenesis, and re-epithelization
What is the time course and function of maturation
Time course: 3 weeks to 3 years
Function: Increase scar strength through collagen synthesis
Acute pain
Pain perception due to stimulation of pain receptors and nerve endings of A-delta and C- fibers by chemical presents at site and edema
Chronic Pain
Longer than 3 months
How is collagen extensibility altered
Collagen extensibility is temperature dependent so heat can extend it to aid in healing impaired strength and range of motion
Muscle tone
Underlying tension that serves as background to contraction
Name 3 ways muscle tension can be altered
- CNS injury (stroke)
- PNS injury
- Local injury