Rehabilitation Week 1 Flashcards

1
Q

Rehabilitation Team

Diverse group of individuals that contribute to _____ of injury.

Focus on injury but also _____ health.

Excellent interpersonal skills, be energetic, display _____ and care for patient.

Focus on what they can do and _____ limitations

A

Diverse group of individuals that contribute to rehabilitation of injury.

Focus on injury but also holistic health.

Excellent interpersonal skills, be energetic, display empathy and care for patient.

Focus on what they can do and acknowledge limitations

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2
Q

Responsibility as a practitioner

Must act _____.

_____ to code of conduct.

Always obtain patient _____.

Issues around _____, be deliberate.

A

Must act professionally.

Abide to code of conduct.

Always obtain patient consent.

Issues around touch, be deliberate.

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3
Q

Principles of exercise rehabilitation

Avoid _____.

T_____.

C_____.

I_____.

Specific _____.

I_____.

Total _____.

A

Avoid aggravating.

Timing.

Compliance.

Individualisation.

Specific Sequencing

Intensity.

Total Patient.

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4
Q

Your job is to:

Prevent _____.

_____ the injured part.

Work towards _____ goals.

A

Prevent deconditioning.

Rehabilitate the injured part.

Work towards SMART goals.

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5
Q

Mechanotrandsuction

Refers to the ____ whereby the body converts _____ loading into cellular _____.

A

Refers to the process whereby the body converts mechanical loading into cellular responses.

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6
Q

SAID principle

S_____ A_____ to I_____ D_____.

Tissue will adapt to the _____ stress it is exposed to.

Load (dose) = I_____ * D_____* F_____.

Used to _____ exercise.

Optimal load is sometimes _____ to prescribe.

A

Specific adaptation to imposed demand.

Tissue will adapt to the mechanical stress it is exposed to.

Load (dose) = intensity * duration * frequency.

Used to prescribe exercise.

Optimal load is sometimes difficult to prescribe.

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7
Q

4 Phases of Rehab

Phase 1: _____

Phase 2: _____ activities of daily living

Phase 3: Return to _____ activities

Phase 4: _____ of re-injury

A

Phase 1: Acute

Phase 2: Restore activities of daily living

Phase 3: Return to sport activities

Phase 4: Prevention of re-injury

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8
Q

Phase 1: After an acute injury

Control _____ and secondary _____ reaction.

RICER: P_____> r_____ activity > i_____ > c_____ > e_____ > r_____.

_____ pain.

A

Control inflammation and secondary hypoxic reaction.

RICER: Protect > restrict activity > ice > compression > elevation > referral.

Control pain

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9
Q

Prehabilitation

The _____ patient is before _____, the stronger they are after surgery.

A

The stronger patient is before surgery, the stronger they are after surgery.

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10
Q

Tailored programming

_____ patient’s progression regularly.

Things that can prevent progression: c_____, w_____, co-morbidities, _____ parameters.

Stages of grief: d_____, a_____, b_____, d_____, acceptance.

A

Monitor patient’s progression regularly.

Things that can prevent progression: compliance, workload, co-morbidities, psychological parameters.

Stages of grief: denial, anger, bargaining, depression, acceptance

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11
Q

Outcome measures to asses physical capacities

_____ test, VO2max test (_____ fitness)

_____ muscle test (_____)

TUG, single leg _____ (_____)

Knee to wall, sit and reach, _____ (_____ and _____)

Mood _____ questionnaire, _____ stress scale (_____ states)

A

Beep test, VO2max test (cadiorespiratory fitness)

Manual muscle test (strength)

TUG, single leg stance (balance)

Knee to wall, sit and reach, goniometer (flexibility and ROM)

Mood disorder questionnaire, perceived stress scale (psychological state)

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12
Q

Functional movement screening

Should be based on patient’s _____ ( _____, _____, sport)

Can be anything but you need to be _____ with setup.

A

Should be based on patient’s environment (home, work, sport)

Can be anything but you need to be reliable with setup.

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13
Q

FITT principle

F_____, I_____, T_____, T_____

_____ of exercise

Sport/_____-specific exercises

Regular _____ measure testing is essential and dictates _____.

A

Frequency, Intensity, Time, Type

Complexity of exercise

Sport/work-specific exercises

Regular outcome measure testing is essential and dictates progression.

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14
Q

Primary injury

F_____

D_____

S_____

Sprains

Strains

C_____

A

Fractures

Dislocations

Subluxations

Sprains

Strains

Contusions

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15
Q

Secondary injury

_____ injuries (often _____)

Tendinosis, T_____, B_____

Lead to increased _____ and secondary _____ reaction

A

Microtraumatic injuries (often overuse)

Tendinosis, tenosynovities, bursitis

Lead to increased inflammation and secondary hypoxic reaction

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16
Q

Healing stages

Physiologic responses of tissue to _____ follow a _____ time frame

Exercise rehab decisions will be based on identifying _____ and _____ of each phase of healing.

A

Physiologic responses of tissue to trauma follow a predictable time frame

Exercise rehab decisions will be based on identifying signs and symptoms of each phase of healing.

17
Q

Healing stages

_____ phase

_____ repair phase

maturation/_____ phase

A

Inflammatory phase

Fibroblastic repair phase

Maturation/remodelling phase

18
Q

Inflammatory phase

Healing phase begins _____ upon damage to cells (tissues)

Damage cells and leukocytes release histamines, _____, leukotrienes and _____ to promote inflammation

Charaterised by redness, _____ and heat

Inflammation directs _____ to site of injury > _____ of damaged cells

Critical step in the healing phase but an over-reaction

Promotes secondary _____ reaction > cell death

Acute (up to __ hours) vs chronic

A

Healing phase begins immediately upon damage to cells (tissues)

Damage cells and leukocytes release histamines, cytokines, leukotrienes and bradykinin to promote inflammation

Characterised by redness, swelling and heat

Inflammation directs leukocytes to site of injury > phagocytosis of damaged cells

Critical step in the healing phase but an over-reaction

Promotes secondary hypoxic reaction > cell death

Acute (up to 48 hours) vs chronic

19
Q

Fibroblastic repair phase

Proliferation and regenerative activity of cells lead to scar formation and tissue repair (__hrs - __wks)

Sign and symptoms of inflammation stage _____

_____ buds grow due to lack of O2 > increase O2 supply to tissue and growth

Delicate _____ (connective) tissue consisting of fibroblast, _____ and capillaries are formed

Fibroblasts form ECM (_____ and _____) > collagen proliferates to increase _____ strength of scar

A

Proliferative and regenerative activity of cells leads to scar formation and tissue repair (2hrs - 6wks)

Sign and symptoms of inflammation stage subside

Endothelial buds grow due to lack of O2 > increased O2 supply to tissue and growth

Delicate grannulations (connective) tissue consisting of fibrobast, collagen and capillaries are formed

Fibroblasts form ECM (collagen and elastin) > collagen proliferates to increase tensile strength of scar

20
Q

Maturation stage

_____ term process

Realignment or _____ collagen fibres of scar tissues - Break down and _____

Scar is not as _____ as pre-injury tissue

May take up to __ years to heal completely

A

Long term process

Realignment or remodeling of collagen fibres of scar tissue - break down and synthesis

Scar is not as strong as pre-injury tissue

May take up to 2 years to heal completely

21
Q

Wolf’s Law

Bone and soft tissue responds to _____ placed on them, causing them to _____ or _____ along lines of tensile forces

A

Bone and soft tissue responds to demands placed on them, causing them to remodel or realign along lines of tensile force

22
Q

Healing stages

Inflammatory response - _____

Fibroblastic repair phase - controlled _____

Maturation/remodelling phase - aggressive _____OM > need to establish normal _____OM

A

Inflammatory response - rest

Fibroblastic repair phase - controlled mobilisation

Maturation/remodelling phase - aggressive A/POM > need to establish normal ROM

23
Q

Things that impede the healing phase

Drugs (_____)

_____ repair

Age

D_____

Infection

_____ size

N_____

Muscle spasms

Swelling

A

Drugs (NSAIDS)

Surgical repair

Age

Disease

Infection

Wound size

Nutrition

Muscle spasms

Swelling