Rehabilitation Week 1 Flashcards
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
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
Responsibility as a practitioner
Must act _____.
_____ to code of conduct.
Always obtain patient _____.
Issues around _____, be deliberate.
Must act professionally.
Abide to code of conduct.
Always obtain patient consent.
Issues around touch, be deliberate.
Principles of exercise rehabilitation
Avoid _____.
T_____.
C_____.
I_____.
Specific _____.
I_____.
Total _____.
Avoid aggravating.
Timing.
Compliance.
Individualisation.
Specific Sequencing
Intensity.
Total Patient.
Your job is to:
Prevent _____.
_____ the injured part.
Work towards _____ goals.
Prevent deconditioning.
Rehabilitate the injured part.
Work towards SMART goals.
Mechanotrandsuction
Refers to the ____ whereby the body converts _____ loading into cellular _____.
Refers to the process whereby the body converts mechanical loading into cellular responses.
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.
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.
4 Phases of Rehab
Phase 1: _____
Phase 2: _____ activities of daily living
Phase 3: Return to _____ activities
Phase 4: _____ of re-injury
Phase 1: Acute
Phase 2: Restore activities of daily living
Phase 3: Return to sport activities
Phase 4: Prevention of re-injury
Phase 1: After an acute injury
Control _____ and secondary _____ reaction.
RICER: P_____> r_____ activity > i_____ > c_____ > e_____ > r_____.
_____ pain.
Control inflammation and secondary hypoxic reaction.
RICER: Protect > restrict activity > ice > compression > elevation > referral.
Control pain
Prehabilitation
The _____ patient is before _____, the stronger they are after surgery.
The stronger patient is before surgery, the stronger they are after surgery.
Tailored programming
_____ patient’s progression regularly.
Things that can prevent progression: c_____, w_____, co-morbidities, _____ parameters.
Stages of grief: d_____, a_____, b_____, d_____, acceptance.
Monitor patient’s progression regularly.
Things that can prevent progression: compliance, workload, co-morbidities, psychological parameters.
Stages of grief: denial, anger, bargaining, depression, acceptance
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)
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)
Functional movement screening
Should be based on patient’s _____ ( _____, _____, sport)
Can be anything but you need to be _____ with setup.
Should be based on patient’s environment (home, work, sport)
Can be anything but you need to be reliable with setup.
FITT principle
F_____, I_____, T_____, T_____
_____ of exercise
Sport/_____-specific exercises
Regular _____ measure testing is essential and dictates _____.
Frequency, Intensity, Time, Type
Complexity of exercise
Sport/work-specific exercises
Regular outcome measure testing is essential and dictates progression.
Primary injury
F_____
D_____
S_____
Sprains
Strains
C_____
Fractures
Dislocations
Subluxations
Sprains
Strains
Contusions
Secondary injury
_____ injuries (often _____)
Tendinosis, T_____, B_____
Lead to increased _____ and secondary _____ reaction
Microtraumatic injuries (often overuse)
Tendinosis, tenosynovities, bursitis
Lead to increased inflammation and secondary hypoxic reaction
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.
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.
Healing stages
_____ phase
_____ repair phase
maturation/_____ phase
Inflammatory phase
Fibroblastic repair phase
Maturation/remodelling phase
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
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
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
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
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
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
Wolf’s Law
Bone and soft tissue responds to _____ placed on them, causing them to _____ or _____ along lines of tensile forces
Bone and soft tissue responds to demands placed on them, causing them to remodel or realign along lines of tensile force
Healing stages
Inflammatory response - _____
Fibroblastic repair phase - controlled _____
Maturation/remodelling phase - aggressive _____OM > need to establish normal _____OM
Inflammatory response - rest
Fibroblastic repair phase - controlled mobilisation
Maturation/remodelling phase - aggressive A/POM > need to establish normal ROM
Things that impede the healing phase
Drugs (_____)
_____ repair
Age
D_____
Infection
_____ size
N_____
Muscle spasms
Swelling
Drugs (NSAIDS)
Surgical repair
Age
Disease
Infection
Wound size
Nutrition
Muscle spasms
Swelling
