RSI Flashcards
Overuse syndrome that describes pain associated with loss of function which results from repetitive movements or sustained static loading
Repetitive strain injurt
Malalignment syndrome, muscle imbalances cause
Intrinsic RSI
Overtraining causes
Extrinsic
RSI involves
muscles, nerves, tendons, ligaments, fascia, and possibly bones
Factors that can lead to an acute injury
-weak or hypertonic tissues
Friction, pressure, and tension
-decreased circulation
-Adhesions
- S&S of RSI
start with discomfort after activity and eventually progress to pain during and after the activity is stopped
RSI risk factors
stress, muscular imbalances, postural faults, Higher risk occupations
effective treatment is dependant on
recognizing and correcting the underlying predisposing, predicting, or perpetuating factors
an important part of rehabilitation
REST
how do you determine the predisposing factors?
Questions/dialogue
-patient history
Systemic RSI
disturbs sleep, deep aching throbbing, not aggravated by mechanical stress etc.
MSK RSI
generally lessens at night, sharp or superficial ache, decreases with ceasing activity etc.
Pain that tends to be sharp, burning and run the length of the nerve
nerve pain
Deep, boring and localized
bone pain
diffuse, aching and poorly localized
vascular pain
dull, aching hard to localize, may refer to other areas
muscle pain
Vascular and immune response
S&S pain, loss of ROM, heat, swelling, reciprocal weakness
inflammatory/acute stage
Scare tissue laid down
S&S ROM increases, pain free ROM, decreased swelling
Fibroplastic/sub acute
Vascularity lost, scar tissue strenghthened and aligned
S&S - complete ROM, pain free ROM, post inflammatory response to treatment or exercises provided
Remodeling/chronic
RSI treatment goals
adress MSK injuries and also postural dysfunctions/imbalances
- limit inflammitory process
-decrease pain and swelling
-reduce adhesions in tissues
-stretch and or strengthen as deemed appropriate in accordance to your procedural protocol for postural control
-compensatory structures will also be treated
The ultimate goal
to balance scar mobility, scar strength and pain free ROM
-too much treatment and force acute inflammation and not enough treatment results in no change to scar mobility