Soft Tissue Assessment And Management

Question 1

What to look for in a tendinopathy?

Answer 1

Modify load, strengthen, progress, RTP

Question 2

What to look for in joint/OA

Answer 2

Modify load, ROM, strengthen, progress function

Question 3

What to look for in ligaments

Answer 3

Modify load, ROM, balance, strength, Neuromuscular control (MOI)

Question 4

What to do for a fracture or a joint replacement?

Answer 4

ROM, strengthen, rehab function

Question 5

How can you assess soft tissue?

Answer 5

Length
Strength
Isometric
Palpate for tenderness

( some advanced patients may need closer attention at power, endurance, proprioception/balance )

Question 6

What are 5 soft tissue treatment techniques?

Answer 6

Specific soft tissue mobilisations
Deep transverse frictions
Muscle lengthening
Trigger point (myofascial release)
Exercise

Question 7

Exercises must target a particular element and be specific

Answer 7

Strength- ll shock absorption
Length
ROM
Power (force and speed)
Endurance
Proprioception/ balance and control of the limb
Graded exposure(reduces fear avoidance and analgesics- also known as painkillers

Question 8

What is the key change when doing strength training?

Answer 8

Neurological change-develops neuroplasticity

Question 9

What are the fundamentals of rehab and marginal gains?

Answer 9

Education: understanding of the disorder
Modify loading and pain monitoring model
Isolated MTU- Quanitfy, isotonic
Reduce physiological tremor
High load - isometric/ eccentrics
SSC
SSE

Question 10

What are the main principles from assessing and treating soft tissue?

Answer 10

Load management
Increase muscle strength/ coordination
Restore Rom
Progressive rehab
Treat the person and not the tissue
Continue maintenance regime