Soft Tissue Disorders

Question 1

PT Implications

Answer 1

-immediate stabilization and early mobilization
-isometric first progress isotonic

Question 2

Heterotopic Ossification

Answer 2

-aka myositis ossificans
-bone formation in non osseous tissue
-after trauma

Sx: loss of ROM, muscle pain
PT: motion, function, no stretching

Question 3

Polymyalgia Rheumatica

Answer 3

-diffuse pain and stiffness of muscle groups
-mostly shoulder and pelvic girdle
-most decelop arteritis

Question 4

Myopathy

Answer 4

-nonspecific proximal progressive muscle weakness after illness
-associated with critical illness myopathy

Hereditary: Musclar dystrophy, myotonia, charcot-marie-tooth

Acquired: inflammatory myopathy, endocrine, illness related, drug induced

Question 5

Myofascial Pain Syndrome

Answer 5

-trigger points: irritable spots of skeletal muscle

-related to pain diagnoses
-can restrict ROM and movement activation patterns

PT: dry needling, ultrasound, flexibility, address posture

Question 6

Coccygodynia

Answer 6

-pain of coccyx and muscles attached
-trauma

S/S: pain with sitting

Question 7

Connective Tissue Disease

Answer 7

Mixed
or
Overlap (overlaing feature):
-similar to SLE, RA, polymyositis

Question 8

Rhabdomyolysis

Answer 8

-break down of muscle due to injury
-proteins in blood cause acute renal failture
-coke colored urine

Question 9

Pelvic Floor Dysfuction

Answer 9

Supericial: STP, BS,
Middle: urogenital diaphragm
Deepest: :Levator ani and coccygeus

Under Active: incontinence and prolapse
-surgery
-pregnancy
-SC

Over Active: cannot relax obstructive voiding
-injury or trauma
-nerve entrapment
-psychology