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Conditions > Station 4 - Treatment > Flashcards

Station 4 - Treatment Flashcards

1
Q

Spasm Treatment Goals

A

Short- term: decrease spasm, break spasm/pain cycle, decrease HT, increase circulation, treat antagonists/synergists\

Long-term: increase ROM once spasm is reduced, educate on decreasing muscle imbalances and improve posture

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2
Q

Spasm Treatment Plan

A
  • cold for acute injury, heat/contrast for intrinsic in chronic HT
  • general swedish where appropriate for relaxation
  • 2x/week until spasm decreases, the reasses
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3
Q

Spasm Treatment

A
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4
Q

Spasm Contraindications

A
  • no hot hydro
  • no passive stretch to acutely spasmodic or inflamed muscles
  • no massage if DVT in calf
  • do not overwork affected muscle
  • refer to physician if vascular disease
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5
Q

Edema Treatment Goals

A

Short-term:
ACUTE: cold hydro, reduce edema, decrease pain and SNS, maintain ROM, proximal work only
SUBACUTE: cold hydro, reduce edema, decrease pain and SNS, maintain ROM, prevent adhesion formation
CHRONIC: varying hydro, reduce fascial restrictions

Long-term: prevent further injury

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6
Q

Edema Treatment Plan

A

30 minute treatments
3x/week for 2 weeks in acute/subacute
1x/week for 4 weeks in chronic
reassess

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7
Q

Edema Contraindications

A

-avoid full body lymph drainage and elevation of the limb higher than the heart
- no massage with DVT, thrombophlebitis or bacterial/viral infection
-no onsite MLD in acute/subacute (proximal work only)
-no hot hydro proximal to site when caused by trauma
- refer to MD if hematoma

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8
Q

Strain Treatment Goals

A

Acute: assess & RICE, decrease pain/spasm (SNS), inflammation, edema, maintain local circulation, reduce protective spasm, maintain ROM of proximal joints, treat compensatory

Subacute: Elevate, contrast, decrease pain (SNS), inflammation, edema, HT/TPs, adhesions, increase/maintain ROM and local circulation, treat compensatory

Chronic: no elevation unless chronic edema, heat or contrast, decrease SNS, edema, HT/TPs, adhesions, restore ROM, increase circulation, treat compensatory

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9
Q

Strain Treatment Plan

A

Short term: decrease pain/SNS, inflammation/edema, HT/TP, adhesions and increase ROM

Long Term: restore ROM, strengthen weakened muscles, treat compensatory

Shorter more frequent treatments when inflammed
1x/wk for 4 weeks in chronic
Reassess

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10
Q

Strain Contraindications

A
  • only AFROM for grade 2/3
  • no distal circulation techniques in acute/subacute to avoid increasing congestion, no heat proximal to injury in grade 3, no frictions on blood thinners
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11
Q

Sprain Treatment Goals

A

Acute: assess & RICE, elevate, cold, decrease inflammation, edema, pain, maintain circulation proximal, reduce protective spasm, maintain ROM, treat compensatory

Subacute: elevate, contrast, decrease pain (SNS), inflammation, edema, HT/TPs, prevent excessive adhesion formation, maintain then increase local circulation proximal, maintain then improve ROM, treat compensatory

Chronic: only elevate if chronic edema, warm hydro for adhesions, decrease chronic edema, HT/TPs, adhesions, restore ROM, increase circulation

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12
Q

Sprain Treatment Plan

A

Short term: decrease pain, swelling HT/TPs and adhesions

Long term: restore ROM and strength in affected area, treat compensatory

Shorter, more frequent treatments for inflamed
1x/week for 4 weeks in chronic
Reassess

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13
Q

Sprain Contraindications

A
  • only pain free AF in acute
  • no distal circulation techniques in acute/early subacute
  • avoid heat proximal to cast in grade 3
  • if surgery, do not restore full ROM as it will stretch repaired ligament; if no surgery then no joint play
  • no frictions with anti-inflammatories
  • do not mobilize a surgically reduced ligament
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14
Q

Cruciate Treatment Goals

A

Acute: cold & RICE, decrease SNS, HT/TPs, focus on compensatory structures

Subacute: contrast, swedish onsite/distal, decrease pain, SNS, heat, edema, HT/TPs, adhesions, mobilize patella, restore ROM, strengthen muscles that cross the knee

Chronic: Swedish to unaffected/affected leg and back, heat, fascial work, XFF for adhesions, joint play

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15
Q

Cruciate Contraindications

A
  • no massage with effusion until medical assessment
    -do not force extension/flexion with locked knee
  • if capsulitis after surgery avoid aggressive stretching (pain free ROM)
  • no immersion therapy 2 weeks post surgery
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16
Q

Cruciate Treatment Plan

A

Short term: decrease pain/SNS, heat, edema, HT/TPs and adhesions, mobilize patella
Long term: restore and increase ROM, strengthen muscles crossing the knee
60 minutes 1x/wk for 6 weeks, Reassess.

17
Q

Meniscus Treatment Goals

A

Acute: cold & RICE, decrease SNS, HT/TPs, focus on compensatory structures

Subacute: contrast, Swedish onsite/distal, decrease pain/SNS, heat, edema, HT/TPs, and adhesions, mobilize patella, restore ROM and strengthen muscles crossing the knee

Chronic: Swedish to unaffected and affected leg and back, heat, fascial work, XFF for adhesions, joint play

18
Q

Meniscus Contraindications

A
  • no massage if effusion until medical assessment
  • do not force flexion/extension with locked knee
  • if capsulitis after surgery avoid aggressive stretching (pain free ROM), no immersion therapy 2 weeks post surgery
19
Q

Meniscus Treatment Plan

A

Short term: decrease pain/SNS, heat, edema, HT/TPs, and adhesions, mobilize patella

Long term: restore and increase ROM, strengthen muscles that cross the knee

60 minute treatments 1x/wk for 6 weeks then reassess

20
Q

Whiplash Treatment Goals

A

Acute: cold, decrease pain/SNS, treat compensatory, decrease inflammation, edema, and spasm

Subacute: contrast, decrease inflammation, edema, pain/SNS, spasm, HT/TPs, treat compensatory, prevent adhesions, maintain and increase local circulation (proximal), maintain and increase ROM

Chronic: heat for adhesions, decrease SNS, treat compensatory, decrease HT/TPs and adhesions, restore ROM, increase circulation

21
Q

Whiplash Contraindications

A

Acute:
- no testing other than AFROM
- no passive stretch to muscles in spasm
- avoid extreme stretch to cervical muscles

Subacute/Chronic:
- refer to MD for positive VAT
- avoid mobilizing hypermobile vertebrae
- avoid overly aggressive techniques
- no frictions on anti-inflammatories

22
Q

Whiplash Treatment Plan

A

Short Term: decrease pain/SNS, increase circulation, decrease HT/TP and adhesions, treat compensatory

Long term: restore ROM in C/S, strengthen muscles in head/neck, decrease head forward posture

Shorter more frequent for inflammation (ie. 2x 30min/week for 3 weeks) Reassess weekly

Conditions (7 decks)

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