Station 5/Part 1 - Homecare

Question 1

Spasm Homecare

Answer 1

Pain free AFROM
Pain free ARROM

Question 2

Edema Homecare

Answer 2

-Uni directional effleurage
- Skin rolling

Question 3

Strain Homecare

Answer 3

• self massage (subacute/chronic)
• frictions once tone has returned
• REMEX: gradual stretch/strengthening of muscles/tendons to onset of pain; grade 1: AFROM; grade 2: submaxiaml isometric inner range; grade 3: physician indicates; ACUTE: pain free isometric inner to mid range; SUBACUTE/CHRONIC: PRROM
• gradual return to activity

Question 4

Sprain Homecare

Answer 4

• contrast hydro (subacute/chronic)
• self massage (subacute/chronic)
• gradual increase in ROM: AF proximal/distal > AF strength
• gradual return to activity
• REMEX: pain free PROM with injured range last

Question 5

Cruciate Homecare

Answer 5

Acute: avoid exercises that stress ligament

Subacute: once pain free, AFROM and strengthen muscles that cross knee

Chronic: progress to active resisted isometrics

REMEX: pain free PRROM in subacute and chronic

Question 6

Meniscus Homecare

Answer 6

Acute/Subacute: body weight exercises

Chronic: isometric progressing to isotonic resistance exercises, gradual return to activity

REMEX: pain free PRROM

Question 7

Whiplash Homecare

Answer 7

• hydro for SOH
• self massage
• chin tucks
• REMEX: Acute = pain free AFROM; Subacute = AFROM and submaximal isometrics, Chronic = progress to AR isotonic