Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

MSK II > Stretching and ROM > Flashcards

Stretching and ROM Flashcards

1
Q

what is the difference between ROM and stretching

A

ROM is maintaining joint motion and stretching is gaining joint motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the different types of ROM

A
  • passive
  • active
  • active assisted
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why use PROM instead of AROM

A
  • controlled force
  • healing process could be disrupted with muscle contraction
  • when patient cannot peforme AROM, and ROM is indicated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the types of PROM

A

manual and mechanical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are indications for ROM

A
  • synovial slowed movement
  • increase/assist ciruculatin
  • maintain/gain ROM
    maintain soft tissue and joint integrity
  • prevent/minimize contractures
  • stress to articular cartilage
  • proprioceptive input to receptors
  • promotion of parallel letdown of collagen
  • assist with healing
  • maintain elasticity of muscles
  • sensory feedback from MST units
  • increase circulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the different principles of stretching

A
  • load deformation
  • creep
  • stres relaxation
  • preconditioning
  • tissue restraints
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the two phases of viscoelasticity

A

fluid and solid phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the fluid phase of viscoelasticity

A

viscosity; rate dependent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the solid phase of viscoelastcit y

A

elasticity; rate independent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the determinant of viscoelasticity

A

Water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is creep

A

constant load, deformation or strain increases over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is stress relaxation

A

constant deformation or strain, force stress decreases over time as you hold a stretch it becomes easier to hold that stretch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is a clinical application for creep

A

apply constant load over time, to increase tissue length (traction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the components of stress relaxation

A
  • the force required to hold a tissue at a set length decreases over time
  • so decrease fore needed to maintain strength length
  • decrease force will probably allow relaxation and comfort, and potentially stretch further
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is a clinical application of stress relaxation

A

force distal to the joint to stretch tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What the different types of stretching

A

hi load brief stretch (HLBS) and low load prolonged stretch (LLPS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is HLBS

A
  • mostly viscous restorations
  • elastic deformation, some plastic maybe
  • change in tissue length/joint ROM is seen in mins, but is this change in ROM permanent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the frequency of HLBS

A

typically 30 sec-1 min x 3-5 reps, 1-3xday

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is LLPS

A
  • viscous and elastic restraints
  • plastic deformation, most likely some tissue tearing
  • biological remodeling or growth
  • gain is hopefully permanent
20
Q

What is the frequency of LLPS

A

typically 10-60 min a day

21
Q

What should you consider when deciding on what stretch to do

A
  • irritability
  • phase of healing
  • stage of injury
  • state of the tissue (healthy or unhealthy)
  • monitor tissue for any changes
  • manual or mechanical
  • active inhibition
22
Q

What should you be looking for during stretching

A
  • pain
  • inflammatory response
  • ROM of joint
  • functional changes
23
Q

What is the goal for health tissue when warming up

A

Warm up for other activity and prevention of injury

24
Q

What kind of stretching would you want to do with Healthy tissue

25
What are the goals for stretching unhealthy tissue
Gaining joint motion and gaining tissue length that is limiting motion
26
What kind of stretching would you want to do with unhealthy tissue
LLPS
27
What would you use to perform a manual stretch
You or them
28
What would you use for a mechanical stretch
Pulleys, serial casting, weights
29
What would you have pt do for active inhibition
- Hold relax or contract relax via golgi tendon organ - agonist contraction via reciprocal inhibition - HR with AC; also known as hold relax contract: via GTO and RI
30
What is an example of active inhibition (HR or CR) -- NEED TO REAB MORE ABOUT THIS
isometric contraction of ms you are trying to stretch
31
Would contracting your biceps for 6-10 secs prior to stretching elbow into ext be an example of
active inhibition (autogenic)
32
what're two types of active inhibition (AC)
reciprocal inhintion or autogenic inhibition
33
What is active inhibition (AC)
isotonic contraction of agonist muscle of the motion you are trying to increase, while you are stretching antagonists
34
What would contracting your triceps w/ resistance while also stretching into elbow ext be an example
active inhibition (reciprocal inhibition)
35
What would indications be for stretching
- ROM is limited due to soft tissue - ROM limits may lead to structural deformities - ROM limits affect function
36
What would be precautions or contraindications for stretching
fx, OA, beyond normal ROM, inflamed tissue, Bony block, abnormal amount of pain, trauma
37
What kind of stretching may actually impair performance and not have any benefit of prevention injury
static stretching
38
What is the purpose of warming up
prevention of injury and pyshcological benefits
39
What can warming up help prevent or reduce
- ms injury - lactate build up - ischemic CV changes and arrhythmias
40
What is the purpose of a cool down
venous return, thereby prevention pooling of blood in extremities - venous return, thereby increasing cardiac output and thus preventing fainting - oxidation of metabolic waste - preventing CV complications
41
Why is LLPS used for stretching unhealthy tissue
function and ROM
42
How long would you need to stretch to increase ROM in young healthy tissue
15-30 secs
43
How long would the elderly need to stretch to increase ROM
4 stretches of 60 seances a day
44
What is the general recommendation for stretching
3x30 seconds, but if older 4x60 seconds
45
What are characteristics of HLBS
- stretching of healthy tissue - elastic + pastic deformation - increase ROM - 3x30 secs or 4x60; depends on age - no effect on reducing MSK injuries
46
What are characteristics of LLPS
- stretching unhealthy tissue - primarily plastic deformation - increase AROM - 10-50 min for TERT

MSK II (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions