study material

Question 2

What are the stages of tissue healing?

Answer 2

1. Acute stay (3-5 days post onset): Inflammatory response phase
2. Subacute stage (day 4-21 post onset - 6 weeks): Fibroblastic repair phase

These stages represent the timeline and physiological changes occurring during the healing process.

Question 3

How do we minimize energy loss through tendons?

Answer 3

By utilizing resistance to deformation strain underload (recoil)

This method helps maintain tendon function and efficiency.

Question 4

What different types of manipulation can be performed to progress exercises?

Answer 4

• Dosage
• Equipment used
• Speed
• Contraction type
• Patient position

These factors can be adjusted to tailor rehabilitation exercises effectively.

Question 5

What is the goal of Phase 1 in soft tissue injury management?

Answer 5

• Control inflammation
• Prevent deleterious effects of rest (deconditioning, loss of strength)

This phase focuses on protecting the injured area while promoting healing.

Question 6

What precautions should be taken during Phase 1 of soft tissue injury management?

Answer 6

Proper dosage of rest and movement

This balance is crucial to facilitate healing without exacerbating the injury.

Question 7

What are contraindications during Phase 1 of soft tissue injury management?

Answer 7

• Stretching to injured site
• Resistance exercises to injured site

These actions can worsen the injury and hinder recovery.

Question 8

How does reactive tendinopathy occur?

Answer 8

Due to starting up a new level of activity after relative inactivity or as a result of an acute bout of overload to tendon

Understanding this mechanism helps in preventing tendinopathy.

Question 9

What changes occur at the cellular matrix and collagen level during reactive tendinopathy?

Answer 9

Change only to cellular matrix (potential for reversibility due to intact collagen)

This indicates that early intervention can be effective.

Question 10

What causes disrepair tendinopathy?

Answer 10

Chronically overloaded tendon

This condition reflects ongoing stress and insufficient recovery.

Question 11

What changes occur at the cellular matrix and collagen level during disrepair tendinopathy?

Answer 11

Changes to both cellular matrix and collagen (same as degenerative tendinopathy)

Indicates a progression in the severity of the condition.

Question 12

What causes degenerative tendinopathy?

Answer 12

Chronic overloading of tendon

This condition often results from repetitive stress without adequate recovery.

Question 13

What occurs at the cellular matrix and collagen level during degenerative tendinopathy?

Answer 13

• Changes to both cellular matrix and collagen
• Progressive disorganization and breakdown results in lower collagen and low capacity for reversibility

This highlights the long-term impact of tendon overload.

Question 14

What are the common cellular changes in tendinopathy?

Answer 14

• Rounded fibroblasts unevenly distributed throughout tissue
• Increased ground substance
• Capillary ingrowth
• Disorganized type I and III collagen fibrils

These changes reflect the structural and functional impairment of the tendon.

Question 15

What management considerations are essential for tendinopathy?

Answer 15

• Does not improve with absolute rest (relative rest is better)
• Modifying load results in reduced tendon pain
• Exercise is the most evidence-based treatment

These considerations guide effective rehabilitation strategies.