Test 1part 1 Flashcards

1
Q

Do electrophysical agents (EPA) server the purpose of evaluation?

A

No

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2
Q

What are 5 EPAs?

A

Electric stim, heat therapy, cold therapy, mechanical energy, light

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3
Q

What is the definition of passive care/?

A

The doctor applies the intervention to the patent, and the patient passively receives the therapy

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4
Q

What are the names of the 4 stages of healing?

A

Homeostasis, inflammatory, proliferation, remodeling/maturation

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5
Q

What is another name for the inflammatory phase of healing?

A

Acute

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6
Q

What is the purpose of the inflammatory phase?

A

Defend against foreign intruders, remove damaged tissue, immobilize the area

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7
Q

What are the signs of inflammation?

A

Heat(calor), redness (rubor), Swelling (tumor), pain (dolor), loss of function (function laesa)

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8
Q

What inflammation stages did Virchow add later?

A

Loss of function

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9
Q

In the inflammatory phase (acute) what cells are present?

A

Neutrophils and macrophages

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10
Q

What inflammatory chemicals cause pain?

A

Dradykinin, prostaglandins, serotonin

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11
Q

What type of secondary injury is not specific, healthy tissue is damaged, and lysosomal enzymes are released?

A

Secondary enzymatic injury

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12
Q

What type of secondary injury is from hemorrhage clotting, edema, spasm, hematoma that can lead to decreased oxygen and nutrition and damages the surround uninsured tissue?

A

Secondary hypoxic injury

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13
Q

What is the goals of the inflammatory phase (acute) ?

A

Limit extent of inflammation, preserve ROM?

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14
Q

What does PRICE stand for and what phase would you use it?

A

Acute phase, Protect. Rest. Ice. Compress. Elevate

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15
Q

What it’s the timing for an ankle sprain in the acute phase grade 1?

A

1-3 days

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16
Q

What it’s the timing for an ankle sprain in the acute phase grade 2?

A

2-4 days

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17
Q

What it’s the timing for an ankle sprain in the acute phase grade 3?

A

3-7 days

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18
Q

What is another name for the proliferative phase?

A

Repair

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19
Q

Angiogenesis takes place in what phase of healing?

A

Repair phase

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20
Q

What type of collage is seen in the extra cellular matrix?

A

III

21
Q

What is found in the extra cellular matrix besides collage?

A

Proteoglycans

22
Q

What cells are assoacited with the proliferative (repair) phase?

A

Fibroblasts, chondroblasts, osteoblasts

23
Q

The unconsidered perception of movement and spatial orientation arising from stimuli within the body it self is the definition of what?

A

Proprioception

24
Q

What mechanoreceptors feel for pressure and touch?

A

Meissners, pacinian

25
Q

What mechanoreceptors as associated with skin stretch and pressure?

A

Merkel and ruffini

26
Q

Free nerve endings are classified as what kind of receptor??

A

Nociceptors

27
Q

What functions in muscle length and tension?

A

Golgi tendon

28
Q

What deep sensory receptors function is a change in joint position?

A

Pacinian corpuscles

29
Q

What deep sensory receptors sense vibrations?

A

Pacinian

30
Q

What deep sensory receptors function is at joint end range or motion and possible heat?

A

Ruffini

31
Q

What is the timing for an ankle pain in the proliferation phase in a grade 1?

A

2-4

32
Q

What is the timing for an ankle pain in the proliferation phase in a grade 2?

A

3-5

33
Q

What is the timing for an ankle pain in the proliferation phase in a grade 3?

A

4-8

34
Q

What are some goals for an ankle sprain in the proliferation phase?

A

Decrease pain and swelling. Increase free ROM. Begin non weight bearing proprioceptive training.

35
Q

What are some EPAs to increase the proliferation phase?

A

Thermo therapy, ultrasound, low level laser, hi volt, microcurrent

36
Q

What is another name for the remodeling phase?

A

Maturation phase

37
Q

In the remodeling phase type___collagen is replaced by type______collagen.

A

III, I

38
Q

Scar contraction happens in what phase?

A

Remodeling

39
Q

In the remodeling phase collagen aligns along what?

A

Stress lines (cross linking continues)

40
Q

Tension on CT causes increases in what?

A

Collagen fibril diameter, cross linking, number of collagen fibrils, collagen fibril packing density

41
Q

How are collagen fibers aligened for optimal strength?

A

Parallel fassion

42
Q

What is the timing for an ankle pain in the remodeling phase in a grade 1?

A

1 week

43
Q

What is the timing for an ankle pain in the remodeling phase in a grade 2?

A

2 weeks

44
Q

What is the timing for an ankle pain in the remodeling phase in a grade 3?

A

3 weeks

45
Q

What are goals for an ankle sprain in the remodeling phase?

A

Increase pain free ROM, progress proporpoceptive training. Regain full sleigh, normal biomechanics

46
Q

What are 5 physiologic effects of electrical stimulation?

A

Decrease pain (gate control theory/endorphin release), decrease muscle spasm, deuce edema, stimulate exercise by muscle contraction. Stimulate healing.

47
Q

What 3 things does electricity require?

A

Flow of electrons, driving force (electron imbalance), path (conductor)

48
Q

What is the ability of a material to store a charge?

A

Capacitance