The Use Of stretching to Prevent Loss of Joint Range Of Motion in Immobilized Muscle Flashcards

1
Q

When a joint stays ______ in a shortened position there is both a ______ in muscle fiber length and a loss of ____ ______ and a _________ of the intramuscular connective tissue. This leads to ________ muscle stiffness.

A

immobilized
reduction serial sarcomeres
remodeling
increased

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2
Q

___________ Is a common complication of patients with muscloskeletal and neurological conditions

A

Limitation in ROM

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3
Q

What was the purpose of this study?

A

To determine weather or not there was a threshold duration which exists for any stretch induced effects

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4
Q

How did they achieve the purpose of the study?

What did they compare?

A
Have a CG - no stretching
1/4h stretching
1/2h stretching 
1h stretching 
2h stretching 
Effects of those aforesaid stretch durations and deg of ROM, SS# and Muscle weight
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5
Q

Why was muscle weight a test factor?

A

to see which of the durations would provide a decrease loss of muscle mass

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6
Q

Animals that had received 1/2h of stretching showed only __% loss in muscle weight compared with ___% loss in the contiously immoblized group CG)?

A

9% (1/2h)

48% (CG)

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7
Q

True or false. Stretching was also shown to prevent much of muscle loss which happens during plaster casting.

A

True

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8
Q

A regime which consisted only of 1/4h of stretching daily throughout the period of immobilization resulted in ____ ROM and a _____ though still significant ____ in Serial sarcomere number loss

A

improved
smaller
reduction

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9
Q

Periods lasting 1/2h of stretching daily throughout the period of immobilization were found to both _____ normal dorsiflexion and to _____ loss in ______ ______ #

A

maintain
prevent
serial sarcomere number

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10
Q

There was an ______ in serial sarcomere number as much as __% with 2h of stretching/ day

A

increase

10%

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11
Q

What amount of stretching caused an increase of as much as 10% in SS#

  1. 15 mins
    b. 1/2 hour
    c. 2h
A

c. 2hours

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12
Q

Did the results of the test support the theory put forward by herring et al?

A

yes.

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13
Q

According to harring et al. ______ ______ is regulated so that serial sacomere _____ is optimum for the muscle at which _______ levels of tension are exerted on the _____ rather than at _______

A
Serial sarcomere number 
length 
highest 
tendon
resting length/ jnt position
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14
Q

The fact that adaption didn’t occur at the shortest time period may indicate that….

A

there is minimum period of time at which tension has to be maintained for adaptive processes to be started

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15
Q

Immobilzation of a muscle results _____ sarcomere leading to ____ in muscle fiber _____

A

loss
reduction
length

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16
Q

Define remodeling of intramuscular CT?

A

Replacement of soft tissue with DENSE fibrous tissue

17
Q

Potential causes of Joint Contractures

A

Immobilizations
Paralysis or Weakness
Pain ( arthritis or Neuropathic)
Spastcity