Ther-ex Lecture 3

Question 1

a _______ is an overstretching, overuse, or overexertion of contractile soft tissue

Answer 1

strain

Question 2

a _____ is after severe stretch, or tear of inert soft tissues

Answer 2

sprain

Question 3

a ______ is the displacement of the boney partners in a joint - resulting in soft tissue damage, inflammation, pain and spasm

Answer 3

dislocation

Question 4

a ______ is an incomplete or partial dislocation resulting in secondary trauma of soft tissue

Answer 4

subluxation

Question 5

a _____ is a chronic tendon pathology

Answer 5

tendinopathy

Question 6

a ______ is bruising

Answer 6

contusion

Question 7

_____ ______ syndromes are cumulative trauma disorders, repetitive strain, and frictional wear to musculature resulting in inflammation and pain

Answer 7

over use syndrome

Question 8

a ______ is the loss of function of a tissue or region

Answer 8

dysfunction

Question 9

_____dysfunction is mechanical loss of normal joint play in synovial joints - causes loss of function and pain

Answer 9

joint

Question 10

______ is an adaptive shortening of skin, muscle, fascia, or joint capsule - preventing mobility

Answer 10

contracture

Question 11

an _______ is an abnormal adherence of collagen fibres to surrounding structures

Answer 11

adhesion

Question 12

________ compartment, increased interstitial pressure, in a closed, non expanding, myofascial compartment; resulting in ischemia and muscle loss

Answer 12

myofascial

Question 13

______ muscle guarding is the prolonged contraction of a muscle in response to a painful stimulus

Answer 13

reflex

Question 14

an ______ muscle spasm is a prolonged contraction in response to local circulatory and metabolic changes - occurs with a continued state of contraction

Answer 14

intrinsic

Question 15

which grade is this?

• muscle can move the joint it crosses
• overcomes gravity
• has full ROM
• overcomes full resistance

Answer 15

grade 5

Question 16

which grade is this?

• no muscle contraction is seen or identified with palpation
• paralysis

Answer 16

grade 0

Question 17

what grade is this?

• the muscle can move the joint it crosses
• full ROM
• can overcome moderate resistance
• can overcome gravity

Answer 17

grade 4

Question 18

what grade is this?

• the muscle can move the joint it crosses
• full ROM
• overcomes gravity
• no resistance

Answer 18

grade 3

Question 19

which grade is this?
- the muscle can move the joint it crosses
- only full ROM with proper positioning
- cannot overcome resistance

Answer 19

grade 2

Question 20

what grade is this?

• muscle contraction is seen or felt with palpation
• no joint motion even without gravity

Answer 20

grade 1

Question 21

a ______ degree tissue injury includes mild pain & swelling within 24 hours, local tenderness and pain when stressed

Answer 21

first

Question 22

a _____ degree tissue injury includes near or complete tear or avulsion of the tissue (Tendon or ligament) severe pain, instability of the joint

Answer 22

third

Question 23

a ______ degree tissue injury includes moderate pain requiring stopping of activity, stress, and palpation of the tissue increases pain, some increase in joint mobility

Answer 23

second

Question 24

what best describes the following?

• SHARP signs present
• AF ROM = pain
• lasts 4-6 days
• pain is due to an altered chemical state which irritates nerve endings, increased tissue tension due to edema or effusion

Answer 24

the acute stage (inflammation and repair)

Question 25

what best describes the following? - no inflammation - AF ROM = no pain, or pain at end range - muscles may test weak therefore function is limited - remodeling begins synthesis and deposition of collagen - 10-17 days (up to 6 weeks)

Answer 25

the subacute phase (proliferation, repair, and remodeling)

Question 26

what best describes the following? - no inflammation - stretch pain felt at end range - contractures/adhesions that limit ROM - connective tissue remodels - function limited by weakness and poor endurance - 6 months to a year

Answer 26

the chronic phase (maturation and remodeling)

Question 27

in the acute phase, we are only using _____ _______ as we do not want to change the angle of the joint.

Answer 27

muscle setting

Question 28

T/F we can only use muscle setting in the acute phase if pain free

Answer 28

true

Question 29

the protection phase is also known as the _____ phase

Answer 29

acute

Question 30

the main goal of the protection phase is to

Answer 30

control inflammation and decrease pain

Question 31

T/F when treating someone in the acute phase you should treat both sides to avoid compensation

Answer 31

true

Question 32

the controlled motion phase is also known as the _____ phase

Answer 32

subacute

Question 33

T/F the controlled motion phase is the most common time to re-injure yourself because of the lack of strength

Answer 33

true

Question 34

during the _______ stage, the patient feels better, decreases pain and AROM begins

Answer 34

subacute

Question 35

the return to function phase is also known as the _____ phase

Answer 35

chronic

Question 36

in the _____ phase we can encourage the patient to return to functional and work-related activities

Answer 36

chronic

Question 37

the ________ ____ __________ is an integral component of the prognosis including, anticipated goals

Answer 37

plan of care

Question 38

which of the following are considered wellness goals? a) improve mood b) improve ADLs c) picking up a basketball d) a & b

Answer 38

d) a &b

Question 39

some goals you can have in terms of impairments can be to

Answer 39

decrease trigger points, decrease pain, decrease MRT

Question 40

an example of a functional goal is to

Answer 40

brush your hair

Question 41

_____ prevention, activities such as health promotion designed to prevent disease or dysfunction

Answer 41

primary

Question 42

______ prevention, early "diagnosis" and reduction of the severity or duration of existing dysfunction

Answer 42

secondary

Question 43

dealing with the symptoms the patient is feeling right now is aka ____ prevention

Answer 43

secondary

Question 44

______ prevention is the use of rehabilitation to reduce the degree or limit the progress of existing disability and improve multiple aspects of function

Answer 44

tertiary

Question 45

________, a component of patient management referring to any purposeful interaction a therapist has that directly relates to a patients care

Answer 45

intervention

Question 46

what are the three areas of intervention?

Answer 46

coordination/communication, procedural intervention, patient related instruction