Ther-ex Lecture 3 Flashcards

1
Q

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

A

strain

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2
Q

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

A

sprain

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3
Q

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

A

dislocation

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4
Q

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

A

subluxation

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5
Q

a _____ is a chronic tendon pathology

A

tendinopathy

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6
Q

a ______ is bruising

A

contusion

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7
Q

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

A

over use syndrome

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8
Q

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

A

dysfunction

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9
Q

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

A

joint

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10
Q

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

A

contracture

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11
Q

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

A

adhesion

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12
Q

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

A

myofascial

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13
Q

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

A

reflex

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14
Q

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

A

intrinsic

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15
Q

which grade is this?

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

grade 5

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16
Q

which grade is this?

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

grade 0

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17
Q

what grade is this?

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

grade 4

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18
Q

what grade is this?

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

grade 3

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19
Q

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

A

grade 2

20
Q

what grade is this?

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

grade 1

21
Q

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

A

first

22
Q

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

A

third

23
Q

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

A

second

24
Q

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
A

the acute stage (inflammation and repair)

25
Q

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)
A

the subacute phase (proliferation, repair, and remodeling)

26
Q

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
A

the chronic phase (maturation and remodeling)

27
Q

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

A

muscle setting

28
Q

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

A

true

29
Q

the protection phase is also known as the _____ phase

A

acute

30
Q

the main goal of the protection phase is to

A

control inflammation and decrease pain

31
Q

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

A

true

32
Q

the controlled motion phase is also known as the _____ phase

A

subacute

33
Q

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

A

true

34
Q

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

A

subacute

35
Q

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

A

chronic

36
Q

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

A

chronic

37
Q

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

A

plan of care

38
Q

which of the following are considered wellness goals?

a) improve mood
b) improve ADLs
c) picking up a basketball
d) a & b

A

d) a &b

39
Q

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

A

decrease trigger points, decrease pain, decrease MRT

40
Q

an example of a functional goal is to

A

brush your hair

41
Q

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

A

primary

42
Q

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

A

secondary

43
Q

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

A

secondary

44
Q

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

A

tertiary

45
Q

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

A

intervention

46
Q

what are the three areas of intervention?

A

coordination/communication, procedural intervention, patient related instruction