tissue healing

Question 1

what does PRICEMM stand for

Answer 1

protection, rest, ice, compression, elevation, modalities, medication

Question 2

what happens in the inflammatory phase of tissue healing (1-10 days) ACUTE PHASE

Answer 2

inflammation cleans out damaged tissue, vascular, clotting and cellular cascades are affected

Question 3

what happens in the vascular cascade

Answer 3

response to blood vessel bleeding, vasoconstriction happens by serotonin and norepinephrine

Question 4

what happens in the clotting cascade

Answer 4

platelets form a clot
clotting factors reinforce
fibrin acts like glue creating a stronger clot
other cells get reinforced and pull clot together to make it stronger

Question 5

what happens in the cellular cascade

Answer 5

neutrophils cleanup for first 24-48 hours, macrophages do 2nd round of cleaning and release chemotaxics which create new blood vessels and tissues

Question 6

what does SAID stand for

Answer 6

specific adaptation to impose demand

Question 7

Muscle healing : what is a grade 1 tear?

Answer 7

a pulled muscle

Question 8

muscle healing: what is a grade 2 tear?

Answer 8

bruising, ligament is still in tact

Question 9

muscle healing: what is a grade 3 tear?

Answer 9

complete fiber disruption

Question 10

muscle healing: grade 4 tear?

Answer 10

avulsion

Question 11

muscle management: what do you do in the first 1-3 days?

Answer 11

use ice and compression

Question 12

muscle management: what do you do during days 4-10?

Answer 12

work on flexibility and resisted exercise

Question 13

muscle management: what do you do after 10+ days?

Answer 13

move from endurance to strength building

Question 14

which phase would you start eccentric exercises?

Answer 14

remodelling phase

Question 15

true or false: does fiber disruption occur BEFORE tissue damage

Answer 15

true

Question 16

when working out what causes new stronger muscles?

Answer 16

microtears

Question 17

define wolffs law

Answer 17

reinforcing loading along the lines of tissue. NO STRESS= NO REMODELLING. management = SAID

Question 18

ligament management: what do you use during the inflammatory phase?

Answer 18

PRICEMM

Question 19

ligament management: what happens in the proliferative stage?

Answer 19

immobilization causes deterioration in ligament properties and bone resorption around the bony junction

Question 20

ligament management: what happens in the remodelling phase ?

Answer 20

start to strengthen the joint using SAID

Question 21

bone healing: what happens in the inflammatory phase?

Answer 21

0-3 days.
clot is formed
fibrous sleeve formed around end of bone
area is cleared of debris

Question 22

bone healing: what happens in the resparation 1 phase?

Answer 22

3-14 days.

soft callus formed which starts the healing

Question 23

bone healing: what happens in the resparation 2 phase?

Answer 23

14-40 days

new bone is deposited

Question 24

bone healing: what happens in the remodelling phase?

Answer 24

40+ days
when site is stable bone remodels
minerals in bone increase tensile strength
progressive weight bearing stimulates remodelling

Question 25

in what phase of tissue healing is wolffs law applied?

Answer 25

remodelling phase …. NO STRESS= NO REMODELLING