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Musculoskeletal Rehab PT 514 > Tissue Healing & Pain > Flashcards

Tissue Healing & Pain Flashcards

1
Q

Healing Process

A

Physiologic response of tissue following trauma

-Impacted by phase of healing and appropriate progression of therapy

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2
Q

Primary Injury

A

Acute injury as a result of microtrauma or macrotrauma

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3
Q

Macrotrauma

A

Produces immediate pain and disability

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4
Q

Microtrauma

A

Overuse injuries and result from repetitive loading

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5
Q

Secondary Injury

A

A destructive and self-propagating biological change in cells and tissues that leads to damage hours or weeks after primary injury

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6
Q

5 Key Clinical signs of inflammation

A 
Calor- Heat
Rubor- Redness
Tumor- Swelling
Dolor - Pain
Function laesa- loss of function
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7
Q

Calor cause

A

Increased vascularity

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8
Q

Rubor cause

A

Increased vascularity

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9
Q

Tumor cause

A

Blockage of lymphatic drainage

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10
Q

Dolor cause

A

Pressure or chemical irritation of pain sensitive structures

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11
Q

Function laesa cause

A

Result of pain and swelling

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12
Q

3 phases of healing

A

Inflammation
Proliferation
Maturation

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13
Q

Inflammatory Phase

A

0-6 Days
Critical to entire healing process
5 signs of inflammation

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14
Q

Inflammatory Process

A
  • Disposal of injury by products
  • Localized to trauma area
  • Sets the stage for repair
  • Disturbed fluid exchange
  • Migration of leukocytes from blood to tissues
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15
Q

Proliferation Phase

A

3-20 Days
Cover the wound and impart strength to the injury site
Injured site has greatest amount of collagen, but tensile strength may be 15% of normal

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16
Q

Proliferation Process

A

Growth of capillary beds into wound stimulated by lack of O2
Increased blood flow
Collagen fibers deposited in random fashion

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17
Q

Proliferation clinical picture

A

Signs and symptoms of inflammation subside
Tenderness to touch
Typically pain during stressing movements

18
Q

Maturation Phase

A

20 days to 3 years

Realignment or remodeling of the collagen fibers that make up scar tissue

19
Q

Maturation Clinical Picture

A

No signs of inflammation present
Contractures or adhesions may limit motion
Pain felt after tissue resistance w/ passive overpressure
Weakness; Poor endurance; Poor neuromuscular control

20
Q

Wolff’s Law

A

Tissues respond to the demands placed upon them causing remodeling or realignement along lines of tensile force

21
Q

Pain

A

Unpleasant sensory and emotional experience associated with actual or potential tissue damage, and described in terms of such damage

22
Q

Types of Pain

A

Acute; Chronic; Referred; Radiating; Deep Somatic

23
Q

Acute Pain

A

Experienced after injury when tissue damage is occuring

24
Q

Chronic Pain

A

Pain lasting longer than 6 months; low-grade inflammation

25
Q

Referred Pain

A

Pain perceived to be in an area that has little relation to the pathology

26
Q

Kehr’s Sign

A

Pain in the shoulder can be coming from the spleen

27
Q

Radiating Pain

A

Caused by irritation of nerves and nerve roots

28
Q

Deep Somatic Pain

A

Pain emmanating from bone

Often discrepancy from site of pain and location of pathology

29
Q

What do we gain from rating pain?

A

Improves communication
Directs clinician testing
Standard measure for monitering progress
Provides documentation of progress

30
Q

What does the patient gain from rating pain?

A

Reassurance

Reinforce the commitment to the plan of treatment

31
Q

Visual Analog Scales

A

Completed daily or pre/post treatment

Patient places mark on 10 cm line, therapist measures

32
Q

Pain Charts

A

Establishes spatial properties of pain

Draws/colors areas corresponding to nature and location of pain

33
Q

McGill pain questionairre

A

78 words that describe pain
Takes ~20 minutes to complete
Commonly used for Pt w/ LBP
Effectively shows change every 2-4 weeks

34
Q

Activity Pattern Indicators Pain Profile

A

64 question, self report tool
Functional impairments associated w/ pain
Frequency of behaviors

35
Q

Numeric Pain Scales

A

Most Common acute pain profile
Before and after Tx
0-10

36
Q

Encourage what types of activities to Pt in pain?

A

Ones that influence the perception of pain

37
Q

Patient education of pain

A

What Pt should expect during recovery

Signs of inflammation, dysfunction, atrophy

38
Q

Should a Pt’s pain be thrown out the window?

A

No; validate their pain

39
Q

How to treat a Pt with pain

A

Incorporate pain modulating modalities where appropriate

40
Q

How to guide treatment sessions w/ Pain

A

Use patient response

Needs an established baseline to be effective

Musculoskeletal Rehab PT 514 (11 decks)

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