tissue lecture 11

Question 1

KNOW: Tendins and ligaments parallel to the muscles and the pull of the muscles

Question 2

What is the reason we do soft tissue mobilizaztion?

Answer 2

Reduce pain so we can get back to EX

Question 3

This phase is stimulated by. a physical disruption of the soft tissue, which causes damage to the blood and lymph vessels and result intransiet vasoconstriction to slow blood flow as the hemostatic process is activated

(what phase of connective tissue healing is this?)

Answer 3

Reaction phase

Question 4

zvasodilation along with chemotaxis is regulated by humoral fctors that follow a cascade effect where each sucessive factor is activated by its predecessor. Neutrophils are the cells to initally migrate to the site, followed by macrophages

What stage of tissue healing is this?

Answer 4

inflammatory phase

Question 5

This phase is marked by fibroplasia and the development of vascular network of grandulation tissue. there is a concurrent process of angiogensis that reestabilishes the circulatory network. This new vascular system allows delivery of o2, aminop acids, glucose, vitamins and minerals necessary for the complete formation of collogen

What stage of tissue healing is this?

Answer 5

Proliferative phase
* remodeling the house

Question 6

This phase begins once levels of collagen reach their max at about 2 to 3 weeks. Initally type 3 collagen or scar tissue is lad down. This type of collagen is poorly organized and has inadequate tensile strength. As maturation continues, type 1 collagen replaces type 3, producing an increase in the strength of the wound. The maturation process has been shown to be stimulated by stress

What stage of tissue healing is this?

Answer 6

maturation phase
* small changes are made here
* change small things within the house

Question 7

tissue healing phases

reaction phase –> inflmmatory phase –> proliferative phase –> maturation phase

Question 8

what is lower crossed syndrome

Answer 8

tight hip flexors / parapspinals
Weak: gluteals / abdominals

See how it makes an X across your body (a cross)

normally due to disuse miss use

Question 9

what is upper crossed syndrome?

Answer 9

Tight: upper trap / levator scap
Weak: scapular stabilizers (peck major / minor)

Question 10

What is layer syndrome?

Answer 10

Tight: hamstrings throaculumbar parapspinals, neck, UT, LS

Weak: glutes, L4-S paraspinals, scapular stabilizers

Question 11

are tight muscles always shortened muscles?

Answer 11

No - often its the brain making them do that (nothing physiologically wrong)

Question 12

contraindications of soft tissue mobilization:
* Systemic illness, fever > 101.5
* Severe pain
* Advanced respiratory, kidney, or liver failure
* Rashes, boils, open wounds, skin infections
* Metastatic cancer, including skin tumors
* Hemophilia, hemorrhage, servre ecchymosis
* fresh whiplash (<48 hours)
* Acute inflammatory conditions: acute RA, local inflammation due to recent trauma
* Thrombophlebitits
* Serve varicose veins
* Severe atherosclerosis
* Unstable medical condition
* Anuerysms
* Frosbite

Question 13

Pain spasm pain cycle

Injury –> pain/ inflammation –> primary scar tissue / compensating scar tissue –> energy depletion –> fatigue and muscle weakness –> fatigue –> injury

can produce ACL

Question 14

buildup of what causes triggerpoints

Answer 14

excess AcL which makes the muscle stay active = energy depletion

Question 15

Active trigger point is

Answer 15

one that is bringing about pain w/o movement (achy pain that hurts w/ or w/o movement)

Question 16

Passive trigger point is

Answer 16

trigger point that doesnt hurt unless its pressed on

Question 17

Light pressure most often times reserved for reflaxation / increase in venous / lymphatic drainage

distal –> proximal (pushing one direction)
* note even if its a hip issue we should start around the foot –> start very distal

its not up and back just up then take hands off and start at the bottom (light pressure)

Answer 17

Effleurage

Question 18

rolling picking / kneeding more pressure than effleurage. Used for lumphatic drainage (still pushing one direction)
* still pretty light pressure

Answer 18

Petrissage

Question 19

Kneading: deep circular motions with the whole hand

Question 20

corotty chopping pt / cupped hand banging pt

Answer 20

tapotement

for postural drainage / pain relief

Question 21

compressive force on active/inactive trigger points (8-10 second force)

Answer 21

Ischemic compression

depriving trigger point of O2

Question 22

knowing the angle of the muscle fiber / tendin and going perpindicular to it is known as

Answer 22

Transverse firction

short continuous movements
* improves circulation
* best for tendins that are superficial

Question 23

no effleurage / petrisage / tamotempate / kneeding

deep friction massaige / ischemic compression might be on there

lab