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T3 THERAPEUTIC EXERCISE > Topic 5 - Progression of Exercise > Flashcards

Topic 5 - Progression of Exercise Flashcards

1
Q

Identify the following impairment:
“Overstretching, overexertion, overuse of contractile soft tissue.”

A

Strain

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2
Q

Identify the following impairment:
“Severe stress, stretch or tear of inert soft tissues.”

A

Sprain

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3
Q

Identify the following impairment:
“Displacement of (usually) the boney partners in a joint that results in soft tissue damage, inflammation, pain and muscle spasm.”

A

Dislocation

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4
Q

Identify the following impairment:
“An incomplete or partial dislocation that results in secondary trauma to surrounding soft tissue.”

A

Subluxation

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5
Q

Identify the following impairment:
“Chronic tendon pathology.”

A

Tendinopathy

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6
Q

Identify the following impairment:
“Inflammation of the synovial membrane surrounding the tendon.”

A

Tenosynovitis

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7
Q

Identify the following impairment:
“Inflammation of the tendon.”

A

Tendinitis

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8
Q

Identify the following impairment:
“Degeneration of the tendon.”

A

Tendinosis

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9
Q

Identify the following impairment:
“Inflammation of a bursa.”

A

Bursitis

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10
Q

Identify the following impairment:
“Bruising that results in capillary rupture, bleeding , edema and an inflammatory response.”

A

Contusion

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11
Q

Identify the following impairment:
“Cumulative trauma disorders, repetitive strain, frictional wear to muscle or tendon that results in inflammation and pain.”

A

Overuse Syndromes

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12
Q

Identify the following impairment:
“Loss of normal function of a tissue or region.”

A

Dysfunction

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13
Q

Identify the following impairment:
“Mechanical loss of normal joint play in synovial joints that causes loss of function and pain.”

A

Joint Dysfunction

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14
Q

Identify the following impairment:
“Adaptive shortening of skin, fascia, muscle or joint capsule that prevents mobility.”

A

Contracture

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15
Q

Identify the following impairment:
“Abnormal adherence of collagen fibres to surrounding structures.”

A

Adhesion

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16
Q

Identify the following impairment:
“Decrease in strength of a muscle spasm.”

A

Muscle Weakness

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17
Q

Identify the following impairment:
“Increased interstitial pressure in a closed, non-expanding, __________ ___________ that results in ischemia and muscle loss.”

A

Myofascial Compartment

18
Q

Identify the following impairment:
“Prolonged contraction of a muscle in response to a painful stimulus. Primary pain causing lesion may be nearby or underlying tissue, or may be referred.”

A

Reflex Muscle Guarding

19
Q

Identify the following impairment:
“Prolonged contraction of a muscle in response to local circulatory and metabolic changes that occurs with a continued state of contraction.”

A

Intrinsic Muscle Guarding

20
Q

A grade of muscle strength on the Oxford Scale described as:
“No muscle contraction is seen or identified with palpation; paralysis.”

A

Grade 0

21
Q

A grade of muscle strength on the Oxford Scale described as:
“Muscle contraction is seen or identified with palpation, but is insufficient to produce joint motion even with elimination of gravity.”

A

Grade 1

22
Q

A grade of muscle strength on the Oxford Scale described as:
“The muscle can move the joint it crossed through a full ROM only if the part is properly positioned so that the force gravity is eliminated; limited ROM against gravity.”

A

Grade 2

23
Q

A grade of muscle strength on the Oxford Scale described as:
“The muscle can move the joint it crosses through full ROM against gravity, but without any resistance.”

A

Grade 3

24
Q

A grade of muscle strength on the Oxford Scale described as:
“The muscle can move the joint it crosses through a full range of motion against moderate resistance.”

A

Grade 4

25
Q

A grade of muscle strength on the Oxford Scale described as:
“The muscle can move the joint it crosses through a full ROM, against gravity and against full resistance applied by the examiner.”

A

Grade 5

26
Q

A severity grade of tissue injury described as:
“Mild pain within 24 hours of injury. Mild swelling, local tenderness and pain occurs when tissue is stressed.”

A

Grade 1 (First Degree)

27
Q

A severity grade of tissue injury described as:
“Moderate pain requires stopping of activity. Stress and palpation of tissue increases pain. Some increase in joint mobility.”

A

Grade 2 (Second Degree)

28
Q

A severity grade of tissue injury described as:
“Near-complete or complete tear or avulsion of the tissue (tendon or ligament) with severe pain. There is instability of the joint.”

A

Grade 3 (Third Degree)

29
Q

Which stage of healing is being described below:
- Signs of inflammation are present (e.g. SHARP)
- AF ROM = painful
- Pain is due to altered chemical state, which irritates nerve endings; also increased tissue tension due to edema/joint effusion
- Lasts 4-6 days (greater if perpetuated)

A

Acute Stage (Inflammation & Repair)

30
Q

Which stage of healing is being described below:
- No inflammation
- AF ROM = no pain, but pain at end-range
- Muscles may test weak, therefore function is limited
- Remodelling begins synthesis and deposition of collagen
- Lasts 10-17 days (up to 6 weeks)

A

Subacute Stage (Proliferation, Repair & Healing)

31
Q

Which stage of healing is being described below:
- No inflammation
- Stretch pain is felt at end-range
- Presents as contractures and/or adhesions that limit range
- Connective tissue strengthens and remodels with stress
- Function is limited by muscle weakness, poor endurance or poor neuromuscular control
- Lasts 6 months-1 year

A

Chronic Stage (Maturation & Remodelling)

32
Q

T/F - Healing time depends on the size and severity of the injury.

A

True

33
Q

It takes __ to __ days for wound closures in muscle and skin. In comparison, it takes __ to __ weeks for tendons and ligaments to heal.

A

5-8 days
3-6 weeks

34
Q

Some signs/goals during the __________ phase include:
- Control inflammation and decrease pain
- Encourage healing
- Maintain normal function of unaffected side/surrounding regions

A

Protection Phase (Acute Stage)

35
Q

Some signs/goals during the __________ ______ phase include:
- Active exercises within pain-free ROM of the injured tissue can begin and be progressed to endurance and strength exercises
- Patient feels better, decreased pain, AROM beings
- “Too much too soon” vs. “not enough”
- Initiate and progress non-destructive exercises and activities within tissue tolerance

A

Controlled Motion (Subacute Stage)

36
Q

T/F - Re-injury is most likely during the protection phase.

A

False - Re-injury is most likely during the CONTROLLED MOTION phase.

37
Q

Some signs/goals during the ______ to ________ phase include:
- Incorporate exercises that safely stress the maturing connective tissue
- Encourage patient to return to functional and work-related activities
- Important to use controlled forces on the tissue to maximize the strength of the collagen as it develops
- Pain is experienced only when stress is placed on restrictive contractures/adhesions or soreness from resistive exercise

A

Return to Function Phase (Chronic Stage)

38
Q

The ____ of ____ is an integral component of the prognosis, which includes:
- Anticipated goals
- Expected functional outcomes that are meaningful, sustainable and measurable
- Extent of improvement predicted and length of time necessary to reach that level
- Specific interventions

A

Plan of Care

39
Q

Goals where the primary concern is not the client’s impairments.

A

Wellness Goals

40
Q

The following are examples of ________ goals:
- Improve sleep quality, mood and relaxation
- Injury prevention and maintenance
- Improve/enhance ADLs

A

Wellness

T3 THERAPEUTIC EXERCISE (7 decks)

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