Topic 8: RSI's Flashcards
_________ _________ occurs if tissue has sustained microtrauma and is continuously stressed, it won’t have the opportunity to heal and the inflammatory state can last much longer than the normal acute 4-6 day span.
Chronic Inflammation
Tissues exposed to chronic inflammation possess an upregulation of fibroblasts, as well as increased macrophages and lymphocytes. This results in increased collagen production with simultaneous destruction of mature tissue. This yields a predominance of new, _________ ________ – weakening the tissue overall.
Immature Collagen
T/F: RSI’s have a slow, insidious onset. Pain, inflammation and/or weakness come on slowly, and often people don’t seek treatment right away.
True
_______s are vulnerable to repetitive strain: When muscles are unable to bear a given load – whether they lack adequate strength or endurance, the load is then passed on.
Tendons
T/F: Tendons are not as vascularized as muscle and therefore have reduced perfusion and increased healing time.
True
Individuals with chronic tendon pain tend to have an abundance of type _ and _ collagen
Type 3 and 5 collagen
General term referring to tendon pathology.
Tendonopathy
Acute or chronic inflammation of a tendon.
Tendonitis
Chronic degradation of a tendon without inflammation. Characterized by disrupted collagen fibres within the tendon, increased cellularity, neovascularization (not associated with increased healing).
Tendonosis
Inflammation of a tendon sheath (some tendons have sheaths surrounding them, (e.g. biceps long head tendon) that can become irritated and inflamed.
Tenosynovitis
The following describes treatment of tendonopathy in the _______ stage:
Ø Control the inflammation : cold hydro, elevation, lymph drainage
Ø Decrease UMRT
Ø NB : GTO is CI’d at lesion site, but safe for the non affected tendon
Ø Don’t challenge tissue or irritate injury site
Ø Patient education -> REST
Ø Can maintain integrity and mobility of tissue with nonstressful passive movement (pain free)
Acute stage
The following describes treatment of tendonopathy in the ______ stage:
Ø Can start to challenge tissue
Ø Decrease UMRT, myofascial restrictions/ adhesions and TRP’s
Ø Develop strong/ mobile scar – (skin roll/myofascial/direct fascial/ friction)
Ø Castor oil and wax with heat
Ø Work on contributing factors – ie postural dysfunction
Ø Self care program – normalize length/strength imbalances, endurance
Sub-acute and Chronic stage
_________ _______ has been shown to be one of, if not the most effective intervention for tendonopathies
Eccentric loading
________ _______ describes calcium deposits in a damaged tendon.
Calcific tendonitis
A ________ is a cystic tumors developing in a tendon sheath.
Ganglion
Inability of a finger to flex or extend as a result of a nodule, or thickening of tendon preventing the tendon from smoothly sliding in a tendon sheath
Stenosing Tenosynovitis (Trigger Finger)
A bursa is a sac like structure filled with synovial fluid.They form in areas of the body that are prone to _______ i.e. tendonous attachments.
Friction
Bursitis is very painful and will be accompanied by inflammation. Pain will be on ________, or when the bursa is _________ by movement of the structures crossing it.
Pain will be on palpation, or when the bursa is stressed by movement of the structures crossing it.
During the acute stage of bursitis, there will be pain with movement only.
False: There may also be pain at rest in the acute stage.
_________ bursae may be red, hot, and visibly swollen. ________ bursae may not present with heat or redness, but will be quite tender on palpation.
Superficial bursae may be red, hot, and visibly swollen. Deeper bursae may not present with heat or redness, but will be quite tender on palpation.
Bursitis typically is accompanied by characteristic ‘________ _____’. A tight structure overlaying the bursa will compress and deform it, causing a sharp spike of pain as the contraction is released.
‘Rebound pain’
Bursitis pain may be exacerbated by both ___ and ___ testing due to the inflammation. Stretching or tensing the overlying tissue can irritate the inflamed bursa. With ___, often the pain will be greatest after releasing.
PR and AR
With AR, often the pain will be greatest after releasing.
