Treatment methods Flashcards

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1
Q

Name the four time phrases of stretching

A

Acute phase, mid phase, later phase and long term

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2
Q

Describe the acute phase of stretching

A

Within the first three days no stretching should occur, the focus should be PRICE and complete rest

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3
Q

Describe the mid-phase of stretching

A

Begins after three days and lasts up to two weeks. Heat therapy and static and passive stretching are proven to speed up recovery. There should be no bouncing or jerky movements

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4
Q

Describe the later phase of stretching

A

Further two weeks to docus on range of motion, strength and co-ordination. PNF stretches are added for passive and static techniques

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5
Q

What are PNF stretches?

A

Proprioceptive neuromuscular facilitation stretches, stretching done in a pattern of 10 second stretch, 6 second isometric contraction and then 30 second stretch just beyond the range of motion to increase mobility.

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6
Q

What are the benefits of PNF stretching?

A
  • Retrain and desensitise the stretch reflex
  • Increase range of motion
  • Decrease sensation of pain
  • Strengthen connective tissue
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7
Q

Describe the long term phase of stretching

A

Active and dynamic stretching to increase range of motion and strength of connective tissue to a greater extent than before the injury occurred

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8
Q

Describe massage as a treatment method

A

A deep muscle therapy to realign connective tissue fibres and flush toxins from the area which is effective for soft tissue injuries

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9
Q

What is the effect of a deep tissue massage?

A
  • Move fluids and nutrients to the damaged tissue to promote healing and removal of waste products
  • Stretch tissues to release tension and pressure to improve elasticity
  • Break down previous scar tissue to reduce inflexibility, pain and injury
  • Generate heat, circulation and relaxation
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10
Q

What injuries should massages not be used on and why?

A

Ligament or tendon ruptures, contusions or open wounds as increased bleeding will worsen the injury

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11
Q

What is cold therapy (cryotherapy)?

A

The use of ice or clod water to reduce tissue temperature, metabolic rate and speed of nerve impulses, vasoconstriction of blood vessels, decreased blood flow, inflammation and swelling

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12
Q

When is cryotherapy used and for long?

A

Following an acute injury for periods of up to 20 minutes and reapplied every 1-3 hours

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13
Q

Name four methods of cryotherapy

A
  • PRICE
  • Immersion
  • Cryokinetics
  • Cryostretching
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14
Q

When using cryotherapy, when should PRICE be applied and what should be used?

A

PRICE should be applied as soon as possible and continued for 24-48 hours for acute soft tissue injuries. Ice packs are preferable to maintain effects of gravity

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15
Q

When and why is immersion in cold baths used?

A

10 minutes at around 10 degrees C to reduce pain and drop in performance due to exercise induced muscle damage

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16
Q

What is cryokinetics?

A

Ice application followed by rehabilitation exercises to treat ligament sprains

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17
Q

What is cryostretching?

A

A combination of cold applications and stretching to reduce muscle tension and increase flexibility to decrease pain of muscle damage

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18
Q

When is cold therapy used?

A

Acute injuries and after exercise to relieve exercise-induced muscle damage

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19
Q

What are the risks of cold therapy?

A

If used for too long = tissue and nerve damage and skin abrasions from ice exposure on skin

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20
Q

What is heat therapy?

A

Using heat to reduce muscle tension, stiffness and pain, also vasodilates blood vessels to increase healing and blood flow to damaged area

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21
Q

When is heat therapy used?

A

Chronic injuries and late stage acute injuries around 48 hours after exercise

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22
Q

What does heat therapy consist of?

A

Heat packs, hot towels, heat rubs and water immersion for up to 20 minutes and combined with stretching to increase connective tissue elasticity during rehab and pre exercise

23
Q

What are the risks of heat therapy?

A

Increased swelling and pain of an acute injury

24
Q

What is contrast therapy?

A

The use of alternate cold and hot therapy to increase blood flow and decrease swelling and pain after exercise or in the late stages of injury

25
Q

When is contrast therapy used?

A

Once bleeding has stopped and there is no longer any inflammation and following the acute stage of injury (3-5 days)

26
Q

Name four approaches of contrast therapy

A
  • Immersion to shoulder level post-exercise
  • Cold water followed immediately by hot water
  • Cold:Warm ratio of 1:3/4
  • Accumulating 6-10 mins in cold water
27
Q

What effect does contrast therapy have on blood flow?

A

Vasoconstriction and dilation causes a pumping action of blood flow and nutrient delivery to damaged tissues and decreases pain and swelling

28
Q

What are the risks of contrast therapy?

A

Can increase blood pressure and can cause pain to skin going from a hot to cold environment immediately (chilblains)

29
Q

What are anti-inflammatory drugs?

A

Non steroid Anti Inflammatory Drugs e.g. ibuprofen and aspirin are used to treat acute sports injuries

30
Q

With acute (1) injuries, chemicals are released by damaged cells causing (2) of blood vessels, increased blood flow and (3) fluid which causes redness, swelling and (4). NSAIDs reduce inflammation by (5), (6) pain signals and reduces (7)

A
1 - soft tissue 
2 - vasodilation
3 - cellular
4 - activate pain receptors
5 - inhibiting chemical release
6 - interfering with 
7 - temperature
31
Q

What are possible side effects of NSAIDs?

A

Heartburn, nausea, headaches and diarrhoea

32
Q

Why should long term use of NSAIDs be monitored?

A

When used to treat chronic injuries it can have consequences such as gastro-intestinal bleeding, shock, anaemia, stroke and heart attack

33
Q

What is physiotherapy?

A

Physical methods to treat injuries by qualified physiotherapists

34
Q

What might physiotherapy consist of?

  • (1) and (2) of joints and tissues
  • (3) to repair and stimulate tissues
  • Exercise therapy to (4)
A

1 - Mobilisation
2 - Manipulation
3 - Electrotherapy
4 - Strengthen muscles

35
Q

What might physiotherapy consist of?

  • Massage to stretch and relax (1) and increase (2)
  • (3) programmes design and advice
  • (4) training to release tension and maximise (5) output
A
1 - tissues
2 - circulation
3 - rehabilitation
4 - posture and alignment 
5 - power
36
Q

What is the first phase of physiotherapy for a dislocated shoulder?

A

Pain relief, minimise swelling, ice therapy and shoulder sling for support

37
Q

What is the second phase of physiotherapy for a dislocated shoulder?

A

Exercises to maintain rotator cuff muscle strength

38
Q

What is the third phase of physiotherapy for a dislocated shoulder?

A

Restore range of motion, muscle length, connective tissue mobility and resting muscle tension by using massage, stretching and possibly acupuncture

39
Q

When is surgery used?

A

Following serious injury or to eliminate persistent symptoms other treatments have not prevented

40
Q

What can be done through surgical procedures?

A

Repair of damaged soft tissue, realignment of bones and repositioning of joints

41
Q

Name three common surgical procedures

A

Knee ligament surgery, Shoulder stabilisation surgery and Meniscal tear surgery

42
Q

What is knee ligament surgery?

A

e.g. ACL reconstruction - a tissue graft from the patella tendon or hamstring to replace the ACL and restore full function. Most common in skiiers

43
Q

What is the ACL?

A

Anterior Cruciate Ligament in the knee

44
Q

What is shoulder stabilisation surgery?

A

Used prior to multiple dislocations to stabilise the joint by anchoring the humerus into the scapula and repair the joint capsule. Most common in throwing athletes

45
Q

What is meniscal tear surgery?

A

Following cartilage tear in the knee to repair damage, the Meniscus can be resurfaced to remove rough projections and in extreme cases a cartilage implant can be used. Most common in footballers

46
Q

What is the Meniscus?

A

A thin cartilage in the knee

47
Q

What is Arthroscopy?

A

AKA ‘Keyhole Surgery’, the patient is under general or local anaesthetic so a small incision is made for a camera to be implemented to guide and repair to minimise surrounding damage

48
Q

What are the benefits of arthroscopy compared to open surgery?

A

Reduces pain caused, risk of infection and ensures faster recovery

49
Q

When is arthroscopy used?

A

Repair cartilage and soft tissue damage

50
Q

Describe open surgery and its use

A

An incision is made when the patient is under general or local anaesthetic to open the joint to repair or reconstruct damaged structures

51
Q

What are the advantages and disadvantages of open surgery?

A

Greater repair but a greater risk of infection and significant scarring

52
Q

When is open surgery most commonly used?

A

Repair fractures and reconstruct ankles

53
Q

What is the recovery for open surgery?

A

6 weeks to several months and physiotherapy