W1 Module Introduction

Question 1

Soft tissue repair stages

Answer 1

1. Bleeding
2. Inflammation
3. Proliferation
4. Remodelling

Question 2

Bleeding stage 1

Answer 2

Blood clot - stop bleeding immediate
- First aid
- POLICE
- Avoid heat, alcohol, running, massage
- Avoid ibuprofen for 48 hrs, paracetomol instead

Question 3

Inflammation stage 2

Answer 3

Fibroblast macrophage scab - prevent onset of new bleeding allow inflammatory process to take place with little swell8ing as possible
Early: 0-72 hours
- Overlaps with bleeding so treat as much
- Continue POLICE
- Continue to avoid HARM
- Taping

Late: 72 hours-6 days
- Can begin to massage proximally to site depends on severity, effleurage and petrissage
- Venous return, reduce anxiety, reduce cortisol

Question 4

Proliferation stage 3

Answer 4

Fibroblasts subcutaneous fat
2/7 to 6/52
- Avoid disturbing healing tissue
- Venous return
- Promote proliferation
- Normalise tissue length
- Prevent excessive scar formation
- Superficial massage to injured site
- Static stretching

Question 5

Remodelling stage 4

Answer 5

Freshly healed epidermis and dermis
3/52 to 12/12+
- Encourage appropriate fibre alignment
- Prepare tissue for return to sport
- Optimise tissue function
- Deeper massage techniques
- Friction
- Muscle energy techniques
- Soft tissue release