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Ther-ex > Week 1 Treatment Goals > Flashcards

Week 1 Treatment Goals Flashcards

1
Q

T or F, scar tissue is elastic

A

F it is Inelastic

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2
Q

Hypertrophic scar vs Keloid scar

A

A hypertrophic is raised within the boundaries of the injured site

A keloid scar extends beyond the boundary of the injured site

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3
Q

How can you limit Collagen synthesis at an injury site (to prevent scar tissue)

A

Applies prolonged pressure which limits O2 available

(scar tissue requires O2 to form)

Apply pressure garmets

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4
Q

When is it appropriate to apply compression to prevent scar tissue formation

A

Any time the scar tissue is still reddened but blanches with tension

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5
Q

How does chronic inflammation occur

A

Either due to immune response or due to repeated stress/trauma

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6
Q

Chronic low grade inflammation increases production of __________ and degradation of __________

A

immature collagen

normal mature collagen

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7
Q

Intrinstic vs Extrinsic healing factors

Identify the following:

Age

Education

Medical Complications

Home environment

Work Environment

A

Intrinsic- Age, Education, Medical Complications

Extrinsic - Home and Work environment

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8
Q

What is the best modaility for chronic inflammation

A

exercise

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9
Q

What is the definition of disability

A

Outcome or result of complex relationship between persons health condition and personal factors, and the external factors in their life

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10
Q

What deals more with anatomical abnormality or loss:

Pathology

Impairment

Functional Limitation

Disability

A

Impairment

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11
Q

What deals more with the limitationof preformance at the level of the person?

Pathology

Impairment

Functional Limitation

Disability

A

Functional Limitation

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12
Q

What deals with the limitations in performance of socially defined roles

Pathology

Impairment

Functional Limitation

Disability

A

Disability

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13
Q

What deals with a interuption of normal body processes

Pathology

Impairment

Functional Limitation

Disability

A

Pathology

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14
Q

Modalities are usually used to treat which level of disablement

Pathology

Impairment

Functional Limitation

Disability

A

Impairment

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15
Q

Which phase typically has pain with normal range of motion and overpressure?

Acute

Subacute

Chronic

A

Acute

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16
Q

Which phase typically has no pain with normal ROM, but pain with overpressure

Acute

Subacute

Chronic

A

Early subacute

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17
Q

What phase typically has pain with only the last part of overpressure

Acute

Subacute

Chronic

A

late subacute or chronic

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18
Q

What are the clinical signs of the acute stage?

What is the aim managing of the acute stage?

A

Clinical signs: Inflammation, Pain at rest

Aim: Reduce inflammation, Protect injury

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19
Q

Which massage techniques are appropriate for the acute stage?

A

Superficial and deep efflurage

Petrissage

20
Q

What are 3 guidelines for managing the acute stage

A

Patient education

Protection of injured site

Prevent the adverse affects of immobilization

21
Q

How long should a patient immobilize, ice, rest in and elevate in the first part of the acute stage?

A

24-48 hours

22
Q

When is cryotherapy appriopriate on an acute injury?

A

first 24-48 hours, reduce pain and swelling

combine with compression

23
Q

How can e-stim help an acute injury

A

Reduce pain and swelling

alter cell permeabiliy

24
Q

When massaging a muscle during the acute stage, what position should it be in?

Shortened

lengthened

Stretched

A

Shortened so as not to separate the healing area

25
Q

How can grade 1 and grad 2 joint mobilization help an acute injury

A

improve fluid dynamics

maintain cartilage health

inhibit pain

26
Q

What kind of exercise is indicated during the acute stage

What is contraindicated

A

PROM within the limit of pain is indicated

AROM is contraindicated

27
Q

T or F: you can still use AROM and resistive exercise for uninjured bodyparts during the acute stage

A

T

28
Q

What are the goals for managing the subacute stage?

A

Decrease inflammation

Promote healing

Develop mobile scar tissue

Promote function and non-destructive AROM

Carefully progress to resistive exercise

29
Q

What is the expected time frame of the subacute phase

A

21 days to 6 weeks

30
Q

Should you use cold or heat on a subacute njury?

A

Heat in order to promote circulation

however, use swelling as a precautionary indicator

31
Q

What massage techniques can you use in the subacute phase?

A

All

32
Q

What do you use cross friction massage for?

A

mobilizing ligaments, incision sites, tendon adhesions, or muscle scar tissue

33
Q

4 kinds of exercises in subacute stage

A

Multiple angle submaximal isometrics

AROM

Muscle endurance (slow twitch fiber training) w/ low intensity

Protected weight bearing exercises

34
Q

How to initiate and progress stretching during the subacute phase?

A

Warm the tissue first -> use muscle relaxation technques (hold relax)/(contract relax) for inhibition -> Use stretching techniques -> Use new ROM in an exercise to maintain this new ROM

35
Q

Signs of excessive stress w/ exercise

A

Soreness doesn’t decrease after 4 hours

soreness is not relieved after 24 hours

Progressive increased feelings of stiffness/decreasing ROM

Swelling/redness increasing

progressive weakness

decreased functional usage of involved body part

36
Q

What are the goals of managing the chronic stage?

A

Return to function

Develop functional independence

Work-hardening practice

37
Q

What are the clinical signs of the chronic stage?

A

Absence of inflammation

pain in tissue only after resistance applied

38
Q
A
39
Q

What are the benefits of using deep heat for the chronic phase

A

increase circulation to deeper tissues, reduce pain, promote healing, increase tissue extensibility

40
Q

Should you use heat in any stage if the tissue is swollen?

A

no

41
Q

How can e-stim help in the chronic stage?

A

Stimulate muscle contraction/increase ROM and strength

promote neuromuscular control

42
Q

Exercise progression for chronic stage

A

Submaximal to maximal exercises

focus on normal muscle strength and flexibility

resistive concentric to eccentric

progressive trunk stability/ postural control/ balance

teach safe body mechanics and use activities that replicate their work environment

43
Q

Effects of heat as a modality on:

Metabolic rate

circulation

pain

muscle spasm

A

Increased metabolic rate

increase circulation

modulate pain

reduce muscle spasm

44
Q

Effects of cold as a modality on:

Metabolic rate?

Edema?

Pain?

Muscle spasm?

A

Decreased metabolic rate

decreased edema

modulate pain

reduce muscle spasm

45
Q

Effects of ultrasound as a modality:

A

Increase metabolism

Increase circulation

increase cell wall permiability

soften collagen

selectively heat tissue

46
Q

Effects of BFR:

A

Increase muscle activation

Decrease circulation

increase hypertrophy

Increase muscle cross sectional area

Ther-ex (11 decks)

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