WEEK 5 - treatment principles. stages of healing, exercise rehab

Question 1

what is the aim of a treatment intervention?

Answer 1

to address:
- ROM: joint restriction, stfiness, muscle length
- instability and giving way
- strength deficitis
- endurance
- proprioception
- sensation
- balance
- weight bearing tolerance
- swelling/ inflation
- pain

Question 2

define manual therapy?

Answer 2

manual therapy is the use of hands on techniques to evaluate, treat and improve the status of neuromusculoskeletal conditions

Question 3

what is passive joint mobilisation?

Answer 3

a therapist applied technique that uses oscillators of joint movement to increase range of movement, reduce pain, or improve altered quality of movement
- physiological movements
- accessory movements

Question 4

define a physhiological moevement

Answer 4

movements we can do voluntarily (flexion and extension)

Question 5

define accessory movements

Answer 5

movements necessary for normal joint motion, but cannot be voluntarily performed or controlled (slide, roll, spin)

Question 6

what are precautions to manual therapy?

Answer 6

• Osteoporosis
  
  • Acute nerve root pain/ irritation
  • Severe pain
  • Worsening condition
  • Mechanical instability
  • Risk of bruising/ bleeding
    Pregnancy (last trimester)

Question 7

what are the contraindications to manual therapy?

Answer 7

• Conditions requiring medical opinion/ intervention
  
  • Spinal cord compression / cauda equina compression
  • Infective conditions (Osteomyelitis) (Local & systemic)
  • Malignancy/ tumours
  • Suspected fractures/ recent fractures
    Hypermobile joints

Question 8

treatment selection for irritable conditions

Answer 8

• physiological vs accessory: either
• grade of movement: G1 or GII
• starting pos: before R1
• end pos: before R1
  -rhytem: slow and smooth
• dosage: 1 x trial dose of 30 secs, 2-3 x 30 sec

Question 9

treatment selection of non-irritable conditions

Answer 9

• physicologial vs accessory: either
• grade of movement: GIII or GIV
• starting pos:
  
  • GIII: before R1
  • GIV: after R1
• end pos: at R2
  rhythm: faster and staccato
• dosage: 1x trial dose 90-120sec, 3-4 x 90-120sec

Question 10

what are the factors that affect tissue healing?

Answer 10

• severity of injury
• vascularisation or tissue and circulation
• age
• drugs
• surgical repair
• infection
• nutrition
• immobilisation/ mobilisation
• general health
• treatment

Question 11

what are the grades of a sprain?

Answer 11

Grade 1 sprain / strain – mild / small % of fibres torn
Grade 2 sprain / strain – moderate / 50% + of fibres torn
Grade 3 sprain / strain = complete rupture / 100% fibres torn

Question 12

what are the adaptations to resistance training?

Answer 12

neuromuscular:
- initial gains in strength (before week 6)
- increase in efficacy of transmitting signals from the motor Cortez to the NMJ
- improve muscle firing patterns. motor patterning
- decrease inhibition of muscle recruitment -> pain and swelling can cause muscle inhibition

physiological:
- muscle hypertrophy after 6 weeks
- increase in tensile strength of tendons, ligaments and connective tissue in muscles

Question 13

exercise prescription for motor control

Answer 13

number of reps can do well
x1-3 sets
x 3-5 per day
- increase reps by 1 per day until can do 10-12 reps x 3 sets with good form

Question 14

exercise prescription for strength
- highly trained athlete
- normal population

Answer 14

highly trained:
- 80-100%1RM
-1-6 reps
x4-6 sets
x 1-2 per week

normal population:
- 60-80%1RM
- 8-12 reps
- x3-4 sets
- x2-3 per week

Question 15

exercise prescription of endurance

Answer 15

50-70%1RM
12-20+reps
x 3 sets
x 3-4 per week