Chapter 22: Rehabilitation and Reconditioning Flashcards

1
Q

provides medical care to an organization, school, or team

A

team physician

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2
Q

makes the final determination of an athlete’s readiness for return to competition

A

team physician

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3
Q

prescribes medication as needed

A

team physician

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4
Q

typically responsible for the day-to-day physical health of the athlete

A

athletic trainer

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5
Q

responsibilities include management and rehabilitation of injuries resulting from physical activity and prevention of injuries through the prescription of sport-specific exercise and the application of prophylactic equipment

A

athletic trainer

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6
Q

can play a valuable role in reducing pain and restoring function to an injured athlete, typically outpatient

A

physical therapist

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7
Q

typically focuses on strength, power and performance enhancement

A

strength and conditioning professional

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8
Q

member of the sports medicine team which assist with the post acute rehabilitation and reconditioning of injured athletes, has a formal background in exercise science

A

exercise physiologist

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9
Q

this person has a background in sport nutrition and may provide guidelines regarding proper food choices to optimize tissue recovery

A

nutritionist or registered dietician

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10
Q

this professional helps the injured athlete better cope with mental stress accompanying an injury

A

counselor, psychologist, or psychiatrist

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11
Q

a form of treatment required by the rehapilitating athlete

A

indication

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12
Q

an activity or practice that is inadvisable or prohibited due to the given injury

A

contraindication

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13
Q

specific, sudden episode of overload injury to a given tissued, resulting in disrupted tissue integrity

A

macrotrauma

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14
Q

complete displacement of the joint serfaces

A

dislocation

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15
Q

partial displacement of the joint surfaces

A

subluxation

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16
Q

these two conditions may result in joint laxity or instability

A

dislocation

subluxation

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17
Q

ligamentous trauma

A

sprain

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18
Q

partial tear of the ligament without increased joint instability

A

first degree sprain

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19
Q

partial tear with minor joint instability

A

seconds degree sprain

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20
Q

complete tear with full joint instability

A

third degree sprain

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21
Q

musculotendinous trauma is classified as either of these two things

A

contusion

strain

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22
Q

direct musculotendinous trama

A

contusion

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23
Q

indirect musculotendinous trauma

A

strain

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24
Q

an area of excess accumulation of blood and fluid in the tissues surrounding the injured muscle

A

muscle contusion

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25
Q

tears in muscle fibers and are further assigned grades

A

strains

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26
Q

partial tear of individual muscle fibers and is characterized by strong but painful muscle activitgy

A

first degree strain

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27
Q

partial tear of muscle with weak, painful muscle activity

A

second degree strain

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28
Q

complete tear of muscle fibers and is manifested by very weak, painless muscle activity

A

third degree strain

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29
Q

strains are most likely to occur at these two locations

A

musculotendinous junction

tendon attachment to bone

30
Q

overuse injury, results from repeated abnormal stress applied to a tissue by continuous training or training with little recovery time

A

microtrauma

31
Q

most common overuse injury to bone

A

stress fracture

32
Q

type of microtrauma that is the inflammation of a tendon

A

tendinitis

33
Q

degenerative condition characterized by minimal inflammation and neovascularizaiation

A

tendinopathy

34
Q

three stages of tissue healing

A

inflammatory response phase
fibroblastic repair phase
maturation-remodeling phase

35
Q

initial reaction to injury and is necessary in order for normal tissue healing to occur

A

inflammation

36
Q

both of these types of inflammation occur during the inflammatory response phase

A

local and systemic

37
Q

inhibits contractile tissue and can significantly limit function

A

edema

38
Q

the escape of fluid into the surrounding tissue

A

edema

39
Q

the inflammatory phase typically lasts this long, but may be longer

A

2-3 days (typically less than a week)

40
Q

healing phase which is characterized by catabolism and replacement of tissued that are no longer viable following injury

A

fibroblastic repair phase

41
Q

begins as early as two days after injury and may last up to two months

A

fibroblastic repair phase

42
Q

the weakened tissued produced during the repair phase is strengthed during this phase of healing

A

maturation-remodeling phase

43
Q

fibers transition from type III to stronger type I collagen allowing the newly formed tissued the opportunity to improve its structure, strength, and function (tissues begin to align along lines of stress

A

maturation-remodeling phase

44
Q

this can last months to years after injury

A

remodeling

45
Q

age, lifestyle, degree of injury, and the structure that has been injured can affect this

A

healing time

46
Q

the athlete must meet these to progress from one phase of healing to the next

A

specific objectives

47
Q

primary goal of treatment during the inflammatory response phase

A

prevent distruption to new tissue

48
Q

exercise directly involving or stressing the injured area is not recommended during this phase

A

inflammatory response phase

49
Q

the treatment goal of this phase is to prevent excessive muscle atrophy and joint deterioration of the injured area

A

fibroblastic repair phase

50
Q

to protect new, and relatively weak collagen fibers the athlete should avoid this involving the damaged tissue during the fibroblastic repair phase

A

active resistive exercise

51
Q

these are permissablie during the fibroblastic repair phase but their goal is to promote collagen synthesis and manage pain

A

therapeutic modalities

52
Q

these types of exercises can be done during the repair phase provided that it is pain free and otherwise indicated by the physician or athletic trainer

A

isometric

53
Q

exercises which include concentric and eccentric muscle action

A

isotonic

54
Q

ability of muscle to respond to afferent sensory information to maintain joint stability

A

neuromuscular control

55
Q

afferent sensory information that occurs in response to stimulation of sensory receptors in skin, muscles, tendons, ligaments, and joint capsule

A

proprioception

56
Q

this contributes to the conscious and unconscious efferent control of posture, balance, stability, and sense of position

A

proprioception

57
Q

outcome of this phase is the replacement of damaged tissues with collagen fibers

A

maturation-remodeling phase

58
Q

primary goal of this phase is optimizing tissue function while transitioning to return to play or activity

A

maturation-remodeling phase

59
Q

athletes improve function by continuing and progressing the exercises performed during the repair phase and by adding more advance, sport specific exercsies that allow progresssives stresses to be applied to the injured tissue

A

maturation-remodeling phase

60
Q

this is the collective effort or involvement of two or more sequential joints to create movement

A

kinetic chain

61
Q

exercise in which the terminal joint meets with considerable resistance that prohibits or retrains its free motion

A

closed kinetic chain

62
Q

exercise in which the terminal joint is free to move

A

open kinetic chain

63
Q

these types of exercises are possible during the fibroblastic repair phase

A

submaximal isometric, isokinetic, and isotonic

balance and proprioceptive training

64
Q

these (4) types of exercise are possible options during the maturation-remodeling phase

A

joint angle specific strengthening
velocity-specific muscle activity
close/open kinetic chain
proprioceptive training

65
Q

T/F: the same principles used to design resistance and aerobic training programs for uninjured athletes should not be applied during rehab and reconditioning

A

False

66
Q

DAPRE

A

daily adjustable progressive resistive exercise

67
Q

how many sets for DAPRE

A

4

68
Q

DAPRE protocol

A

first set 10 rep 50% estimated 1RM
2nd set 6 rep 75% estimated 1RM
3rd set max reps at 100% estimated 1RM
4th set adjusted to reps completed during 3rd

69
Q

De Lorme protocol

A

1st set 10 reps 50% 10rm
2nd set 10 reps 75% 10RM
3rd set 10 reps 100%10RM

70
Q

Oxford system protocol

A

1st set 10 reps 100%10RM
2nd set 10 reps 75% 10RM
3rd set 10 reps 50% 10RM

71
Q

sport specific training may require this from the rehabilitation programming

A

change in programming to reflect the specific demands of the sport (endurance, hypertrophy, strength)

72
Q

less than this percent in side-to-side differences in strength and functional performance is considered acceptable

A

10%