acute injuries management

Question 1

acute injuries characteristics

Answer 1

single identifiable traumatic
forces greater then tissue can withstand
macroscopic damage
rapid onset
extrinsic or intrinsic factors
modifiable/ non-modifiable

Question 2

risk factors of acute injuries

Answer 2

previous loading/ history
history of previous acute injury
unpredictable
individual anatomy
weather conditions

Question 3

interventions for acute injuries

Answer 3

advice/ education
therapeutic exrcise
manual therapy
physical devices
EPA

Question 4

acute treatment aims of first 72 hours

Answer 4

minimise extent of initial dmage
decrease associated pain and inflammation
promote healing

Question 5

Acute treatment straight away

Answer 5

POLICE
protection
optimal loading
Ice
Compression
Elevation

Question 6

protection/ optimal loading

Answer 6

decrease size of haematoma= decrease scar tissue

walking aids/ rigid brace/ splint/ tape

Question 7

what does optimal loading do

Answer 7

early mobilisation
increase recovery/ strength/ function/ tissue regenration/ morphology

Question 8

braces

Answer 8

increase passive support/ limit ROM/ decrease loading

injury prevention/ increase passive stability/ deload tissue

Question 9

tape

Answer 9

pain reduction/ reduction of strain/ compression
increase passive stability/ limit ROM

Question 10

what to avoid during acute immediate

Answer 10

heat/ alcohol/ running/ exercise/ massage

Question 11

treatment aims day 2- week 6 sub acute

Answer 11

minimise extent of initial damage
reduce associated pain
promote heal
restore flexibility strength proprioception
functional increase

Question 12

manual therapy to increase flexibility

Answer 12

massage to address adhesion/ TPS/ tightness
swelling odema
increase flexibility/ ROM

Question 13

increase flexibility and ROM

Answer 13

continuous passive motion
passive exercise
active- assisted exercise
active exercise

Question 14

exercise for sub acute is for

Answer 14

muscle strength/ endurance
isometric/ isotonic

Question 15

open chain advantages

Answer 15

decrease joint compression
non WB

Question 16

open chain disadvatages

Answer 16

increase joint translation
decrease function

Question 17

closed chain adv

Answer 17

decrease joint translation
increase function
WB

Question 18

closed chain disadvantage

Answer 18

increase joint comp
x full rom
x isolate muscle

Question 19

what does tape do

Answer 19

biomechanical correction
muscle inhibition
muscle facilitation
enhance proprioception

Question 20

when to refer

Answer 20

suspect grade 3 lig
combination of injuries
suspeced unstable meniscus tear
knee locked

Question 21

when to xray

Answer 21

age 55<
inability to WB immediately/ emergency dept 4 steps
isolated patella tenderness
tenderness of head of fibula
x flex to 90 degrees

Question 22

ACL immediate manage

Answer 22

walking aid
POLICE
isometric quad and hamstring contraction

Question 23

PCL immediate manage

Answer 23

rebound brace
POLICE
isometric quad
no hamstring

Question 24

MCL/ LCL immediate manage

Answer 24

walk aid
brace
police isometric of quad/ ham

Question 25

meiscus immediate manage

Answer 25

POLICE gentle ROM x full extension avoid WB

Question 26

acute patellofemoral/ lateral disslocation manage

Answer 26

immobilisation brace VMO strength exercise core/ glute exercise proprioception

Question 27

when surgery is needed

Answer 27

large intramuscular haematoma 3rd degree 1/2 muscle belly is torn