Chapter 9: Contusion Flashcards Preview

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Flashcards in Chapter 9: Contusion Deck (37):
1

________ - is a crushing of tissue from a direct blow, resulting in capillary rupture bleeding, edema and an inflammatory response. They are considered a severe bruise. 

Contusion

2

___________ - develops when direct trauma has led to blood vessel injury, causing a substantial amount of blood pooling which causes pain and swelling. 

Hematoma

3

Hematoma may lead to blood clots within a vessel called _________ .

thrombosis

4

______________ - form when trauma occurs within a muscle; the resultant bleeding and healing process can lead to the development.

Myositis Ossificans

5

______________ – Range of motion of affected joints decrease up to 20% due to injury to muscle tissue.

Mild contusion

6

Moderate contusion – Range of motion decreases up to what percentage?

20-50%

7

True or False:

When treating moderate to severe contusions, we must note they can develop hematomas and later Myositis Ossificans.

True

8

True or False:

Bone tissue can form within the muscle (myositis ossificans) therefore do not use vigorous techniques when massaging these muscles, due to soft tissue damage.

True

9

True or False:

In an acute situation if there is joint swelling, you do not need to refer out to an M.D. In chronic stages joint play, and movement therapy, as well as frictions, are effective treatments.

False

10

What are the causes of contusion?

  • Direct trauma due to: - Contact sports 
  •  Fracture/dislocation - Strains/sprains

11

What is the primary goal in treating contusion within 24 hours.

Control bleeding

12

Any distal swelling or discoloration to injury site because this suggests ____________ .

vascular damage

13

What to avoid when treating contusion?

  • stretching exercise
  • heat
  • alcohol consumption
  • vigorous massage (may increase bleeding)

14

This is a minor crush to the muscle with minimal bleeding. there is minimal or no loss of strength and minimal loss of range.

Mild contusion

15

There is a severe crushing of the tissue with rapid bleeding and swelling. What is the type of contusion?

Severe contusion

16

There is a moderate crushing of the muscle with bleeding and swelling.

Moderate contusion

17

What are the common site of contusion?

  • Quadricep muscle ( most common)
  • dorsum of the foot
  • periosteum of anterior tibia
  • sacrum
  • iliac crest
  • greater trochanter
  • acromion

18

What are the signs and symptoms of acute contusion?

  • swelling and edema
  • tenderness
  • pain
  • loss of range of motion percentage
  • bruising
  • decrease range of motion of joints

19

What are the signs and symptoms of subacute contusion?

  • pain is absent or present bruising
  • hematoma diminish
  • protective muscle spasm
  • reduce range of motion

20

What are the signs and symptoms of chronic contusion?

  • adhesions
  • hypertonicity and trigger points tissue may be cool 
  • reduce full range of motion and strength muscle
  • hematoma ( some calcify into myositis ossificans )

21

Range of motion testing used in acute contusion.

  • Active Free
  • passive Relax
  • Active resisted
  • isometric testing

22

Range of motion testing used in subacute contusion.

  • Active Free
  • Passive Relax
  • Active resisted
  • isometric testing

23

Range of motion testing used in chronic contusion.

  • Active Free
  • Passive Relax
  • Active resisted testing

24

Special testing used in acute contusion.

girth measurement test

25

All are True with the use of palpation in contusion. Except:

a. Acute Heat/pain/firm(edema)/protective muscle spasm

b. Subacute Increase in heat/local pain/decrease in firmness/possible trigger points.

c. Chronic Cold due to ischemia/point tenderness at lesion/adhesions/hypertonicity/trigger points and possible myositis ossificans

Except: b

26

Short term aims in the treatment of Acute contusion are the following. Except:

a. assess the severity of injury

b. reduce pain

c. reduce edema

d. mantain local circulation

e. remove protective spasm

Except: e

27

Short term aims in the treatment of subacute contusion are the following. Except:

a. reduce inflammation

b. reduce adhesions

c. reduce trigger points and hypertonicity

d. reduce range of motion

Except: d

28

What are the long term aim in the treatment of chronic contusion?

  • reduce sympathetic nervous system firing
  • reduce adhesion
  • restore range of motion
  • increase local circulation

29

What are the treatment for acute contusion?

  • Diaphragmatic breathing
  • lymphatic drainage
  • swedish massage
  • effleurage and slow petrissage
  • origin and insertion technique

30

What are the treatment for subacute contusion?

  • Hydrotherapy ( cold )
  • Diaphragmatic breathing
  • proximal lymphatic drainage
  • golgi tendon organ release
  • trigger points
  • vibrations and stroking joint play and stretch

31

Uses water in its solid, liquid or gaseous form, for its therapeutic effects. This is called:

Hydrotherapy

32

Hydrotherapy used in acute contusion.

cold/ Ice compress

33

Hydrotherapy used in subacute contusion.

contrast

34

Hydrotherapy used in chronic contusion.

deep moist heat

35

True or False:

Always treat unaffected areas first

True

36

Remedial exercise in acute contusion.

  • rest affected limb
  • pain-free mid range
  • Passive Relaxed ROM

37

Remedial exercise in chronic contusion.

  • stretch(use contract/relax techniques)
  • Active Resisted exercises to increase strength