Edema Flashcards
(24 cards)
fibrous tissue replaces damaged tissue
scar
fibers that come down to replace damaged tissues and get reorganized in an abnormal way
adhesion
hard, large knots are usually caused by
sarcomere shortening
involuntary contraction at muscle level
spasm
best time for scar tissue mobilization
3-12 weeks
length of granulation phase
24 hr
length of fibrogenesis phase
5-8 days
length maturation phase
4th week
2 different soft tissue techniques
mechanical vs circulatory/neurological
describe the difference btw contraction, contracture and congestion
contraction: feel spasm in muscle belly
contracture: speed bump in muscle belly
congestion: swelling
what do you usually start with to shape a stump?
ACE wrap
how to position someone while you wrap them?
part you’re wrapping should be above their heart
depth of edema massage
superficial bc lymph capillaries are here
optimal stump shape
cone
6 key treatment things for a pt with edema
- position
- compression
- education/skin inspection
- manual therapy
- exercise
- measurement
IPC
intermittent pneumatic compression
normal arterial pressure
30 mmHg
IPC forces fluid to….
return to venous and lymphatic vessels
5 contraindications to IPC
- acute pulmonary edema
- CHF
- DVT
- acute fracture
- dermatologic infection
normal ABI range
1.19-.95
customized compression for arterial wounds
12-25 mmHg
light compression
customized compression for venous wounds
40 mmHg
high compression
customized compression for lymphedema
20-40 mmHg
mod-high compression
how to prevent bottle-necking during massage
massage prox tissue/bony prominences first
