Injury Management & Rehabilitation Flashcards

(51 cards)

1
Q

____ modalities and ____ are important keys in injury management and rehabilitation

A

therapeutic; exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

MUST know stages of what to be successful in injury management?

A

stages of tissue healing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Sudden inactivity and immobilization can cause general loss of..?

A

fitness, muscle strength, endurance & coordination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

During inactivity and immobilization, RHR increases by how much?

A

1/2 a beat for each day of immobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

“what should the joint be able to do, and trying to get back to that ROM”

A

osteokinematics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

All injuries are associated with some loss of ROM that can be attributed to…?

A

contracture of CT, or MTU resistance to stretch, or both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

During muscular strengthening, you must work through a full, pain free ROM. You can use what 3 techniques?

A
  1. isometrics
  2. progressive resistance exercise (PRE)
  3. isokinetics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When should isometrics be used?

A

when resistance training through full ROM is contraindicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Isometrics increase ___ strength, decrease ____, and increase muscle ____

A

static; atrophy; pump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

isometrics help manage ____

A

swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

During PRE, eccentric contractions facilitate concentric contractions for ______

A

plyometrics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

strength deficits/inability to tolerate eccentric forces can ____ inury

A

precipitate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

“constant speed with accommodating resistance to provide maximal resistance throughout full ROM”

A

isokinetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

when should isokinetics be used?

A

later phase of rehab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

isokinetic machines are measured in units of what?

A

degrees per second

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

“regaining the ability to follow some previously established sensory pattern” - How is this done?

A

neuromuscular control and balance work; done through repetitive motion until it becomes automatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The ability to sense joint position in space is mediated by _______ in muscle and joints

A

mechanoreceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the four key elements of neuromuscular control and balance?

A
  1. proprioception and kinesthetic awareness
  2. dynamic stability
  3. preparatory and reactive muscle characteristics
  4. conscious and unconscious functional and motor patterns
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

“integration of muscular forces, neuromuscular sensory information from mechanoreceptors & biomedical feedback”

A

balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the optimal functional progression?

A

allows for opportunity for practice of every skill that is required for the sport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Rehabilitation Plan Phase 1 (acute inflammatory stage) may last how long? What is the primary focus? What should you avoid?

A
  • up to 4 days
  • being able to control swelling and modulate pain
  • overly aggressive during first 48 hrs
22
Q

by day 3-4 of the acute inflammatory stage, what should you be working on?

A

active ROM exercises in pain-free ROM while continuing NSAIDs for swelling and inflammation

23
Q

when does a post-surgical exercise phase begin post surgery?

24
Q

\rehab plan, phase 2 (fibroblastic repair), can last for up to how long? What is critical in this phase?

A

several weeks; swelling and pain control is critical

25
during phase 2 (fibroblastic repair), what should be added in?
CV fitness, strengthening, flexibility and neuromuscular activities should be gradually added in
26
Phase 3 (maturation and remodeling) may last how long? What is the ultimate goal, and what two types of training should you use to help achieve it?
Several years; return to activity and sport specific skills; dynamic functional and plyometric training
27
______ = successful rehab
compliance
28
7 steps to enhancing patient compliance?
1. Athletic therapist’s attitude / relationship with the patient 2. Clear instructions – verbal & written 3. Encouragement & positive reinforcement = commitment 4. Creativity & variation – keeps athlete interested & motivated 5. Support from coach and peers of the rehabilitation process 6. Fit athlete’s schedule 7. Pain free
29
3 thermal modalities?
conduction conversion radiation
30
"heat transferred from a warmer object to a cooler one"
conduction
31
To avoid tissue damage while using conduction, the temperature should never exceed ___°C & should not be in contact with skin longer than ___ minutes
47; 30
32
"indirect heating through another medium such as air or fluids"
conversion
33
during conversion, what three things will impact healing?
temperature, speed of movement, and conductivity
34
"Heat is transferred from one object through space to another object"
radiation
35
Tiger balm or A535 are considered what type of modality?
Thermal (conversion specifically)
36
Why does cold penetrate deeper and last longer?
due to fat insulation
37
C (Cold) : __-__ minutes; B/A (Burning/Aching) : __-__ minutes; N (Numb – really need to watch this stage because people can start to freeze): __-__ minutes
0-3 2-7 5-12
38
4 types of cryotherapy?
ice massage (5-10 min) immersion (10-15 min) ice packs (15-20 min) vapocoolant sprays
39
physiological effects of thermotherapy depend on what 4 things?
Type of heat Intensity Duration of application Tissue response
40
Desirable therapeutic effects of thermotherapy are: increasing extensibility of ____ tissues, decreasing joint ____, reducing ___, relieving muscle ____, reducing _____, edema & exudate in post-acute phase, increase blood ___
collagen; stiffness; pain; spasm; inflammation; flow
41
____ ___ directly increases subcutaneous temperature and indirectly spreads to deeper tissue
superficial heat
42
superficial heat should be applied at a constant heat level for __-__ minutes
20-30
43
Special considerations with superficial heat use: Never apply heat when there is loss of _____, immediately after ____ when there is decreased ____ _____, directly to ___ or ___, to the abdomen during _____, or to a part of the body that exhibits ____ _____.
sensation; injury; arterial circulation; eyes or genitals; pregnancy; acute inflammation
44
What type of heat is more tolerable at high temperatures?
dry heat
45
Physiological responses of massage? (5)
- increased circulation - removal of metabolites - overcoming venostasis - relaxation - stimulation
46
4 types of massage strokes?
1. effleurage 2. petrissage 3. tapotement 4. friction
47
"stroking style"
effleurage massage
48
"kneading"
petrissage massage
49
"cupping, hacking, jostling"
tapotement massage
50
"muscle runs vertically and you rub horizontally"
friction massage
51
strokes toward the heart enhance ______ and _____ drainage
lymphatic and venous