injury prevention retroactive Flashcards

1
Q

What is the goal of retro-active strategies?

A

To treat injuries as propel and efficiently as possible after they occur.
Also help prevent re-injury or reoccurrence

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2
Q

What are the three steps to retro-active care?

A

evaluation, recognition, and treatment

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3
Q

what is treatment?

A

immediate care, short (days/week), and long-term (weeks, months, years)

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4
Q

What are the 5 steps to evaluation and recognition?

A
  1. Primary survey
  2. Secondary survey
  3. Referral (if necessary)
  4. Documentation of findings
  5. Create a treatment plan
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5
Q

What is the point of the primary survey and the secondary survey?

A

to give you recognition of an injury

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6
Q

What is the primary objective of the primary survey?

A

To rule out a serious or life threatening condition

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7
Q

What is the secondary objective of the primary survey?

A

To understand the chief complaint (where the pain is/what is wrong)

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8
Q

What is done during the primary survey?

A

Vital signs are observed, the ABCs, and if there is a serious injury an EAP should be activated

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9
Q

What is done during the secondary survey?

A

A detailed examination of the injury and a documentation of your findings

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10
Q

What are the 4 steps of examination during the secondary survey (HOPS or HIPS)?

A

History (causes, previous injuries, etc.)
Observation/Inspection (visualize)
Palpation (feel)
Special tests (ROM, strength, stress tests, etc.)

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11
Q

Do you need to differentiate between structure and function during an assessment?

A

Yes

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12
Q

Structure examples

A

Defects, internal derangement (ex. torn ligament), active pathology (you may not always be able to see it)

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13
Q

Function examples

A

(what is it the person is able to do)
Level of dysfunction, impairments, disabilities

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14
Q

What are the three parts of the rehabilitation aspect of a treatment plan?

A
  1. Immediate/acute care
  2. Short-term
  3. Long-term
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15
Q

What should be done during the immediate/acute care of rehabilitation?

A

Control the symptoms aka use therapeutic modalities to protect the area

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16
Q

What is done during the short-term care of rehabilitation?

A

Phase out modalities and start therapeutic exercises

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17
Q

What is done during the long-term care of rehabilitation?

A

Get aggressive with the therapeutic exercises and then add in modalities afterward. There could be a gradual return to participation.

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18
Q

What are therapeutic modalities? (there are 6)

A
  1. PRICE
  2. Cryo-therapy
  3. Thermo-therapy
  4. Electro-therapy
  5. Mechanical
  6. Light therapy
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19
Q

When is the PRICE protocol used?

A

During the immediate or acute care. The goal is to control the acute inflammatory process

20
Q

What is thermo-therapy?

A

Heat therapy

21
Q

What are ways of using superficial heat?

A

Moist hot packs
Warm whirlpool
Fluido-therapy
Topical ointments

22
Q

What are ways of using deep heat?

A

Therapeutic ultrasound
Penetrating sound waves
Thermal (deep heating)
Non-thermal (pulsating)

23
Q

What are the therapeutic effects of a therapeutic massage?

A

-Increase perfusion of muscle tissue
-Pain relief
-Relaxation of tense muscles
-Remove swelling

24
Q

What are the 4 techniques of therapeutic massage?

A

-Effleurage
-Petrissage/kneading
-Tapotement/percussion
-Deep tissue/friction (Rolfing)

25
Q

What is effleurage for?

A

Prep/priming
You use a gliding stroke and you begin a massage and end a massage with this stroke

26
Q

What is the kneading technique?

A

Squeezing and releasing

27
Q

What is the percussion technique?

A

Tapping or chopping

28
Q

What is the goal of the deep tissue technique?

A

To stimulate an inflammatory response, this is good for if healing hasn’t started.

29
Q

What do you feel when you use electrical stimulators for pain control?

A

pins and needles sensation or noxious level

30
Q

What is the goal of muscle pumping with electrical stimulators?

A

To remove swelling

31
Q

What do muscle contractions from electrical stimulators do?

A

Neuromuscular re-education and prevent disuse atrophy

32
Q

What is the most critical therapeutic modality?

A

Therapeutic exercises

33
Q

What is the goal of therapeutic exercises?

A

to restore ROM to near pre-injury levels.

34
Q

What is an important aspect of resistance exercises?

A

PRE (progressive resistance exercise)

35
Q

What are the two primary responses to stretching?

A
  1. Stress relaxation
  2. Creep
36
Q

What happens during stress relaxation?

A

You move a joint to a point of tissue resistance and the length or joint angle is held constant.
Eventually the muscle will relax and internal resistance or tension of muscles decreases.

37
Q

What is creep?

A

when you move a joint to a point of tissue resistance with a constant load or applied force on muscle.
Eventually the muscle will reach a plateau

38
Q

What is the instantaneous response to load being applied called?

A

The elastic response

39
Q

What is the time period after loading called?

A

The viscous or plastic response

40
Q

What is the goal of creep recovery?

A

You want to lengthen tissue over a period of time. Partial recovery over time will result in elongation of the tissue and it will remain stretched.

41
Q

What is static stretching?

A

It can be acute or chronic and the goal is to decrease muscle tension

42
Q

What is the optimal stretching regimen for static stretching?

A

Move to a position of slight resistance and hold it for 15-30 seconds. Do 3-5 reps. This is optimal for pre-exercise.

43
Q

can you do too much pre-exercise stretching?

A

Yes, sometimes you can inhibit the neuromuscular system instead of priming it.

44
Q

What is the SAID principle?

A

The specific adaptations to imposed demands principle

45
Q

How does exercise impact the body neurologically in rehab?

A

It impacts the motor unit recruitment and synchronization.

46
Q

How does exercise impact the body morphologically in rehab?

A

It prevents muscle atrophy

47
Q

What is the recommended dosages for pharmacologic agents?

A

1-2 tablets every 4-6 hours