lecture 2: treatment goals and managements of soft tissue lesions

Question 1

what type of scar is raised , but within bound of injured region

Answer 1

Hypertrophic scar

Question 2

what type of scar extends beyond the boundary of the injured site

Answer 2

keloid scar

Question 3

what is collagen syntheses dependent on

Answer 3

O2

Question 4

what can chronic inflammation occur due to

Answer 4

repeated stress and immune response

Question 5

in the chronic inflammation there is increased production of what type of immature collagen

Answer 5

3

Question 6

soft tissue techniques minimize what

Answer 6

edema, pian and ROm restriction

Question 7

what is considered the best modality

Answer 7

exercise

Question 8

what should the pateint education be for the acute stage

Answer 8

the expected duration of symptoms (4-6 days) and precautions or contraindications

Question 9

what modalities is used to limit bleeding , reduce swelling and pain , it produces vasoconstriction and blocks pain and is combined with compression in the first 24- 48 hours

Answer 9

cryotherapy

Question 10

what modalities reduce swelling and pain and blocks pain and alters cellular permeability

Answer 10

electrical stimulation

Question 11

what is the purpose of massage in the acute stage

Answer 11

to move fluid and prevent adhesions

Question 12

what do Grade I or II distraction and glide techniques do in the acute stage

Answer 12

improve fluid dynamics in the joint to maintain cartilage health

Question 13

what direction and technique should you do joint mobs in

Answer 13

passive gliding or traction movements applied at the joint surface and oscillation technique

Question 14

what exercise interventions are contraindicated in the acute stage

Answer 14

active movement and stretching

Question 15

how should the mm be during exercise for the acute stage

Answer 15

low intensity , isometric mm contraction within limit of pain , place mm in th shortened position

Question 16

what phase is the control motion phase

Answer 16

the subacute phase

Question 17

what is the clinical signs for the subacute phase

Answer 17

decreasing inflammation and pain synchronous with tissue resistance

Question 18

what are the 3 pt goals and interventions for teh subacute phase

Answer 18

promote tissue healing
develop mobile scar
promote function

Question 19

what is the progression of ROM in the subacute phase to restore soft tissue , muscle and joint mobility healing

Answer 19

progress from PROM > AAROM> AROM within limit of pain

Question 20

in what stage do you progress from multiple angle isometric exercise to isotonics within patient’s tolerance

Answer 20

subacute stage

Question 21

how does th modalities change in the subacute stage

Answer 21

changes from cold to heat to increase circulation , promote healing , reduce pain and increase tissue extensibility

Question 22

what is used as a precautionary indicator for changing from cold to heat in teh subacute phase

Answer 22

increased swelling

Question 23

what massage technique do u use int he subacute stage

Answer 23

trigger point , friction and myofascial release

Question 24

what massage type do u use to mobilize ligaments, incision sites, and muscle scar tissue or tendon adhesions

Answer 24

cross friction

Question 25

what joint mob grade do you use in subacute

Answer 25

grade 3 sustained or 3 and 4 oscillation

Question 26

what type of exercises can u do in the subacute stage

Answer 26

multiple angle , sub max isometric exercises in shortened or relaxed position

Question 27

what kind fo ROM can you do in the subacute phase

Answer 27

active movement (AROM) in pain free range to develop control of th emotion

Question 28

what kind of muscle endurance exercise do u use in the subacute phase

Answer 28

low intensity , high repetition AROM exercise

Question 29

what is the initiation and progression of stretching in subacute stage

Answer 29

warm the tissue mm relaxation technique stretching technique use of new range

Question 30

exercise or activity soreness that does not decreased after ___ hours and is not resolved after __ hours is a sign of excessive stress

Answer 30

4 24

Question 31

which stage is the return to function phase and is aimed to promote remodeling

Answer 31

return to function phase

Question 32

what are the clinical signs for retunr to function phase

Answer 32

absence of inflammation pain after tissue resistance

Question 33

what are the PT goals and intervention during the chronic stage

Answer 33

increase tensile quality of scare develop functional independence

Question 34

what are the 7 basic movements patterns

Answer 34

squat lunge push pull bend twist gait

Question 35

in which stage do you provide ways to avoid re injury and safe body mechanics to the pateint

Answer 35

chronic stage

Question 36

what type of resistance are u dong in the chronic stage

Answer 36

submax to maximal

Question 37

what are the 2 modalities to control symptoms in the chronic stage

Answer 37

deep head and electrical stimulation

Question 38

what type of massage are u doing in the chronic stage

Answer 38

myofascial massage

Question 39

what grade of joint mobz are u doing in the chronic stage

Answer 39

Grade III sustained or III and IV oscillation

Question 40

what are most modalities we use for

Answer 40

to impact the inflammatory response

Question 41

what is the purpose of heat modality

Answer 41

• Increase metabolic rate • Increase circulation • Modulate pain • Reduce muscle spasm

Question 42

what is the purpose of cold modality

Answer 42

• Decrease metabolic rate • Decrease edema production • Modulate pain • Reduce muscle spasm

Question 43

what is the purpose of electrical stimulation modalitiy

Answer 43

• Modulate pain • Increase muscle contractions • Muscle re-education • Improve tissue environment

Question 44

• Increase metabolism • Increase circulation • Increase cell wall permeability • Soften collagen • Selectively heat tissues what modality does these things

Answer 44

ultrasound

Question 45

• Increase muscle activation • Decrease circulation • Increase muscle hypertrophy • Increase muscle cross section area what modality does this

Answer 45

blood flow restriction

Question 46

SOFT TISSUE TECHNIQUES HELP TO TREAT MOTION RESTRICTIONS BY...

Answer 46

• Increasing soft tissue extensibility and compliance • Minimizing adhesions • Between tissue layers • Increasing circulation • Modulating pain • Reducing edema • Facilitating inhibited muscles

Question 47

• Increasing soft tissue extensibility and compliance • Controlling Inflammation • Minimizing adhesions • Modulating pain • Reduced muscle guarding • Facilitating motion of involved tissue • Reducing tone • Facilitating inhibited muscles • Reducing edema these things are done by what to help treat motion restrictions

Answer 47

physcial agents

Question 48

• Increasing soft tissue extensibility • Joint capsule • Muscle-tendon units • Controlling inflammation • Reducing edema/effusion • Reducing adhesions • Modulating pain • Facilitating motion • Increasing strength • Reducing pathologic increased muscle tone • Raising pathologically low muscle tone what helps to treat motion restrictions by doing these things

Answer 48

therapeutic exercise