MSK- Contractile Tissue Flashcards
(21 cards)
What is a strain or tear?
Muscle or tendon injury involving over contracting or lengthening a muscle causing tearing of collagen
What are the grades of muscle or tendon injury?
- Grade I
- Grade II
- Grade III
What type of muscle contractions are associated with two joint muscles?
Eccentric contractions (deceleration phase)
What are common biomechanical factors contributing to Achilles Tendinopathy?
- Overpronation of foot
- Footwear
- Training surfaces
What are the clinical signs and symptoms of Patella Tendinopathy?
- Anterior knee pain
- Decreased function in activities like stairs, up/down hills, kneeling
What is a key physiotherapy management strategy for Patella Tendinopathy?
Eccentric loading more effective than concentric in some studies
What are risk factors for Patella Tendinopathy?
- Weight
- BMI
- Leg length difference
- Arch height of foot
- Quads flexibility/strength
- Hamstring flexibility
- Vertical jump performance
What are the clinical signs of Gluteal Tendinopathy?
- Lateral hip pain
- Tenderness around greater trochanter
- Pain when walking/standing on one leg/getting up from sitting
What are common areas affected by tendinopathy?
- Lower Limb: Glutes, Patella, Achilles, Tibialis Posterior, Hamstrings, Peroneals, Plantar Fasciopathy
- Upper Limb: Rotator Cuff, Long Head of Biceps, Lateral Epicondylalgia, Medial Epicondylalgia, De Quervains
What is a common symptom of Plantar Fasciopathy?
Pain at the proximal insertion of the plantar fascia, particularly with big toe extension, and ankle dorsiflexion
What are the clinical signs of De Quervains?
- Pain on the radial side of the wrist
- Pain on palpation of affected tendons
- Aggravated by resisted thumb extension/abduction or stretching
What are the clinical signs of Medial Epicondylalgia?
- Pain on the medial aspect of the elbow
- Tender on palpation
- Aggravated by resisted wrist flexion or pronation
What is a common management option for Medial Epicondylalgia?
Education, Load Management, Exercise
What is the most common overuse syndrome in the elbow?
Lateral Epicondylalgia / Tennis Elbow
What are common management options for Lateral Epicondylalgia?
- Education
- Load Management
- Exercise
- Brace/Taping
- NSAIDs, Corticosteroid Injection, Shockwave, Surgery
What are the clinical signs of Rotator Cuff Related Shoulder Pain?
- Pain and impairment of shoulder movement
- Painful to lie on affected side
What factors can lead to tendon pathology?
- Training Load/Error
- Previous Injury
- Muscle Weakness
- Biomechanics
- Tendon Structure
- Increased BMI
- Diabetes
- Medication
- Age
- Gender
- Genetics
What are common muscles for tears?
- Pec Major
- Long Head of Biceps
- Rotator Cuff
- Quads
- Hamstrings
- Achilles Tendon
What does ‘tendinopathy’ refer to?
Pain and dysfunction associated with any tendon
What are the physiological changes in tendinopathy?
- Increased number of tenocytes
- Increased metabolism
- Increased immature tenocytes
- Increased rate of apoptosis
What is the impact of increased BMI on tendinopathy?
Increased risk of developing tendinopathy
