Passive Care - Stages of Healing

Question 1

How many stages of healing?

Answer 1

4 stages of healing

Question 2

First Stage of Healing

Answer 2

Hemostasis

Question 3

Hemostasis

Answer 3

Seconds/Minutes

Initial blood clotting to stop bleeding

Question 4

Second Stage of Healing

Answer 4

Inflammatory

Question 5

Inflammatory

Answer 5

Hours / Days / Weeks

Acute Phase

Signs of Inflammation: Heat (calor), Redness (rubor), Swelling (tumor), Pain (dolor)

Characteristics: Vasodilation, Increased Capillary Permeability, Phagocytosis by Neutrophils and Macrophages

Some inflammatory chemicals cause pain:
bradykinin, prostaglandins, serotonin

Goal: limit inflammation, PRICES, preserve ROM

Question 6

Third Stage of Healing

Answer 6

Proliferation

Question 7

Proliferation

Answer 7

Weeks / Months

Goals: decrease swelling, decrease pain, encourage and increase proliferation, increase pain free rom, begin non-weight bearing proprioceptive training, protective support as needed

Modalities: IFC, Premod, Hi-Volt

Question 8

Forth Stage of Healing

Answer 8

Remodeling / Maturation

Question 9

Remodeling / Maturation

Answer 9

Months / Years

Goals: increase pain-free rom, progress proprioceptive training, regain full strength, normal biomechanics, protect and strengthen any residual joint instability

Question 10

Three Stages of Healing

Answer 10

Inflammation, Repair, Remodel