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PHTH 550: Orthopaedic Rehabilitation > Pre-Midterm > Flashcards

Flashcards in Pre-Midterm Deck (17)
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1
Q

how strong can scars be compared to the original tissue?

A

%80 as strong max

2
Q

5 cardinal signs of inflammation

A
rubor
calor
dulor
tumor
decreased function
3
Q
which responses are part of the inflammatory phase?
humeral
cellular
hemostatic
vascular
A

all of the above

4
Q

name some characteristics of the proliferative phase of healing

A

increased fibroblast activity
formation of new blood vessels
closure of wound
increased mast cell and macrophage activity

5
Q

when would someone feel pain during the three stages of inflammation?

A

acute - before tissue resistance
proliferative - at beginning of tissue resistance
remodelling - at end of tissue resistance

6
Q

if pain after exercise continues for longer than __ hours, it was too aggressive

A

4

7
Q

what are the two types of chronic inflammatory responses?

A

auto-immune

extension of acute inflammation (ie not enough time to heal)

8
Q

if there is immediate swelling within the first 4 hours of injury, is it likely to be blood or synovial fluid?

A

blood - synovial 8-24hrs after

9
Q

which is not a landmark for the figure of 8 girth measurement locations for ankle swelling?

a) navicular tuberosity
b) sustentaculum tali
c) lateral malleolus
d) medial malleolus

A

b) sustentaculum tali

10
Q

what are some contraindications of ROM exercises?

A
  • unhealed #
  • certain mvts after surgery
  • dislocation
  • myositis ossificans (PROM, only precaution for AROM)
11
Q

what may cause a larger gap than usual in PROM and AROM?

A

pain
spasm
neurologic deficiency
muscle deficiency

12
Q

what kind of difference in measurement is needed before it’s considered significant/progress?

A

more than 3-4 degrees

13
Q

what are contraindications to MMT/RISOM?

A
  • unhealed #

- muscle strain for MMT only

14
Q

what three things should be explained to the patient before doing MMT?

A

what you are testing
why you are testing it
how you will do it

15
Q

why is RISOM done in loose-packed positions?

A

to minimize stress on inert tissue

16
Q

what are the ottawa knee rules?

A
  • 55 or older
  • tenderness at head of fibula
  • isolated tenderness of patella
  • inability to flex to 90 degrees
  • inability to walk 4 steps/WB immediately
17
Q

what are the ankle rules?

A
  • pain in malleolar area plus:
  • bone tenderness at post 1/2 of either malleolus
  • inability to WB immediately

or for foot:
- pain in midfoot and

  • pain at base of 5th or navicular
  • inability to WB immediately