Flashcards in Test 1part 1 Deck (48)
Do electrophysical agents (EPA) server the purpose of evaluation?
What are 5 EPAs?
Electric stim, heat therapy, cold therapy, mechanical energy, light
What is the definition of passive care/?
The doctor applies the intervention to the patent, and the patient passively receives the therapy
What are the names of the 4 stages of healing?
Homeostasis, inflammatory, proliferation, remodeling/maturation
What is another name for the inflammatory phase of healing?
What is the purpose of the inflammatory phase?
Defend against foreign intruders, remove damaged tissue, immobilize the area
What are the signs of inflammation?
Heat(calor), redness (rubor), Swelling (tumor), pain (dolor), loss of function (function laesa)
What inflammation stages did Virchow add later?
Loss of function
In the inflammatory phase (acute) what cells are present?
Neutrophils and macrophages
What inflammatory chemicals cause pain?
Dradykinin, prostaglandins, serotonin
What type of secondary injury is not specific, healthy tissue is damaged, and lysosomal enzymes are released?
Secondary enzymatic injury
What type of secondary injury is from hemorrhage clotting, edema, spasm, hematoma that can lead to decreased oxygen and nutrition and damages the surround uninsured tissue?
Secondary hypoxic injury
What is the goals of the inflammatory phase (acute) ?
Limit extent of inflammation, preserve ROM?
What does PRICE stand for and what phase would you use it?
Acute phase, Protect. Rest. Ice. Compress. Elevate
What it's the timing for an ankle sprain in the acute phase grade 1?
What it's the timing for an ankle sprain in the acute phase grade 2?
What it's the timing for an ankle sprain in the acute phase grade 3?
What is another name for the proliferative phase?
Angiogenesis takes place in what phase of healing?
What type of collage is seen in the extra cellular matrix?
What is found in the extra cellular matrix besides collage?
What cells are assoacited with the proliferative (repair) phase?
Fibroblasts, chondroblasts, osteoblasts
The unconsidered perception of movement and spatial orientation arising from stimuli within the body it self is the definition of what?
What mechanoreceptors feel for pressure and touch?
What mechanoreceptors as associated with skin stretch and pressure?
Merkel and ruffini
Free nerve endings are classified as what kind of receptor??
What functions in muscle length and tension?
What deep sensory receptors function is a change in joint position?
What deep sensory receptors sense vibrations?
What deep sensory receptors function is at joint end range or motion and possible heat?
What is the timing for an ankle pain in the proliferation phase in a grade 1?
What is the timing for an ankle pain in the proliferation phase in a grade 2?
What is the timing for an ankle pain in the proliferation phase in a grade 3?
What are some goals for an ankle sprain in the proliferation phase?
Decrease pain and swelling. Increase free ROM. Begin non weight bearing proprioceptive training.
What are some EPAs to increase the proliferation phase?
Thermo therapy, ultrasound, low level laser, hi volt, microcurrent
What is another name for the remodeling phase?
In the remodeling phase type___collagen is replaced by type______collagen.
Scar contraction happens in what phase?
In the remodeling phase collagen aligns along what?
Stress lines (cross linking continues)
Tension on CT causes increases in what?
Collagen fibril diameter, cross linking, number of collagen fibrils, collagen fibril packing density
How are collagen fibers aligened for optimal strength?
What is the timing for an ankle pain in the remodeling phase in a grade 1?
What is the timing for an ankle pain in the remodeling phase in a grade 2?
What is the timing for an ankle pain in the remodeling phase in a grade 3?
What are goals for an ankle sprain in the remodeling phase?
Increase pain free ROM, progress proporpoceptive training. Regain full sleigh, normal biomechanics
What are 5 physiologic effects of electrical stimulation?
Decrease pain (gate control theory/endorphin release), decrease muscle spasm, deuce edema, stimulate exercise by muscle contraction. Stimulate healing.
What 3 things does electricity require?
Flow of electrons, driving force (electron imbalance), path (conductor)