Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Christina-Summer 25 > Ther-ex Treatment Goals > Flashcards

Ther-ex Treatment Goals Flashcards

(55 cards)

Start Studying
1
Q

T or F, scar tissue is elastic

A

F it is Inelastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hypertrophic scar vs Keloid scar

A

A hypertrophic is raised within the boundaries of the injured site

A keloid scar extends beyond the boundary of the injured site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How can you limit Collagen synthesis at an injury site (to prevent scar tissue)

A

Applies prolonged pressure which limits O2 available

(scar tissue requires O2 to form)

Apply pressure garmets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When is it appropriate to apply compression to prevent scar tissue formation

A

Any time the scar tissue is still reddened but blanches with tension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does chronic inflammation occur

A

Either due to immune response or due to repeated stress/trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Chronic low grade inflammation increases production of __________ and degradation of __________

A

immature collagen

normal mature collagen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Intrinstic vs Extrinsic healing factors

Identify the following:

Age

Education

Medical Complications

Home environment

Work Environment

A

Intrinsic- Age, Education, Medical Complications

Extrinsic - Home and Work environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the best modaility for chronic inflammation

A

exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the definition of disability

A

Outcome or result of complex relationship between persons health condition and personal factors, and the external factors in their life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What deals more with anatomical abnormality or loss:

Pathology

Impairment

Functional Limitation

Disability

A

Impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What deals more with the limitation of preformance at the level of the person?

Pathology

Impairment

Functional Limitation

Disability

A

Functional Limitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What deals with the limitations in performance of socially defined roles

Pathology

Impairment

Functional Limitation

Disability

A

Disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What deals with a interuption of normal body processes

Pathology

Impairment

Functional Limitation

Disability

A

Pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Modalities are usually used to treat which level of disablement

Pathology

Impairment

Functional Limitation

Disability

A

Impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which phase typically has pain with normal range of motion and overpressure?

Acute

Subacute

Chronic

A

Acute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which phase typically has no pain with normal ROM, but pain with overpressure

Acute

Subacute

Chronic

A

Early subacute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What phase typically has pain with only the last part of overpressure

Acute

Subacute

Chronic

A

late subacute or chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the clinical signs of the acute stage?

What is the aim managing of the acute stage?

A

Clinical signs: Inflammation, Pain at rest

Aim: Reduce inflammation, Protect injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which massage techniques are appropriate for the acute stage?

A

Superficial and deep efflurage

Petrissage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are 3 guidelines for managing the acute stage

A

Patient education

Protection of injured site

Prevent the adverse affects of immobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How long should a patient immobilize, ice, rest in and elevate in the first part of the acute stage?

A

24-48 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

When is cryotherapy appriopriate on an acute injury?

A

first 24-48 hours, reduce pain and swelling

combine with compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the purpose of cryotherapy?

Study These Flashcards
A

limit bleeding, reduce swelling and pain

-produce vasoconstriction and block pain
-combine with compression in first 24-46 hours

24
Q

How can e-stim help an acute injury

Study These Flashcards
A

Reduce pain and swelling

block pain and alter cell permeability

25
When massaging a muscle during the acute stage, what position should it be in? Shortened lengthened Stretched
Shortened so as not to separate the healing area
26
How can grade 1 and grad 2 joint mobilization help an acute injury
improve fluid dynamics maintain cartilage health inhibit pain
27
What kind of exercise is indicated during the acute stage What is contraindicated
PROM within the limit of pain is indicated AROM is contraindicated unless its chronic inflammation and stretching
28
what should the muscle setting be at the acute stage?
low intensity intermittent isometric muscle contraction shortened position or resting joint position
29
T or F: you can still use AROM and resistive exercise for uninjured bodyparts during the acute stage
T
30
What are the goals for managing the subacute stage?
Decrease inflammation Promote healing Develop mobile scar tissue Promote function and non-destructive AROM Carefully progress to resistive exercise
31
what phase is the control motion phase?
subacute stage - aim to promote healing
32
clinical signs of sub acute
-decreasing inflammation -pain synchronous with tissue resistance
33
What is the expected time frame of the subacute phase
21 days to 6 weeks
34
in subacute progress from multiple angle isometric exercise to?
isotonics -begin mild resisitance -encourage AROM in uninvolved -resume functional activites
35
what stage is txt changed from cold to heat
subacute note: increase circulation, promote healing, reduce pain, and increase tissue extensibility -using increased swelling as precautionary indicator
36
Should you use cold or heat on a subacute njury?
Heat in order to promote circulation however, use swelling as a precautionary indicator
37
What massage techniques can you use in the subacute phase?
All
38
electrical stimulation helps to?
reduce swell and pain, remove injury byproduct block pain and alter cellular permeability neuromuscular control
39
What do you use cross friction massage for?
sub-acute: mobilizing ligaments, incision sites, tendon adhesions, or muscle scar tissue
40
4 kinds of exercises in subacute stage
Multiple angle submaximal isometrics AROM Muscle endurance (slow twitch fiber training) w/ low intensity Protected weight bearing exercises
41
How to initiate and progress stretching during the subacute phase?
**Warm** the tissue first -> use muscle **relaxation** technques (hold relax)/(contract relax) for inhibition -> Use **stretching** techniques -> **Use new ROM** in an exercise to maintain this new ROM
42
Signs of excessive stress w/ exercise
Soreness doesn't decrease after 4 hours soreness is not relieved after 24 hours Progressive increased feelings of stiffness/decreasing ROM Swelling/redness increasing progressive weakness decreased functional usage of involved body part
43
What are the goals of managing the chronic stage?
Return to function Develop functional independence Work-hardening practice
44
What are the clinical signs of the chronic stage?
Absence of inflammation pain in tissue only after resistance applied
45
chronic stage is the return to function phase aim to promote remodeling t/f
True
46
What are the benefits of using deep heat for the chronic phase
increase circulation to deeper tissues, reduce pain, promote healing, increase tissue extensibility
47
Should you use heat in any stage if the tissue is swollen?
no
48
How can e-stim help in the chronic stage?
Stimulate muscle contraction/increase ROM and strength promote neuromuscular control
49
Exercise progression for chronic stage
**Submaximal to maximal** exercises focus on normal muscle **strength and flexibility** resistive **concentric** to **eccentric** progressive trunk stability/ postural control/ **balance** teach **safe body mechanics** and use activities that replicate their work environment
50
how does physical agents factor into rehab processes?
-help to relieve pain -modify inflammation -reduce edema -promote healing -modify muscle tone -alter collagen extensibility
51
Effects of heat as a modality on: Metabolic rate circulation pain muscle spasm
Increased metabolic rate increase circulation modulate pain reduce muscle spasm
52
Effects of cold as a modality on: Metabolic rate? Edema? Pain? Muscle spasm?
Decreased metabolic rate decreased edema modulate pain reduce muscle spasm
53
Effects of electrical stimulation
modulate pain increase muscle contractions muscle reeducation improve tissue environment
54
Effects of ultrasound as a modality: metabolism circulation cell wall permeability collagen tissue
Increase metabolism Increase circulation increase cell wall permiability soften collagen selectively heat tissue
55
Effects of BFR: (blood flow restriction)
Increase muscle activation Decrease circulation increase hypertrophy Increase muscle cross sectional area

Christina-Summer 25 (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions