Ther-Ex treatment goals and management of soft tissue lesions

Question 1

t/f scars are elastic

Answer 1

f- inelastic

Question 2

what kind of scar is “raised, but within bounds of injured region”

Answer 2

hypertrophic scar

Question 3

what kind of scar “extends beyond the boundary of injured site”

Answer 3

keloid scar

Question 4

collagen synthesis is dependent on?

Answer 4

O2

Question 5

prolonged pressure can limit ____ of scar by limiting O2 available to that tissue

Answer 5

size/bulk

Question 6

chronic inflammation can occur due to?

Answer 6

-repeated trauma beyond ability to repair
-immune response

Question 7

chronic inflammation results in persistent ____ inflammatory response and _____ fibroblast activity

Answer 7

low-grade
increased

Question 8

intrinsic factors examples

Answer 8

age, education, medical complications

Question 9

extrinsic factors examples

Answer 9

home or work adaptations

Question 10

what is the best modality?

Answer 10

exercise :) LIFTING WEIGHTS BABY

Question 11

the outcome or result of a complex relationship between an ind health condition and personal factors, and of the external factors that represent the circumstances in which in the ind lives?

Answer 11

disability

Question 12

protection/acute phase aims to?

Answer 12

reduce inflammation

Question 13

clinical signs of the acute stage?

Answer 13

inflammation
pain at rest w/o tissue resistance

Question 14

PT goals and interventions: acute phase

Answer 14

reduce inflammation
reduce edema
modulate pain
protect area - brace
prevent adverse effects of immobilization via PROM, muscle settings

Question 15

what stage is RICE important for?

Answer 15

acute stage

Question 16

what modalities would you use in the acute phase?

Answer 16

cryotherapy, electrical stimulation, massage, low-dosage joint mobilization

Question 17

cryotherapy as a modality can help with, and what phase would you use it?

Answer 17

-limiting bleeding; reduce swell/pain
-produce vasoconstriction and block pain
-combine with compression in first 24-48 hrs

Question 18

electrical stimulation as a modality can help to?

Answer 18

reduce swelling and pain
-block pain and alter chemical permeability

Question 19

benefit of massage?

Answer 19

moves fluid and prevent adhesions

Question 20

when treating muscle lesions, the muscle is kept in what position?

Answer 20

shortened

purpose: to not separate healing branch

Question 21

grade I and II distraction and glide techniques to improve?

Answer 21

fluid dynamics in joint to maintain cartilage health

Question 22

grade I and II distraction and oscillation may also?

Answer 22

reflexively inhibit or gate the perception of pain

Question 23

what is contraindicated in acute phase?

Answer 23

-AROM at active inflammatory sites unless it is a chronic inflammation
-stretching

Question 24

what CAN you do in the acute phase - exercise interventions?

Answer 24

unijured tissue - gentle movement to aid circulation, resistive and functional activities

injured - gentle PROM in pain limits, muscle setting

Question 25

muscle setting for acute phase

Answer 25

low-intensity, intermittent, isometric muscle contraction within limit of pain; place muscle in shortened position or resting joint motion

Question 26

what inflammation phase is the control motion phase?

Answer 26

subacute

Question 27

purpose of control motion phase?

Answer 27

aim to promote healing

Question 28

clinical signs of subacute stage?

Answer 28

-decreasing inflammation -pain synchronous with tissue resistance

Question 29

PT goals and interventions for subacute phase

Answer 29

tissue healing - circulation and collagen deposition develop mobile scar - stretching, mobilization promote function - non destructive AROM, muscular and CP endurance, carefully progress to restrictive exercises

Question 30

expected time frame of subacute healing?

Answer 30

21 days-6 weeks

Question 31

signs of exercise stress with exercise or activities

Answer 31

soreness that does not decrease after 4 hours and is not resolved after 24 hours** activity pain that comes on earlier or is increased over the previous session increased stiffness and dec ROM over sessions swelling, redness, warmth progressive weakness dec functional usage

Question 32

return to function phase

Answer 32

chronic

Question 33

clincial signs of chronic phase

Answer 33

absense of inflammation pain after tissue resistance

Question 34

chronic phase pt goals and interventions

Answer 34

increase tensile quality of scar, full ROM functional independence, balance and coordination, specific drills

Question 35

in the chronic stage, pts can start to progress how

Answer 35

submax to max concentric to eccentric simple to complex motions WB return to high-demand activities

Question 36

modalities chronic stage

Answer 36

deep heat for deep tissues, increase tissue extensibility, E-stm, massage - myofascial release to reduce adhesions between muscle layers joint mobilization III or IV

Question 37

most modalities are used to impact what?

Answer 37

inflammatory response

Question 38

main difference between heat and ice

Answer 38

heat - improves circulation, increase metabolic rate cold - reduce edema, decrease metabolic rate

Question 39

blood flow restriction technique

Answer 39

increase muscle activation decrease circulation increase muscle hypertrophy increase muscle corss section area