TherEx Week 1

Question 1

what soft tissue is damaged when you have a STRAIN

Answer 1

Muscle, Tendon

Question 2

what soft tissue is damaged when you have a SPRAIN

Answer 2

Ligament

Question 2

if you strain a muscle is it a complete tear or partial tear

Answer 2

partial tear

Question 3

how many grade of sprains are there and what are they ?

Answer 3

Sprain (grade I-III)
* Grade I - ligament stretched but intact
* Grade II - incomplete or partial tear
* Grade III - complete tear

Question 4

what is a subluxation?

Answer 4

incomplete or partial dislocation

Question 5

what is a dislocation?

Answer 5

Complete loss of anatomical
relationship

Question 6

Which direction is the hip most commonly dislocated?

Answer 6

POSTERIORLY

Question 6

Which direction is the shoulder most commonly dislocated?

Answer 6

ANTERIORLY

Question 7

Tendinitis

Answer 7

inflammation of the tendon

Question 7

tendinosis

Answer 7

chronic degradation of the tendon WITHOUT inflammation

Question 8

Tenosynovitis

Answer 8

inflammation of the synovial membrane

Question 9

Tenovaginitis

Answer 9

inflammation with
thickening of a tendon sheath

Question 9

Ganglion

Answer 9

Ballooning of the wall of a joint capsule
occurs usually with RA

Question 10

Synovitis

Answer 10

Inflammation of a
synovial membrane

Question 11

what is Dupuytrens contracture ?

Answer 11

Abnormal thickening of the skin in the palm of the hand

Question 12

Hemarthrosis

Answer 12

Bleeding into a joint

Question 13

what is an intrinsic muscle spasm

Answer 13

hypercontracted state that results in decreased circulation and inc of metabolites

Question 14

what is reflex guarding

Answer 14

having the muscle contracted due to fear of injury

Question 15

Grade 1 strain

Answer 15

minimal strength loss
Less than a 15° deficit with the AKE test
slight pain when muscle is on stretch

Question 16

Myofascial compartment syndrome

Answer 16

Increased pressure in a closed, nonexpanding,
myofascial compartment
* Results in ischemia and causes tissue damages

Question 17

Grade 2 moderate strain

Answer 17

Moderate tearing of muscle fibers, but the muscle is still intact
A 16° to 25° deficit with the AKE test

Question 18

Acute stage of healing when would you feel pain in relation to ROM

Answer 18

expect pain at rest without any movement

Question 18

Grade 3 Severe strain

Answer 18

Complete tear of the muscle
A 26° to 35° deficit with the AKE test
A possible palpable mass of muscle tissue at the tear site

Question 19

Subacute stage of healing when would you feel pain in relation to ROM

Answer 19

you will experience pain before tissue resistance

Question 20

Chronic stage of healing

Answer 20

pain is encountered at the end range of tissue resistance

Question 21

what does P.E.A.C.E stand for

Answer 21

Protect Elevate Avoid inflammation Compression Education

Question 21

What does L.O.V.E stand for ?

Answer 21

Load Optimism Vascularization Eccentrics

Question 22

In the acute stage of trauma, when do you have inflammation? At a cellular level ?

Answer 22

Cellular death due to lack of oxygen Coagulation coagulation initially vasoconstriction then vasodilation Phagocytosis by the Neutrophils and Monocytes

Question 22

what are the 5 cardinal signs of inflammation ?

Answer 22

Pallor Heat Redness Swelling Loss of function

Question 23

what are the goals when pt is working with someone in the acute stage ?

Answer 23

RICE Protection prevent negative side effects from rest

Question 24

what process are used for tissue repair ?

Answer 24

angiogenesis collagen formation epithelization

Question 25

How long does the repair and regeneration phase last ?

Answer 25

starts at between 48 and 72 hrs and can last up to 6-10 weeks

Question 26

How long does the remodeling phase last ?

Answer 26

can last up to a year

Question 26

What is granulation tissue?

Answer 26

delicate connective tissue made up of fibroblasts collagen and capillaries

Question 27

when a Pt works with a patient in subacute stage what are their goals

Answer 27

Develop mobile scars Nondestructive AROM Promote healing

Question 28

what can occur if there us an excess of collagen

Answer 28

hypertrophy of scar formation

Question 29

what occurs during the remodeling stage

Answer 29

contracture of scar tissue collagen aligns to stress

Question 30

what are the seven basic movement patterns

Answer 30

Squat Lunge Push Pull Bend Twists Gait

Question 30

what are the goals of Pt in the Chronic Stage

Answer 30

Inc tensile quality if the scar dev functional independence

Question 31

what does the unhappy triad consist of ?

Answer 31

ACL MCL and medial meniscus

Question 31

true or false ligaments heal quicker than muscles?

Answer 31

false. Due to the inc blood supply that muslces have allow for quicker healing

Question 32

How many days does it take for wound closure in muscle

Answer 32

5-8 days

Question 33

how many days does it take for ligament and tendons to heal ?

Answer 33

3-6 weeks

Question 34

a ligament after it has repaired and remodeled is how much weaker?

Answer 34

30-50%

Question 35

whenever remodeling occurs what type of collagen is synthesized instead of the Type I ?

Answer 35

Type III

Question 36

The proliferative stage occurs _________ after injury ?

Answer 36

48-72 hrs

Question 37

if you have ACTIVE tension across the tendon within the first 3 weeks of a repair site it results in a _________ outcome

Answer 37

Poor

Question 38

what does passive movement do for the collagen fibers at a repair site.

Answer 38

Helps align the collagen fibers

Question 39

T or F A tendon with no motion within the first 3 weeks is the best protocol.

Answer 39

F You need to move passively in a limited motion.

Question 40

How long do most tendon rehab programs last

Answer 40

> 6 months sometimes 1-2 yrs

Question 41

what are the causes of muscle injury

Answer 41

prolonged ischemia mechanical forces thermal stresses nerve injury

Question 42

How long do you want to keep the muscle immobilized ?

Answer 42

2-5 days

Question 43

________ contraction or __________ can cause injjry for 2 joint muscles

Answer 43

eccentric contraction and overstretch

Question 44

soft callus formation and hard callus formation are part of what phase ?

Answer 44

Reparative phase

Question 45

soft callus formation occurs ?

Answer 45

one week after injury

Question 46

what are the stages of healing for a Fx

Answer 46

Hematoma Fibrocartilaginous callus formation Bony Callus Formation Bone Remodeling

Question 46

Fracture healing time for Children Adolescents Adults

Answer 46

Children 4-6 weeks Adolescents 6-8 weeks Adults 10-18 weeks

Question 46

hard callus formation occurs for how long ?

Answer 46

several week to months