Week 1: Contractile Tissue Flashcards
(20 cards)
What are the modifiable and non-modifiable risk factors for tendonopathy?
modifiable:
-overload/underload
-changes in load/training
Non-modifiable:
-age, previous injury, increased bmi, diabetes, medication, genetic factors
How is tendonopathy triggered?
-By overload of a tendon, also some changes changes occur with underload
-both degenerative and inflammatory components
What happens to tendon cell population for someone with tendinopathy?
-increased number of tenocytes
-increased tenocyte metabolism
-increased immature tenocytes
-increased rate of apoptosis
-immunoreactive cell
How is collagen disorganised for someone with tendinopathy?
-reduced type 1 fibre
-increased type 3 fibres
-higher concentration of immature collagen bundles
What is the ground substance changes for someone with tendinopathy?
-increased proteoglycans
-leads to increased water content causes increased cross section of tendon
-cross fibres between collagen breaks down making tendon weaker
What is the general clinical signs for tendinopathy?
Pain, weakness, decreased function, swelling
What is the clinical signs and symptoms, physio management and other management for gluteal tendinopathy?
Clinical signs and symptoms: lateral hip pain, pain on walking, standing on one leg, getting up from sitting
Physio management: education, load management
Other management: shockwave, corticosteroids, surgical intervention
What is the clinical signs and symptoms, physio management and other management for patella tendinopathy?
Clinical signs and symptoms: anterior knee pain, decreased function
Physio management- education, load management, exercise, taping
Other management- corticosteroids, shockwave, surgical intervention
What is the biomechanical factors for Achilles tendinopathy?
Over pronation of foot, footwear, training surfaces
What is the clinical signs and symptoms, physio management and other management for Achilles tendinopathy?
Clinical signs and symptoms- pain and swelling in and around the tendon, tender, nodular swelling present in chronic cases
Physio management- education, load management, exercise, taping
Other management-shockwave, injections
What increases the risk of plantar fasciopathy?
-over pronated foot, reduced gastroc length, severe hallux valgus
- degenerative is more common than inflammatory
What is the clinical signs and symptoms, physio management and other management for plantar fasciopathy?
Clinical signs and symptoms- pain at the proximal insertion of plantar fascia, particularly with big toe extension, ankle dorsiflextion
Physio management- education, load management, exercise
Other management- orthotics, steroid injection, shockwave, surgery
What is the clinical signs and symptoms, physio management and other management for rotator cuff related shoulder pain?
-pain and impairment of shoulder movement and function, usually during shoulder elevation and lateral rotation , painful to lie on affected side
-physio management- education, exercise, symptom modification
-other management- steroid injection, surgery
What is the clinical signs and symptoms, physio management and other management for lateral epicondylalgia?
Clinical signs and symptoms- pain localised around the lateral epicondyle of the elbow (in line with extensors) , aggravated by resisted wrist/ finger extension, forearm supination, gripping
Physio management- education, load management, exercise, taping
Other management: nsaids, corticosteroids, shockwave, surgery
What is the clinical signs and symptoms, physio management and other management medial epicondylalgia?
Clinical signs and symptoms- pain on medial aspect of the elbow, aggravated by resisted wrist flexion or pronation, valgus stress, aggravated by throwing, reduced grip strength
Physio management- education, load management, exercise, taping
Other management- nsaids, corticosteroids, shockwave, surgery
What is de quervains?
Inflammation of the synovial sheath of epb, apl
What is the clinical signs and symptoms, physio management and other management de quervains?
Clinical signs and symptoms: pain on the radial side of the wrist, aggravated thumb extension/abduction, stretching the affected tendons, pain on palpation
Physio management- education, load management exercises, splinting
Other management- NSAIDs, corticosteroids, shockwave, surgery
What is strain or tears?
Muscle or tendon injury- involves over contracting or lengthening a muscles causing tearing of collagen
What are the physio management for strains and tear?
-Police- protect, optimal loading, ice, compression, and elevation
-Mobilisation
-strength
-proprioception
-endurance training
Other management- surgery
What is the common muscles for tear?
Pec major, LHB, rotator cuff, quads/hams, Achilles tendon
