Procedures 2

Card Set Information

Author:
kellymillerSPTA
ID:
170328
Filename:
Procedures 2
Updated:
2012-09-18 21:47:23
Tags:
Connective Tissue
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Description:
Tissue Healing
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  1. Radicular pain
    pain from a nerve either orgin or destination
  2. Collagen
    • is stiff and will not elongate
    • found in all connective tissue
    • amino acids are it's building block
  3. Ligaments
    • parallel arrangment prevents forces mostly one way but random fibers to prevent unwanted motions in other planes
    • knee MCL -runs superior to inferior therefore prevents valgus forces
  4. Effects of Immobilization
    • Adaptive shortening
    • Weakening of CT
    • Decreased mobility
    • ^ Results in decreased neural input & decreased motion changed joint mechanics
  5. Cell Injury process of healing depends on
    • mechanism of injury
    • how long
    • severity
  6. Immoblization on muscles
    • loss of contractile proteins
    • loss of type 1>type 2 fibers
    • decreased motor unti recruitment
    • loss of strength after 2, 3 days
  7. Immobilization on ligaments
    • decrease weight, size, and strength
    • 8 weeks 20% decrease in strength
  8. Immobilization on bone
    after 3 weeks 55-60% normal strength d/t loss of loading/unloading
  9. Why do NSAIDs stop pain
    stop prostaglandin formation that cause pain associated with inflammation
  10. Tendonitis
    not acute
  11. bursitis
    rarely trauma
  12. Acute stage=inflammatory response
    Pt name is?
    • Protection phase
    • mm guarding is natural immobilization
    • they have pain at rest
  13. Subacute= Reapair and Healing
    PT name is?
    • Controlled motion phase
    • decreased inflammation
    • pain with tissue resistance
    • weakness
    • limited ROM & function
  14. Chronic Stage= Maturation & Remodeling
    PT name is what?
    • Return to function
    • absence of inflammation
    • pain after tissue resistance
  15. Impairments during actue stage
    • Inflammation
    • impaired movement
    • joint effusion
    • decreased use of effected areas
  16. Managment during actue stage
    • Protection & Biomechanical rest
    • decrease inflammation
    • maintain normal function where possible
    • wound healing
    • PT education
  17. Contraindications during Acute stage
    • Stretching
    • Resistance exercises
    • Tx that increases pain or inflammation
    • (usually active movement of site)
  18. How to Protect & Biomechanical Rest
    • Brace
    • stop activtiy
    • splint
    • tape
    • cast
  19. How to Decrease Inflammation
    • Cold
    • Compression
    • Elevation
    • Massage
    • Rest
  20. Balance soft tissue & joint integrity with mobility
    • passive movements within limits of pain
    • muscle setting and/or ES
  21. Subacute Controlled Motion Impairments
    • pain at end ROM
    • decreasing inflammation
    • developing adhesions
    • developing mm weakness from reduced weakness
    • decreased functional use & associated areas
  22. Subacute Controlled Motion Management
    • Continue protection
    • increase movement as tolerated
  23. Movements duing Controlled Movement Phase
    stress in the appropriate movements help lay down collagen in a effective and less random pattern
  24. Controlled Motion Stage POC
    • Pt education-HEP
    • modify protection and biomechanical rest
    • promote healing
    • PROM>AAROM>AROM
    • Improve mm & neuromuscluar perfromance
    • (Emphasize control &proper mechanics)
  25. Signs of too much activity
    • discomfort after a few hours
    • rsting pain
    • fatigue
    • increased weakness
    • spasms

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