NPTE - MSK > Intervention pt 1 > Flashcards

Intervention pt 1 Flashcards

acute/chronic mm strain, manual/myofascial tech (79 cards)

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1
Q

grade 1 muscle injury

A

mild pain / swelling
pain with tissue tension

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2
Q

grade 2 muscle injury

A

moderate pain swelling
- activity modification
focally tender to palpation

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3
Q

grade 3 muscle injury

A

near - complete tear with severe pain

palpable defect
- joint instability

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4
Q

inflammatory stage of healing

A

3-5 days
- immediate
vascular changes, clot, remove wastes and import blood into mm

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5
Q

treatment principles
- acute muscle injury

A

optimal loading
prevention of secondary effects

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6
Q

precautions inflammatory stage treatment

A

overloading of tendon

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7
Q

proliferative phase

A

48 hrs to 6-8 weeks
new collagen being laid

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8
Q

treatment principles
- proliferative phase

A

restoration of normal tissue function
optimal loading
avoiding complications

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9
Q

explain precaution of treatment during proliferative phase

A

movement faults (pain, weakness, lack of ROM)
– may need to correct

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10
Q

remodeling stage of acute mm injury

A

continuous process for the next 1-3 years

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11
Q

treatment principles of remodeling phase injuries

A

optimal loading while returning to function

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12
Q

muscle tear timeline
- DOMS

A

0-3 days

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13
Q

muscle tear timeline
- grade 1

A

0-4 weeks

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14
Q

muscle tear timeline
- grade 2

A

3-12 weeks

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15
Q

muscle tear timeline
- grade 3

A

4 weeks to 6 months

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16
Q

tendon tear timeline

A

8 weeks to 6 months

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17
Q

ligament tear timeline
- grade 1

A

0-4 weeks

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18
Q

ligament tear timeline
- grade 2

A

3 weeks to 6 months

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19
Q

ligament tear timeline
- grade 3

A

5 weeks to >1 year

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20
Q

bone injury / fx timeline

A

6-12 weeks

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21
Q

cartilage injury timeline

A

8weeks to 12 months

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22
Q

possible chronic mm interventions

A

possible causative factors
reduce stress to tissues
regain structural integrity
resume optimal function and prevent reoccurrence

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23
Q

soft tissue myofascial release
indication

A

loss of function secondary to ischemia, guarding, revascularization

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24
Q

benefits of myofascial techniques

A

autonomic stimulation via skin and superficial fascia

histological/mechanical changes in soft tissue

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25
goals of myofascial techniques include
decreased - pain, edema, muscle spasm increased - metabolism, cutaneous, temperature, stretch tight mm/improve circulation, strengthen, mobilize joints
26
contraindications of soft tissue techniques
absulte soft tissue break down neuroses, DVT, hematoma, sensory impairment, circulation impairment
27
functional massage
reactivation of debilitated muscle increased vascularity to a muscle
28
soft tissue without motion
normal massage, hands stay on pt in parallel fashion with the mm fibers
29
soft tissue with passive pumping
muscle in shortened position other hand tension on mm fibers during lengthening of that mm
30
soft tissue with active pumping
mm in lengthened position with tension on mm perpendicular to fibers pt actively shortens the mm
31
transverse friction massage - indication/goal
tissue in metabolic stasis, like tendinosis initiation of acute inflammation response
32
explain transverse friction massage technique
involved tendon briskly massaged perpendicularly to tissue fibers 5-10 min and can be very uncomfortable
33
instrument assisted technique
cross friction technique used to enhance collagen formation/reorganization
34
myofascial release
stretching of fscia to release restrictions -- CT fibers optimal reorganization
35
feldenkrais
development of normalized movement patterns sort of like AAROM where PT guides and maintains appropriate movement
36
muscle energy technique
voluntary contraction in controlled direction against clinician counterforce -- to gain motion limited by neuromuscular system
37
indication of joint mobilization
inhibit pain/mm guarding lubrication of joint surfaces/nutrition to tissues being stretched stretch/deform tissue and normalize joint movement
38
grade 1 joint mob
small amplitude before soft tissue resistance
39
grade 2 joint mob
large amplitude up to tissue resistance
40
grade 3 joint mob
large amplitude into tissue resistance
41
grade 4 joint mob
small amplitude oscillations in tissue resistance
42
grade 5 mobilization
manipulation - high velocity, low amplitude
43
grade 1/2 jt mob indication
decreasing pain/guarding increasing joint lubrication/nutrition
44
grade 3-4 joint mobilization indication
increased ROM - stretch muscle, capsule and ligament.
45
grade 5 jt mob indication
pain/guarding regain normal joint mechanics
46
kaltenborn stages
1 - loosening for pain reduction decompression of a joint 2 - tightening / taking up slack in surrounding tissues for pain, joint play assessment, reduction of guarding 3 - stretching / stretches tissues crossing joint line to assess end feel or increase ROM
47
goals of traction
vertebral body setting distraction/gliding of facet joints tension of ligamentous structures intervertebral foramen widening spinal mm stretching
48
joint mobilization contraindications
joint ankyloses malignancy ligamentous instability disorders (RA, Down syndrome) arterial insufficiency active inflammation/inflammatory process
49
relative contraindications of joint mobilization
arthrosis metabolic bone disease hypermobility total jt replacement pregnancy spondylolisthesis steroids radiculopathy
50
goals of manipulation
inhibit pain/mm guarding improve joint motion caused by restriction
51
types of manipulation
generalized specific midrange
52
generalized manipulation
intended to include as many vertebral segments as possible forceful, long lever techniques
53
specific manipulation
effect on a specific segment or only a few vertebral segments - minimal force w/short lever arm
54
mid-range manipulation
gentle short lever techniques in mid range by positioning of pt and tautness of surrounding tissues
55
precautions for cervical region manipulations
perform vertebrobasilar artery testing prior sometimes can do T-spine to get c-spine effects headaches can be an indication and contraindication -- get more questions about birth control, smoking, and anything else that affects arterial system
56
explain what neural tissue mobilization is
movement of neural structures in order to regain normal mobility
57
indication of neural tissue mobilization
pt with restriction in neural mobility along the course of the nerve
58
goal of neural tissue mobilization
reduction of neuropathic symptoms for UE/LE
59
contraindication of neural tissue mobilization
extreme pain/increased abnormal neurological s/s
60
adjunct intervention to neural tissue mobilization
postural re-education
61
what examination feature would lead you to neural tension mobilization
neurotension testing being positive for irritated vs nonirritated tissue
62
indication for irritated neural tissue
grade 2 mobilizations - non painful
63
indication for non-irritated neural tissue
grade 3 mobilizations engage barrier of tissue resistance but not painful
64
dry needling is also named
intramuscular manual therapy
65
66
opioid triad
pinpoint pupils respiratory distress unconsciousness
67
describe autologous chondrocyte implantation
chondrocytes harvested from lesser weight bearing areas of the bone re-implanted in damaged region
68
what is a MACI surgery
matrix-autologous chondrocyte implantation
69
indication of autologous chondrocyte implantation
grade 3 cartilage defects
70
msk contra indication for autologous chondrocyte implantation
severe OA
71
rehab considerations for autologous chondrocyte implantation
early protection from shear/compression forces (6wks) early continuous passive motion progression of WB and ROM
72
patellofemoral autologous chondrocyte implantation WB restriction
none. can WB into extension
73
platelet rich plasma (PRP) description
blood drawn, centrifuged plasma from blood, enriched with platelets, re-injected into area
74
indications of PRP
tendinopathies OA UCL in elbow meniscus repair
75
MSK contraindications for PRP
severe OA prosthetic joint
76
rehab considerations following PRP
optimal progressive loading discontinue NSAIDs prior reduced intensity of loading (1-2wks)
77
stem cell therapy description
mesenchymal stem cells from bone marrow -- injected into site of injury
78
indications vs contraindications of stem cell therapy
I = OA, MM injury CI = severe OA, prosthetic joints
79
rehab considerations following stem cell therapy
optimal, progressive loading no determined ROM/WB restrictions
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