LESSON 15 Flashcards

(89 cards)

1
Q

What does ‘Avascular’ mean?

A

Characterized by a lack of blood vessels

Avascular tissues do not receive blood supply, impacting healing and function.

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2
Q

Define ‘Connective Tissue’.

A

The tissue that binds together and supports various structures of the body; ligaments and tendons are connective tissues

Connective tissues play a crucial role in the structural integrity of the body.

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3
Q

What is ‘Computed Tomography’?

A

A development of X-ray techniques to visualize the soft tissues of the body, involving recording ‘slices’ of the body with a 3-D scanner

CT scans are used for detailed imaging of internal structures.

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4
Q

What does ‘RICE’ stand for?

A

Rest or Restricted activity - Ice - Compression - Elevation

RICE is the standard treatment protocol for acute injuries.

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5
Q

Define ‘Proprioception’.

A

Your body’s sense of where it is in space and how it’s moving, even without looking

Proprioception is essential for coordination and balance.

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6
Q

What is ‘Second Impact Syndrome’?

A

A condition in which an individual experiences a second head injury before complete recovery from an initial head injury

This syndrome can lead to severe complications, including permanent brain damage.

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7
Q

Define ‘Tendinitis’.

A

Inflammation of tendon

Tendinitis is often caused by overuse or repetitive motion.

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8
Q

What is ‘Kyphosis’?

A

Excessive posterior curvature of the spine, typically seen in the thoracic region

Kyphosis can lead to back pain and other complications if untreated.

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9
Q

What is ‘Impingement Syndrome’?

A

Reduction of space for the supraspinatus muscle and long head of the biceps tendon to pass under the anterior edge of the acromion and coracoacromial ligament, attributed to muscle weakness

This condition often leads to shoulder pain and limited mobility.

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10
Q

Define ‘Chondromalacia Patellae’.

A

Inflammation of the articular cartilage of the patella (kneecap) and softening of the cartilage that is associated with knee pain

Chondromalacia can result from injury or overuse.

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11
Q

Describe the role of a personal trainer in working with clients who have experienced injuries.

A

A personal trainer may observe inefficiencies in movement during an assessment or clients may report pain during movement. It is important to recognize the difference between pain associated with injury and physical discomfort during exercise

Trainers must refer clients to healthcare providers for pain evaluation.

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12
Q

What should be done when a client reports a pain level above a _____ during exercise?

A

3

Activities should stop, and a modification or different exercise should be implemented.

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13
Q

The repair phase of tissue healing involves both the repair and _________________________ of tissue.

A

regeneration

Regeneration restores the function and structure of the damaged tissue.

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14
Q

What is the standard acute injury treatment protocol?

A

RICE (Rest, Ice, Compression, Elevation)

RICE helps reduce pain and swelling immediately after an injury.

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15
Q

What is the severity and acute care recommendation for a Grade I Sprain?

A

Severity: Mild; Acute Care: RICE

Grade I sprains involve minimal tenderness and swelling.

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16
Q

What characterizes a Grade II Sprain?

A

Severity: Moderate; Physical Examination Findings: Moderate tenderness, moderate swelling, decreased Range of Motion (ROM), possible instability; Acute Care: RICE, Physician evaluation

Grade II sprains involve partial tears of the ligament.

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17
Q

Describe the findings for a Grade III Sprain.

A

Severity: Significant; Physical Examination Findings: Significant swelling, significant tenderness, instability; Acute Care: Immobilization with air splint, RICE, Protect physician direction

Grade III sprains involve complete or near-complete rupture of the ligament.

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18
Q

What is the primary purpose of pain in the body?

A

To signal the need to stop activity and assess the cause

Pain helps prevent further injury by encouraging caution.

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19
Q

What is a common cause of ligament sprains?

A

An external force that applies sufficient pressure to stretch the ligament to the point of injury

This often occurs during sports or physical activities.

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20
Q

Describe exercise progression after injury.

A

Must always be collaborative with healthcare providers; follow their recommendations and respect pain at the injury site as a signal to stop

Gradually progress towards physical activity goals while being mindful of pain.

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21
Q

What are acute injuries?

A

Acute injuries are typically the result of a sudden, identifiable event or trauma, leading to immediate pain and symptoms.

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22
Q

How do chronic injuries differ from acute injuries?

A

Chronic injuries develop gradually over time due to repetitive stress, overuse, or improper healing of an acute injury.

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23
Q

What are some signs of chronic conditions?

A

Signs of chronic conditions can include persistent, nagging pain, stiffness, limited range of motion, weakness, and a dull ache that may worsen with activity.

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24
Q

What is the timeframe for Phase I: Inflammation in soft-tissue injuries?

A

First 3-4 days.

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25
What are the characteristics of Phase I: Inflammation?
Redness, swelling, pain, and local heat.
26
What movement considerations are applicable during Phase I: Inflammation?
Non-weight bearing, active range of motion if tolerable.
27
What are the contraindications for exercise during Phase I: Inflammation?
Exercise and movement is contraindicated when pain and/or swelling are present at the site of injury.
28
What is the timeframe for Phase II: Repair?
3 days to 6 weeks.
29
What are the characteristics of Phase II: Repair?
Initial formation of scar tissue. Gentle, pain-free movement.
30
What movement considerations are applicable during Phase II: Repair?
Weight bearing as tolerated.
31
What are the contraindications for exercise during Phase II: Repair?
Exercise and movement is contraindicated when pain and/or swelling are present at the site of injury.
32
What is the timeframe for Phase III: Remodeling?
4 weeks to 2 years.
33
What are the characteristics of Phase III: Remodeling?
Increased strength of scar tissue. Progressive, pain-free exercise.
34
What movement considerations are applicable during Phase III: Remodeling?
Progressive, pain-free exercise.
35
What are the contraindications for exercise during Phase III: Remodeling?
Exercise and movement is contraindicated when pain and/or swelling are present at the site of injury.
36
What is a common condition affecting the shoulder?
Impingement syndrome.
37
What is the first program design consideration for shoulder conditions?
Address postural imbalances that may cause a decrease in space between the acromion process and humeral head.
38
What is the second program design consideration for shoulder conditions?
Strengthen the scapular stabilizing muscles, including the rotator cuff.
39
What is the third program design consideration for shoulder conditions?
Improve strength of the anterior shoulder muscles and pectoralis major through controlled pushing motion.
40
What is the fourth program design consideration for shoulder conditions?
Introduce overhead movements as functionally necessary in the scapular plane.
41
What common conditions affect the elbow, wrist, and hand?
Lateral and medial epicondylitis, carpal tunnel syndrome.
42
What is the first program design consideration for elbow, wrist, and hand conditions?
Increase range of motion through gentle stretches in all planes of motion.
43
What is the second program design consideration for elbow, wrist, and hand conditions?
Strengthen the wrist and hand through exercises such as wall push up and wrist flexion and extension.
44
What is the third program design consideration for elbow, wrist, and hand conditions?
Remove grips or gloves and slowly introduce volume to pulling exercises, as tolerated.
45
What common conditions affect the neck?
An exaggerated posterior curve of the thoracic spine and forward head posture.
46
What is the first program design consideration for neck conditions?
Address the postural alignment to improve head and cervical spine position.
47
What is the second program design consideration for neck conditions?
Improve the relative stiffness of the thoracic spine.
48
What is the third program design consideration for neck conditions?
Strengthen the neck muscles in all planes of motion.
49
What is the fourth program design consideration for neck conditions?
Introduce gentle movement and stretching that can be executed by the client without causing pain.
50
What should be done if neck pain is persistent?
Refer to a physician.
51
What are common conditions/symptoms associated with low back dysfunction?
* Muscle strains * Soft-tissue sprains * Degenerative joint disease * Herniated discs * Rheumatoid arthritis * Ankylosing spondylitis * Cancer
52
What is a common postural dysfunction observed in low back issues?
Exaggerated lordosis
53
What initial steps should be taken when designing a training program for low back dysfunction?
* Address faulty posture * Improve range of motion (ROM) restrictions * Implement gentle static stretching
54
Which muscles should be targeted for strengthening in a low back dysfunction program?
* Core * Gluteals * Hamstrings * Latissimus dorsi * Internal obliques * External obliques
55
True or False: High-repetition strength exercises are preferred for clients with low back dysfunction.
False
56
What is the first consideration for hip program design?
Address any imbalance between the right and left sides
57
List the key areas to improve in the hip program design.
* Range of motion in hip internal and external rotation * Single-leg stance stability * Hip-hinge mobility and stability * Strength of the posterior chain
58
What are common conditions/symptoms associated with knee dysfunction?
* Iliotibial (IT) band friction syndrome * Tendinitis * Patellofemoral pain syndrome (PFPS)
59
What should be addressed first in a knee program design?
Imbalance between the right and left sides
60
Fill in the blank: Common conditions/symptoms of the ankle and lower leg include _______.
Shin splints, ankle sprains, Achilles tendinitis, plantar fasciitis
61
What is the first step in ankle and lower leg program design?
Address mobility and stability in the foot and ankle
62
What does the acronym RICE stand for in first aid?
* Rest * Ice * Compression * Elevation
63
What should you do if a client experiences a muscle strain during a workout?
* Ensure the client is not in danger * Move the client to a comfortable position * Apply RICE as needed
64
What is the primary purpose of a warm-up?
Prepare the body for movement
65
How does a warm-up relate to injury prevention?
* Activates proprioceptors * Improves balance and coordination * Gently introduces affected muscles to movement
66
What should be monitored during a workout if a client has experienced an ankle sprain?
* Pain levels using a perceived pain scale
67
What pain level should be considered a stopping point during exercise for a client with an ankle sprain?
Above a 3 on a scale
68
What should a trainer do to encourage communication with a client experiencing pain?
Encourage the client to communicate any amount of pain
69
What exercise is performed in the frontal plane to initialize the warm-up period?
Jumping Jacks ## Footnote Increases heart rate and blood flow.
70
Which exercise dynamically stretches the entire kinetic chain with rotation?
Medicine ball wood chop ## Footnote Targets the transverse plane.
71
What is the purpose of the forward lunge with twist exercise?
Warm up the hip and knee joints and rotate the trunk ## Footnote Involves sagittal and transverse planes.
72
What type of exercise is a lateral lunge?
Frontal plane exercise ## Footnote Warms up the hip and knee joints.
73
What is the purpose of the high knee march exercise?
Keep heart rate up; Knee and hip action ## Footnote Performed in the sagittal plane.
74
What type of acute injury does the programming for lower-extremity injury address?
Lower-extremity injury ## Footnote Focuses on specific training guidelines.
75
What type of muscular training is recommended for lower-extremity injury?
Upper body: Seated or lying exercises Lower body: Exercises as prescribed by a physical therapist or physician Spine and core: Exercises that do not involve the affected limb ## Footnote Ensures safety while training.
76
Which cardiorespiratory training method is suitable for lower-extremity injury?
Water exercise, upper-body ergometer, recumbent or stationary bike ## Footnote Low-impact options to avoid stress on the injury.
77
What activities should be avoided for lower-extremity injury?
Any movements that cause pain, weight-bearing exercise until cleared by a physician and/or physical therapist ## Footnote Ensures recovery and safety.
78
What type of acute injury does the programming for back/spinal injury address?
Back/spinal injury ## Footnote Focuses on specific training guidelines.
79
What are the recommended muscular training exercises for back injury?
Exercises and stretches as prescribed by a physical therapist or physician, body-weight exercises as tolerated ## Footnote Emphasizes tailored recovery.
80
What cardiorespiratory training is suitable for back injury?
Water exercise, walking, recumbent or stationary bike ## Footnote Low-impact exercises to facilitate recovery.
81
What activities should be avoided for back/spinal injury?
Any movements that cause pain, high repetition sets, weighted spinal rotation, exercises requiring getting onto the floor ## Footnote Ensures safety and prevents aggravation of the injury.
82
What is the contraindicated action for a client with an acute muscular strain?
Encouraging the client to push through the pain ## Footnote Can worsen the injury and prolong healing.
83
In which plane are the arms positioned during a shoulder press?
30 degrees anterior to the frontal plane ## Footnote Aligns with the natural movement of the scapula.
84
An inflammation of the wrist extensors near their origin is commonly referred to as _________________________
Tennis elbow ## Footnote Also known as lateral epicondylitis.
85
Which nerve is commonly compressed due to carpal tunnel syndrome?
Median nerve ## Footnote Characterized by the compression of the median nerve in the wrist.
86
What should be addressed first when selecting exercises for improving shoulder function?
Addressing postural imbalances that may be causing a decrease in joint space ## Footnote Important for preventing impingement.
87
Tightness in which structure can cause patellofemoral pain syndrome?
IT band ## Footnote Its lateral fascial connections can pull the patella laterally.
88
Stretching which muscles helps relieve symptoms associated with medial tibial stress syndrome (MTSS)?
Soleus and gastrocnemius ## Footnote Calf muscles that alleviate shin splint symptoms.
89
When working with a client who has a history of plantar fasciitis, it is MOST important to include stretching exercises for the _________________________
Gastrocnemius, soleus, and plantar fascia ## Footnote Addresses tightness in the posterior leg and foot.