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19 Cards in this Set
- Front
- Back
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C/c of microtrauma?
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1. Pain
2. Slow onset 3. Worse ~> Activity 4. Better ~> Rest 5. Acute or Longstanding 6. Nocioceptive (or neurogenic) 7. Local, extra-seg, non-radiating 8. Intermittant....constant |
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Source of microtrauma?
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1. Tendon
2. Bursa 3. Mm & Fascia 4. "Peripheral nn" |
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LE sites of microtrauma?
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1. Tendonitis
2. Bursitis 3. Mm imbalance 4. PF 5. Digital nn neuroma- very different |
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Most common types of LE tendonitis?
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1. Patellar
2. Achilles 3. Post tibial 4. Peroneal |
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Most common types of LE bursitis?
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1. Greater trochanter
2. Iliopsoas 3. Pes anserine |
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Most common types of mm impingement?
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1. Hip impingement
2. VMO/VL 3. Hamstring strain |
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Intrinsic contributing factors of microtrauma?
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1. Biomech abnormalities
2. Mm: tightness, weakness, imbalance 3. ROM limitations 4 Vascular inadequacy: 2 - 6 cm from musculotendonous junction. |
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Extrinsic contributing factors of microtrauma?
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1. Training Errors: intensity, duration, technique, surface
2. Activity related 3. Footwear |
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Rx of microtrauma?
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1. Manage the symptoms (palliative)
2. Identify and treat cause- based on contributing factors 3. Educate and empower pt *ALL of these Rx's must begin on 1st day and continue throughout rehab process prn |
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How do you manage the symptoms of microtrauma?
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P.R.I.C.E.
*Treating the "what" |
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How do you identify and treat the cause of microtrauma? (eliminate contributing factors)
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1. Biomechanical abnormalities: orthotics, taping, ecc mm retraining
2. Insufficient force production: strengthening and/or balancing, lengthening the antagonist 3. Insufficient tissue length: jt mob, soft tissue mob, neural mob, mm lengthening *Treating the "why" |
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Case Study: Mallory A. Lignment
1. Biomechanical Structure: a. Anterior tilt b. Anteversion/retroversion c. Tibial torsion d. Malleolar torsion e. RF varus f. FF deformity THIS FUNCTIONS AS? |
IR up &/or down the kinetic chain...
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IR up &/or down the kinetic chain... which functions as?
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1. Pronation occuring fast and furiously
2. Mm destined for overuse a. LE decel: "supinators" ecc controlling "pronation" b. Stabilization: PL stabilizing 1st ray |
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Case Study:
What are the mm capable of decelerating pronation? (Think about gait cycle) |
AT, PT, medial gastrocs, pes anserine, quads, hip ERs/ABD/EXT, lowerabs
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What is the pes anserine group?
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1. On medial aspect of knee
2. Superficial to MCL 3. SGT FOT- (from anterior to posterior) a. Sartorius, b. Gracilis, c. SemiTendinosus d. Femoral n e. Obturator n f. Tibial n *Nn follow order of innervation |
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Case Study:
What mm are short with overpronation? (Think about gait cycle) |
TFL/ITB, *iliopsoas, RF, (med) hamstrings, (medial) gastrocs
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Case Study:
What mm are long and weak with over pronation? |
Lower abs., post. glut med., lateral hamstrings
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Case Study:
What about mobility limitations for overpronators? |
1. Capsular limitations:
a. Hip ext, b. PF play c. TCJ DF d. STJ INV e. MTJ INV 2. Mm length impairments: a. Hip flexors b. ITB c. Hamstings (assymmetrical) d. Gastrocs (assmmetrical) e. Soleus |
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How do you educate the pt?
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1. Treating the inflammation
2. Avoiding aggravating activities (activity mod) 3. Appropriate alignment/technique 4. Respecting pain 5. Healthy training techniques |
