Movement Dysfunction Unit 1

Front 1

Reasons for Musculoskeletal Pain

Back 1

1. Movement Directions, Alignments causing Pain

2. Movement Impairments

3. Improved by Correction of the movement impairments that decrease/eliminates the Symptoms

Front 2

Source of Symptoms in Dysfunction

Back 2

Pathoanatomical tissue that is injured or painful.

Front 3

Physical Stress

Back 3

Biomechanicall:
- Force applied to a given area of biological tissue

Front 4

Body Responses to Physical Stress

Back 4

Positive: Hypertrophy

Negative: Atrophy and injury/impairment

Front 5

Physical Stress Theory

Back 5

Biological tissue can:
- Adapt/Become more Tolerant of stress
- when stress is At/Above Certain Level

Caveat:
- each biological contains a Threshold
- Breach threshold and tissue Injury or Death will occur

Front 6

Mechanism of Injury

Back 6

1. Intensity of Physical Stress Applied to Tissue

2. Duration of Stress Applied

3. Specific Characteristics of Tissue

Front 7

Stages of Rehabilitation

Back 7

Stage 1: Low Threshold for Injury

Stage 2: Moderate Threshold for Injury

Stage 3: High Threshold for Injury

Front 8

Stage 1 of Rehabilitation

Back 8

Low Threshold for Injury
- High Tissue Irritability / Vulnerability
- Limited examination, thoroughness, intensity of treatment

Front 9

Stage 2 of Rehabilitation

Back 9

Moderate Threshold of Injury
- Complete movement system examination can be performed
- Typically no precautions/restrictions
- FUNCTIONAL MOBILITY LIMITED b/c of PAIN/Symptoms
- Appropriate Physical Stress to Target Tissue

Front 10

Stage 3 of Rehabilitation

Back 10

High Threshold of Injury
- Low Tissue Irritability/Vulnerability
- Gen. All Precautions/Restrictions Lifted
- Full Assessments of movement and spots
- Gradual Addition of Physical Stress to promote Adaption for
- Optimal Level of Function

Front 11

Emphasis of Treatment

Back 11

Restore Range of Motion (ROM)

Strength of Involved Segment

Overal Function of the Individual

Without Adding Excessive Stresses to Injured Tissue

Address Specific Movement Impairments
- Promote Optimal Function/ Prevent Injury

Front 12

Pain Complaint

Back 12

Clarification of Location

Quality

Intensity

Avoid Sharp Stabbing Pain

Front 13

Edema (Control)

Back 13

Swelling

Control Techniques:
- AROM
- Splint to Immobilize/Rest Tissue
- Compressive Garments/Wraps
- Milking Massage
- Ice/Modalities
- Elevation

Front 14

Appearance of Infection

Back 14

Appearance of:
- Red
- Hot
- Swollen
- Bruising

Front 15

Scarring

Back 15

Normal

Scar Management:
- Exercose
- Massage
- Compression
- Silicone Gel Sheets
- Vibration
- Stress

Front 16

Range of Motion (ROM)

Back 16

Initiation of ROM Ex. Early is good.
- Prevents muscle Contracture, Loss of Flexibility

Progression:
- Gentle Passive > Active > PNF