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50 Cards in this Set

  • Front
  • Back
The healing process of fractures:
- there are three major phases of fracture healing
- there are two major phases of fracture healing
- reparative Phase includes granulation tissue formative
- reparative Phase includes lamellar bone deposition
The healing process of fractures:
- there are three major phases of fracture healing+
- reparative Phase includes lamellar bone deposition+
The healing process of fractures:
- the healing process is mainly determined by the periosteum
- the periosteum is one source of precursor cells which develop into chondroblasts and osteoblasts that are essential to the healing of bone
- the bone marrow, endosteum, small blood vessels, and fibroblasts are not other sources of precursor cells
- the periosteum is not the connective tissue membrane covering the bone
The healing process of fractures:
- the healing process is mainly determined by the periosteum+
- the periosteum is one source of precursor cells which develop into chondroblasts and osteoblasts that are essential to the healing of bone+
The healing process of fractures:
- the first change after fracture is the presence of blood cells within the tissues adjacent to the injury site
- within a few hours after fracture, the extravascular blood cells form a hematoma
- all of the cells within the blood clot survive and replicate
- within this same area, the fibroblasts degenerate and die
The healing process of fractures:
- the first change after fracture is the presence of blood cells within the tissues adjacent to the injury site+
- within a few hours after fracture, the extravascular blood cells form a hematoma+
The healing process of fractures:
- days after fracture, the cells of the periosteum replicate and transform
- the periosteal cells proximal to the fracture gap develop into osteoblasts which form woven bone
- the periosteal cells distal to (further from) the fracture gap develop into chondroblasts which form hyaline cartilage
- hyaline cartilage and woven bone unite with their counterparts from other parts of the fracture. These processes culminate in a new mass of heterogeneous tissue which is known as the fracture casus
The healing process of fractures:
- days after fracture, the cells of the periosteum replicate and transform+
- hyaline cartilage and woven bone unite with their counterparts from other parts of the fracture. These processes culminate in a new mass of heterogeneous tissue which is known as the fracture casus+
The healing proces of fractures:
- the replacement of the hyaline cartilage and woven bone with lamellar bone is known as endochondral ossification
- the lamellar bone begins forming soon after the collagen matrix of either tissue becomes mineralized
- the osteoblasts does not form new lamellar bone upon the recently exposed surface of the mineralized matrix
- new lamellar bone is not in the form of trabecular bone
The healing proces of fractures:
- the replacement of the hyaline cartilage and woven bone with lamellar bone is known as endochondral ossification+
- the lamellar bone begins forming soon after the collagen matrix of either tissue becomes mineralized+
The healing process of fractures:
- the remodelling process substitutes the trabecular bone with compact bone
- in the remodelling process, the trabecular bone is first desorbed by osteoclasts
- in the remodeling process, the trabecular bone is first desorbed by osteoblasts
- the remodelling phase takes 3 to 5 months
The healing process of fractures:
- the remodelling process substitutes the trabecular bone with compact bone+
- in the remodelling process, the trabecular bone is first desorbed by osteoclasts+
Ligament Damage & Repair:
- rehabilitation starts in acute/inflammatory stage
- in inflammatory stage, protection of the injured part from further damage (e.g. the use of crutches) and rest from activity involving the injured part is recommended
- in inflammatory stage, kryotherapy is recommended
- in inflammatory stage, termothrerapy is recommended
Ligament Damage & Repair:
- in inflammatory stage, protection of the injured part from further damage (e.g. the use of crutches) and rest from activity involving the injured part is recommended+
- in inflammatory stage, kryotherapy is recommended+
Ligament Damage & Repair:
- the use of electrotherapy in repair phase encourages fibroblast activity
- the use of electrotherapy in repair phase is not recommended
- fibroblast cells proliferate and begin to lay down Type 3 collagen tissue, between 3–21 days after the injury
- in the repair phase, activity involving the injured part is recommended
Ligament Damage & Repair:
- the use of electrotherapy in repair phase encourages fibroblast activity+
- fibroblast cells proliferate and begin to lay down Type 3 collagen tissue, between 3–21 days after the injury+
Ligament Damage & Repair:
- the remodelling phase follows can last for up to half of year
- the remodelling phase follows can last for up to a year
- risk of re-injury in the remodelling phase can be minimalised by providing additional stability with a strapping, increasing the strength of muscles which also provide support to the joint, and by doing proprioceptive exercises to increase the patient's sense of joint positioning
- risk of re-injury in the remodelling phase can be minimalised by rest from activity, ice compression, elevation and the administration of anti-inflammatory medication
Ligament Damage & Repair:
- the remodelling phase follows can last for up to a year+
- risk of re-injury in the remodelling phase can be minimalised by providing additional stability with a strapping, increasing the strength of muscles which also provide support to the joint, and by doing proprioceptive exercises to increase the patient's sense of joint positioning+
Immobilization:
- a muscle at complete rest loses 30% its strength each week
- nearly half of normal strength is lost within 3 to 5 weeks of immobilization
- the antigravity muscles are reported to experience greater loss of strength than other skeletal muscles with inactivity
- the phasic muscles are reported to experience greater loss of strength than other skeletal muscles with inactivity
Immobilization:
- nearly half of normal strength is lost within 3 to 5 weeks of immobilization+
- the antigravity muscles are reported to experience greater loss of strength than other skeletal muscles with inactivity+
Immobilization:
- functional electrical stimulation and biofeedback training during immobilisation can increase or maintain muscular strength
- functional electrical stimulation and biofeedback training during immobilisation cannot increase or maintain muscular strength
- after trauma to the soft tissue and bone, immobilization in a cast with non-weight-bearing status can lead to changes that are difficult to reverse later
- immobilization does not influence cartilage
Immobilization:
- functional electrical stimulation and biofeedback training during immobilisation can increase or maintain muscular strength+
- after trauma to the soft tissue and bone, immobilization in a cast with non-weight-bearing status can lead to changes that are difficult to reverse later+
Prevention of contractures during immobilization:
- do not vary positions of immobile joints regularly
- perform active or passive range-of-motion exercises twice daily
- do not use resting splints for joints
- mobilize as soon as possible after initial stabilization
Prevention of contractures during immobilization:
- perform active or passive range-of-motion exercises twice daily+
- mobilize as soon as possible after initial stabilization+
Venous thromboembolism:
- organization and resolution of a deep venous thrombosis occurs within 7 to 10 days of immobilization
- organization and resolution of a deep venous thrombosis occurs within 3 weeks of immobilization
- treating venous thromboembolism involves incresing venous stasis
- physiotherapy can treat venous thromboembolism by leg exercises, leg elevation, elastic stockings, early ambulation, and mechanical compression
Venous thromboembolism:
- organization and resolution of a deep venous thrombosis occurs within 7 to 10 days of immobilization+
- physiotherapy can treat venous thromboembolism by leg exercises, leg elevation, elastic stockings, early ambulation, and mechanical compression+
The Sensorimotor System:
- in chronic pain is well explained by special diagnostic tests of localized areas (for example, low back radiographs)
- the site of pain is often the cause of the pain
- chronic pain is centrally-mediated
- changes within one part of the sensorimotor system are reflected by compensations or adaptations elsewhere within the system
The Sensorimotor System:
- chronic pain is centrally-mediated+
- changes within one part of the sensorimotor system are reflected by compensations or adaptations elsewhere within the system+
The Sensorimotor System:
- changes in bones are the first responses to nociception by the sensorimotor system
- a reflex loop from the joint capsular mechanoreceptors and the muscles surrounding the joint is responsible for reflexive joint stabilization
- a reflex loop from the joint capsular mechanoreceptors and the muscles surrounding the joint is not responsible for reflexive joint stabilization
- in chronic instability, deafferentation (the loss of proper afferent information from a joint) is often responsible for poor joint stabilization
The Sensorimotor System:
- a reflex loop from the joint capsular mechanoreceptors and the muscles surrounding the joint is responsible for reflexive joint stabilization+
- in chronic instability, deafferentation (the loss of proper afferent information from a joint) is often responsible for poor joint stabilization+
Muscles:
- there are three groups of muscles based on their phylogenetic development
- the tonic system consists of the “flexors”
- the tonic system is phylogenetically younger
- the tonic system is involved in repetitive or rhythmic activity
Muscles:
- the tonic system consists of the “flexors”+
- the tonic system is involved in repetitive or rhythmic activity+
Muscles:
- the phasic system consists of the “flexors”, and emerges shortly after birth
- muscles of phasic system work eccentrically against the force of gravity
- muscles of phasic system emerge in extensor synergies
- the phasic system is involved in repetitive or rhythmic activity
Muscles:
- muscles of phasic system work eccentrically against the force of gravity+
- muscles of phasic system emerge in extensor synergies+
Muscles:
- tonic system muscles are prone to tightness or shortness
- phasic system muscles are prone to weakness or inhibition
- following structural lesions in the central nervous systems (such cerebral palsy or cerebrovascular accident), the phasic muscles tend to be spastic
- patterns of muscle imbalances caused by structural changes within the muscle itself
Muscles:
- tonic system muscles are prone to tightness or shortness+
- phasic system muscles are prone to weakness or inhibition+
Muscles:
- tibialis Posterior prones to Weakness or Inhibition
- deep neck flexors prones to Weakness or Inhibition
- piriformis prones to Tightness or Shortness
- tibialis Anterior prones to Tightness or Shortness
Muscles:
- deep neck flexors prones to Weakness or Inhibition+
- piriformis prones to Tightness or Shortness+
Muscles:
- tensor Fascia Lata prones to Weakness or Inhibition
- peroneus Longus, Brevis prones to Weakness or Inhibition
- quadratus Lumborum prones to Tightness or Shortness
- hamstrings prones to Tightness or Shortness
Muscles:
- peroneus Longus, Brevis prones to Weakness or Inhibition+
- hamstrings prones to Tightness or Shortness+
Muscles:
- muscle imbalances are not spread throughout the muscular system in a predictable manner
- muscle imbalances are spread throughout the muscular system in a predictable manner
- “Upper Crossed Syndrome” is known as “cervical crossed syndrome”
- “Layer Syndrome” is known as “pelvic crossed syndrome“
Muscles:
- muscle imbalances are spread throughout the muscular system in a predictable manner+
- “Upper Crossed Syndrome” is known as “cervical crossed syndrome”+
Muscles:
- changes in muscular tone create a muscle imbalance
- muscle imbalance does not lead to movement dysfunction
- imbalances and movement dysfunctions may have direct effect on joint surfaces, thus potentially leading to joint degeneration
- imbalances and movement dysfunctions do not influence joint surfaces
Muscles:
- changes in muscular tone create a muscle imbalance+
- imbalances and movement dysfunctions may have direct effect on joint surfaces, thus potentially leading to joint degeneration+
Muscles:
- treatment of muscle imbalance and movement impairment begins with normalizing afferent information entering the sensorimotor system
- afferent information entering the sensorimotor system is not possible to influence
- normalization of afferent information entering the sensorimotor system includes providing an optimal environment for healing (by reducing effusion and protection of healing tissues)
- normalization of afferent information entering the sensorimotor system does not include restoring proper postural alignment (through postural and ergonomic education)
Muscles:
- treatment of muscle imbalance and movement impairment begins with normalizing afferent information entering the sensorimotor system+
- normalization of afferent information entering the sensorimotor system includes providing an optimal environment for healing (by reducing effusion and protection of healing tissues)+
Muscles:
- normalization of afferent information entering the sensorimotor system can be reached by correcting the biomechanics of a peripheral joint (through manual therapy techniques)
- in the presence of tight and/or short antagonistic muscles, restoring normal muscle tone and/or length must first be addressed
- in the presence of tight and/or short antagonistic muscles, to strengthen a weakened or inhibited muscle must first be addressed
- there are not specific techniques to decrease muscle tone (specific to the cause of the hypertonicity)
Muscles:
- normalization of afferent information entering the sensorimotor system can be reached by correcting the biomechanics of a peripheral joint (through manual therapy techniques)+
- in the presence of tight and/or short antagonistic muscles, restoring normal muscle tone and/or length must first be addressed+
Muscles:
- absolute strength of muscles are more important than coordinated firing patterns of muscle
- the strongest muscle is not functional if it cannot contract quickly and in coordination with other muscles
- isolated muscle strengthening is recommended
- muscles are facilitated to contract at the proper time during coordinated movement patterns to provide reflexive joint stabilization
Muscles:
- the strongest muscle is not functional if it cannot contract quickly and in coordination with other muscles+
- muscles are facilitated to contract at the proper time during coordinated movement patterns to provide reflexive joint stabilization+
Conception of rehabilitation:
- it was recently recommended that clinical practice in MS, including rehabilitation, should be based on the International Classification of Functioning, Disability and Health (ICF), a globally-agreed-upon framework of the World Health Organization
- impairment means a problem experienced by an individual in involvement in life situations
- a difficulty encountered by an individual in executing a task or action is described as activity limitation
- a difficulty encountered by an individual in executing a task or action is described as disability
Conception of rehabilitation:
- it was recently recommended that clinical practice in MS, including rehabilitation, should be based on the International Classification of Functioning, Disability and Health (ICF), a globally-agreed-upon framework of the World Health Organization+
- a difficulty encountered by an individual in executing a task or action is described as activity limitation+
Therapy:
- the facilitation approach puts the accent on behavioral application of stimuli
- the facilitation approach puts the accent on manual application of stimuli
- facilitation approach is represented by e.g. Vojta reflex locomotion
- facilitation approach is represented by e.g. aerobic training
Therapy:
- the facilitation approach puts the accent on manual application of stimuli+
- facilitation approach is represented by e.g. Vojta reflex locomotion+
Therapy:
- proprioceptive and exteroceptive stimulation used in Bobath concept is called handling
- proprioceptive and exteroceptive stimulation used in Vojta reflex locomotion by stimulating of so called initiation zones in precisely-defined positions
- the aim of facilitation approaches is to carry out a specific task
- Vojta reflex locomotion is applied only in children
Therapy:
- proprioceptive and exteroceptive stimulation used in Bobath concept is called handling+
- proprioceptive and exteroceptive stimulation used in Vojta reflex locomotion by stimulating of so called initiation zones in precisely-defined positions+
Therapy:
- in Vojta reflex locomotion, only skeletal and muscle patterns are activated
- in Vojta reflex locomotion, swallowing process, bladder and bowel function, and breathing are also activated
- in Vojta reflex locomotion, authentic motor reactions is provoked by graded pressure applied on certain body parts which are called “stimulation zones”, with the patient placed in these specific positions
- positions used in Vojta reflex locomotion are not part of human movement processes
Therapy:
- in Vojta reflex locomotion, swallowing process, bladder and bowel function, and breathing are also activated+
- in Vojta reflex locomotion, authentic motor reactions is provoked by graded pressure applied on certain body parts which are called “stimulation zones”, with the patient placed in these specific positions+
Therapy:
- the task-oriented approach makes use of mainly behavioural requests
- patient learns by repeating a given specific task in different environments/under different conditions in the task-oriented approach
- the quality of the execution of the task is more important than to carry out a specific task in the task-oriented approach
- the task-oriented considers recovery at the impairment level
Therapy:
- the task-oriented approach makes use of mainly behavioural requests+
- patient learns by repeating a given specific task in different environments/under different conditions in the task-oriented approach+
Therapy:
- motor patterns are genetically determined
- motor patterns are not genetically determined
- motor patterns are matured in new born baby
- motor patterns mature during the course of postural ontogenesis
Therapy:
- motor patterns are genetically determined+
- motor patterns mature during the course of postural ontogenesis+
Therapy:
- somatosensory afferent stimuli cannot activate deeply encoded motor patterns
- repetitive activation of the motor patterns is principle of neuroplasticity
- cortical engram is group of neurons
- neurons in engram does not fire synchronously during a movement
Therapy:
- repetitive activation of the motor patterns is principle of neuroplasticity+
- cortical engram is group of neurons+
Therapy:
- post-isometric relaxation is the same as a stretching
- post-isometric relaxation is used to decontract specific muscles
- post-isometric relaxation is used to contract specific muscles
- in the first phase of post-isometric relaxation, while inhaling bring the muscle against gravity to a shortened position
Therapy:
- post-isometric relaxation is used to decontract specific muscles+
- in the first phase of post-isometric relaxation, while inhaling bring the muscle against gravity to a shortened position+
Therapy:
- trigger points are described as hypoirritable spots in skeletal muscle
- trigger points are associated with palpable nodules in taut bands of muscle fibers
- pain in trigger points frequently radiates from trigger points to broader areas, sometimes distant from the trigger point itself
- pain in trigger points is localised
Therapy:
- trigger points are associated with palpable nodules in taut bands of muscle fibers+
- pain in trigger points frequently radiates from trigger points to broader areas, sometimes distant from the trigger point itself+
Therapy:
- the local twitch response during compression of a trigger point is the same as a muscle spasm
- muscle spasm refers to the entire muscle contracting
- to treat trigger point, reciprocal inhibition within the musculoskeletal system is recommended
- massage is not recommended in treatment of trigger points
Therapy:
- muscle spasm refers to the entire muscle contracting+
- to treat trigger point, reciprocal inhibition within the musculoskeletal system is recommended+
Therapy:
- the cerebellum is connected with the limbic system
- the cerebellum is not connected with the limbic system
- limbic system can influence the immune system through hypothalamus
- limbic system cannot influence the immune system
Therapy:
- the cerebellum is connected with the limbic system+
- limbic system can influence the immune system through hypothalamus+
Therapy:
- the adaptive changes of the CNS involve unmasking the existing but latent connections
- the adaptive changes of the CNS do not involve the experience-dependent increases in the dendritic spines and synaptogenesis
- the adaptive changes of the CNS involve the modulation of the synaptic efficacy such as Long term potentiation
- the adaptive changes of the CNS do not involve the modulation of the synaptic efficacy such as term depression
Therapy:
- the adaptive changes of the CNS involve unmasking the existing but latent connections+
- the adaptive changes of the CNS involve the modulation of the synaptic efficacy such as Long term potentiation+
Therapy:
- rhythmic Stabilisation encourage stability of the trunk
- rhythmic Stabilisation does not encourage stability of hip, and shoulder girdle
- during Rhythmic Stabilisation patient holds a weight-bearing position while the therapist applies manual resistance
- during Rhythmic Stabilisation should occur motion from the patient
Therapy:
- rhythmic Stabilisation encourage stability of the trunk+
- during Rhythmic Stabilisation patient holds a weight-bearing position while the therapist applies manual resistance+
Therapy:
- radiation is when maximal contraction of a muscle recruits the help of additional muscle flexibility
- concentric isotonic contraction is when the muscle shorten
- eccentric isotonic contraction is when the muscles shorten
- isometric contraction is when the muscles shorten
Therapy:
- radiation is when maximal contraction of a muscle recruits the help of additional muscle flexibility+
- concentric isotonic contraction is when the muscle shorten+
Therapy:
- due to the myostatic stretch reflex muscle contracts when its tendon is pulled with too much force
- due to the inverse stretch reflex muscles relax when lengthened too quickly
- due to the myostatic stretch reflex muscle contracts when lengthened too quickly
- due to the inverse stretch reflex muscles relax when its tendon is pulled with too much force
Therapy:
- due to the myostatic stretch reflex muscle contracts when lengthened too quickly+
- due to the inverse stretch reflex muscles relax when its tendon is pulled with too much force+
Therapy:
- proprioceptive neuromuscular facilitation represents so called task oriented approach
- proprioceptive neuromuscular facilitation was developed by Herman Kabat, a neurophysiologist, began in 1946
- proprioceptive neuromuscular facilitation was developed to look for natural patterns of movement for rehabilitating the muscles of polio patients
- proprioceptive neuromuscular facilitation was developed by Berta Bobath
Therapy:
- proprioceptive neuromuscular facilitation was developed by Herman Kabat, a neurophysiologist, began in 1946+
- proprioceptive neuromuscular facilitation was developed to look for natural patterns of movement for rehabilitating the muscles of polio patients+
Therapy:
- the goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments
- Bobath concept is done through specific patient handling skills to guide patients through initiation and completion of intended tasks
- Bobath concept is realised by physiotherapist
- Bobath concept is aimed mainly on impairment
Therapy:
- the goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments+
- Bobath concept is done through specific patient handling skills to guide patients through initiation and completion of intended tasks+
Organisation of rehabilitation:
- the International Classification of Functioning, Disability and Health is known as ICF
- the International Classification of Functioning, Disability and Health is known as ICFDH
- based on the International Classification of Functioning, Disability and Health, Disability is something that only happens to a minority of humanity
- domains of the International Classification of Functioning, Disability and Health classify an individual’s functioning and disability in a context of environmental factors
Organisation of rehabilitation:
- the International Classification of Functioning, Disability and Health is known as ICF+
- domains of the International Classification of Functioning, Disability and Health classify an individual’s functioning and disability in a context of environmental factors+
Motor skill – development:
- 12 months – can sit straight
- 12 months – takes first steps
- 24 months – can jump
- 24 months – can cut with scissors; runs on toes
Motor skill – development:
- 12 months – takes first steps+
- 24 months – can jump+
Motor learning:
- first stage of the motor learning names the autonomous phase
- in cognitive phase of the motor learning the learner cannot determine appropriate strategies to adequately reflect the desired goal
- in associative phase of the motor learning the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance
- motor skills in associative phase are fluent, efficient and aesthetically pleasing
Motor learning:
- in associative phase of the motor learning the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance+
- motor skills in associative phase are fluent, efficient and aesthetically pleasing+
Motor learning:
- in cognitive phase of the motor learning are good strategies retained and inefficient strategies are discarded
- in cognitive phase of the motor learning the performance is greatly improved in a long amount of time
- in associative Phase: the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance
- autonomous Phase takes approximately several days to reach
Motor learning:
- in cognitive phase of the motor learning are good strategies retained and inefficient strategies are discarded+
- in associative Phase: the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance+
Motor skills:
- during the learning process of a motor skill, feedback is the positive response that tells the learner how well the task was completed
- during the learning process of a motor skill, feedback is the negative response that tells the learner how well the task was completed
- during the learning process of a motor skill, feedback is the positive or negative response that tells the learner how well the task was completed
- inherent feedback is the sensory information that tells the learner how well the task was completed
Motor skills:
- during the learning process of a motor skill, feedback is the positive or negative response that tells the learner how well the task was completed+
- inherent feedback is the sensory information that tells the learner how well the task was completed+
Motor skills:
- for optimal performance of motor skill any moderate stress or arousal is needed
- for optimal performance of motor skill moderate stress or arousal is needed
- fatigue impacts an individual in: perceptual changes, slowing of performance, irregularity of timing, and disorganization of performance
- loss of vigilance has not got effect on motor skills
Motor skills:
- for optimal performance of motor skill moderate stress or arousal is needed+
- fatigue impacts an individual in: perceptual changes, slowing of performance, irregularity of timing, and disorganization of performance+
Motor skills:
- performing a motor task for long periods of time induces motor fatigue
- motor fatigue is generally defined as a incline in a person's ability to exert force
- in submaximal contractions associated with muscle fatigue, the central nervous system is already not able to elicit a constant force
- in submaximal contractions associated with muscle fatigue, the central nervous system may still elicit a constant force
Motor skills:
- performing a motor task for long periods of time induces motor fatigue+
- in submaximal contractions associated with muscle fatigue, the central nervous system may still elicit a constant force+
Motor skills:
- fatiguing muscles place increasing demands on the central mechanisms driving motor behaviour
- fatiguing muscles place decreasing demands on the central mechanisms driving motor behaviour
- cognitive performance of task is affected by motor fatigue
- cognitive performance of task is not affected by motor fatigue
Motor skills:
- fatiguing muscles place increasing demands on the central mechanisms driving motor behaviour+
- cognitive performance of task is affected by motor fatigue+