Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

33 Cards in this Set

  • Front
  • Back
12 Soft Tissue Lesions
muscle/tendon tear
tendon lesion
overuse syndrome
Grade I Tissue Injury
mild pain
pain with stress
Grade II Tissue Injury
moderate pain
activity stops
stress/palpation increases pain
torn fibers
increased jt. mobility
Grade III Tissue Injury
Near/Complete Avulsion
no pain with stress
marked jt. instability
High Tissue Reactivity
pain before tissue resistance

RX: rest, I & II oscillations, ice, TENS, motion within pain free range
Moderate Tissue Reactivity
pain with resistance

RX: gentle capsular stretching, progressive oscillations, heat
Low Tissue Reactivity
no pain at restriction

RX: static stretch, III & IV oscillations
High Subject Reactivity
Pt can't carry out functional activity because of pain
Moderate Subject Reactivity
Pt can carry out activity but c/o pain during, likely experience post-activity pain
Low Subject Reactivity
Pt can carry out activity without pain during, may/may not c/o pain post-activity
5 Stages of Healing
Acute Stage Characteristics
vascular changes
exudate, clot formation, new capillaries
4-6 days
Acute Stage Signs/Impairments
inflammation/edema,pain with ROM,muscle spasm
impaired movement
jt. effusion
decrease use of associated areas
Acute Stage Goals
*directed at signs/impairments
control pain and edema
maintain mobility/jt. integrity
reduce effusion
maintain function of associated areas
educate pt
Acute Stage Intervention
control pain/edema/muscle spasm with cryo, non-thermal US, massage, I & II oscillations
submaximal isometrics
AROM of associated areas
Indication of Adverse Reaction to Intervention during Acute Stage: 1 symptom, 1 sign
symptom: increased pain
sign: increased inflammation
Acute Stage Contraindications
AROM to specific impairments
resistance exercise
Subacute Stage Characteristics
decreasing inflammation, clot resolution
repair begins: increased fibroblast activity, new fragile collagen
may begin 14-21 days post insult
may last 10-17 days -> 6 wks
"pt indicates improvement of condition"
Subacute Stage Signs
decreasing edema
pain at end range
decreasing effusion
poss. contracture 2* disuse
developing weakness
decrease functional use of part/other areas
Subacute Stage Goals
promote healing
restore mobility
progressively strengthen
maintain function of associated areas
pt education
Subacute Stage Intervention
Jt. mobs: II & III's
stretching: agonish contract 1st
strength: isometric->MRE->AAROM->AROM, protected CKC exercises
Transverse Friction Massage
**Monitor pt response closely!
Indication of Adverse Reaction to Intervention during Subacute Stage
resting pain
increased weakness
muscle spasm
Chronic Stage of Healing:
Description 1
late stage tissue repair, low inflammation, lack full function
Chronic Stage of Healing:
Description 2
longstanding condition, recurring episodes of pain 2* inflammation or dysfunction from healing process
Chronic Stage Characteristics
collagen maturation
CT responds well to remodeling
no/low inflammation
pain past end range with overpressure
may have decreased strength, ROM and function
Chronic Stage Signs
pain after tissue resistance
muscle weakness
decreased functional use/unable to achieve PLOF
limited jt. play/ROM due to adhesions/contracture
Chronic Stage Goals
decrease pain related to contracture/adhesions
increase mobility
develop strength, balance and muscular endurance
functional independence
return to PLOF
educate pt
Chronic Stage Intervention
aggressive soft tissue/scar mobility
mobilize adhesions
progress therex to functional levels increasing demands on balance, endurance and strength
Indication of Adverse Reaction to Intervention during Chronic Stage
soreness remains after 4 hrs post activity
pain increased over previous session
increase in stiffness
increase weakness over successive visits
decreased function
Chronic Inflammation Characteristics
low level persistent inflammation
fibroblast proliferation
motion may be limited
Chronic Inflammation Mechanisms
overuse, cumulative trauma
old scar reinjury
contracture/poor mobility
Chronic Inflammation:
Contributing Factors
length/strength imbalance
excessive eccentric demand
muscle weakness
intensity/demand changes
premature return to activity
awkward postures
aging factors
environmental factors
combination of any above
Chronic Inflammation Problems
limited ROM and jt play
poor endurance and weakness
length/strength imbalance
decreased functional use
faulty movement pattern