Shared Flashcard Set

Details

Physiotherapy
PT Unit 1 Stachenotes
79
Other
Graduate
08/05/2011

Additional Other Flashcards

 


 

Cards

Term
3 Stages of Healing
Definition
Inflamation
Repair
Remodelling
Term
Inflamation/Acute
Time since injury
Definition
Recent Injury
Term
Inflamation/Acute
Symptoms
Definition
Increased Severity
Increased Irritability
Term
Acute
Outcome Scores
Definition
Low level function
Increased disability
Term
Acute
Functional Mobility
Definition
Decreased use of segments in function
Term
Repair/Proliferation
Time since injury
Definition
variable
Term
Repair/Proliferative
Symptoms
Definition
-
Term
Repair/Proliferative
Outcome Scores
Definition
Medium level of function
Term
Repair/Proliferative
Functional Mobility
Definition
Segment used, not optimal
Term
Remodeling.Maturation
Time since injury
Definition
Remote
Term
Remodeling/Maturation
Symptoms
Definition
Decreased severity
Decreased irritability
Term
Remodeling/Maturation
Outcome Scores
Definition
High level function
Decreased disability
Term
Remodeling/Maturation
Functional Mobility
Definition
Optiimal use of segment in function
Term
Inflamation
Purpose
Definition
Defend against infection
Remove damaged tissue and de
Term
Inflamation
Purpose
Definition
Defend against infection
Remove damaged tissue and debris
Immobilize Area
Term
ROM
Definition
Range of motion
Early initiation is vital to reduce contracture and loss of flexibility.
Term
Inflamation
Indicators of progress
Definition
Decreasing pain/edema
Increasing ROM
Term
Signs of inflamations
Definition
Heat (calor)
Redness (Rubor)
Swelling (Tumor)
Pain (Dolor)
Term
Secondary Injury
Definition
Caused by Inflamation
Enzymatic Injury (non specific)
Hypotic Injury (Hemorrhage, clotting, edema, spasm, hematoma)
Term
Inflamation
Goal
Definition
Limit extent of inflamation
Preserve ROM
Term
Type III Collagen
Definition
Made during repair
Weak
Disorganized
Term
Repair Phase
Goals
Definition
Control Inflamation
Proprioception
Strength
Functional Range of Motion
Aerobic Capacity
Term
Remodeling phase
Definition
Maturation phase
Scar contraction
Decreased blood vessels
Type III collage replaced by Type I
Term
Remodeling Phase
Goals
Definition
Manage Inflammation
Proprioception
Strength
Functional Range of Motion
Aerobic Capacity
Term
Stress
Definition
Tension on connective tissue causes
-increased collagen fibril diameter
-increased cross-linking
-increased number of collagen fibrils
-increased collagen fibril packing density
Term
Remodeling Phase
Definition
High threshold for injury
Treatment should emphasize tissue adaptation
-quality movement over quantity
Re-educate propper movement paterns
Term
Center of Gravity
Definition
Point of exact center around wich the body freely rotates.
Point where all weight is equal on all sides
Approximately at the S2 level (higher in Men)
Term
Line of gravity
Definition
Imaginary line that runs through the center of gravity
Must fall within the base of support
(Balance=COG remains over base of support)
Term
First Class Lever
Definition
Fulcrum is between the force and resistance arms
Term
Second Class Lever
Definition
Resistance lies between the force and the fulcrum
Term
Third class Lever
Definition
Force is between the resistance and the fulcrum
Term
Longer moment arms effect on torque
Definition
more torque
Term
Lumbar multifidi and thoracic and lumbar erector spinae have more type ____ muscle fibers?
Definition
Type 1
Term
What muscles of the lumbar spine have the highest oxidative enzyme concentration?
Definition
Multifidis
Term
Power
Definition
Force X Distance / time
Term
Speed
Definition
Distance/time
Term
Work
Definition
Force x Distance
Term
Hypertrophy Vs Hyperplasia
Definition
Trophy-what predominantly occurs to increase muscle size
Myofibrils increase in size, each fiber increases in size
Hyperplasia- increase the number of muscle fibers. Possible.
Term
Satellite cells
Definition
stem cells of skeletal muscle
repair, revitalize and mediate sk mm growth
Term
Initial strength gains are due to:
Definition
neural factors
help to coordinate motor units and synergistic muscles.
(first six weeks)
Term
Initial goal of rehabilitative programs:
Definition
establish functional range of motion
(stabilize of increase ROM)
Term
Isometric
Definition
No motion
Term
Isotonic
Definition
Concentric (contraction, shortening)
Eccentric (lengthening)
Term
Isokinetic
Definition
constant velocity
Term
What type of contraction produces the most force?
Definition
Eccentric contraction
Term
Prevent DOMS (delayed onset muscle soreness)
Definition
warm up
lower intensity work out
avoid eccentric contractions
regular exercise
Term
ABC's of proprioception

(progress)
Definition
Agility (3)
Balance (1)
Coordination (2)
Term
Open Chain Exercises
Definition
Kinetic Chain=series of rigid segments linked by movable joints
Distal end of extremity is free
One joint involved
Forces perpendicular to the joint
Increased shear stress
Typically non weight bearing.
Term
Open chain examples
Definition
Bench Press
Biceps curl
Leg extension
Straight leg raises
Back extension exercises
Curl up
Term
Close chain exercises
Definition
Distal end of the extremity is fixed (hand or foot cannot move)
Multiple joint movement
forces parallel to the joint (compression)
Decreased Shear Stress
Typically weight bearing
Term
Close chain examples
Definition
Pushups
handstands
pull-ups
squats
lunges
pelvic tilts
Term
How is power attained?

What should be established first?
Definition
Performing heavy resistance repetitions at high speed.

Control
Term
Plyometrics
Definition
Used for training: Speed, power, sports specific
First need: flexibility, strength, proprioception.
Term
Stages of plyometrics
Definition
Eccentric (prepare muscle-lengthening)
Amortilization (transition the muscle-conversion)
Concentric (power-contraction)
Term
Mesocycle periods
Definition
Active rest (1-4 weeks)
Prepatory period (hypertrophy phase, Strength phase, Power phase)
Competition period
Term
Patient Management
Definition
History
Exam
Diagnostic Testing/Imaging
Treatment Plan
Report of Findings
Informed Constent
Term
SOAP
Definition
Subjective (what patient says)
Objective (measurements, exam findings)
Assessment (diagnosis, patients response to treatment)
Procedure (what the doc did, treatment plan)
Term
Elasticity
Definition
Ability of a tissue to return to its previous shape or size following the application of a force
Term
Elastic limit
Definition
Point of force beyond which tissue won't return to former shape/size when force is removed
Term
Plasticity
Definition
Ability to deform without return to prior shape
Can be normal property or secondary to damage
Term
Viscosity
Definition
Property of a fluid to resist loads that produce shear and flow
Time dependent
Warming muscles reduces viscosity
Term
Thixotropy
Definition
Phenomenon of gel/solids
Mechanical vibration causes change from gel/solid to liquid
Muscle becomes stiff with disuse and more mobile with movement
Term
What does stretching do?
Definition
Decrease maximal force
Increase ROM
Decrease muscle stiffness
Important for injury rehab.
Term
Icing and stretching
Definition
Applying ice prior to a static stretch is more effective than heat in increasing range of motion
Does not improve PNF stretching
Term
Principles of Proprioceptive Neuromusculaar Facilitation
Definition
Facillitation (techniques to increase motor neuron excitability)
Inhibition (techniques to decrease motor neuron excitability

Can be much more than how to stretch something...Restores normal patterns of movement.
Term
Sherrington's law
Definition
Reciprical inhibition.
Contracting the agonist inhibits the action of the antagonist
(CRAC utilizes this phenominon)
Term
Postcontraction inhibition
Definition
After a muscle is contracted, it is automattically in a relaxed state for a brief period
(techniques that utilize this phenomenon: PIR)
Term
Facilitative (strengthening) PNF techniques
Definition
Rythmic Stabilization
slow reversal
fast reversal
Term
Inhibit (stretch) PNF techniques
Definition
Hold Relax
Contract Relax
CRAC
Term
Reciprical inhibition is...
Definition
Over-rated. (musscles are electricaally quiet)
Term
PNF techniques...
Definition
Increase EMG activity and muscle stiffness
Term
Post-Isometric Relaxation
Definition
Dr. Stretches to next point.
Repeat 3-5
Term
Active Isolated Stretching
Definition
Uses reciprical inhibition
1lb pressure
Loosens scar tissue
No more than 2 seconds
8-10 reps
Term
PNF vs Static stretching
Planes
Definition
PNF= Spiral diagonal plane (3 components)
Static Stretching= Single plane
Term
What is most likely cause of DOMS
Definition
Tension durring Eccentric muscle action leading to mechanical damage.
Term
Yellow Flags
Definition
Risk factors for chronicity
Most pertain to work or psychosocial factors
Should assess with the first 4-12 weeks
Term
Yellow Flags for Cervical and upper quarter
Definition
Sever pain after 1 month
Upper extremity co-morbidity
Low job support/Job stress
Catastrophizing pain coping style
Number of pain treatment episodes
Past recomendations for surgery.
Term
Yellow flags for low back
Definition
Greater than 4 weeks of symptoms
Sciatica
Previous episodes requiring treatment
Severe pain after 3 weeks
Delaying treatment at least 7 days
widespread pain.
Term
Yellow Flag
Low Back
Examination
Definition
Positive straight leg test
Positive neurological signs
Positive orthopedic tests
Lack of centralization with repetitive ROM
Symptoms move from distal to proximal
Supporting users have an ad free experience!