Term
| how does age effect exercise programs |
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Definition
| decreased tensile strength, decreased water content resulting in increased joint stiffness |
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Term
| quality of tissue following a traumatic injury |
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Definition
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Term
| quality of tissue following chronic complications |
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Definition
| osteoporotic or retracted tissue. tissue will worsen with time |
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Term
| 4 factors that effect exercise programs |
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Definition
| age, state of tissue, functional capabilities, surgical procedures |
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Term
| considerations for functional capabilities |
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Definition
| independent vs assisted treatment, type/mode of exercise |
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Term
| considerations for surgical procedures |
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Definition
| time since surgery, contraindicated movments, MD's instructions |
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Term
| 3 stages of inflammation and repair |
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Definition
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Term
| Inflammation and repair: processes occurring during acute stage |
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Definition
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Term
| Inflammation and repair: clinical signs during acute stage (5) |
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Definition
| swelling, heat, pain, redness, loss of function |
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Term
| Inflammation and repair: processes occuring during subacute stage |
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Definition
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Term
| Inflammation and repair: clinical signs of subacute stage |
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Definition
| decreased inflammation and pain |
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Term
| Inflammation and repair: when does pain occur at subacute stage |
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Definition
| at end ROM once the tissue resistance is met |
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Term
| Inflammation and repair: processes occuring during chronic stage |
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Definition
| maturation and remodeling |
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Term
| Inflammation and repair: clinical signs of chronic stage |
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Definition
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Term
| Inflammation and repair: when does pain occur during chronic stage |
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Definition
| when over pressure given at end ROM |
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Term
| Inflammation and repair: general s/s of chronic stage |
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Definition
| decreased strength, ROM, and function |
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Term
| how many days is acute considered |
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Definition
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Term
| how many days is subacute considered |
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Definition
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Term
| how many days is chronic stage |
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Definition
| day 14/21 or until patient is pain free |
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Term
| Acute stage: control pain via what (4) |
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Definition
| meds, cold application, proper positioning, proper motion/mobility |
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Term
| Acute stage: treatment goals during acute stage (2) |
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Definition
| control edema and muscle spasm, maintain soft tissue/joint integrity |
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Term
| how should the patient maintain integrity and function of associated areas during the acute stage |
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Definition
| adaptive equipment, assistive devices |
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Term
| When should the patient be taught RICE? |
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Definition
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Term
| THe patient should balance rest and movement as signs of too much movement are.... |
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Definition
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Term
| contraindications during the acute stage (3) |
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Definition
| AROM at the affected area, stretching over the affected area, resistive training at the affected area |
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Term
| Sub acute treatment: progressive restoration of what? (2) |
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Definition
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Term
| Subacute phase: normal soreness occurs after activity and should resolve how quickly? |
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Definition
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Term
| major precaution of subacute phase |
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Definition
| patient may over do it due to feeling as if they are 100% |
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Term
| Subacute phase: signs of too much activity (4) |
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Definition
| pain at rest, fatigue, increased weakness, muscle spasm |
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Term
| Chronic stage: pain is usually where |
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Definition
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Term
| chronic stage: pain is usually at the stress point, and can be d/t these 4 things |
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Definition
| contracture, spasm, end-range, dysfunction |
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Term
| 2 specific goals to focus on during chronic stage |
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Definition
| increase joint and soft tissue mobility, strengthen supporting/surrounding areas as well as primary muscle groups |
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Term
| 2 General goals for chronic stage treatment |
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Definition
| progress function of involved limb/joint, educate patient to find ways to overcome/correct impairments |
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Term
| chronic stage precautions: how should reinflammation or reinjury be treated |
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Definition
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Term
| s/s that activity was progressed too quickly during chronic stage |
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Definition
| joint swelling, pain lasting longer than 4 hours, decreased strength from last visit, easily fatigued muscles |
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Term
| Chronic or recurring pain and/or inflammation can be caused by (4) |
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Definition
| re-injury after returning to work/prior function too early, re-injury of scar tissue, contracture or poor mobility, repetitive strain or overuse syndromes |
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Term
| 8 contributing factors to chronic inflammation or pain |
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Definition
| imbalances between length and strength, rapid excessive eccentric demand, muscle weakness, improper bone alignment or structural support, sustained awkward postures or motions, environmental or aging factors, training errors, combination of above |
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Term
| Considerations for chronic inflammation treatment guidelines and goals (4) |
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Definition
| treat reinjury as acute, promote healing of pain and inflammation, elminate irritating factors or correct environemental issues, develop support in related areas |
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Term
| chronic inflammaiton precaution: if stretching or strengthening causes progressive loss of motion or function what should you do? |
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Definition
| do not continue, emphasize stabilizaiton of the involved and surrounding areas |
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Term
| Acute fracture: decrease what (2) |
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Definition
| effects of inflammation and edema, effects of immobilization |
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Term
| acute fracture treatment: maintain what? |
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Definition
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Term
| acute fracture: teach what |
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Definition
| adaptations to achieve functional independence |
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Term
| considereations after fracture immoblization of the fracture site: patient may have ....(4) |
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Definition
| decreased ROM, muscle atrophy, joint pain, pain at initiation of movement, but decreases as motion continues |
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Term
| why is scar massage important after immolibzation of the fracture site |
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Definition
| achieve proper alignment of scar tissue fibers |
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Term
| major consideration after immoblizaiton of teh fracture site |
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Definition
| amount of stress placed at fracture site until it is completely healed |
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Term
| 7 possible complications of surgery |
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Definition
| infection/poor wound healing, vascular disorders, delayed healing at bone or soft tissues, adhesions contractures improper scar, loosening of prosethetic implants, biomechanical breakdowns of implants, risk of pulmonary ocmplicatiations (PE, pneumonia) |
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Term
| Postoperative goals: decrease what (4) |
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Definition
| pain, edema, spasm, atrophy in involved jt(s) |
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Term
| Postoperative goals: prevent/lessen |
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Definition
| vascular (DVT), pulmonary pathologies or complications, contractures |
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Term
| Postoperative goals: maintain (3) |
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Definition
| strength, motion, function |
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Term
| posoperative precautions (5) |
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Definition
| monitor patient/wound status, avoid contraindicated motions, maintain appropriate WB status, progress exercise gradually, modify recreational/functional tasks as needed |
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Term
| issues in prescripiton of HEP (6) |
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Definition
| cultural barrier, clear instruction, proper exercise performance, equipment/environment, patient schedules, patient compliance, patient too aggressive/not aggressive enough |
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Term
| issues in prescription of HEP: explain cultural barriers |
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Definition
| language, use of medical terms, clothing restriction, ex on certain days |
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Term
| issues in prescription of HEP: explain clear instructions |
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Definition
| clear writing, clarify directions, pictures |
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Term
| issues in prescription of HEP: explain proper exercise performance |
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Definition
| proper form, spot check performance during next clinic visit |
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Term
| issues in prescription of HEP: equipment/environment |
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Definition
| availability of equipment, patient safety, pt needs to be motivated/comfortable with equipment, pt preference/agreement |
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Term
| Considerations for exercise choice during stages of tissue healing, early on |
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Definition
| few ex as PT sessions are frequent. pt will progress through exercises quickly |
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Term
| considersations for exercise choice as stages of tissue healing are more chronic |
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Definition
| more exercises as PT sessions are less frequent and progress slows down |
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Term
| 4 considerations for exercise choise |
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Definition
| stage of tissue healing, symptom irritablity, PT frequency, pt motivation |
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