Pathophysiology
What is a stretch or tear of the musculotendinous unit?
What is a Strain
What are the 4 stages of healing for extremities?
Max protective phase (acute), moderate protective phase (subacute), min protective phase (chronic) and other.
How long does it take bone to fully heal in adults?
10-18 weeks
How long does it take muscle or tendon tear to heal (ignore a complete tear for now)?
12-18 weeks
How do you actually say Dr. Arihood's last name? Don't worry no one says it right and it doesn't bother me...just a fun fact :)
Ar-hood
Like a pirate arrrrr then hood
Please describe the difference between different grades of sprains/strains?
Gr 2: Moderate, partial tear, moderate s/s
Gr 3: Complete tear, usually requires surgical intervention
Name an intervention for min protection phase?
Strengthening, plyometrics, return to function
What is contra-indicated if a fracture is not radiologically healed?
Placing resistance below the fracture site
Name two barriers to tissue healing?
Immobilization, decreased weight bearing, smoking, lifestyle choices
A patient comes into clinic 6 weeks after an ankle sprain? Her active DF AROM is 0 degrees, PROM 10 deg, MMT 4/5. What is the MOST appropriate intervention?
a. PROM ankle DF
b. Stretching calf
c. AAROM sideline
What is contra-indicated for osteoarthritic patients in the acute phase?
What is stretching and heavy loads
Name an intervention for maximum protection phase?
PRICE, PROM, tissue mobs (manual therapy), AD prescription, strength and flexibility of the joint above/below if indicated
What portion of the knee meniscus is more likely to be excised and why?
Zone 3- avascular poor ability to self-heal. This is typically the inner portion of mensicus
If a patient is performing an exercise correctly and reports an RPE of 8, would you progress the exercise?
Yes- no substitution and RPE is low
A patient has been performing 3x12 of bicep curls. They are most likely working which fibers?
a. Type I
B. Type II
A-endurance
What types of activities could re-injure or re-fracture a patient with osteoporosis?
What is twisting and high impact activities
Name an intervention in moderate protection phase?
AAROM, stretching, strengthening, aerobic activity
What is the most common way for a young person to injure fibrocartilage (knee mensicus, hip labrum, shoulder labrum)?
Torque, compression, twisting, quick change in speed
If a patient does not experience DOMS, how much can you progress the exercise next session?
2-10%
A patient is riding a bike in the following manner: 30 sec high intensity, 90 sec rest for a total of 7 min. He/she is likely working which system?
A. Phosphagen
B. Glycolytic
C. Endurance
B. glycolytic
Name me two s/s of a DVT?
Swelling, pain in calf, pitting edema, tenderness, vein distention
What is contra-indicated in the max protection phase?
Stretching the injured/inflammed tissue
How long does it take for a ligament to heal?
Can take an entire year or more depending if intra or extra-articular. 50-70% strength within a year
If a patient reports decreased ROM after stretching or worsening of ROM after a few sessions, what is this a sign of?
You progressed exercises too quickly
Who or what just ran a half-marathon?
A bipedal robot!!