Podcast
Questions and Answers
What is the primary focus during the acute phase of healing?
What is the primary focus during the acute phase of healing?
- Restoration of muscle strength
- Protection of damaged tissue (correct)
- Improvement of neuromuscular control
- Normalization of range of motion
Which treatment principle is NOT applicable during the post-acute phase of healing?
Which treatment principle is NOT applicable during the post-acute phase of healing?
- Warm up prior to activity
- Progression from isometrics to active exercises
- Short term cessation of use (correct)
- Normalization of biomechanics
What does the acronym METH stand for in the acute phase treatment principles?
What does the acronym METH stand for in the acute phase treatment principles?
- Movement, Elevation, Traction, Cold (correct)
- Mobilization, Elevation, Treatment, Heat
- Motion, Elevation, Turbulence, Heat
- Movement, Elevation, Traction, Heat (correct)
What is the key principle to prevent muscle atrophy during the post-acute phase?
What is the key principle to prevent muscle atrophy during the post-acute phase?
During the post-acute phase, which sequence of exercises is advised for optimal rehabilitation?
During the post-acute phase, which sequence of exercises is advised for optimal rehabilitation?
Which tissue is considered the most sensitive to pain?
Which tissue is considered the most sensitive to pain?
In the case of muscle injury, what characterizes the pain experienced during resisted range of motion (RROM)?
In the case of muscle injury, what characterizes the pain experienced during resisted range of motion (RROM)?
What can be inferred about PROM (Passive Range of Motion) in cases of ligament injury?
What can be inferred about PROM (Passive Range of Motion) in cases of ligament injury?
What is a potential indicator of nerve injury?
What is a potential indicator of nerve injury?
What does a decreased active range of motion (AROM) indicate when associated with arthropathy?
What does a decreased active range of motion (AROM) indicate when associated with arthropathy?
What symptom is commonly associated with capsulitis?
What symptom is commonly associated with capsulitis?
What is a common finding in the acute phase of healing?
What is a common finding in the acute phase of healing?
During which condition is palpation likely to cause instability due to possible full ligament rupture?
During which condition is palpation likely to cause instability due to possible full ligament rupture?
How does joint dysfunction typically present in terms of its range of motion?
How does joint dysfunction typically present in terms of its range of motion?
What specific symptom might indicate a bone injury?
What specific symptom might indicate a bone injury?
What is a key characteristic of the contemplation stage in behavior change?
What is a key characteristic of the contemplation stage in behavior change?
Which of the following is an appropriate intervention during the pre-contemplation stage?
Which of the following is an appropriate intervention during the pre-contemplation stage?
What is the main focus during the preparation stage of behavior change?
What is the main focus during the preparation stage of behavior change?
In the action stage, what is considered critical for maintaining change?
In the action stage, what is considered critical for maintaining change?
During the maintenance stage, what is a primary focus for individuals sustaining change?
During the maintenance stage, what is a primary focus for individuals sustaining change?
What is one of the interventions that may be employed in the contemplation stage?
What is one of the interventions that may be employed in the contemplation stage?
Which of the following best describes the focus of the Health Belief Model?
Which of the following best describes the focus of the Health Belief Model?
What impact does mis-information have during the pre-contemplation stage?
What impact does mis-information have during the pre-contemplation stage?
Which stage of the Transtheoretical Model indicates that an individual is not intending to take action?
Which stage of the Transtheoretical Model indicates that an individual is not intending to take action?
What is one key aspect that the Transtheoretical Model emphasizes about behavior change?
What is one key aspect that the Transtheoretical Model emphasizes about behavior change?
Which strategy can be employed to increase adherence to exercise prescriptions?
Which strategy can be employed to increase adherence to exercise prescriptions?
What is a barrier to physical activity highlighted in the material?
What is a barrier to physical activity highlighted in the material?
Which statement best describes the 'Contemplation' stage of the Transtheoretical Model?
Which statement best describes the 'Contemplation' stage of the Transtheoretical Model?
What is the purpose of models for behavior change, such as the Health Belief Model?
What is the purpose of models for behavior change, such as the Health Belief Model?
Which stage follows Preparation in the Transtheoretical Model?
Which stage follows Preparation in the Transtheoretical Model?
What is an effective way to overcome an individual’s reluctance to change behaviors?
What is an effective way to overcome an individual’s reluctance to change behaviors?
What is a critical component in helping a patient accept the intervention for stabilizing the GH capsule?
What is a critical component in helping a patient accept the intervention for stabilizing the GH capsule?
Which factor is essential to build a patient's confidence in their ability to take action?
Which factor is essential to build a patient's confidence in their ability to take action?
What is a primary reason that individuals from lower socioeconomic backgrounds might avoid physical activity?
What is a primary reason that individuals from lower socioeconomic backgrounds might avoid physical activity?
How should a practitioner tailor a physical activity plan for a patient?
How should a practitioner tailor a physical activity plan for a patient?
What should cues to action aim to provide to the patient?
What should cues to action aim to provide to the patient?
What is one of the perceived benefits of the intervention described for stabilizing the GH capsule?
What is one of the perceived benefits of the intervention described for stabilizing the GH capsule?
Which of the following is a potential barrier that can hinder a patient's willingness to engage in a prescribed exercise?
Which of the following is a potential barrier that can hinder a patient's willingness to engage in a prescribed exercise?
Why might individuals with greater resources be more successful in engaging in physical activity?
Why might individuals with greater resources be more successful in engaging in physical activity?
Flashcards are hidden until you start studying
Study Notes
Tissue Sensitivity to Pain
- Sensitivity to pain varies across tissues, with the skin being most sensitive and fibrocartilage and articular cartilage being least sensitive.
- Periosteum is the most sensitive tissue, followed by fibrous capsule and tendons.
Pain Responses in Specific Tissues
- Muscle injury (strain or tendinopathy) causes decreased active range of motion (AROM) and pain during resisted range of motion (RROM), with dull ache and sharp pain upon movement.
- Fascial strain results in decreased AROM and passive range of motion (PROM), often with palpatory subcutaneous adhesions.
- Ligament injury (sprain) presents with decreased AROM and PROM, pain at full end range of motion, and possible instability.
- Capsulitis shows painful AROM and PROM with pain upon palpation of the capsule, indicating potential muscle or tendon damage.
- Joint injury (arthropathy) may demonstrate painful and limited AROM and PROM, alongside crepitus.
- Joint dysfunction (subluxation) can appear as misalignment and abnormal PROM restrictions.
- Bone injury (fracture) typically reveals a history of trauma, with decreased and painful AROM, PROM, and pinpoint tenderness.
- Nerve injury provides symptoms like numbness, tingling, and muscle weakness due to nerve compression.
Stages of Healing
-
Acute Phase (1-5 days): Goals include pain relief, prevention of muscle atrophy, and re-establishing pain-free ROM. Key treatments involve METH (Movement, Elevation, Temperature, and Hydration). Protect injured tissue and implement relaxation techniques.
-
Post-Acute Phase (~2 days-6 weeks): Focus shifts to normalizing ROM and biomechanics, enhancing neuromuscular control, and preventing muscle atrophy. Emphasize warming up for activities and progressive exercise from isometric to sport-specific.
Learning Objectives
- Identify barriers to physical activity and develop strategies to enhance adherence to exercise prescriptions.
- Examine models geared towards behavior change, including socioeconomic impacts on physical activity.
Behavioral Change Models
- Transtheoretical Model: Describes stages of change (Pre-Contemplation, Contemplation, Preparation, Action, Maintenance) and focuses on individual readiness for change.
- Health Belief Model: Relies on the individual's perception of health benefits and barriers, stressing the effectiveness of perceived self-efficacy.
Stages in the Transtheoretical Model
- Pre-Contemplation: Lack of intention to change within 14 months; focus on providing information about benefits of exercise.
- Contemplation: Change expected in 6 months; help identify barriers and emphasize small incremental steps.
- Preparation: Action plan being formed; assist with goal-setting and self-monitoring.
- Action: Active change over 6 months; positive reinforcement and exploring diverse activities are crucial.
- Maintenance: Sustaining changes over 6 months to 5 years, reinforcing confidence to prevent relapse.
Socioeconomic Barriers to Physical Activity
- Factors like age, gender, race, and socioeconomic status significantly influence individuals' ability to engage in physical activity.
- Those with higher socioeconomic status have more resources, leading to greater engagement in physical activities.
- Practitioners should tailor physical activity plans based on patients' social characteristics and available resources.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
