MT-MT20 Techniques II Class 18: Contusions/Fractures

A ______ injury to a muscle

Leads to capillary ______, bleeding, edema and subcutaneous inflammation.

With a contusion there is damage to the ______ fibers

The ______ can be contained within a fascial compartment.

______ is a large area of local hemorrhage following trauma.

______ is blood which has invaded a joint space.

What is the term for blood that has invaded a joint space?

What type of damage occurs to the muscle fibers with a contusion?

What are the key effects of a crush injury to tissue?

What can a hematoma be contained within?

What is the term for a large area of local hemorrhage following trauma?

What type of injury to a muscle is caused by an external direct blow or internal force?

Myositis ossificans (MO) Is an occasional complication following ______, where the pooled blood within muscle calcifies.

Fibroblasts are replaced by ______ which begin to lay down new bone over a period of approximately six weeks.

Spasm and local ______ occur in tissue with Myositis Ossificans.

The more severe and frequent the ______ the greater risk of MO.

With a ______ there is damage to the muscle fibers.

A ______ injury to a muscle is caused by an external direct blow or internal force.

What is the initial cellular process that occurs in myositis ossificans?

Where can myositis ossificans form?

What is a primary cause of myositis ossificans?

Which symptom is associated with myositis ossificans?

What factor increases the risk of developing myositis ossificans?

Which classification of contusion is characterized by an inability to continue activity?

Antalgic ______ may occur if in lower limb.

Red, black, and blue bruising over the injury site. Large swelling occurring in less than 20 minutes is considered to be a more severe injury and possible ______ development.

Subacute Antalgic gait ______.

With moderate or severe contusions the swelling of a ______ is present at the lesion site.

Bruising over the injury site changed from black and blue in early subacute to brown, yellow and green in late subacute ______.

Raised superficial tissue with ______.

What color bruising is typically seen over the injury site in the early subacute stage?

What is a possible consequence of large swelling occurring in less than 20 minutes over an injury site?

What may be observed if there are limitations of swelling and muscle guarding in the subacute stage?

Which stage is characterized by possible habituated antalgic gait and posture?

What may lead to alterations in the contour of the body with severe contusions?

When is edema expected to diminish in the healing process of a contusion?

Acute Inflammation and swelling begins in minutes and continues to develop for a few days.

Large swelling occurring in less than 20 minutes is considered to be a less severe injury and possible hematoma development.

With severe contusions the affected muscles may be supported during activities that stress the muscle.

Subacute Antalgic gait is diminished.

Fibroblasts are replaced by osteoblasts which begin to lay down new bone over a period of approximately six weeks in myositis ossificans.

A contusion injury to a muscle is caused by an external direct blow or internal force.

Fibroblasts are replaced by ______ which begin to lay down new bone over a period of approximately six weeks in myositis ossificans.

A ______ is a large area of local hemorrhage following trauma.

With a ______ there is damage to the muscle fibers.

The ______ can be contained within a fascial compartment.

Subacute Antalgic gait ______.

A ______ injury to a muscle is caused by an external direct blow or internal force.

What should be avoided when assessing a contusion injury?

In the subacute stage, what is a common characteristic of bruising over the injury site?

What is a possible sign of moderate or severe contusion that indicates other testing should be contraindicated?

Which factor may lead to a greater risk of myositis ossificans following an injury?

What type of muscle response is expected during passive flexion range of motion (PF ROM) with a contusion?

What should be assessed for to indicate greater vascular involvement in a contusion injury?

Palpate for signs of inflammation, local tenderness spasm, trigger points, hypertonicity (muscle guarding), hypotonicity (disuse atrophy) adhesions and ______.

If moderate or severe contusion is suspected, then other testing is contraindicated. This is indicated by: Marked ______ Client having difficulty or being unable to continuing the activity.

A ______ injury to a muscle is caused by an external direct blow or internal force.

With moderate or severe contusions the swelling of a ______ is present at the lesion site.

Fibroblasts are replaced by ______ which begin to lay down new bone over a period of approximately six weeks in myositis ossificans.

Antalgic ______ may occur if in lower limb.

Goals of massage therapy for contusions include reducing edema, promoting muscle and joint function, and restoring ____________.

The frequency of massage treatments for acute to late subacute contusions is typically 2-3 times a week for 1⁄2 hour each session, while for chronic contusions it is usually once a week for 1⁄2 to 1 hour each session. This protocol aims to improve outcomes and facilitate ____________.

The prognosis for severe contusions indicates a recovery period of 72 days or more, highlighting the importance of managing pain, reducing muscle guarding, and preventing ____________.

In cases of moderate to severe contusions, if suspected, it is crucial to refer the client to an appropriate medical professional if there is marked ____________ or if the client struggles to continue the activity.

Contusions can lead to muscle spasms, local tenderness, trigger points, and potential ____________ formation, emphasizing the need for comprehensive assessment and treatment.

Cryotherapy should be used to decrease swelling and inflammation in the acute stage of a contusion injury.

Muscle guarding or spasm should always be significantly reduced during the treatment of a contusion injury.

Proprioceptive techniques, such as oscillation and joint approximation, can be used to help decrease pain and hypertonicity in the treatment of a contusion injury.

Fibroblasts are replaced by osteoblasts, which begin to lay down new bone over a period of approximately six weeks in myositis ossificans.

Antalgic gait, or a limp to avoid pain, is typically diminished in the subacute stage of a contusion injury.

What is the primary goal of using RICE (rest, ice, compression, elevation) in the acute stage of a contusion injury?

What is a potential consequence of a severe contusion injury with large swelling occurring in less than 20 minutes?

Which of the following is a key goal of massage therapy for contusion injuries?

What type of damage occurs to the muscle fibers in a contusion injury?

What is a possible sign of a moderate or severe contusion injury that would indicate the need for further medical evaluation?

What is a key consideration when treating a moderate or severe contusion injury?

What should be decreased in the treatment of a contusion injury because it is no longer important for stabilizing injured tissues?

What should be carefully reduced during the treatment of a contusion injury to avoid interfering with the injury site?

In the context of contusion injuries, what is the primary goal of massage therapy?

What should be avoided during the assessment of a contusion injury to prevent exacerbation of the condition?

In cases of moderate to severe contusions, if suspected, it is crucial to refer the client to an appropriate medical professional if there is marked ____________ or if the client struggles to continue the activity.

Subacute Antalgic gait ______.

What may lead to alterations in the contour of the body with severe contusions?

With moderate or severe contusions the swelling of a ______ is present at the lesion site.

Red, black, and blue bruising over the injury site. Large swelling occurring in less than 20 minutes is considered to be a more severe injury and possible ______ development.

What is the recommended action for a contusion with moderate to severe hematoma?

In the treatment of a contusion injury, what technique is suggested to be applied distal to the site?

What self-care approach is recommended for a contusion injury up to the point of pain?

What should be avoided in the position of the patient with a contusion to prevent compression of healing tissue?

Which technique should be continued in the treatment of a contusion to prevent compression of the injury site?

What is a key consideration when treating a moderate or severe contusion injury? Raised superficial tissue with ______.

What may lead to alterations in the contour of the body with severe contusions? Large swelling occurring in less than 20 minutes is considered to be a less severe injury and possible ______ development.

Antalgic gait, or a limp to avoid pain, is typically diminished in the subacute stage of a contusion injury. A ______ injury to a muscle is caused by an external direct blow or internal force.

Bruising over the injury site changed from black and blue in early subacute to brown, yellow and green in late subacute ______.

What should be assessed for to indicate greater vascular involvement in a contusion injury? What are the key effects of a crush injury to tissue? Capillary ______, bleeding, edema and subcutaneous inflammation.

What technique is recommended to decrease adhesions in the late subacute stage of treatment for a contusion injury?

Which type of injury is caused by an external direct blow or internal force to a muscle?

What should be avoided in the late subacute stage of treatment for a contusion injury to prevent overstretching?

Which technique should be carefully applied to avoid overstretching during the late subacute stage of contusion injury treatment?

In the late subacute stage of treatment for a contusion injury, what should be used to treat hyper tonicity and trigger points?

In the late subacute stage of contusion injury treatment, heat and full stretch are ___ used

To decrease adhesions in the late subacute stage, specific petrissage and muscle stripping techniques are recommended, along with skin rolling and friction for 1-2 minutes, 2-3 times (being careful not to overstretch) to prevent ___

In the late subacute stage, fascial techniques like skin rolling and frictions should be used to decrease ___

In the late subacute stage of treatment, be cautious not to overstretch the injured area to prevent causing ___

During the late subacute stage of contusion injury treatment, it is important to avoid raising superficial tissue with ___

What technique is recommended for decreasing hypo mobility of proximal and distal joints in contusion injury treatment?

Which factor is gradually increased in duration and repetitions in self-care for contusion injuries?

What is a common technique that can be used distal to the lesion site in the treatment of contusion injuries?

In contusion injury treatment, what is introduced for severe contusions?

What type of range of motion is recommended for contusion injury treatment?

Chronic contusions can use hydro ex. hydrocollator and wax to soften adhesions. Continue to decrease hypertonicity and TrP with using heat and full stretch. Continue to decrease adhesions. Increase friction duration (2-4 min. 2-3x) with full stretch. Continue with high grade joint play for hypo mobile joints. Full range PR ROM. Continue with distal circulatory techniques. Position – as needed to access surrounding tissue and affected area. Pillowing – as needed for positioning. Self-care - isotonic exercises. Encourage return to activities of daily living.

In the late subacute stage of contusion injury treatment, heat and full stretch are commonly used

With a contusion injury, there is ______ to the muscle fibers.

Red, black, and blue bruising over the injury site. Large swelling occurring in less than 20 minutes is considered to be a more severe injury and possible ______ development.

Myositis ossificans (MO) is an occasional complication following contusions, where the pooled blood within muscle ______.

What technique is recommended to soften adhesions in the late stages of contusion injury treatment?

Which method is suggested to decrease hyper tonicity and trigger points in the late stages of contusion treatment?

In contusion injury treatment, what should be done with friction duration to help decrease adhesions?

Which technique is advisable for mobilizing hypo mobile joints during contusion injury treatment?

What should be encouraged as part of self-care for individuals recovering from a contusion injury?