Muscle Injury Generalities Quiz

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Questions and Answers

What is a key factor in preventing muscle injuries?

  • Hydration (correct)
  • Avoiding exercise altogether
  • Taking pain medications
  • Wearing tight clothing

What characterizes a Grade I muscle strain?

  • Involves no fiber tear (correct)
  • Healing time exceeds 3 months
  • Requires surgical intervention
  • Involves a complete loss of function

What is the likely outcome after performing eccentric exercise, especially after a resting period?

  • Muscle hypertrophy
  • Immediate recovery
  • Acute muscle tear
  • Delayed Onset Muscle Soreness (DOMS) (correct)

What is an effective method for muscle injury assessment?

<p>Both inspection and palpation (B)</p> Signup and view all the answers

Which of the following is NOT associated with a muscle cramp?

<p>Long recovery time (C)</p> Signup and view all the answers

What happens to a muscle's ability to store energy when it is fatigued or damaged?

<p>It diminishes. (C)</p> Signup and view all the answers

What describes a distension injury?

<p>Excessive elongation without fiber tear (B)</p> Signup and view all the answers

Which type of contraction enhances the efficiency of muscle energy storage?

<p>Eccentric contraction (D)</p> Signup and view all the answers

What is the first phase of muscle injury repair where the fascia and muscle are broken?

<p>Destruction phase (C)</p> Signup and view all the answers

What factor affects muscle performance according to the type of stretching?

<p>Static stretching decreases performance (D)</p> Signup and view all the answers

Which mineral supplementation can help in muscle recovery?

<p>Calcium (A)</p> Signup and view all the answers

What activates the growth factor Vascular Growth Factor (VGF) during muscle injury repair?

<p>Angiogenesis (C)</p> Signup and view all the answers

Which cells are activated after one week in the muscle injury repair process?

<p>Satellite cells (B)</p> Signup and view all the answers

In what time frame does a muscle injury typically regain 80% strength?

<p>After 2-4 weeks (A)</p> Signup and view all the answers

What is the primary role of fibroblasts in the muscle repair process?

<p>Arranging the debris (C)</p> Signup and view all the answers

What is the final outcome of the muscle injury repair process after one year?

<p>The wound is fully healed (C)</p> Signup and view all the answers

What type of muscle tear is characterized by a stabbing, sharp pain and a palpable defect in muscle structure?

<p>Moderate partial muscle tear (D)</p> Signup and view all the answers

Which type of injury is described as dull pain at the time of injury and is caused by a blunt external force?

<p>Contusion (A)</p> Signup and view all the answers

What grade of muscle injury is characterized by soreness after physical activity and may involve capillary tears?

<p>Grade I (C)</p> Signup and view all the answers

What is recommended to avoid during the first phase of treatment for muscle injuries?

<p>NSAIDs (B)</p> Signup and view all the answers

In which phase of muscle injury treatment is cryotherapy applied?

<p>Inflammatory phase (C)</p> Signup and view all the answers

What specifies the muscle-tendon junction as the primary site of injury for total muscle tears?

<p>Total muscle tears (C)</p> Signup and view all the answers

What is the main objective during the first phase of muscle injury treatment?

<p>Reduce inflammation (A)</p> Signup and view all the answers

What immediate action is advised to activate cell-regeneration processes after a muscle injury?

<p>Exercise the affected area (C)</p> Signup and view all the answers

What therapy is strongly recommended for increasing degradation of damaged extracellular fibers and matrix?

<p>Enzyme therapy (A)</p> Signup and view all the answers

Which type of collagen is primarily responsible for providing resistance to traction?

<p>Collagen Type I (A)</p> Signup and view all the answers

In the remodelling phase of therapy, which of the following is NOT recommended?

<p>High-intensity resistance training (A)</p> Signup and view all the answers

What is a complication that can occur after rehabilitation?

<p>Relapse of injury (A)</p> Signup and view all the answers

Which technique is emphasized for muscle contraction efficiency?

<p>Enhancing sarcomere length (C)</p> Signup and view all the answers

What main function do mechanoreceptors serve in fascia?

<p>Transmitting sensory information (C)</p> Signup and view all the answers

What is an example of a technique recommended to increase oxygen supply?

<p>Thermotherapy (D)</p> Signup and view all the answers

Which medication has been mentioned as part of antifibrotic therapy?

<p>Curcumin (B)</p> Signup and view all the answers

What is a primary function of superficial fascia?

<p>Coordinates with the musculoskeletal system (D)</p> Signup and view all the answers

What does not increase resistance to trauma?

<p>Fascia structure (C)</p> Signup and view all the answers

What is a characteristic of active trigger points?

<p>Causes referred pain (C)</p> Signup and view all the answers

Which of the following is a potential cause of myofascial pain?

<p>Improper nutrition (D)</p> Signup and view all the answers

Which of these statements describes latent trigger points?

<p>Inactive but can become active (D)</p> Signup and view all the answers

What contributes to the loss of viscoelastic properties in fascia?

<p>Deficiency in hyaluronic acid (D)</p> Signup and view all the answers

What is the primary goal of treatments for myofascial pain syndrome?

<p>Reestablish normal tissue function (C)</p> Signup and view all the answers

Which of the following diseases is associated with myofascial pain syndrome?

<p>Fibromyalgia (B)</p> Signup and view all the answers

What is a symptom associated with brain and spinal cord pain processing disorder?

<p>Burning pain (B)</p> Signup and view all the answers

Which demographic is most affected by brain and spinal cord pain processing disorder?

<p>Women aged 20-50 (C)</p> Signup and view all the answers

What test is used to diagnose Dupuytren contracture?

<p>Table top test (B)</p> Signup and view all the answers

What is the primary complaint of someone with Iliotibial Band syndrome?

<p>Lateral knee pain (C)</p> Signup and view all the answers

Which treatment is effective for plantar fasciitis?

<p>Plantar fasciotomy (C)</p> Signup and view all the answers

In what way does Dupuytren contracture present in the body?

<p>Lumps under the skin of the palm (B)</p> Signup and view all the answers

What condition is associated with high arches and flat feet?

<p>Plantar fasciitis (D)</p> Signup and view all the answers

Which medication is recommended for brain and spinal cord pain processing disorder?

<p>Duloxetine (B)</p> Signup and view all the answers

Flashcards

Muscle Energy Storage

Muscles store energy like springs, releasing it efficiently during movement, especially with eccentric/concentric contractions.

Eccentric Contraction

Muscle lengthening while contracting, helping store energy for powerful subsequent contractions.

Muscle Injury Repair Phases

Muscle injury healing occurs in overlapping stages: Destruction, Repair, and Remodelling.

Muscle Injury: Destruction Phase

Initial phase of muscle injury; tissue tearing, bleeding, and activation of clotting factors, like platelets.

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Repair Phase (Muscle)

Muscle injury repair phase; fibroblasts repair damage, inflammation occurs, and the body repairs the injured tissue. Blood vessels rebuild

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Remodelling Phase (Muscle)

Muscle injury repair phase; new muscle fibers form, innervation and blood supply improve. Healing concludes.

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Satellite Cells

Muscle stem cells that repair muscle tissues by transforming into myoblasts.

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Muscle Healing Time

Muscle tissue takes about a year to fully heal after injury, although 80% strength may be achieved in months.

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Muscle-tendon junction tear (eccentric)

A partial tear in the muscle-tendon junction, often occurring during eccentric contractions.

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Total muscle tear

A complete tear through the entire muscle diameter, including the bone-tendon junction.

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Muscle contusion

Direct muscle trauma from a blunt force causing a bruise, pain, loss of motion.

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Grade I muscle injury

Mild muscle injury, involving soreness after activity and possible slight fibril tears.

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Grade II muscle injury

Moderate muscle tear, potentially involving the muscle and/or tendon

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Grade III muscle injury

Complete muscle tear, severe damage.

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Cryotherapy (1st phase)

Application of ice to reduce inflammation in the first 24-48 hours after injury.

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Avoid NSAIDS in muscle healing

Nonsteroidal anti-inflammatory drugs (NSAIDs) can hinder muscle regeneration and cause fibrosis.

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Muscle Injury Causes

Muscle injuries can result from fatigue, dehydration, or imbalances of crucial minerals like potassium, sodium, and fibers.

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Muscle Injury Prevention

Hydration, warming up, stretching, and controlled training load are crucial for reducing muscle injury risk.

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Muscle Strain (Grade I)

A minor muscle problem characterized by pain and reduced function but no fiber tears.

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Muscle Strain (Grade II)

Moderate muscle tear with pain and impaired function, potentially lasting 3+ months to heal.

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Muscle Strain (Grade III)

Severe muscle tear requiring surgery and lengthy rehab (months or longer).

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DOMS (Delayed-Onset Muscle Soreness)

Muscle soreness triggered by eccentric exercise within 24-72 hours post-activity, resolving within 1-2 weeks.

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Minor Partial Muscle Tear

A localized tear, usually less than muscle fascicle in diameter, causing sharp pain at injury time.

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Muscle Cramp

Involuntary muscle contraction, described as a hard, palpable mass, relieved by stretching.

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Fascia: Collagen Type I

Dense, unidirectional collagen fibers providing strong resistance to pulling forces. Found in tendons, ligaments, and muscle sheaths.

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Fascia: Collagen Type III

More flexible and less dense than Type I. Helps with movement control, protection, and nutrient delivery. Found in muscle, tendon, and vessels.

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Fascia: Proprioception

Sense of body position and movement. Fascia contains specialized receptors that transmit information about joint position and muscle tension to the brain.

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Fascia: Paccini Corpuscles

Specialized receptors in fascia that detect vibrations and rapid changes in muscle tension.

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Fascia: Ruffini Corpuscles

Specialized receptors in fascia that sense slow, sustained pressure. Can contribute to relaxation by reducing CNS activity.

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Fascia: Mechanical Function

Helps muscles work more efficiently by distributing forces and improving coordination. Plays a role in muscle strength and joint stability.

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Myofascia

The interconnected network of muscle and fascia. Helps transmit forces and coordinates muscle actions throughout the body

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Fascia and Muscle Contraction

Fascia helps maintain tendon position during muscle contraction and can even contract itself to a small degree.

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Fibromyalgia

A disorder characterized by widespread musculoskeletal pain, fatigue, and other symptoms like sleep problems, mood disorders, and cognitive difficulties.

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Fibromyalgia Symptoms

Common symptoms include widespread muscle and joint pain, fatigue, sleep disturbances, cognitive impairment, and mood disorders. Pain is often described as burning, twitching, or tightness.

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Dupuytren's Contracture

A condition where thickened bands of tissue form under the skin of the palm, causing the fingers to curl inward.

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Dupuytren's Contracture Treatment

Treatment options include stretching exercises, injections of corticosteroids or collagenase, and surgery.

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Iliotibial Band Syndrome (ITBS)

A common condition affecting runners and cyclists due to friction between the iliotibial band and the lateral epicondyle of the knee.

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ITBS Symptoms and Diagnosis

Symptoms include pain on the outside of the knee, just above the joint line. Diagnosis involves palpation of the lateral epicondyle and specific tests like the Renne and Noble tests.

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Plantar Fasciitis

Inflammation of the plantar fascia, a thick band of tissue on the bottom of the foot, causing heel pain.

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Plantar Fasciitis Treatment

Treatment involves rest, NSAIDs, cryotherapy, orthotics, stretching exercises, injections, and in some cases, surgery.

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Fascia: What are the main functions?

Fascia helps with muscle coordination, protects tissues, and transmits muscle forces. It doesn't increase resistance to trauma but helps absorb it.

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What are the two main types of fascia?

Superficial fascia is a loose layer found under the skin, while deep fascia is a denser layer that surrounds muscles and joints.

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Fascia: What does it do for muscle injury?

Fascia helps reduce muscle stress and absorb trauma, preventing tears. Damage to fascia can cause loss of sliding capacity and pain.

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What are some diseases that affect fascia?

Common conditions include Iliotibial Band Syndrome, Fibromyalgia, and chronic low back pain. Fascia problems can also lead to Frozen Shoulder and Ledderhose Disease.

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What is Myofascial Pain Syndrome?

A common cause of chronic pain and disability characterized by trigger points that refer pain distally.

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What are some factors that trigger Myofascial Pain?

Nutritional deficiencies, endocrine dysfunction, and decreased hyaluronic acid levels can all contribute to myofascial pain.

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What are some treatments for Myofascial Pain?

Common treatments include NSAIDs, manual therapy like massage, trigger point injection, and stretching.

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Fibromyalgia: What is the cause?

The exact cause of fibromyalgia is unknown, but genetics likely play a role.

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Study Notes

TOPIC 1: MUSCLE INJURY GENERALITIES

  • Skeletal muscle, also called striated muscle, is composed of muscle fibers varying in length and diameter.
  • Muscle fibers contain nuclei at the periphery and myofibrils with alternating actin and myosin.
  • Type I (slow-twitch, red fibers) use oxygen for energy and are resistant to fatigue.
  • Type II (fast-twitch, white fibers) primarily use anaerobic metabolism.
  • Muscle fibers are organized into three layers of connective tissue: epimysium, perimysium, and endomysium.
  • The myotendinous junction is where muscle transitions to tendon, responsible for force transmission.
  • Muscle injuries are often categorized as destruction, repair, and remodelling phases.
  • Muscle repair is a complex process involving various mechanisms like clot formation, fibroblast action, and activation of satellite cells.
  • Muscle injury timelines differ between muscle and tendon. Healing time varies depending on the type of muscle damage.

TOPIC 2: FASCIA

  • Fascia is a connective tissue with collagen types I and III.
  • Fascia surrounds muscles, tendons, bones, vessels, and nerves.
  • Fascia plays a role in movement control, protection, and nutrition.
  • Fascia contains mechanoreceptors and nociceptors that respond to pressure, vibration, and temperature
  • Fascia is involved in muscle function, mechanical efficiency, and muscle strength.
  • Fascia helps maintain body posture.
  • Diseases associated with fascia include iliotibial band syndrome, fibromyalgia, and plantar fasciitis.

MUSCLE PATHOLOGY

  • Muscle injuries are caused by fatigue, dehydration, lack of electrolytes, and improper warm-up/cool-down.
  • Muscle injuries are categorized into minor muscle problems, strains (overuse), and cramps.
  • Muscle strain is categorized into three grades (grade 1 mild, grade 2 moderate, grade 3 severe).
  • Muscle cramps are painful involuntary muscle contractions.
  • Muscle injuries can lead to pain, swelling, and loss of function.
  • Methods to prevent muscle injury include proper hydration, warm-up, and stretching.

TREATMENT

  • Treatment for muscle injuries depends on the severity and includes rest, ice, compression, elevation (RICE protocol).
  • NSAIDs (non-steroidal anti-inflammatory drugs) may be used to help reduce pain and inflammation.
  • Electrotherapy can also be beneficial for muscle recovery.
  • Stretching and strengthening exercises are essential for rehabilitation.
  • Surgery may be necessary in severe cases.
  • Healing times depend on the severity of the damage.

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