25 Questions
Which phase of musculoskeletal healing involves early fibroblastic activity?
Inflammatory Phase
What is the typical duration of the proliferation phase in less vascular areas like tendons?
2-3 weeks
Which type of injury is characterized by immediate impact on tissue, such as a contusion on the elbow after hitting it?
Primary Injury
In musculoskeletal lesions, what does the term 'acute on chronic' refer to?
Acute injury with chronic healing stage
Which factor influences the efficiency and effectiveness of soft tissue healing according to the text?
Mode of injury
Which process involves both the peripheral and central nervous system?
Nociception
What is the neural process of encoding a noxious stimulus called?
Nociception
Which type of pain arises from altered nociception despite no clear evidence of tissue damage or disease?
Nociplastic Pain
What are the primary modes of nociception?
Mechanical, Thermal, Chemical
What are the five conceptual steps of nociception?
Transduction, Conduction, Transmission, Modulation, Perception
Which term applies to the disruptive and self-propagating changes that occur in tissues, leading to further dysfunction and tissue death?
Primary injury
In the stages of normal soft tissue healing, which phase is an early to middle sub-acute presentation of an injury?
Proliferative phase
What are the factors that impact the speed and quality of soft tissue healing?
Demographics and disease/comorbidities
Which type of injury would cause a primary injury to muscle due to force overload?
Lifting injury
What is the term for the 2 base classifications of soft tissue injuries based on the initial onset of trauma?
Musculoskeletal primary injury
What type of injury might be classified as primary, chronic-inflammatory, grade 1, and would require soft tissue mobilization, stretching, offloading tissue, and encouraging some inflammation to restart healing normally?
Tendon injury with acute inflammation
For the 80-year-old individual with the shoulder injury, which classification would be appropriate for the injury based on the symptoms described?
Acute/subacute injury with no inflammation
What practice type would be recommended for the patient 9 weeks out from a hamstring strain who wants to return to high jumping as soon as possible?
Late subacute/chronic-strain approach
In the case of an acute, severe sprain of the anterior talofibular ligament, what advice might a PT provide regarding rehabilitation based on the patient's statement about self-rehabilitation?
Avoid immobilization and promote ankle movement
Which intervention is MOST likely to be provided for a patient with a tendon injury that requires encouraging some inflammation to restart healing normally?
Soft tissue mobilization and stretching
What is the purpose of mechanotherapy or mechanotransduction in soft tissue management?
To restore or optimize tissue to bring a patient back to a previous stage of function
Which stage of healing emphasizes protection and is considered the most vulnerable stage where reinjuries can occur?
Acute stage
What type of exercises should be emphasized during the sub-acute stage of healing in soft tissue management?
Controlled functional training and postural restoration exercises
What is the goal of managing chronic inflammation in soft tissue healing?
To look at controlling the inflammatory processes of pain
What is the physiological process of tissues adapting to stress called in soft tissue management?
Mechanotherapy
Test your knowledge on the clinical presentation of patients in the inflammatory and proliferation phases of rehabilitation. Learn about altered chemical states, vascular changes, nociceptor sensitization, and compensatory movement patterns.
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