Rehabilitation: Inflammatory and Proliferation Phases

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What is the key difference between pain and nociception?

Pain involves the perception of threat or danger, while nociception is the neural process of encoding noxious stimuli. (correct)

Pain arises from actual tissue damage, while nociception is the perception of potential tissue damage.

Pain is modulated by both internal and external information, while nociception is solely a peripheral nervous system response.

Pain is always associated with tissue damage, while nociception does not necessarily involve tissue damage.

Which type of pain arises from altered nociception despite no clear evidence of actual or threatened tissue damage?

Psychogenic pain

Nociceptive pain

Neuropathic pain

Nociplastic pain (correct)

What is the primary mode of nociception?

Mechanical

Thermal

Chemical

All of the above (correct)

Which phase of soft tissue healing is characterized by decreasing inflammation and increased tolerance working into tissue resistance?

Proliferative phase Signup and view all the answers

What is the physiological process of tissues adapting to stress?

Mechanotransduction Signup and view all the answers

During the acute stage of healing, what treatment strategy emphasizes protection and managing inflammation and pain?

Passive range of motion only Signup and view all the answers

What is the goal during the chronic stage of soft tissue healing?

Focus on injury prevention Signup and view all the answers

What is the purpose of mechanotherapy/mechanotransduction related to muscle adaptation to stress?

To restore or optimize tissue to bring a patient back to a previous stage of function Signup and view all the answers

Based on the patient's description of his injury, how might you classify it?

Primary - Subacute Signup and view all the answers

What practice type would you recommend for the individual who wants to return to high jumping?

Primary - Acute Signup and view all the answers

What advice might you provide to the patient who suffered an acute, severe sprain based on his own rehabilitation plan?

Educate and promote early mobilization Signup and view all the answers

What interventions would you MOST likely provide for a patient 9 weeks out from a hamstring strain?

Manual therapy and strengthening exercises Signup and view all the answers

What is the term used to describe the initial onset of trauma, such as a lifting injury causing primary injury to muscle due to force overload?

Primary injury Signup and view all the answers

Which phase of soft tissue healing is characterized by an acute presentation of an injury, along with characteristic physiological changes?

Inflammatory phase Signup and view all the answers

What are the factors that impact the speed and quality of soft tissue healing?

Demographics, environmental, and medical management Signup and view all the answers

Which type of injury refers to the disruptive and self-propagating changes that occur in tissues, leading to further dysfunction and death of tissue following the initial insult?

Secondary injury Signup and view all the answers

Which phase of musculoskeletal healing is characterized by capillary growth and fibroblast proliferation?

Proliferative phase Signup and view all the answers

What physiological changes occur during the inflammatory phase of musculoskeletal healing?

Exudation of chemicals/cells and phagocytosis Signup and view all the answers

What is the time frame for the maturation & remodeling phase of musculoskeletal healing?

3 weeks to 3 months following an injury Signup and view all the answers

Which type of musculoskeletal injury involves self-propagating damage that occurs after a primary insult?

Secondary injuries Signup and view all the answers