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Stiff Joints and Effusion Quiz
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Stiff Joints and Effusion Quiz

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Questions and Answers

What is the main difference between a grade I and a grade III sprain?

  • The amount of bleeding and swelling
  • The severity of the pain
  • The impact on range of motion
  • The degree of ligamentous fibre damage (correct)

    • What is a potential consequence of severe sprains on a joint?

  • Improved synovial fluid production
  • Decreased swelling
  • Increased stability
  • Reduced range of motion (correct)

    • What characterizes a strain injury?

  • Tearing of muscle fibres or the muscle's tendon (correct)
  • Damage to blood vessels and nerves
  • Rupture of the synovial fluid
  • Tearing of ligaments

    • What is a possible consequence of immobilizing a severe sprain for up to three weeks?

    <p>Scar tissue formation and joint stiffening</p> Signup and view all the answers

    What is the main reason for more bleeding in strains compared to sprains?

    <p>Ligaments are less vascularized than muscles</p> Signup and view all the answers

    What does a complete rupture of a muscle lead to?

    <p>Impaired muscle function</p> Signup and view all the answers

    How long does healing typically take for strains?

    <p>Three to five weeks</p> Signup and view all the answers

    What is an important point to note about pain subsiding in strains and sprains?

    <p>It makes reinjury less likely</p> Signup and view all the answers

    What is the cause of cramps in muscles?

    <p>Peripheral vascular disease</p> Signup and view all the answers

    When do cramps commonly occur in muscles?

    <p>After physical exertion or at night</p> Signup and view all the answers

    What does the term 'stiff muscles' refer to?

    <p>'Tight' muscles described by the client</p> Signup and view all the answers

    What does 'stiff joints' mean?

    <p>Joints that have less than normal range of motion (ROM)</p> Signup and view all the answers

    Why do joints sometimes become stiff when immobilized?

    <p>As a result of direct immobilization or injury</p> Signup and view all the answers

    What results from stiffness after surgery without intervention?

    <p>Temporary limitations in range of motion (ROM)</p> Signup and view all the answers

    What are cramps often associated with?

    <p>Electrolyte disturbances and peripheral vascular disease</p> Signup and view all the answers

    What is one advantage of passive stretching over active stretching?

    <p>It does not require a stretching partner</p> Signup and view all the answers

    When is active stretching more viable than passive stretching?

    <p>When the client is unable to perform stretches himself</p> Signup and view all the answers

    What type of stretches are useful to combat mild stiffness in joints?

    <p>Both active and passive stretches</p> Signup and view all the answers

    In what situations may passive stretches be better for treating lower limb joints?

    <p>When the client cannot get into the position necessary to perform a stretch</p> Signup and view all the answers

    Why is it important to seek medical approval before implementing any post-surgery stretches?

    <p>To prevent any reinjury to the tissues</p> Signup and view all the answers

    Why are all forms of stretching contraindicated during the acute stage after surgery?

    <p>To ensure natural formation of scar tissue for healing</p> Signup and view all the answers

    Why is it important to begin a gentle stretching program sooner rather than later in the sub-acute post-surgical stage?

    <p>To maintain normal range of motion in associated joints</p> Signup and view all the answers

    What is the purpose of elevating an upper limb or lower limb after surgery?

    <p>To assist venous and lymphatic drainage and reduce swelling</p> Signup and view all the answers

    What should the client avoid when performing active stretches post-surgery?

    <p>Weight bearing through the limb</p> Signup and view all the answers

    What does pain during stretching post-surgery indicate?

    <p>Reinjury of tissues</p> Signup and view all the answers

    What is the rationale behind beginning a gentle stretching program sooner rather than later in the sub-acute post-surgical stage?

    <p>To stimulate collagen repair</p> Signup and view all the answers

    Why should stretches always be within the client’s pain-free range, whether active or passive?

    <p>To prevent any reinjury to the tissues</p> Signup and view all the answers

    What type of stretching is contraindicated during the early stages of healing for all forms of sprains and strains?

    <p>Passive stretching</p> Signup and view all the answers

    What is the primary rationale behind employing a gentle active stretching program for sub-acute sprains and strains?

    <p>It prevents reinjury</p> Signup and view all the answers

    What does elevation of the injured joint or limb assist in?

    <p>Venous and lymphatic drainage</p> Signup and view all the answers

    What is the recommended approach when performing stretches for muscle cramps?

    <p>Active stretches only</p> Signup and view all the answers

    Why are passive stretches sometimes helpful for muscle cramps?

    <p>They alleviate the cramp more quickly</p> Signup and view all the answers

    What is the usefulness of both active and passive stretches for mild tight muscles?

    <p>To prevent reinjury</p> Signup and view all the answers

    For chronic tight muscles, what may serve as a prophylactic to worsening joint stiffness in some clients?

    <p>Active stretching</p> Signup and view all the answers

    What may increase muscle tone in some people, making it difficult to overcome chronic tightness?

    <p>Active stretching</p> Signup and view all the answers

    What is the appropriate intervention for ankylosing spondylitis, a condition where joints fuse together over time?

    <p>Avoiding stretching as the joints are mechanically fused</p> Signup and view all the answers

    What condition is characterized by pain, swelling, and stiffness in the small joints of the fingers and toes?

    <p>Rheumatoid arthritis</p> Signup and view all the answers

    What is the term for tendon problems resulting from overuse, which are very painful but lack certain cellular characteristics indicative of inflammation?

    <p>Tendinosies</p> Signup and view all the answers

    What conditions are believed to be the result of fascial changes?

    <p>Plantar fasciitis and iliotibial band friction syndrome</p> Signup and view all the answers

    Which surgical procedure involves using stretches post-surgically for one upper limb condition and one lower limb condition?

    <p>Knee surgery</p> Signup and view all the answers

    What can happen if collagen is stretched too early in the repair process after surgery?

    <p>Increase in bleeding and pain</p> Signup and view all the answers

    What is contraindicated for clients suffering from rheumatoid arthritis during inflammatory periods?

    <p>Stretching and massage</p> Signup and view all the answers

    What is the term for treatments aimed at bringing about changes in fascia, generally known as myofascial release techniques?

    <p>Myofascial release techniques</p> Signup and view all the answers

    Which condition involves compression of nerves and can be found in chapter 6 of the text?

    <p>Piriformis syndrome</p> Signup and view all the answers

    What is the potential consequence of stretching collagen too early after surgery?

    <p>Formation of a more functional scar</p> Signup and view all the answers

    What is the appropriate intervention for adhesive capsulitis, a condition characterized by shoulder joint stiffening with no known cause?

    <p>Stretching is not appropriate for adhesive capsulitis</p> Signup and view all the answers

    What is the term for tendon problems resulting from overuse, which have fewer inflammatory markers than expected on microscopic examination?

    <p>Tendinosies</p> Signup and view all the answers

    Study Notes

    Sprains and Strains

    • A grade I sprain is a mild stretch or tear of a ligament, while a grade III sprain is a complete tear or rupture.
    • Severe sprains can lead to chronic joint instability and osteoarthritis.
    • A strain is a stretch or tear of a muscle or tendon, characterized by pain, swelling, and limited mobility.

    Consequences and Healing

    • Immobilizing a severe sprain for up to three weeks can lead to joint stiffness and increased risk of osteoarthritis.
    • Strains typically take longer to heal than sprains, with healing times ranging from several weeks to several months.
    • Pain subsiding in strains and sprains does not necessarily mean the injury is fully healed.

    Muscle Cramps and Stiffness

    • Muscle cramps are caused by muscle spasms, often due to fatigue, dehydration, or electrolyte imbalances.
    • Cramps commonly occur in muscles during intense exercise or in cold weather.
    • Stiff muscles refer to reduced flexibility and range of motion, while stiff joints refer to reduced mobility and pain.
    • Joints can become stiff when immobilized due to lack of movement and lubrication.
    • Stiffness after surgery can lead to adhesions and chronic pain if left untreated.

    Stretching and Exercise

    • Passive stretching is beneficial for severe sprains and strains, while active stretching is more viable for mild injuries.
    • Gentle stretches can help combat mild stiffness in joints, and passive stretches may be better for treating lower limb joints.
    • It is essential to seek medical approval before implementing any post-surgery stretches, and all forms of stretching are contraindicated during the acute stage after surgery.
    • Elevating an upper or lower limb after surgery can reduce swelling and promote healing.

    Post-Surgery Care

    • Pain during stretching post-surgery indicates that the stretch is too aggressive or that the client is not ready for stretching.
    • A gentle stretching program should begin sooner rather than later in the sub-acute post-surgical stage to promote healing and prevent chronic stiffness.
    • Stretches should always be within the client's pain-free range, whether active or passive.

    Conditions and Interventions

    • Ankylosing spondylitis is a condition where joints fuse together over time, and gentle stretching and exercise are recommended.
    • Psoriatic arthritis is characterized by pain, swelling, and stiffness in the small joints of the fingers and toes.
    • Tendinosis is a condition where tendons are damaged due to overuse, lacking certain cellular characteristics indicative of inflammation.
    • Fascial changes are believed to be the result of conditions such as plantar fasciitis.
    • Myofascial release techniques are treatments aimed at bringing about changes in fascia.
    • Adhesive capsulitis, a condition characterized by shoulder joint stiffening with no known cause, is treated with gentle stretching and exercise.

    Surgical Procedures

    • Surgical procedures, such as rotator cuff repair and anterior cruciate ligament (ACL) reconstruction, involve using stretches post-surgically to promote healing and prevent chronic stiffness.
    • Stretching collagen too early in the repair process after surgery can lead to further injury and delayed healing.

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    Description

    Test your knowledge about stiff joints, effusion, and appropriate interventions for different causes of joint stiffness, including adhesive capsulitis and ankylosing spondylitis.

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