Physiotherapy Questions and Graded Answers, 100% Guarantee
phases of healing - - inflammation
- repair
- remodeling
what is the purpose of inflammation - - immobilize the area
- defend against intruders
- remove damaged tissue and debris
signs of inflammation - celsus
- heat
- redness
- pain
- swelling
virchow
- loss of function
what characterizes inflammation - - vasodilation
- increased capillary permeability
- phagocytosis by neutrophils and macrophages
- growth of new capillaries
inflammatory chemicals that cause pain - - bradykinin
- prostaglandins
- serotonin
,type of secondary injury caused by lysosomal enzymes and healthy tissue is damaged -
secondary enzymatic injury
type of secondary injury caused by hemorrhage, clotting, edema, spasms, hematoma -
secondary hypoxic injury
what does hemorrhage, clotting, edema, spasms and hematoma lead to in secondary injury -
decreased oxygen and nutrients to the area (secondary hypoxic injury)
goal of inflammation phase - preserve ROM
what can be done to limit extent of inflammation - PRICE
- protect
- rest
- ice
- compress
- elevate
timing of acute phase of ankle sprains - grade 1 - 1-3 days
grade 2 - 2-4 days
grade 3 - 3-7 days
goals in acute phase of ankle sprains - - decrease swelling
- decrease pain
- protect from reinjury
- maintain appropriate weight bearing
angiogenesis takes place in which phase of healing - repair phase
,proliferation phase - repair phase
mechanoreceptors - - meissner's
- pacinian
- merkle
- ruffini
mechanoreceptors for pressure and touch - meissner's
mechanoreceptors for skin stretch/pressure - merkle
proprioceptors - - golgi tendon organs
- pacinian
- ruffini
proprioceptor for change in muscle length and spindle tension - golgi tendon organ
proprioceptor for change in joint position - pacinian
proprioceptor for vibration - pacinian
proprioceptor for joint end range - ruffini
timing for repair phase for ankle sprain - grade 1 - 2-4 days
grade 2 - 3-5 days
grade 3 - 4-8 days
, goals for repair phase of ankle sprain - - decrease swelling
- decrease pain
- increase pain free ROM
- begin strengthening
- begin non-weight bearing proprioceptive training
- provide protective support as needed
therapeutic exercises during repair phase include - - active ROM
- strength exercises
- proprioceptive training
- stretching
modalities used to decrease pain and swelling in repair phase of ankle sprain - - IFC,
PreMod, Hi-Volt
- ice, contrast bath
- massage, gentle
- soft orthotics
maturation phase of healing - remodeling phase
can lead to joint adhesion and loss of motion - scar contraction
characteristics of remodeling phase of healing - - scar contraction
- decrease blood vessels
- type III collagen replaced by type I
- collagen aligns along stress lines
- cross linking continues
phases of healing - - inflammation
- repair
- remodeling
what is the purpose of inflammation - - immobilize the area
- defend against intruders
- remove damaged tissue and debris
signs of inflammation - celsus
- heat
- redness
- pain
- swelling
virchow
- loss of function
what characterizes inflammation - - vasodilation
- increased capillary permeability
- phagocytosis by neutrophils and macrophages
- growth of new capillaries
inflammatory chemicals that cause pain - - bradykinin
- prostaglandins
- serotonin
,type of secondary injury caused by lysosomal enzymes and healthy tissue is damaged -
secondary enzymatic injury
type of secondary injury caused by hemorrhage, clotting, edema, spasms, hematoma -
secondary hypoxic injury
what does hemorrhage, clotting, edema, spasms and hematoma lead to in secondary injury -
decreased oxygen and nutrients to the area (secondary hypoxic injury)
goal of inflammation phase - preserve ROM
what can be done to limit extent of inflammation - PRICE
- protect
- rest
- ice
- compress
- elevate
timing of acute phase of ankle sprains - grade 1 - 1-3 days
grade 2 - 2-4 days
grade 3 - 3-7 days
goals in acute phase of ankle sprains - - decrease swelling
- decrease pain
- protect from reinjury
- maintain appropriate weight bearing
angiogenesis takes place in which phase of healing - repair phase
,proliferation phase - repair phase
mechanoreceptors - - meissner's
- pacinian
- merkle
- ruffini
mechanoreceptors for pressure and touch - meissner's
mechanoreceptors for skin stretch/pressure - merkle
proprioceptors - - golgi tendon organs
- pacinian
- ruffini
proprioceptor for change in muscle length and spindle tension - golgi tendon organ
proprioceptor for change in joint position - pacinian
proprioceptor for vibration - pacinian
proprioceptor for joint end range - ruffini
timing for repair phase for ankle sprain - grade 1 - 2-4 days
grade 2 - 3-5 days
grade 3 - 4-8 days
, goals for repair phase of ankle sprain - - decrease swelling
- decrease pain
- increase pain free ROM
- begin strengthening
- begin non-weight bearing proprioceptive training
- provide protective support as needed
therapeutic exercises during repair phase include - - active ROM
- strength exercises
- proprioceptive training
- stretching
modalities used to decrease pain and swelling in repair phase of ankle sprain - - IFC,
PreMod, Hi-Volt
- ice, contrast bath
- massage, gentle
- soft orthotics
maturation phase of healing - remodeling phase
can lead to joint adhesion and loss of motion - scar contraction
characteristics of remodeling phase of healing - - scar contraction
- decrease blood vessels
- type III collagen replaced by type I
- collagen aligns along stress lines
- cross linking continues
