Active Care Exam 2 (Cumulative Exam 1 content)

education and empowerment

decrease pain/sensitivity

determine cause, treat the source

address dysfunctional movement patterns

restore function

build resiliency and capacity

are the goals of evidence inspired what?

Active care

LOCATION the individual is feeling pain

Source

WHAT is creating pain in the individual's

system, where does the pain stem from

Cause

Active AND passive movement is dysfunctional**

Mobility days function

ctive movement is dysfunctional, passive movement is functional**

Stability/motor control dysfunction

What is the #1 predictor of injury?

previous injury

how do you know if a treatment was effective?

check and re-check, audit and re-audit

what are the 3 R's of active care?

reset, reinforce, retrain

What of the 3 R's is decscribed as hands on treatment and applied therapies performed by a doctor?

Reset

Adjustment, stretching, and manual therapy are examples of which of the 3 R's?

Reset

what of the 3 R's is reducing likelihood of recurrent episodes?

what treatments are part of this?

reinforce

-education and advice, protection, biofeedback

what is what of the 3 R's is motor control retraining?

what treatments are part of this?

Retain

-neurodevelopmental perspective, blocked vs random practice, loading strategies

what are the four positions of the 4x4 matrix from the neurodevelopment approach?

supported, suspended, stacked, standing

Motor control exercise is an example of which of the 3 R's?

Retrain

what are hallmark patters of development that occur in supported position?

spinal stability, segmental stability, cervical patterns, shoulder flexion

what are hallmark patters of development that occur in suspended position?

spinal curves, cross-crawl, pelvis to trunk disassociation, hip and shoulder flex/ext.

what are hallmark patters of development that occur in stacked position?

single leg stance, hip and spine loaded stability, loaded hip extension

what are the 4 different levels of demand according to the 4x4 matrix?

feedback, demonstrate, capacity with feedback, capacity

what are 2 ways that we can increase (or decrease) difficulty of an exercise?

position and resistance

desensitize pain generator

education

micro load management through localized tissue loading

focus on simple functional movement

are the primary goals of what?

first step of evidence-inspired active care

rebuild

restore function

utilize principles of strength and conditioning

continue to educate, encourage self-efficacy

are the primary goals in the what?

2nd step of evidence-inspired active care

which types of treatments are recommended or ideal during the 2nd set in evidence inspired active care to accomplish the goals?

SAID, progressive overload, early and late stage rehab

what is the difference between rehab and training?

starting point

ability to move through a given ROM under neurological control (AROM)

mobility

passive ROM of a given joint and surrounding tissue

flexibility

why do we experience tightness an stiffness?

prolonged posture, lack of movement

when a muscle is contracted, it is automatically in a relaxed state for a brief, latent period

autogenic inhibition

what proprioceptor is responsible for mediating autogenic inhibition?

GTO

hold relax, contract relax, CRAC

PIR, MET

PFS

Are techniques that uses what?

autogenic inhibition

contraction of antagonist simultaneously inhibits action of agonist

reciprocal inhibition

what proprioceptor is responsible for mediating reciprocal inhibition?

muscle spindle

which techniques utilize reciprocal inhibition?

CRAC, MET

during what timeframe of stretching do the majority of length gains occur?

first 15 seconds

what should be addressed first, mobility or motor control?

motor control

what are the different categories of stretching techniques?

static, dynamic, MET (PIR and RI), PNF (cx-rx, hold-rx, CRAC)

what is the ideal duration, frequency, and repetitions a stretch should be performed?

15-30 seconds, 3-4 sets, 3x a day, 6-10 weeks

hold a muscle midway between neural and point of tension, contract with maximum or near maximum effort for 10 seconds then relax completely, move to new point of tension, hold for 15 seconds, move back to midrange

-repeat 3-5 times

post-facilitation stretch (PFS)

doc applies gradual tension to stretch, patient contracts antagonist 1-2 seconds once barrier is reached, stretch for no more than 2 seconds at end range, return to start

-15-20 reps, 1-2 sets

active isolated stretching (AIS)

which PNF stretching technique uses reciprocal inhibition?

CRAC

which PNF stretching technique utilizes post-contraction inhibition (autogenic inhibition)

contract-relax, hold-relax, CRAC

GTO post contraction inhibition and isometric contraction of muscle being tested

PIR

muscle spindle reciprocal inhibition and isometric contraction of muscle opposite being stretched

RI

with MET, how long is the initial stretch held, what percentage of contraction of the target muscle is asked to be perfumed and how many repetitions should be performed?

10-15 sec

5-10 sec isometric contraction at 10-20%

repeat 2-4x