Active care Exam 2 TQ’s

What is mc performed using a piece of equipment and last 30-120 secs per muscle group?

Self-Myofascial Release

What is ACTIVE rotation movements at END RANGE??

Controlled Articular Rotations (C.A.R.s)

PAILS: _______

RAILS:______

Agonist

Antagonist

2 minute initial hold followed by 10-20 second PROGRESSIVE contraction, then a 10-20 second REGRESSIVE contraction

Is one rep of what?

How many reps should you do?

PAILS AND RAILS

2-4x reps

Which mobility technique involves an active component at the end range of any stretch to ensure usable ROM is achieved?

PAIL's and RAIL's

Longitudinal osteo-articular decompression stretching that last 30-60 secs described what?

ELDOA

Places tension on the nerve distally and then proximally for what?

How many reps and how many times a day?

Neuromobilization

3-5x per day, 10-15 repetitions

Placing tension/elongating on one end of the nerve

Nerve flossing

(Reducing tension/shortening on the other end)

Placing tension/elongating on BOTH ENDS of the nerve at the same time

Nerve tensioners

Nerves are ____% connective tissue and ____% axoplasmic fluid

80%

20%

Which is a neurodynamic treatment that involves placing tension on one end of the nerve and reducing tension on the other end?

Nerve slider

What is pain in a muscle(s)?

myalgia

What is a group of tense muscle fibers extending from trigger point to muscle attachment?

Taut band

What is increased tension with OR without shortening of a muscle due to NON-VOLUNTARY motor nerve activity

Spasm

What is sustained intrinsic activation of contractile elements of muscle fiber?

Contracture

What is transient contraction of a group of tense muscle fibers that

traverse a digger point?

Local twitch response

T/f: Trigger Points (TrP) is a disease in the muscle

F

ALWAY tender=

PAINFUL ONLY when compressed=

Active TrPs

Latent TrPs

TQ: Where are trigger points located?

Brain

IF we are going to address trigger points, what do we need to do?

Address stability and motor control

(Restore the full range of pain-free motion)

What will Rely on gate-control theory

Spinal mechanism

What will rely on placebo effect and psychosocial factors?

Supraspinal mechanism

improved somatoperceptual touch is a benefit of what?

Manual therapy

What are the 3 Mechanisms of IASTM - Instrument Assisted Soft Tissue Mobilization?

1. Inflammatory Response (increased blood flow, decreased histamine)

2. Mechanical (collagen cross-links)

3. Neurological (trigger points)

What is the procedure of IASTM - Instrument Assisted Soft Tissue Mobilization?

45 degree angle, 1 minute (60-120 seconds), FLAT side down** (TQ)

Evaluate patient and tissue tolerance (TQ) during what technique?

ART

When should we utilize manual therapy?

First 2-4 visits

What is the #1 predictor of successful outcomes with any exercise program? (TQ)

Adherence

Weakness is from...

Force

Which factors need to be adjusted to reduce insult to the tissues? (TQ)

NF/AR (number, force, amplitude, relaxation)

Why do the majority of MSK injuries occur in the first place (TQ)?

Poor LOAD management

How does weakness impact the Law of Repetitive Motion?

Weakness increases the potential tissue insult as individuals use a higher percentage of

maximum strength

The body will adapt to the demands placed upon it is the principle of what?

SAID

Can modify based on these factors is the principle of what?

FIIT

T/f: Pain occurs when the brain senses POTENTIAL injury

T

What is the average tissue healing timeline? (TQ)

T

- Low risk = under 55

- Moderate risk = 55-65

- High risk = over 65

Are a ____-flag assessment

Yellow

T/f: N = 1 approach, care needs to be individualized**

T

6 R's of Rehab (TQ)?

1. Red flags

2. Reassure

3. Reconceptualize

4. Recalibrate

5. Robust

6. Reassess

As VAS goes ____, RPE goes ____ → Rule of 10 (TQ!!)

Down

Up

Primary/Micro-Load Management

- "Calm shit down"

- Treat the SOURCE

- Address the CAUSES

- Build up tolerance

- Pain education

Described what?

Phase 1 (early stage of rehab )

Secondary/Macro-Load Management

- Stabilize the foundation

- Increase tolerance

- Simple functional movements

- Pain education

Described what?

Phase 2 (mid stage of rehab)

Return to Function

- Adding load and volume

- Complex dynamic movements

- Challenging functional patterns with

added load - Full return-to function - Make sure end-stage is harder than in

season demands

Described what?

Phase 3 (late-stage)

Which phase of rehab involved a focus on simple functional movements, addressing underlying dysfunctions, MACRO-load management, and adding load beyond pain control?

Phase 2