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What is released from injured mast cells, causes vasodilation and increased cell permeability?
Histamine
Bone and soft tissue will respond to the physical demands placed on them, causing them to remodel or realign along lines of tensile force.
Wolff’s Law
Factors that impede healing
Swelling, poor vascular supply, muscle spasm, atrophy, keloids & scars, infection, humidity, climate, health, age, nutrition
Nutrient that delivers oxygen to tissues and other important nutrients
Water
Poor blood supply, takes longer to heal
Cartilage
4-6 weeks to heal
Tendon
6-8 weeks to heal
Bone
3-4mm per day if it will regenerate at all
Nerves
Order of bone healing process
Inflammation/hematoma, soft callus formation, hard callus formation, bone remodeling
When is a stress fracture visible on x ray
2-4 weeks
Pain is
Subjective
3 stimuli nociceptors (pain receptors) are sensitive to
Mechanical, chemical, and thermal
Scale that sometimes uses faces as indications of pain
Wong-Baker
Conduction
When two objects of uneven temperatures come into contact. Heat transferred from higher to lower temperatures.
Physiological benefits of heat
Increase of blood flow, decrease pain perception, increased collagen elasticity, decreases joint stiffness
How deep does superficial heat penetrate?
1 cm
Max warm whirlpool temp
104
Hydrocollator temp
160-170
Tissue cools to what temp
33-50
Skin discoloration due to abnormal spasm of the blood vessels causing a diminished blood supply
Raynaud’s
Allergic reaction to cold
Urticaria
Phases of cold
Cold, burning, aching, numbness
Combination of cold application and exercise
Cryokinetics
Pain occurs at a certain point in the ROM of a joint
Painful arc
Joint ROM progression order in rehab
Passive ROM, Active assisted ROM, Active ROM, and Resisted ROM
Shoulder flexion ROM
180
Elbow flexion ROM
145
When a contraction of the agonist muscle causes a reflex relaxation of the antagonist muscle. Essentially preventing opposing muscles from working against each other.
Reciprocal inhibition
Tissue’s ability to stretch and return back to normal length
Elasticity
Responds to change in muscle length
Muscle spindle
Bouncing technique
Ballistic stretching
PNF
Proprioceptive Neuromuscular Facilitation
Stretching progression in rehab
Passive, home, PNF, dynamic
Conscious and unconscious recognition of joint position in space
Proprioception
Provides feedback regarding the position of the head using the ears
Vestibular system
What does BESS stand for?
Balance Error Scoring System
Muscle produces force without a change in length
Isometric
Overload principle increases 3 variables
Intensity, volume, frequency
Digital segment is fixed or constrained
Closed kinetic chain
The body adapts specifically to the demands placed upon it
SAID principle
Alternative method for 1RM
6RM or 10RM
Reductions in training or periods of inactivity can result inloss of cardiorespiratory and muscular fitness
Detrain
3 joints
Lumbat vertebral joints, sacroiliac joints, scapulothoracic junction
Two parts that can be injured in a strain
Muscle & tendon
Holds bone to bone
Ligaments