#2 Tissue Injury, Repair, & Management Self-Assessment Quizzes

PT631 Therapeutic Exercises I, Oregon Tech

The incomplete or partial displacement of the bony part of the joint, often involving secondary trauma to surrounding soft tissue structures, is the definition of:

Subluxation

Severe stress, stretch, or tear of soft tissues such as ligaments or tendons, is the definition of:

Sprain

A patient was diagnosed with degeneration of a tendon due to repetitive microtrauma. The correct term for this problem:

Tendinosis

Following an injury, a patient experiences adaptative shortening of the skin, fascia, and muscle which restricts normal mobility or flexibility of the area. This is best known as:

Contracture

Which grade ligament injury involves tears to some of the ligament fibers resulting in joint hypermobility, as well as moderate pain that requires activity to be stopped?

Grade II

During which stage of healing is physical therapy intervention aimed at developing a mobile scar through selective stretching and mobilization of restrictions?

Subacute proliferation stage

Which of these activities is contraindicated in the acute stage (maximum protection phase) of rehabilitation?

Stretching activities

Which of these is NOT part of the clinician’s role during acute stage (maximum protection phase) of rehabilitation management?

Safely restore range of motion deficits.

During the maximum protection phase, which of these interventions would be delivered by the physical therapist to maintain soft tissue mobility and joint integrity of the injured area?

Intermittent muscle setting with electrical stimulation

Which of these is a sign that the treatment intervention is appropriate or that the stresses from exercise or activities are being appropriately applied?

Increased soreness up to 12 hours after treatment

An important element of treatment for returning an individual to high-demand sport participation is:  

Activities in different environments that include surprise events

An individual may develop a cumulative trauma or overuse injury from any of these EXCEPT:

Progressive resistance exercise (PRE)

Which part of the self-perpetuating pain spasm cycle is caused by circulatory stasis and tissue ischemia? 

Pain or other noxious stimuli

A patient presents 2 weeks after the initial injury, with joint effusion that is decreasing but muscle weakness due to pain. Treatment activities have been moved from multi-angle isometrics to progressive isotonic exercises with increased repetitions. They are spending less time in protective bracing and decreasing the use of assistive devices. This patient is in which stage of healing?

Subacute or controlled motion stage

A patient is receiving ergonomic counseling and wearing a brace to protect the affected joint. While out of the brace, cross-fiber friction massage and soft tissue mobilization is applied to break down adhesions. Exercises are focused on correcting faulty mechanics, postural stabilization and improving timing, coordination, and endurance. This patient is in which stage of healing?

Chronic inflammation

Overuse syndromes occur:

As the result of repetitive, submaximal stress of a muscle or tendon

A properly applied and progressed therapeutic exercise program should:

Grade the exercise to the stage of recovery to stress the tissues safely

To effectively manage soft tissue lesions during the subacute stage of tissue healing, the role of the therapist is critical. The objective of treatment during the moderate protection/controlled motion phase of rehabilitation should be to:

Introduce and progress stretching to increase mobility and alignment of newly forming scar tissue

Which of the following stages of soft tissue healing is characterized by remodeling and maturation of collagen in the scar?

Chronic.

During the repair process following tissue injury, the newly developing collagen fibrils are: 

Thin and unorganized

Which of the following types of active exercises are the most appropriate to use first during the acute phase of healing after a muscle injury?

Low-intensity muscle setting

Passive ROM and grade I or II joint-mobilization techniques are appropriate during the acute stage of soft tissue healing. What do these interventions have in common when used during this stage?

Maintain fluid dynamics and nutrition in a joint

Movement during the acute stage of healing following soft tissue injury:

Should be passive or assisted and should begin as soon as tolerated within the pain-free range

Your patient reports having had a sudden onset of severe pain in the left posterior thigh yesterday while sprinting. Today he is unable to fully extend his left knee while walking because of pain. Which of the following interventions is most appropriate at this time?

Passive knee flexion/extension with the hip positioned in 0 degrees extension

Progressing resistance and stretching exercises vigorously during the early subacute stage of soft tissue healing:

Prolongs the inflammation and promotes adhesion formation

Transient or intermittent pain that occurs during the chronic stage of soft tissue healing is best relieved by:

Stretching and strengthening the healing tissues

Your examination of a patient who sustained a soft tissue injury reveals that she experiences pain only at the end of the available ROM when you apply overpressure. Based on this finding, which of the following would be the most appropriate technique to include in the treatment plan to decrease the patient’s pain?

End-range joint or muscle stretching techniques to increase the mobility of the tight structures

If you determine that chronic irritation and inflammation of scar tissue are the sources of progressive restriction and pain:

Inflammation must be treated before stretching is initiated

During your evaluation, you identify signs of chronic inflammation of a muscle group. Each of the following techniques is tissue-specific for this condition at this time EXCEPT:

Grade II joint mobilization

Muscle guarding is best treated by: 

Identifying and treating the cause of the guarding

What is the best method for determining the progression of exercise during the subacute stage of healing? 

Let patient response guide the progression of exercise

All of the following are considerations for interventions when establishing a rehabilitation program for a patient diagnosed with chronic inflammation resulting from repetitive trauma EXCEPT:

Initiation of resistance exercise should begin with eccentric (muscle lengthening) techniques as soon as pain subsides to avoid tissue contracture

The ballooning of the wall of a joint capsule or tendon sheath is defined as a:

Ganglion