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Tissues

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anskorczewski12's version from 2017-03-06 04:11

Tissues

Question Answer
labels for joint dysfunctionhypomobility, hypermobility, and instability
most abundant protein in human bodycollagen
the primary nutritional source for avascular tissues (tendons, ligaments, cartilage, vertebral discs)imbibition
fibrosisoverthickening of the tissues, leads to non-elastic tissue (unless manage edema)
types of compromised CTcapsular (swelling), ligamentous (point tenderness), and cartilaginous (unable to withstand compressive forces)
ankylosedbone overgrowth (from not being used)
acute vs. cumulative traumaacute (excessive contraction/strain or external force), cumulative (prolonged static force, stress, decreased aerobic activity)
difference between osteoporosis, arthritis, and osteomalaciaosteoporosis (loss of bone density), arthritis (inflammed joints/overgrowth/wearing degenerative), osteomalacia (softening of bone)
type 1 vs. type 2 collagentype 1 (resist tension), type 2 (resists intermittent pressure--hyaline and elastic cartilage and IV discs)
bone where it shouldn't bespurs
false joint from nonunionpseudoarthrosis
stimulus for healing of the CTsmodified tension along lines of stress for collagen and bone, intermittent compression and decompression with glide for cartilage (to provide nutrients)
type 4 mechanoreceptor(in jt capsules, blood vesssels, fat pads, CT--not muscles), indicates accurate ROM and not overdueing, signal tissue trauma
phases of healing1.irritation (5-6 hrs-immediate response of vasodialators and nociceptors) 2.acute (1-3 days, vascular response, inflammatory sends blood in) 3.subacute (3-5 days, myospasm, settling, scarring, may want to introduce low resistance movement!!!) 4.chronic (9-12 mo, chmically bonded tissue, nonelastic, want to increse tension tolerance around scar)
stages of repair1.bleeding/trauma 2.inflammation 3.repair/proliferation (collagen produced) 4.remodeling (fibroblasts oriente within 28 days, maturation with mechanical strength)
tonic vs. phasic musclestonic (dynamic, type 1, slow, aerobic, better for endurance) vs. phasic (bigger, anaerobic)
what type of muscle is more impacted by immobilizationtonic (depends on O2)
work capacity is...30% of available energy
progression with hypomobility1.many reps, low speed, low resistance, go to end range 2.increase reps, speed (same resistance) 3.stabilize gains and use concentric/eccentric in new ROM 4.coordinate tonic and phasic throughout ROM
progression with hypermobility1. many reps, low speed, low resistance, go to midrange 2.increase reps and include isometric contraction in inner ROM (increasing sensitivity to stretch) 3.sub max resistance concentrically and eccentrically, isometric contractions in full ROM (promote strength) 4.coordinate tonic and phasic fxnally
interventions for ROMdecrease edema, minimize contractures, move through full ROM, stretch, strengthening, increase endurance
sucacute edema managementstart with proximal, uninvolved lymph structures (breathing/trunk exercises), then go into tapping, gentle myofascial release, fluidotherapy, active/passive exercise, gloves, pneumatic pump
fibrosisedema thickening over time
cycle of nonusejoint stiffness, edema, immobilization
lymphorrheadraining of edema out of skin; considered an open wound
only use strain (for stiffness)...in elastic range (not plastic)
memorize

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