chapter 10: soft tissue injury, repair, and management

overuse syndromes occur:

as the result of repetitive, sub maximal stress of a muscle or tendon

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

chronic stage

your examination of a pt 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 pt's pain?

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

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

a properly applied and progressed therapeutic exercise program should:

grade the exercise to the stage of recovery in order to progress the healing process

muscle guarding is best treated by

identifying and treating the cause of the guarding

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

all of the following are considerations for intervention when establishing a rehabilitation program for a pt diagnosed with chronic inflammation resulting fro repetitive trauma except:

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

to effectively manage soft tissue lesions during the subacute sage 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

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

let pt response guide the progression of the exercise

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-mob 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

your pt 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 today?

passive knee flexion/extension with the hip positioned in 0* extension

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

prolongs the inflammation and promotes adhesion formation

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.

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

stretching and strengthening the healing tissues

which of the following terms refers to the degeneration of a tendon due to repetitive micro trauma?

tendinosis

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

thin and unorganized