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In winkelwagenMacrotrauma=
Microtrauma=
*type of injury (pain, strain, fracture) is determined by the tissue involved (muscle, tendon, bone, joint)
injury-related deficits in neuromuscular control and proprioception are due to:
an injury with an sudden and obvious episode of tissue overload and subsequent damage
an overuse injury (NOT due to repeated activity), due to training errors, suboptimal training surfaces, faulty biomechanics or technique during performence, insufficient motor control, decreased flexibility or skeletal malalignment
microscopic nerve damage in soft tissue (=deafferentation) and disruption in the sensory feedback pathways used for joint stabilization and neuromuscular coordination
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common musculoskeletal injuries
- muscle contusion (kneuzing)
- muscle strain (spierpijn)
- tendinopathy
- tendinitis
- tendinosis
- ligament sprain (verstuiking)
- joint dislocation
- osteochondrosis
- osteoarthritis
- bursitis
- bone fracture
- bone stress fracture
- bruise; occurs from a sudden and forceful blow to the body; formation
- abnormal muscle action leading to a stretching or tearing of the muscle fibers
- collective effects of tendinitis and tendinosis
- inflammation of a tendon (when not fully healing; tendinosis)
- further breakdown and structural degeneration of the injured tendon
- trauma to tissues that connect bones and contribute to joint stability; occur when an excessive force results in the joint moving beyond its anatomical limits and stretching the ligament
- when a synovial joint moves beyond its normal anatomical limits; subluxation (partial) and luxation (complete)
- degenerative changes in the epiphyses of bones; during growth in children
- degeneration of the articular or hyaline cartilage in a joint, can occur in any joint but most common in weight bearing joints (hip, knee, ankle)
- bursae are small fluid-filled synovial membrane sacs designed to reduce friction between tissues such as tendon and bone; when irritated, bursa becomes inflamed, resulting in bursitis (hip, elbow, knee and shoulder)
- disruption of a bone due to a direct blow
- microtraumatic injury, may result from an abnormal muscle action, fatigue-related failure in the stress distribution across the bone, dramatic change in exercise or training ground surfacem excessive training volume or both
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All tissues follow a pattern of healing that includes three phases:
1.
2.
3.
1. inflammation
2. proliferation or repair
3. remodeling or maturation
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Inflammation:
*after tissues are damaged; mechanical mediators are released; increase blood flow and capillary permeability; causing edema (=escape of fluid into the surrounding tissues), which inhibits contractile tissue function and limits activity. Inflammatory substances stimulate sensory nerve fibers, causing pain; decreased function
If inflammatory does not end within a reasonable amount of time:
goal inflammatory phase:
to achieve these goals:
intitial reaction to injury, necessary in order for normal healing to occur
further healing may not occur, thereby delaying the rehabilitation process
prepare for the new tissue formation
relative rest and passive modalities (incl. ice, compression and elevation)
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Repair phase:
goals repair phase:
allows for the replacement of tissues that are not viable following injury or surgery (scar tissue is formed)
prevent excessive muscle atrophy and joint degeneration of the injured area, promote collagen synthesis and avoid disruption of the newly formed collagen fibers
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Remodeling phase:
*production of collagen fibers has decreased, allowing newly formed tissue the opportunity to improve its structure, strength and function (increased loading; hypertrophy, increasing strength)
tissue remodeling can last up to:
goal remodeling/final phase:
by:
the weakened tissue produced during repair is strengthened during the remodeling phase of healing
2-4 months or even beyond one year after injury
optimizing tissue function
continuing the exercises performed and adding more advanced, acitivity specific exercises that allow progressive stresses to be applied to the injured tissue
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indication=
contraindication=
precaution=
an activity that will benefit the injured client
an activity or practice that is inadvisable or prohibited because of the given injury
an activity that may be performed under supervision of a qualified PT and according to client limitations and symptom reproduction
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Low back pain can be acute or chronic and can be caused by either:
the low back/trunk has a functional muscular anatomy, referred to as the=
*balance work incorporated in program
strain, sprain, tight muscles or trigger point, hypomobility, hypermobility or sacroiliac dysfunction
core
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Oefenvragen makenSamenvatting, oefenvragen van hoofdstuk 21 van het NSCA boek, minor PT aan de HvA.
32 oefenvragen
English
29-10-2021
HBO / Hogeschool van Amsterdam / Voeding en Diëtetiek / Minor Personal Trainer
Macrotrauma=
Microtrauma=
*type of injury (pain, strain, fracture) is determined by the tissue involved (muscle, tendon, bone, joint)
injury-related deficits in neuromuscular control and proprioception are due to:
common musculoskeletal injuries
- muscle contusion (kneuzing)
- muscle strain (spierpijn)
- tendinopathy
- tendinitis
- tendinosis
- ligament sprain (verstuiking)
- joint dislocation
- osteochondrosis
- osteoarthritis
- bursitis
- bone fracture
- bone stress fracture
All tissues follow a pattern of healing that includes three phases:
1.
2.
3.
Inflammation:
*after tissues are damaged; mechanical mediators are released; increase blood flow and capillary permeability; causing edema (=escape of fluid into the surrounding tissues), which inhibits contractile tissue function and limits activity. Inflammatory substances stimulate sensory nerve fibers, causing pain; decreased function
If inflammatory does not end within a reasonable amount of time:
goal inflammatory phase:
to achieve these goals:
Repair phase:
goals repair phase:
Remodeling phase:
*production of collagen fibers has decreased, allowing newly formed tissue the opportunity to improve its structure, strength and function (increased loading; hypertrophy, increasing strength)
tissue remodeling can last up to:
goal remodeling/final phase:
by:
indication=
contraindication=
precaution=
Low back pain can be acute or chronic and can be caused by either:
the low back/trunk has a functional muscular anatomy, referred to as the=
*balance work incorporated in program
Each disc has two layers:
what is one cause of posterolateral disc herniation (most common type):
when a disc herniates:
what tends to push the discs nuclear material posteriorly, encouraging it to move beyond its normal confines toward the spinal canal and nerve roots:
avoid what kind of exercises and perform what kind of activities:
*muscle strains are tears to muscle fibers
traumatic muscle strains:
overuse injury:
spondylolysis=
spondylolisthesis=
common faults that cause medial rotation of the humerus and protraction of the shoulder, as well as weakness of the posterior aspect:
impingement syndrome=
after reducing inflammation focus on exercises to improve:
rotator cuff muscles:
muscles attaching to the scapula must function properply to rotate the scapula during overhead movements:
Exercises that elicit high levels of rotator cuff activation while minimizing compensation from other muscle groups:
Clients who have had impingement syndrome should concentrate on:
exercises used cautiously:
* and some cardiovascular exercises are a problem
caution must be used with ... sports
Anterior shoulder (glenohumeral joint) instability:
Exercise indications for instability (rotator cuff and scapular strengthening) are similar for those for impingement, since ultimately the rotator cuff is the primary dynamic stabilizer of the glenohumeral joint
DANGEROUS MOVEMENTS:
what kind of exercises place the shoulder in a position of stress and can result in overload to the rotator cuff:
aerobic endurance activities that cause discomfort or pain should be limited, such as:
A rotator cuff repair is typically carried out when damage to the rotator cuff tendons includes a:
these tears cause altered joint mechanics and are repaired using:
one complication following rotator cuff surgery=
Ankle sprain is one of the most common related sport injuries accounting for ...-...% of all athletic injuries
Linked to sports requiring:
the most frequently reported type of ankle sprain=
the lateral aspect of the ankle is primarily stabilized by three ligaments:
1.
2.
3.
... is encouraged because small amount of stress promotes more complete tissue healing
what will properly prepare the joint for more functional activities:
Three common conditions of the knee:
1. anterior knee pain 2. anterior cruciate ligament injury 3. total knee arthroplasty
a common goal in all knee injury rehabilitation=
1. ANTERIOR KNEE PAIN/PFPS=
Causes:
- Exercises prescribed with caution:
- Exercises avoided:
- Contraindicated:
- Recommended:
It is also common to use a form of:
2. ANTERIOR CRUCIATE LIGAMENT (ACL)=
ACL reconstruction use:
incorporation of a dynamic w-up will promote:
specific contraindications for exercise following ACL reconstruction include:
3. TOTAL KNEE ARTHROPLASTY (TKA)=
rehabilitation begins immediately with:
individuals perform ... and ... initially in the hospital and at home prior to formal outpatient rehabilitation
- clients often have ...-... degrees knee flexion and nearly complete knee extension
- ... exercises are risky and impose added stresses on the knee
- because ... is contraindicated during the first few weeks its necessary to avoid exercises requiring that position
- exercise using less than ... degrees knee flexion postures are recommended
HIP
Although its the same type of joint as the shoulder, the hip has:
HIP ARTHROSCOPY=
rehabilitation, focus on:
total time for return to activity:
sport specific training phase of postoperative recovery should involve:
HIP REPLACEMENT/TOTAL HIP ARTHROPLASTY (THA)=
Two primary prostheses:
1. ... =
2. ... =
Difference:
1.
2.
common movement restrictions first 6 weeks:
-
-
-
avoid:
improve function:
Osteoarthritis (OA)=
recommended supplements:
exercise indications include:
recommendations
- upper extremity:
- lower extremity:
Rheumatoid arthritis (RA)=
most likely cause:
impairments:
during RA exacerbation:
*RA is considered progressive
manifestations:
areas commonly affected:
RT/exercises:
avoided:
OA and RA both benefit from aerobic and strengthening exercise, difference=
HIP ARTHROSCOPY
- contraindications:
- extra contraindications:
- indications:
HIP ARTHROPLASTY
- weight bearing status:
- ROM limitations:
- precautions:
OA
- movement contraindications:
- exercise contraindications:
- exercise indications:
RA: - movement contraindications:
- exercise contraindications:
- exercise indications:
Impingement syndrome
- movement contraindications:
- exercise contraindications:
- exercise indications:
Instability
- movement contraindications:
- exercise contraindications:
- exercise indications:
rotator cuff pathology
- movement contraindications:
- exercise contraindications:
- exercise indications:
shoulder exercise modifications
- shoulder press:
- bench press:
- pec deck:
- lat pull down:
Ankle movement and exercise guidelines (inversion sprain)
- movement contraindications:
- exercise contraindications:
- exercise indications:
Knee movement and exercise guidelines
ANTERIOR KNEE PAIN
- movement contraindications:
- exercise contraindications:
- exercise indications:
ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
- movement contraindications:
- exercise contraindications:
- exercise indications:
TOTAL KNEE ARTHROPLASTY
- movement contraindications:
- exercise contraindications:
- exercise indications:
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