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PT ROM & Flexibility
Physical Therapy ROM & Flexbility
| Question | Answer |
|---|---|
| What are the 2 tools used for ROM? | hands & observation |
| Where are connective tissues? | everywhere |
| What provides the strongest strength? | Tendon |
| What takes on multiple loads? | ligament |
| What is the weakest connective tissue? | skin |
| What is Stress? | amount of tension or load placed on the tissue (stretch) |
| What is Strain? | amount of length that is put on the stress (muscle) |
| What is Recovery? | the ability for tissue to go back to resting state |
| What is CREEP? | a slow response to stress that is a graduate or repeated stress |
| What is hypomobility? | lack of mobility |
| What is contracture? | shorten muscle |
| What is soft tissue? | muscle, skin (anything that is not bone) |
| What is contracture named by? | the restricted position (elbow flexion) can not extend |
| What is an adhesion? | scar tissue |
| What does an adhesion do? | limits movement |
| What is the intramuscular temperature? | 39 degrees C |
| How long does it take to see gains with static stretching? | 6 weeks |
| What are some characteristics of a scar? | immature & adaptable, up to 8 weeks, less changeable after 14 weeks |
| What are some characteristics of an adaptable scar? | highly vascular, high rate of remodeling |
| What is ballistic stretching? | fast, activities |
| What are practical applications for ballistic stretching? | specificity, velocity (normal range), advantages, exercise parameters & precautions |
| Where is the Golgi Tendon (GTO) located? | In the muscle tendon |
| Where is the muscle spindle located? | in the muscle |
| What is PNF? | Proprioceptive Neuromuscular Re-education |
| Contract antagonist | against isotonic manual resistance |
| Autogenic inhibition | relaxation of antagonist during contractions |
| What are some PTA considerations for scars/adhesions? | surgical procedures, time constraints of healing, goals of rehab |
| What happens during PNF: Contract-Relax? | Contract antagonist - against isotonic manual resistance & autogenic inhibition - relaxation of antagonist during contractions |
| What happens during PNF: Hold-Relax? | Contract agonist - against isometric manual resistance - at end of ROM |
| What happens during PNF: Slow Reversal? | Patient moves actively to end ROM - against isometric manual resistand (hold for 30 sec) & reciprocal inhibition - reflex antagonist relaxes during contraction of agonist |
| Static stretching at low intensity generates what? | decreased tissue trauma & decreased post exercise soreness |
| What are some time frames for maximum strength after tissue trauma? | 5 days = 10%, 40 days = 40%, 60 days = 70% & 1 year = 100% |
| What are some PTA considerations for someone with tissue trauma? | exercises & equipment |
| What are some contraindication for stretching? | bony block, recent fracture, inflammatory process, pain, hematoma, hypermobility, stability & function |
| What is used for measuring flexibility? | goniometry, special test, joint stability & ROM |
| What are some precautions for stretching? | do not stretch past normal ROM, co-morbidities, protect, avoid vigorous stretching, edematous tissue, overstretching weak muscles & progress dosage |
Created by:
jklincoln
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