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Modalities Test #1
Chap 1-6
49
Sports
Undergraduate 2
02/22/2011

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Cards

Term
Phagocytosis
Definition
digesting cellular debris and other foreign material
Term
Hematoma
Definition
An accumulation of hemorrhaged blood and cellular debris 
Term
Hemorrhage
Definition
Bleeding
Term
What 2 seperate mechanisms cause secondary injury
Definition

Secondary Enzymatic Injury

Secondary Metabolic Injury

Term
What is Secondary Enzymatic Injury?
Definition
When a cell dies its lysosomes release enzymes that digest cellular debris. If they come into contact with living cells they will break down living cells.
Term
What is Secondary Metabolic Injury
Definition

The blood flow to the area of injury is decreased.

The combination of blood vessel damage by the primary injury and circulatory being slowed down caused by inflammation create ischemia.

Ischemia results in hypoxia and inadequate waste removal. This leads to increased edema.

Term
Ischemia
Definition
deficit of blood to the area
Term
Hypoxia
Definition
decreased oxygen supply
Term
What are the Starling forces
Definition

1.Capillary hydrostatic pressure (CHP)- forces fluid out of capillaries

2.Tissue hydrostatic pressure (THP)- forces fluild back into capillary

3.Tissue oncotic pressure (TOP)- pulls fluid out of capillary

4.Capillary oncotic pressure (COP)- pulls fluid into capillary

Term
stages of an acute injury care
Definition

0-4 day = Acute

  • Emergency care: CPR
  • Immediate care 0-12 hrs.
  • Transition care 12 hrs-4 days

4-14 days = subacute

14+ days = postacute

Term
List Primary effect of Rices
Definition
REST: Limits injury aggravation, decreases metabolism, protects wound, and controls pain.
Term
List Primary effect of rIces
Definition
ICE: decreased tissue temp, decreased metabolism, decrease pain. Less free protein from phagocytosis, so less edema. Less secondary injury.
Term
List Primary effect of riCes
Definition

Increases pressure forces against capillaries

Contains Edema and helps increase cooling effect.

Term
List Primary effect of ricEs
Definition
Decreases capillary hydrostatic pressure
Term
List Primary effect of riceS
Definition

breaks pain-spasm-pain cycle

deceases neural inhibition

Term
Neural inhibition
Definition
a decrease or absence of normal neuromuscular functions such as strength and ROM.
Term
Hemarthrosis
Definition
blood in a joint
Term
Pathology
Definition
The medical science concerned with all aspects of disease, especially the nature, cause, and development of abnormal conditions
Term
Physiology
Definition
The science concerned with the normal process of organisms, their biochemical composition, or how they are affected by drugs or disease
Term
Pathophysiology
Definition
Derangement of function seen in disease
Term
Therapeutic
Definition
Relating to the treatment of disease; having medical or healing properties
Term
Modality
Definition
A form of application or employment of a therapeutic agent or regimen
Term
Theory and application (timeline)
Definition
application--> theory--> research--> more reasearch--> updated theory--> updated application
Term

Critical thinking versus Cookbook?

Whats in middle?

Definition

Critical thinking: different for every athlete. Each one is treated differently. It takes a lot of time.

Cookbook: Is the same for all. Each person is treated the same for their injury.

Standard Operating Procedure: In the middle. It is a combination of both. It takes the cookbook and then modifies parts of it for the athlete.

 

Term
5 components of using a modality
Definition

1. Background info. (what is it)

2. Pre Application parameters (get it set up)

3. Application procedures (doing it)

4. Post Application parameters (clean up)

5. Maintencance (fix it, refill)

Term
Edema
Definition
Fluid portion of the blood that in extravascular tissue
Term
Components of Inflammation
Definition

1. Primary Injury

2. Ultrastructural changes

3. Chemical mediation

4. Hemodynamic changes

5. Metabolic changes

6. Permeability changes

7. Leukocyte migration

8. Phagocytosis

Term

Def of Infammation

Purpose?

Definition

The local response of the body to an irritant

 

defend the body against alien substances

dispose of dead and dying tissue

Term
Repair vs Remodel
Definition

Repair: new tissue

Remodel: scar tissue

Term
Reconstitution vs Replacement
Definition

Reconstitution: (skin cells) replaced by identical cells

Replacement: (Muscle tissue) replaced with simpler cells (scar tissue) 

Term
Signs of inflammation
Definition

Redness: lots of blood

Heat: lots of blood flow to the area

Swelling:hemmorage and edema

Loss of function: cause muscle spasm (pain)

Pain: pressure on pain nerves

Term
___ of normal fluid is returned through the lymphatic system
Definition
1/3
Term
How does cold decrease swelling?
Definition

1.Stops secondary injury

2.Decreases pain to be able to do other movements to decrease swelling. (forcing fluid through valves)

3.Decreases metabolism

 

Term
recurring inflammation
Definition
symptoms of imflammation persist longer than 3-10 days
Term
chronic inflammation
Definition
low-load, repetitive stress w/o an acute inflammatory reaction
Term

What comes first in phagocytosis?

Second?

 

Definition

1st is neutrophils

2nd is macrophages

Term

length of ice application?

off time?

Definition

Bony (ankle): 30min

Moderately fleshy (shoulder): 45min

Fleshy (thigh): 60min

SOP: 15min

Off time: 2x as on time unless lots of activity

Term
nerve palsy
Definition
The partial loss of motor function in a local area; may be permanent or temporary
Term
Perfusion
Definition
blood flow
Term
Contraindication of Ice
Definition
cardiac disorders, compromised local circulation, raynards disease, cold hypersensitivity, cold allergy
Term
Raynard's disease
Definition
spasms in blood vessels
Term

How high do you elevate?

 

Definition
6-10 inches above the heart
Term
What are the most important of RICES?
Definition
Ice, compression, and stabilization
Term
3 types of regenerative cells
Definition

Labile: continuously repeat the cell cycle (skin)

Stable: can proliferate if stimulated

Permanent: lose ability to divide after birth

Term
What do fibroblasts do?
Definition
synthesize and deposit collagen and elastin
Term
Edema is removed mainly through the ____
Definition
lymphatic system
Term
resolution
Definition
dead cells are removed but original structure and function is left intact (meniscus)
Term
elastin
Definition
highly insoluble and widespread component of connective tissue
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