CEBU DOCTORS UNIVERSITY

COLLEGE OF REHABILITATIVE SCIENCES

DEPARTMENT OF PHYSICAL THERAPY

GENERAL INSTRUCTION: Answer the following questions below. Access to the documents were granted to two members
per group. Font colors of the answers should be changed to BLUE. Answering of the worksheet should be done on the
link provided per group. Upload the final output in PDF format on the tab provided in the content section on or before
Aug 27,2020, 9:30 AM. For questions and clarifications, contact me in instant message or
marizzahsumarago.cdu@gmail.com

PT 301: ORTHOPEDIC AND SPORTS PT 1

INFLAMMATORY / OVERUSE JOINT SYNDROMES, SPRAIN, AND STRAIN
1. Discuss on how these contributing factors can cause repetitive trauma or chronic recurring pain. Describe it in
your own words.
RETURNING TO AN ACTIVITY
TOO SOON AFTER AN INJURY

TRAINING ERRORS

WEAK STRUCTURAL
SUPPORT

CHANGE ON THE DEMANDS

OF ACTIVITY

SUSTAINED AWKWARD
POSTURES

ENVIRONMENTAL FACTORS

2. Define the following clinical conditions resulting from trauma or pathology in your own words.
REFLEX MUSCLE
GUARDING

CONTRACTURE

JOINT DYSFUNCTION

MYOFASCIAL
COMPARTMENT
SYNDROME
ADHESION

MUSCLE WEAKNESS

DYSFUNCTION

3. Define the following soft tissue lesions in your own words.

 SUBLUXATION

SPRAIN

MUSCLE/ TENDON
RUPTURE OR TEAR

STRAIN

OVERUSE SYNDROMES

GANGLION

CONTUSION

BURSITIS

4. Describe the pain experienced with range of motion when the involved tissues are in different stages. Focus
discussion on tissue responses and characteristics and clinical signs. (limit response to 5-10 sentences)

Management During the Subacute Stage

During the second to fourth days after tissue injury, the inflammation begins to decrease, the clot starts resolving, and
repair of the injured site begins. This usually lasts an additional 10 to 17 days (14 to 21 days after the onset of injury) but
may last up to 6 weeks. During this stage of healing, the immature connective tissue that is produced is thin and
unorganized. It is extremely fragile and easily injured if overstressed, yet proper growth and alignment can be stimulated
by appropriate tensile loading in the line of normal stresses for that tissue. At the same time, adherence to surrounding
tissues can be minimized.
SUBACUTE/ CONTROLLED MOTION PHASE

IMPAIRMENTS:

5.

6.

7.
PLAN OF CARE 2 INTERVENTIONS FOR EACH POC

8. ●

●
9. ●

10. ●

11. Compare and discuss the difference of Osteoarthritis from Rheumatoid arthritis in terms of:
OSTEOARTHRITIS RHEUMATOID ARTHRITIS

Age of onset

Joint signs and symptoms

Joint involvement

Progression

Manifestation

12. List down the criteria for

Diagnosis for Rheumatoid
Arthritis

13. Provide the five (5) principles of Joint Protection and Energy Conservation.
MANAGEMENT GUIDELINES- OSTEOARTHRITIS
LIST DOWN 1 IMPAIRMENT, 1 ACTIVITY LIMITATIONS & 1 PARTICIPATION RESTRICTION

14. Pain at rest in the advanced stages

15. Muscle weakness

16. Functional limitations in ADLs and IADLs

PLAN OF CARE 2 INTERVENTIONS PER POC

17. Decrease effects of stiffness ● Active ROM

● Joint-play mobilization techniques

18. Decrease pain from mechanical stress ● Splinting and/or assistive equipment to
and prevent deforming forces minimize stress or to correct faulty
biomechanics, strengthen supporting muscles

● Alternate activity with periods of rest

19. Educate the patient ● Teach about deforming forces and
prevention

● Teach home exercise program to reinforce

interventions and minimize symptoms

20. Improve neuromuscular control, ● Low-intensity resistance exercises

strength, and muscle endurance
● Low-intensity muscle repetitions

Name the following fracture type. (starting on the left part)

21.________________________

22.________________________

23.________________________

24.________________________

25-30. CASE STUDY

Develop a program of interventions for a patient with OA in the knees who has pain when ascending and descending
steps and has difficulty standing up from a chair. What examination procedures do you want to do? What functional
tests do you want to document? How would the program differ for an individual with symptoms of RA during a period
of active disease (the acute phase)? During a period of remission (the chronic phase)? Provide 2 on the items being
asked.

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