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Exam (elaborations)

BOC Therapeutic Intervention Questions and Answers

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  • Course
  • Athletic training BOC
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  • Athletic Training BOC

how long does the inflammatory phase last following an injury ~ about 4 days how to prevent excessive pain and inflammation ~ rest ice compress elevate and NSAIDs Describe the gate control theory of pain. ~ When signals of movement, pressure or pain travel through the nervous system at the ...

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  • August 4, 2024
  • 44
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Athletic training BOC
  • Athletic training BOC
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BOC Therapeutic
Intervention Questions
and Answers
3 phases of the healing process


✓~ inflammatory phase

fibroblastic repair phase

maturation-remodeling phase




Inflammatory phase


✓~ patients experience swelling, loss of function, increased pain, redness and increase in

skin temperature

AT can prevent excessive swelling and pain through

ice

compression

elevation

anti-inflammatory medications (if needed)




Fibroblastic Repair Phase


✓~ 4 days- 6 weeks

regeneration leads to scar formation

,Should all be maintained throughout the healing process:

cardiorespiratory endurance

muscular strength

flexibility




Maturation- Remodeling phase


✓~ scar tissue restructured to eliminate functional limitations using functional

strengthening techniques




Pain control theories


✓~ - gate control

- descending pathway

- opiate pain control/ release of B endorphins




gate control theory


✓~ the spinal cord contains a neurological "gate" that blocks pain signals at the dorsal

horn

done with electrical stimulation

"closing the gate"




descending pathway pain control theory

,✓~ High intensity electrical stimulation near a noxious level can stimulate the descending

neurons and prevent transmission of pain information




B-endorphin theory


✓~ painful stimulus triggers the release of an analgesic chemical

point stimulation with electrical currents near the site of injury or along trigger points

can trigger the release




Pharmacological protocols


✓~ ATs must follow the laws that their state has when it comes to distributing medications




Pharmacological protocols: Fever


✓~ if 99.5-102 may administer 325 mg acetaminophen every 4 hours if needed

if 102 or greater, physician should be consulted




Pharmacological protocols: watery nasal discharge


✓~ 30 mg pseudo ephedrine (Sudafed) every 6 hrs if needed

should not be given 4 hours prior to play or if in post season play




Pharmacological protocols: cough

, ✓~ with no mucous or clear mucus

10mL Robitussin DM every 6 hours as needed

may cause drowsiness and should not be administered 4 hours prior to activity

consult physician if-

green/ rusty colored mucus

continuous severe cough




Preoperative phase


✓~ allowing initial inflammation to resolve prior to surgery while maintaining strength,

flexibility and cardiorespiratory endurance




Acute inflammatory response phase


✓~ body works to clean up the injured area and create an environment conductive to

healing

POLICE

appropriate exercises to maintain strength, flexibility, and cardiorespiratory

endurance that do not exasperate the injury




nonfeasance


✓~ failing to act when an action should have been taken

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