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NBCE NBS PT Exam Study Practice Questions And 100% Verified Answers.
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DECREASED ROM HINTS Neutral zone: - correct answer Mid-range ROM is always the best place to start ACUTE STAGE includes - correct answer (inflammation and edema) 1 - 4 weeks, depends on severity ...

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  • August 21, 2024
  • 53
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NBCE NBS PT

DECREASED ROM HINTS



Neutral zone: - correct answer Mid-range ROM is always the best place to start



ACUTE STAGE includes - correct answer (inflammation and edema)



1 - 4 weeks, depends on severity



PRICES for first 48 hours



Passive ROM within limit of pain

as swelling decreases



Active assisted ROM within limit of pain



PRICES stands for - correct answer Protection

Rest

Ice

Compression

Elevation

Support



SUBACUTE STAGE includes - correct answer (swelling limited, debris &
discoloration may slow healing)



4 - 12 weeks, aggressive treatment to avoid chronicity

,Protect healing tissues with splint, tape, wrap, etc ...



Passive ROM Active ROM with painful region Massage tight structures ( fascia, trigger points, etc ... )
Isometric exercise (patient tolerance)



Progress to isotonic exercises



Stabilizing exercises



Low-intensity functional activities



Excessive stress indicators include - correct answer Soreness lasting over 4
hours (sign of chronicity)



More pain than previous session



Increased stiffness, swelling, redness or warmth



Decreased ROM, strength or function



Passive modality management during subacute phase focuses on circulation using? - correct answer
Pumping, ( alternative vasodilation & vasoconstriction) is beneficial to remove debris



Pumping also helps early peripheral vascular diseases (PVD's)



CHRONIC STAGE: - correct answer Greater than 12 weeks in most cases
(soreness lasting over 4 hours):



Counsel about cause, posture, environment & activities

,Use of cold/compression after intense activities



Massage for soft tissue management



Stabilization & core exercises



Scars - correct answer Require friction massage



May alter kinetics



Require functional adaptation tools (amputees as well)



COMPARISON OF HEAT & COLD EFFECTS:



Heat Circulation - correct answer - Vasodilation (hyperemia) due to axon reflex
from chemical

mediators.



- Increased blood flow UB/P)



- Increased edema



Cold Circulation - correct answer - V asoconstriction

- Decreased blood flow (jB/P)

- Decreased edema



Heat Cellular metabolism - correct answer - Increased Oxygen uptake

- 2-3 times per 10 degrees

, Cold cellular metabolism - correct answer decreased



Heat Connective Tissue - correct answer - Decreased viscosity

- Increased ability to stretch

- Increased flexibility

- Decreased stiffness



Cold Connective tissue - correct answer - Increased viscosity

- Decreased ability to stretch



Heat Pain - correct answer Decreased



Sedate



Cold Pain - correct answer -Decreased, after an initial increase, numb
(anesthesia)



Heat Neuromuscular - correct answer - Decreased muscle spasm, torticollis,
tender points (FM)

- Decreased muscle strength

- Decreased endurance

- Axon reflex



Cold Neuromuscular Effects - correct answer - Decreased spasticity,

trigger points, MFS

- Increased or decreased strength

- Decreased skilled motor tasks

- Decreased nerve conduction velocity

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