Chronic Stage tissue responses and characteristics
-Maturation of connective tissue
-Contracture of scar tissue
-Remodeling of scar
-Collagen aligns to stress
chronic stage clinical signs
-Absence of inflammation
-Pain after tissue resistance
PT goals for chronic stage
1. increase tensile quality of scar
2. develop functional independence
chronic stage of tissue healing may last
6 mo - 1 year
chronic inflammation may occur if
injured tissue is continually stressed beyond its ability to repair
pain
an unpleasant sensory and emotional experience associated with actual or potential tissue damage
chronic pain syndrome is a state
that persists longer than 6 months
-pain that cannot be linked to a source of irritation or inflammation resulting in activity limitations and participation
Chronic Stage of healing impairments
1. soft tissue/joint contractures
2. decreased muscle performance
3. decreased usage of involved part
4. inability to participate
Precautions of chronic stage of healing
1. discomfort > couple of hours
2. joint swelling
3. pain >4 hours
4. decreased strength
5. fatiguing more easily
Plan of Care (5)
1. educate patient
2. increase soft tissue, muscle and/or joint mobility
3. improve neuromuscular, control, strength, muscle endurance
4. improve cardiopulmonary endurance
5. progress activities and participation life situations