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Bicipital tenosynovitis - SLW&US - Coggle Diagram
Bicipital tenosynovitis - SLW&US
Slow lead walking
How?
Slow, controlled
Ensures even limb loading
For increased WB
Incrs tensile strength
Cyclic loading
Aids tendon fibre alignment and lay down of type 1 fibres
Prevents further tearing and helps heal the biceps tendon
diss-unites the gait
shifts CoM
Increased GRF
Stims mechanoreceptors
eccentric muscle contraction
Even weight bearing
Reduce hypertrophy of opposite limb and brachiocephalicus as less loading on this limb
Builds muscle mass
Supra and infra
AROM
Increased blood flow
Increased Protein
Incrs synovial fluid
Lubricates jnt
improved shoulder and elbow ROM
improved AROM
Ultrasound
What
Acoustic streaming, stable cavitation, micro-massage
acoustic streaming - unidirectional flow of gas bubbles
Stable cavitation - formation of gas bubbles
Micro-massage - causes molecules to vibrate enhancing fluid interchange in the cells
Together: increase protein and collagen synthesis, improve collagen alignment, modulate angiogenesis, stim fibroblasts, and enhance cellular activity, imp in prolif
Yes but link this to the case and the tissue type more specifically?
Setting
Chronic
1:2 and 0.3W/cm2
Why?
Periosteal heating as biceps tendon close to bone so wouldn't use constant and allows progression
Why
7mnths after injury
Why?
chronic stage of tendon healing
Why the 3mhz?
Superficial
Why
align and heal biceps tendon fibres
what will this help to do with function?
increase tensile strength and elasticity of tendon
this increase ROM of the joint
break adhesions between the tendon and sheath
Application
Circular
to break-up fibrosis
what about calcification
Breaks down the calcification
In fibre alignment
to aid fibre alignment
Before/after your massage
After because start with cross fibre friction first