CAT Assignment:
Citation: Guler-Uysal F, Kozanoglu E. Comparison of the early response to two methods of rehabilitation in adhesive capsulitis. Swiss Med Wkly. 2004 Jun. 134: 353-358
Brief Description of patient: Patient is a 50 year-old female who was just diagnosed with adhesive capsulitis. Patient has noticeable restricted range of motion and has ranked her pain a 7/10 on the visual analog scale. The patient has described her symptoms as restraining as she cannot do normal activities such as dressing herself, or sleeping without eliciting an onset of pain. The patient states that her goal is to return to functional range of motion at the end of her treatment.
PICO Question: Is deep friction massage more effective than heat and short wave diathermy (SWD) in increasing range or motion and decreasing pain in patients whom have been diagnosed with adhesive capsulitis.
Databases Searched and Key Words: PubMed: adhesive capsulitis, ultrasound, deep friction massage, diathermy, heat. CINAHL: adhesive capsulitis, deep friction massage. PEDro: adhesive capsulitis, deep friction massage, heat, ultrasound
Question Type: Therapy Intervention
Methods: This study was a prospective randomized clinical trial administered at the outpatient clinic of the Department of Physical Medicine and Rehabilitation in Adana, Turkey. The
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The methods for the study are easy to follow and straightforward. The authors for this study state that there is not substantial evidence through literature to compare these two treatments but from their study you can conclude short term affects are more beneficial for the patient to receive deep friction massage with mobilization exercises to increase their range of motion and decreasing pain short term. This study does not include threats of internal and external validity, confidence in data, or risks and
The pain that patients report is out of proportion to the severity of the injury. The pain gets worse, rather than better, over time. Eventually the joints become
Chiropractic treatment This is an exparte case requested Chiropractic, CA MTUS states that it is recommended for chronic pain if caused by musculoskeletal conditions, and only when manipulation is specifically recommended by the provider in the plan of care. ODG states that it is not recommended. Manipulation has not been proven effective in high quality studies for patients with pain in the hand, wrist, or forearm, but smaller studies have shown comparable effectiveness to other conservative therapies. Review of medical records indicates that the patient is s/p left thumb surgery He had neuropathic pain distally. He was unable to hold onto any objects.
Clinical Orthopaedics and Related Research®, 471(4),
The common conditions they treat include the adhesive capsulitis or 'frozen shoulder ', acromioclavicular joint impingement or shoulder impingement, bursitis, concussion, degenerative disk disease, degenerative joint disease/
Going through reduced pain being allowed to move around is definitely to be connected with hastened abdominoplasty healing. In these initial weeks after body contouring, inflammation will diminish
Chiropractic Treatment of Stenosis: Non-obtrusive chiropractic care decreases pain and discomfort, while enhancing joint portability. This is useful with gentle and direct cases of stenos are. For more intense cases, flexion distraction, specifically, may lessen discomfort in the legs. Traction utilizes a pulling power to enlarge the space between the vertebrae and lower the pressure on influenced nerves.
We all know that a day after a brutal workout can leave us with sore muscles. Lifting heavy weights, running too much or having an intense cardio workout, all these can damage our muscles and make us feel bad. As such, in the following lines we will present you some of the best solutions for sore muscles which can help you relieve pain and make you feel much better. Massage your muscles Usually, when you experience sore muscles, you think about having a massage.
Goals are to decrease pain, increase range of motion, increase muscle strength, re-establish optimal functional activities/status and independence in activities of daily living. On the statement of medical necessity on the MG2 form dated 05/01/15. Based on physical examination, the patient has improved but has not reached MMI. MD expects that with extended treatment, the patient will continue to exhibit objective functional improvement.
Petrissage helps to loosen the muscle fibres, this technique involves kneading the injured area, one hand pulling one way and the other hand pulling the other way. Stripping the muscle, this helps to remodel the scar tissue by the thumb working deep on the muscle in the direction of the blood flow. Lastly Circular frictions can be applied, this helps to break down scar tissue and realign in. This type of massage helps to smooth out tight muscle knots so that the patient is comfier and more
Following a surgical intervention many surgeon 's advice or dictate the treatment to be given while others allow independent intervention by hand therapist. This trend varies as many experienced surgeons understand the importance of hand therapy and refer patients within elapsed time while others underestimate or lack awareness in field of hand therapy. Myriad evidence supports the concept that early controlled motion is beneficial to both tendon healing and the accrual of strength, while also decreasing adhesions and work of flexion. So the decisions for postoperative rehabilitation is generally made in conjunction with the
Pressure was applied several times in the course of treatment. Different mobilization techniques (Maitland grade 2 and 3 were applied to address pain and stiffness) were initiated with good outcome. 1. Glenohumeral joint traction was performed to decrease the level of pain 2. End-range posterior glide (A-P mobilization) in preposition of flexion to improve shoulder flexion and posterior glide with physiologic motion into external rotation to improve external
I believe this heightened understanding can lead to greater adoption of massage therapy for health and wellness outcomes and, ultimately, to less strain on the health care system. “Incorporate scientific research to my approach with patients to provide the best known treatment that will yield effective long-term
If you have a sore back, tight neck, painful shoulder, suffer from headaches and just generally stressed then you may be considering getting a massage. There are many different styles of massage available and choosing a suitable therapist can be extremely confusing. If you are experiencing pain or stiffness from an injury, you may need a remedial massage therapist. This type of massage has been shown to aid in healing and to provide relief from pain.
Apply heat and cold therapy to relieve joint pain Heat provides relief by helping to relax the muscles, tendons and ligaments surrounding the joints. It’s like warming a honey before pouring it. Not only the connective tissues and muscles but the lubricating fluids inside the joint work more smoothly when warm. Heat must be applied for 10 to 15 minutes for at least twice daily. For an extra benefit, cold compress can be applied in conjunction with the heat therapy – 10 to 15 minutes of warm compress followed by 10 to 15 minutes of ice.
Then, is there a better option? Yes, you are in luck. It has been sometimes since scientists have been looking for a suitable adhesive which works like a magic glue to fix your external and internal injuries. Not only are they less painful for the patient, they are also less damaging to healthy tissues and the procedure would take a much shorter time to perform. Recently, scientists developed a new form of tough adhesive (TA) that works unlike any existing ones.