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This document presents a case study of a 68-year-old female patient complaining of pain and stiffness in her right shoulder when reaching overhead or placing her right hand behind her back. Her range of motion was reduced in all movements. Physical examination revealed spasms in her upper trapezius, trigger points, and right sternocleidomastoid. The treatment plan aims to reduce pain, correct faulty mechanics through manual therapy, improve range of motion with stretching and exercises, and educate the patient to prevent further injury. The long-term goals are to increase shoulder range of motion, strength, and function through a progressive home exercise program.
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Clinical presentation in musculoskeletal physiotherapy
278 Treatment of disk and ligamentous diseases of the cervical spine
278 Treatment of disk and ligamentous diseases of the cervical spine
Rehabilitation of Supra spinatous repair surgery and post operative humerus ...
Rehabilitation of Supra spinatous repair surgery and post operative humerus ...
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Case presentation(2) by priyanthi
A 41-year-old man presented with left ankle pain at night and after activities like walking. He had fractured his tarsal bones two years prior in a road traffic accident and underwent surgery followed by immobilization for two months. On examination, he had an antalgic gait, edema around the left ankle and lower leg, and tenderness on the medial side of the foot. Range of motion of the left ankle was limited to 5 degrees of dorsiflexion and 10 degrees of plantar flexion with pain. Treatments included massage to reduce edema, passive mobilization and stretching of the ankle to improve range of motion, and a home exercise plan of active stretching.
Ayaz 187
This case presentation describes a 57-year-old male bus driver who presented with left shoulder pain. He reported a history of sharp pain in his left shoulder two years ago while driving, and more recently severe pain when lifting his granddaughter. On examination, he had tenderness below the left acromion, limited range of motion, and positive impingement tests. He was diagnosed with supraspinatus tendinitis and frozen shoulder of the left shoulder. The treatment plan included ultrasound therapy, soft tissue mobilization, active exercises, and strength training exercises to relieve pain, increase range of motion, reduce muscle spasm, and restore strength.
Anjali
A 49-year-old woman presented with left back and buttock pain radiating down her left leg that had been worsening over the past 3 months. On examination, she had limited range of motion, muscle weakness, and a positive piriformis test on the left side. The plan of treatment was to reduce pain, increase range of motion, strengthen muscles, and reeducate functional movements through electrotherapy, stretching, soft tissue massage, and strengthening exercises. The goal was to relieve her pain and allow her to return to normal daily activities without difficulty.
219 sandun
This case presentation documents the results of various tests and measurements taken of a patient's neck and shoulder range of motion, muscle strength, and progress over multiple physical therapy sessions. Tests performed on the neck and shoulder included compression, lateral compression, Neer's impingement, drop arm, empty can, infraspinatus, Speed's, and lift-off tests. Range of motion and muscle strength were measured bilaterally using a goniometer and scale. The patient showed gradual improvement in shoulder range of motion measurements like abduction, flexion, and rotation over three sessions.
210. pathum
Mrs. Weerasinghe, a 65-year-old retired nurse, presented with 6 months of right leg pain that started in her calf and radiated down to her heel. Examination found swelling, tenderness, and reduced range of motion in her right ankle. Special tests were negative for Achilles rupture. The physiotherapy goals were to relieve her pain, restore her range of motion, and strengthen weakened muscles through ultrasound therapy, soft tissue mobilization, stretching and resistance exercises.
196 case-presentation-msk
This medical document summarizes a patient's back pain issues. A 30-year old male cricket player has been experiencing dull, lower lumbar back pain for 3 years that is aggravated by prolonged standing and vigorous activity and eased by rest. Examination found increased lumbar lordosis, tender lower back area, and tight lower back muscles. Tests were otherwise normal. The diagnosis was lumbar spondylosis and lower back muscle spasm. Treatment recommended was infrared therapy, back and core strengthening exercises, and posture education. The goal is to reduce lower back muscle spasm and back pain.
193 akila
This document presents a case study of a 61-year-old male electrician who injured his right hand in a motorcycle accident. He has limited extension of his right 4th and 5th fingers. On examination, deformities and swelling were observed in the 4th and 5th fingers. Range of motion was restricted in the fingers but normal elsewhere. Tests indicated a boutonniere deformity in the 4th and 5th fingers. The physiotherapy diagnosis was decreased range of motion, joint mobility, and muscle performance in the fingers. The treatment plan focuses on pain management, maintaining joint and tendon mobility, increasing range of motion and muscle strength through various exercises over several weeks. Progress will be measured by monitoring range of motion
183 chamikacase presentation by chamika
This document contains a medical case report for a 56-year-old female seamstress presenting with a 4-month history of lateral elbow pain aggravated by activities like sewing. On examination, palpation of the lateral epicondyle and common extensor origin was painful, and Cozen's and Mill's tests were positive, consistent with a diagnosis of lateral epicondylitis. The treatment plan involves ultrasound, transverse frictions, range of motion exercises, grip strengthening, and advice to avoid aggravating activities to relieve pain, break adhesions, restore range of motion, and strengthen muscles. Progress will be monitored using pain scales, grip strength tests, and functional assessments.
Supraspinatus Tendinitis Case Presentation of Musculoskeletal Module
It's about a case presentation of Musculoskeletal Module which i have done regarding "supraspinatus Tendinitis"
More from Ayaz Iqbal (9)
Supraspinatus Tendinitis Case Presentation of Musculoskeletal Module
Supraspinatus Tendinitis Case Presentation of Musculoskeletal Module
220
- 1. MSK Module Case study UCP AL/11/220 CASE PRESENTATION UCP AL/11/220
- 2. Subjective examination Name : Mrs. Karuna Manike Age : 68 Gender : F Occupation : House Wife C/O : pain & stiffness in over head reaching & taking right hand into back Functional limitations: Difficulty in combing hair, applying soap on the b back when bathing Onset: Gradual Duration: 1 year Dominant hand: right
- 3. PAIN Location : over deltoid Type : aching pain Is the pain increasing/reducing : Increasing Behavior of symptoms : pain increase with activity Aggravating factors : sleeping on the affected side Easing factors : neutral position of arm VAS Scale PMH: Knee OA, arteroscelosis, hypothyroidism
- 4. Objective examination Observation: Posterior view: right shoulder elevated than left neck in slightly lateral flexion to right Anterior view : ,, Lateral view : Forward head Chin to neck angle > 90 Rounded shoulder Thyroid gland hypertrophy
- 5. Palpation • Upper trapezius spasm • Trigger points • Right sternocleidomastoid spasm ROM Movement AROM PROM Normal Flexion 90 120 180 Extension 50 50 60 Abduction 70 80 180 External rotation 70 70 90 Internal rotation 15 25 70 Horizontal adduction 85 70 135 Horizontal abduction 15 15 45 Conclution – reduced ROM in all movements
- 6. Muscle power muscle Grade Deltoid Anterior fibers 4 Middle fibers 4 Posterior fibers 4 4 4 5 trapezius Upper fibers 5 Middle fibers 5 Lower fibers 5 Pect major 5 Lattissimus dorsi + teres major 5
- 7. Tests • Maitland's lock test: + (pain) • Maitland's quadrant test : + (pain) • Anterior apprehension test : + (pain) • Hawkin Kennedy impingement test: pain • Speed test : + (pain) • Lippmann's test : + (pain on palpation) Anterior drawer test, Posterior drawer test, Supraspinatus tendinitis test, Drop arm test, Brachial plexus stretch test, Tinnels sigs,Test for thoracic outlet syndrome are negetive Glenohumeral dysfunction Biciptal tendinitis
- 8. Physiotherapy diagnosis • Reduced range of motion in all movements of S/J due to pain and stiffness ( Can be due to frozen shoulder)
- 9. Treatment plan Short term goals • Reduce pain : IR • Trigger points: friction • Correct faulty mechanics: manipulation- S/J caudal glide (grade) & improve proprioception protected weight baring( progressed with gentle rocking movement) • Trapezius & sternocleidomastoid spasm : stretching • Biciptal tendinitis: UST, stretching • Pt education : Do not sleep on the affected side, don’t lift heavy weights from affected limb
- 10. Long term goals To Increase ROM • Active assisted ROM exercises • Self mobilization exercises Posterior glideAnterior glideCaudal glide Abduction adduction flexion Internal rotation External rotation
- 11. • Manual stretching, progressed by self stretching To increase horizontal abduction To increase lateral rotation To increase flexion & extention To increase abduction & elevation To increase extention To increase internal rotation
- 12. • Pendulum exercises • Increase muscle power; strengthening exercises deltoid triceps biceps
- 13. Justification of treatment- • Pt is an elderly so much stenos exercises are not encouraged • Exercises are performed in much stable postures to prevent falls Outcome measures: ROM, VAS scale
- 14. T H A N K Y O U