Summary Statement of the Problem Effect of Positional release technique on subacute Trapezitis Characteristics of the participants The participants were recruited from K.T.G hospital, Banglore-india Study included males and females within the age group of 20-40 years. Sample size :40 Instruments and Tests used • Visual Analogue Scale • Neck disability index • Universal Goniometer • Tenderness grading scale Testing Procedures The study had 2 groups. Control group and experimental group. Subjects were examined, Tenderness was analyzed if present and was graded. The Visual Analogue scales reading was recorded, cervical range of motion was noted and the neck disability score was also noted. The groups were divided into study group and control …show more content…
Treatment applied to participants Control group received passive stretch from the therapist. Study group received Positional Release Technique (PRT) first, followed by trapezius stretching. Positional release technique was given in supine. Tender points were palpated; the most painful ones were palpated first followed by the less painful ones. The patients neck was put in the PRT position by elevating the patients shoulder, rotating the neck onto its opposite side and bending the neck on the same side. The trigger points were treated by applying the pressure for approximately 90 seconds and then was released. Following the release, the neck was put in neutral position. Control group received passive stretch of the trapezius muscle in supine position. The duration of stretch was 30 seconds with 10 seconds rest time in between each stretch. 15 stretches in three directions were applied per session of the treatment. At the end of the intervention, the Range of Motion,VAS score and Neck Disablity score was recorded at the end of 2 weeks. Design and Statistical analyses Experimental study design with a control group and a study group. P value for this study was less then
Based on the initial pain medicine evaluation report dated 06/22/15, the patient complains of constant neck pain which radiates down to the bilateral upper extremity, fingers and hands. Pain is accompanied by intermittent tingling and numbness in the bilateral upper extremities to the level of the fingers and muscle weakness. The neck pain is associated with occipital, temporal and frontal headaches and muscle spasms in the neck area. The patient describes the pain as aching, burning, pins and needles, sharp, and stabbing. The pain is aggravated by activity, flexion/extension, prolonged sitting, pulling, pushing, repetitive head motions and standing. She also reports severe difficulty in sleep.
When comparing quantitative measures such as gravimeter with visual analog scales, the quantitative measures, subjective ratings have a relatively high level of diagnosis sensitivity and specificity (48,49B). This method, however, is preferably used in research field, and is rarely used in clinical practice.
Shoulder and neck pain are the most common musculoskeletal disorders one can get. Right sided neck and shoulder pain is one that the assistant is highly prone to developing, and is difficult to avoid. Reason being is frequent reaching across the assistant’s mid-line with the right arm. Neck pain can also be caused by leaning forward with your head bent down for a long period of time.
The composite score is objective and calculated through a weighted formula designed to provide an equal contribution from each item while the severity rating is subjective and indicates the need for additional treatment in specific areas (Haraguchi et al., 2009). The SR ranges from 0 to 9 points and the CS ranges from 0 to 1 with anything higher than the normal 9 SR or 1 CS indicating greater problem severities (Haraguchi et al., 2009). Although some problems still exist, the ASI has been reported to have nearly achieved both reliability and validity (Haraguchi et al.,
Each analyst took cranial measurements and the average of each measurement was used in the final calculations necessary to the Giles and Elliot metric analysis. The following calculations are sums of the formulae.
Kovacs, M. (2009). Dynamic Stretching: The Revolutionary New Warm-Up Method to Improve Power, Performance and Range of Motion. Ulysses Press.
During testing, most patients are found to need correction in all 14 balance tests, depending on the ailment the patient complains of and how well they react to the muscle correction will tell whether or not further treatment is needed. The physical aspect of the therapy, despite the name and basic principles, is not the only aspect required for optimal results. One must also report lifestyle and diet changes ranging from daily stress levels to pat...
There are several tests and measure that can be done in a physical therapy examination in order to rule out certain diagnoses, as well as come closer to a physical therapy diagnosis. First, an observation of the patient standing, walking, and sitting should be done in order to associate any visible deficits in the patient that could be associated to the ...
Chronic stiff neck can cause debilitating pain and difficulty in performing daily activities. Fortunately, drugs and therapies are available to help relieve pain and stiffness. Sometimes, the condition requires surgery. The treatment has a better chance of success when it starts preparation for use, particularly for children.
“The physician performs a variety of tests to evaluate mental, emotional and language functions, movement and coordination, balance, vision, and the other four senses (Diagnosing
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
The intervention was the patients were randomized to a single US-guided injection of PRP, GC or saline, administered by the 1 physician who had made their diagnosis. All patients were blindfolded during blood collection and injection. They all received an injection of 10-15 mL of lidocaine into the peritendon before the procedure. After the treatment patients were asked to use the arm minimally for 3 days and then gradually return to normal use.
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Jarvis, C. (2012). Physical examination and health assessment, 6th Edition. Saunders. [VitalSource Bookshelf Version]. Retrieved from: https://pageburstls.elsevier.com/#/books/978-1-4377-0151-7/pages/89429881