Background and Purpose. This case report describes a patient admitted to an inpatient rehabilitation facility after being diagnosed with dermatomyositis. The purpose of this case study is to describe a patient diagnosed with dermatomyositis, and detail the rehabilitation management provided to improve the patient’s functional status.
Case Description. A 30 year old Caucasian female was admitted on 10/17/2013 to an inpatient rehabilitation facility. The patient began developing progressive extremity weakness in May of 2013. The patient presented with progressive muscle weakness, dysphagia, and a mild heliotrope rash, common signs of the disease.
Outcomes. Measures used include the functional independence measure, manual muscle testing, and range of motion testing. The data obtained from the objective measurements depicted the improvements made by the patient in the inpatient rehabilitation facility.
Discussion. There is conflicting evidence regarding the use of exercise to promote muscle function in patient’s diagnosed with dermatomyositis. However, recent data support the rationale of using resistive exercises, commonly used in physical therapy to combat the muscle deterioration associated with the disease.
BACKGROUND AND PURPOSE
Physical therapy is an evolving field and with the current push for direct access, physical therapists must have the skill set to recognize problems that fall outside their scope of care. Therefore, physical therapists must possess a background in recognizing the signs and symptoms of systemic infection and also be able to refer to the appropriate medical personnel. Dermatomyositis, is a condition that could be encountered by a physical therapist in a direct access situation, as it may ma...
... middle of paper ...
... range of motion while performing elbow flexion and extension, supination/pronation of the forearm, flexion/extension of fingers/wrists, and ankle/toe flexion/extension. Knee flexion/extension was also able to perform 50-75% knee flexion/extension. The patient remained limited in proximal extremities, but improved approximately 25-50% grossly.
In comparison, the objective data illustrates the improvement made by the patient in the rehab facility. With the assistance of a strengthening program the patient improved her ability to feed herself according to the FIM. Gains in range of motion and strength were also depicted in the outcome assessment, more than likely due to increase in neural recruitment. The patient was referred to receive further rehabilitation in a home health setting to continue gains, however it is unknown the current status of the patient.
Yu, J., park, D., & Gyuchang, L. (2013). Effect of eccentric strengthening on pain, muscle strength, endurance, and functional fitness factors in male patients with achilles tendinopathy. American journal of physical medicine and rehabilitation , 92, 68-76.
National Institute of Arthritis and Musculoskeletal and Skin Diseases. "Hidradenitis Suppurativa: MedlinePlus." Nlm.nih.gov/. U.S. National Library of Medicine, n.d. Web. .
... middle of paper ... ... After the implementation of the stated interventions, the patient made physical and emotional progress towards the aforementioned goals. The above goals were not only met, but exceeded expectations of the patient and the nurses who provided care.
Kinesiology is a complimentary therapy used to identify and correct internal issues to relieve stress, allergies, and pain. Being described as a complimentary therapy, kinesiology is not meant to be a cure-all for the patient, but a secondary method of increasing positive results of the original therapy; this method however can be used as a primary or secondary form of therapy depending on the results for the patient and satisfaction with said results. During treatment the doctor tests 14 different areas of muscles balance, these major muscles and how they react are believed to uncover problems that need correction which cannot be found with any other testing (Rude Health).
Physical therapy is a fairly new practice of rehabilitation. The treatments were not widely practiced until after World War I when soldiers returned home with injuries that were able to be rehabilitated by this therapy. The profession immediately began to grow and has been popular in the U. S. since that time. The vocation is also expected to c...
techniques, and promoting rehabilitation as an aid to full recovery. This is what Dr. Lyle J.
This publication was printed with the generous support of the National Institute on Disability and Rehabilitation Research
The patient is a 30 year old male with an active bacterial infection on his right leg attacking his Integumentary system. The patient is from Tanzania, Africa but came back to work in a factory that produces plastic. If he has Cellulitis, it can get bad enough to travel to other organs like the Liver and Kidney and cause failure. If this happens, Edema can form, usually on one half of the body; this is the Urinary system being attacked. The main system being attacked is the Lymphatic system because Cellulitis attacks the lymphatic draining system. For Cellulitis to travel to organs, it had to go through the blood, so the cardiovascular system is also in effect.
Negative straight leg raise bilaterally, good range of motion at her hips. She does have pain when flexing both hips while in a lying position.
"Spine & Sports Rehabilitation." - Rehabilitation Institute of Chicago. Ric.org, 2014. Web. 08 May 2014.
Regular exercise program is known to be beneficial for people with SCI. Exercise program designed for SCI patients is somewhat similar to the program for stroke survivors. However, it should be noted that the concerns for each condition are different, so there must be focus on specific requirements for the individual. Stroke survivors’ disability depends on the area of the brain that is damaged, whereas the disability of individuals with SCI depends on the damage in their spine. Therefore, detailed assessment of the spinal lesion must be carried out before designing exercise program for a person with SCI (Jacobs & Nash, 2004). An exercise program that combines mobility activities, aerobic resistance, strength, coordination, recreation, and relaxation can improve their functionality and fitness (Durán, Lugo, Ramírez & Lic, 2001). The individual should have 3 sessions per week with the total of 120 minutes (Durán, Lugo, Ramírez & Lic, 2001). The duration of each session can be shorter at first and increased over time to avoid injury and overwhelming stress for the patients. Some very common modalities of exercise for this group include arm crank ergometry and swimming. This is because SCI often causes paralysis and weakness in the lower limbs, which makes sense to place more focus on the upper extremity exercise modes in order to achieve the desired fitness level (Nash,
Adding physical therapy in a nursing home setting can help not only with the mental and physical health of the residents, but also with the number of fall-related injuries that can occur. The addition of physical therapy can help slow down the effects of aging in the body and give the resident a less painful recovery. Many people believe that decreasing the amount of pain in a resident’s life will improve their mental health in the way that they will be able to enjoy life's simple activities to the fullest. Improving a resident’s mood will help avoid a sense of anger and confusion. Anger can increase frustration; which might lead the patient to attempt to stand, which results in a fall from lack of strength.
Lee BG, Cho NS, Rhee YG. Effect of two rehabilitation protocols on range of motion and healing rates after arthroscopic rotator cuff repair [aggressive versus limited early passive exercises]. Arthroscopy. 2012 Jan;28(1):34-42. http://www.ncbi.nlm.nih.gov/pubmed/22014477. Accessed May 7, 2014. PMID: 22014477.
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.
Physiotherapy is the study of the movement and function of the human anatomy and the relationship between the persons’ health and wellbeing (Dhrs.uct.ac.za, 2015). A physiotherapist’s speciality is treating “individuals across the life-span who have illness, injury or disability affecting the neuro-musculoskeletal, cardiopulmonary, vascular, and neurological systems” (Ontario Physiotherapy Association, 2015:3). A physiotherapist’s main goal is for their patient to receive the highest level of independence by educating patients how to “prevent reoccurring injuries” that disrupt their daily routine (Ontario Physiotherapy Association, 2015:3). Physiotherapists would deal with “long term ailments” (Zweigenthal et al., 2009:235) that cannot simply be treated with the dosage of medication but with the dedication from both the physiotherapist and patient in the appointed interactive physical sessions, a treatment plan can be formulated to guarantee the most efficient road to