Physical Therapy Prescriptions for Musculoskeletal Disorders by Grant Cooper, Evan Chait PT

By Grant Cooper, Evan Chait PT

Actual remedy prescriptions for musculoskeletal issues equips musculoskeletal physicians with a whole realizing of ways to put in writing a good actual remedy prescription, what occurs in the course of actual remedy, and the way the therapist fulfills the prescription.

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2A. Static: bilateral upper trapezius. 2B. Static: bilateral levator scapulae. 2C. Static: bilateral scalenes. 2D. Static: bilateral suboccipitals. 3A. Pull: parallel stance/theraband/total body rotation. 3B. Pull: split stance/theraband/two arms. 3C. Walk matrix. indd 24 9/23/2010 2:24:15 PM Case 3 • Whiplash Injury 25 Corrective Exercise (continued ) Manual Therapy 1. Warming technique: bilateral upper/mid trapezius; levator scapulae; posterior elements from C1-T1 technique: bilateral longus coli 2.

Scale: 4/10 pain with overhead activities, 1/10 at rest Increase pain: overhead activities; brushing hair; sleeping on the left shoulder; reaching in the cupboard. indd 39 9/23/2010 2:28:29 PM 40 Part 2 • Shoulder L infraspinatus 4−/5 with pain L supraspinatus 4−/5 with pain B middle trapezius 4/5 Neurodynamic assessment None Tight tender points/soft tissue restrictions Left upper trapezius—trigger points Left mid trapezius—trigger points Left teres minor/infraspinatus—trigger points Bilateral spinalis thoracis; iliocostalis thoracis; longissumus thoracis— trigger points Left subscapularis—myofascial adhesions Ergonomics WNL ASSESSMENT The patient presents with poor glenohumeral biomechanics secondary to altered force couple relationships between the subscapularis and teres minor/infraspinatus complex.

He denies any neck pain or symptoms radiating into his arm. No numbness, tingling, or burning. He has not taken any medications for this pain. He rates the pain as 4/10 intensity at its worst (such as when doing military press) and 1/10 when at rest. PMHx: None PSHx: Left knee meniscus repair Meds: None Allergies: NKDA Social: No tobacco; social EtOH ROS: Noncontributory PHYSICAL EXAMINATION On exam, Mr. F is a well-developed, athletic male who looks his stated age. BP: 122/70, P: 64, RR: 12. He has 5/5 strength, intact sensation, and 2+ biceps, triceps, and brachioradialis reflexes in his upper extremities bilaterally.

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