MAHA PPT

Information about MAHA PPT

Published on July 13, 2014

Author: dhiwahar

Source: authorstream.com

Content

PHYSICAL EXAMINATION -ADHESIVE CAPSULITIS: PHYSICAL EXAMINATION -ADHESIVE CAPSULITIS S.Mahalakshmi MPT 1 st year.( ortho ) Why is physical assessment needed: Why is physical assessment needed Problem list: Problem list The patient complaints of Pain Stiffness Unable to do ADL EXAMINATION: EXAMINATION Medical History : Past medical or surgical history. Any prolonged periods of immobilization of the UE History of diabetes . History of other autoimmune diseases History of thyroid disease H istory of cerebral vascular accident History of intrathoracic conditions ( eg , myocardial infarction and chronic obstructive pulmonary disease ) H istory of intra-abdominal conditions ( eg , chronic liver disease) History of cervical disc disease, PowerPoint Presentation: Social History Patient’s occupational Recreational history and social support system. Medications Medications for management of their shoulder dysfunction include, but are not limited to Analgesics , oral steroids, and/ or non-steroidal anti-inflammatory medications PowerPoint Presentation: HISTORY OF PRESENT ILLNESS Freezing stage Acute , diffuse, constant pain Pain is usually worse at night with increased discomfort when lying on the affected side. Patients describe using UE progressively less due to the pain. Frozen stage Pain begins to subside and manifest as a dull ache with active movement and little to no pain at rest. Pain is also felt at end ranges of movement and described as sharply painful . Difficulty using the arm functionally . Thawing stage Progressive decrease in pain Increase in functional use with basic and instrumental activities of daily living. PAIN ASSESSMENT: PAIN ASSESSMENT Type: diffuse dull ache Intensity : Visual Analogue Scale Duration: Constant pain 24 hrs pattern: pain worsened during sleep Location: Over deltoid muscle, biceps muscle, bicipital groove Aggravating factors: overhead activities OBSERVATION:: OBSERVATION: Natural arm swing that occurs with walking. Muscle atrophy of the shoulder girdle may be present. Impaired motion in the glenohumeral joint, abnormal scapular movement may be observed with active forward flexion of the shoulder. PALPATION: PALPATION Palpate over scapular, cervical and shoulder girdle musculature. Vague , diffuse tenderness over the anterior and posterior shoulder. Anterior capsule stretch Range of Motion: Range of Motion Active ROM : restricted ROM, hiking of the shoulder with attempted Loss of motion with forward flexion, abduction, and external and internal rotation Passive ROM : Limited in capsular pattern of ER>ABD>FLX and IR The loss of passive ER with the arm at the patient’s side is a hallmark of this condition . Range of Motion: Range of Motion

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