1.Discuss The Condition/Diagnosis In Terms Of Basic Information,

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1. Discuss the condition/diagnosis in terms of basic information, pathology, phases of healing.
• Cervical degenerative disc disease is a common cause of neck pain and radiating arm pain. It develops when one or more of the cushioning discs in the cervical spine starts to break down due to wear and tear. There may be a genetic factor that predisposes some people to more rapid wear. Injury may also contribute and sometimes can cause the development of the degenerative changes. When cervical degenerative disc disease becomes indicated, the pain might develop slowly over time or appear suddenly. The signs can range from mild annoying neck aches to debilitating pain, numbness, and/or weakness that radiates into the arm and hand.
2. Identify
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• Cervical Traction: decompression of the nerve roots to relieve pain and altered sensation
• Cold Pack: Used to diminish physiologic functions such as blood flow, inflammatory response or muscle activity
5. Identify therapeutic goals as appropriate (indications) for your patient needs for each modality identified.
• TENS: Increase ROM, decrease muscle weakness and pain
• Cervical Traction: decompress the nerve roots
• Ultrasound: Soft tissue repair, Trigger points, chronic pain,
• EMG biofeedback: Can be utilized to receive information related to motor performance, kinesthetic performance or physiological response
6. Indicate each physical modality treatment parameters and include supportive statements for your choice of these parameters.
• TENS (Parameters): frequency 50 to 200 pps; pulse duration of 50 to 100 msec; uses the gate theory mechanism and has fast pain relief.
• Cervical Traction (Parameters): Acute/ 1st session- 6 to 10 lbs., static pull, 5 minutes, gradually increase to patient tolerance. Routine Session- 20 to 30 lbs. or 7% of the patient’s body weight, intermittent pull- 15/15, Time: 20 minute. This treatment will distract the joints in the cervical region and help alleviate the pain.
• EMG biofeedback (Parameters): EMG signals need to be amplified
- gain = amplification factors, decrease noise EMG signal usually between

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