Brown Sequard Syndrome

The biomechanical approach assumes that the client has the capacity for voluntary control of the body (muscle control) and mind (motivation). It is anatomy and physiology that determines normal function, and humans are biomechanical beings whose range of motion (ROM), strength, and endurance have physiological and kinetic potential as well as role relevant behaviors. The biomechanical frame of reference is a key reference to use in conjunction with various others in enabling OT to access and identify a client’s occupational performance within the various activities of daily living. It is important when taking a holistic approach to practice, as

Patient is a 50-year-old-year-old left-handed white male who presents with his wife for evaluation of multiple symptoms that have been present since an MVA in 02/2013. At that time, he was T. boned and his car was totaled. He has amnesia for the event and is unaware whether or not he hit his head. The airbag did deploy. Afterwards, he was confused and noted significant pain in his neck and upper back. Since then, he has had multiple symptoms. He does have involuntary twitching on the right, more than left, both hands, legs, and sometimes feet. He demonstrates one of these twitches and it looks like a focal myoclonic jerk of a limb. These occur on a daily basis. He also has problems with his left thumb and index finger locking up. When he is fatigued, especially when his neck gets tight, he has some problems with word finding, paraphasic errors, and syntax errors. He did see Anthony P. Knox,

Range of motion shows flexion of 85 degrees, extension of 30 degrees, and lateral tilt of 25 degrees bilaterally. Straight leg raise is positive on the right at 90 degrees for low back pain. Bechterew's test is positive on the right. The patient has diminished sensation in the right L4, L5 and S1 dermatomes. Deep tendon reflexes are absent in the right knee and right ankle.

Services within this particular career include but they are not limited to therapeutic activities, massage therapy, and gait training. To begin with, therapeutic activities involve the utilization of functional activities such as pulling, pushing as well as bending. These activities are designed to enhance an individual's functional performance in a manner that can be regarded progressive. As Dreeben-Irimia (2010) points out, the said exercises make use of posture, muscular contraction, etc. to enhance an individual's overall function. When it

occupational therapy is a form of therapy for those recuperating from physical or mental illness that encourages rehabilitation through the performance of activities required in daily life (insert citation). Matt patients are victims with injury to any part of the hand and forearm. Throughout the day, I observed Matt’s techniques for helping the hand regain full range of motion. He begins by placing his patient’s hand and arm in a fluid box filled with that contains sawdust for 15 minutes. The box will then begin to generate heat making the sawdust kick up in the box. When this happens, Matt, asks his patient to being moving his/her hand to help warm them up to lessen the stiffness After, the time is up Matt will begin doing a series of messages that target the ligaments, muscle, and bone that were affected by the injury. Then he will begin to make his patient go through series of strength tests to create a baseline to see how much they improve throughout the week of therapy.

The current treatment plan is guided by the Person-Environment-Occupation Model (PEOM), Rehabilitative, and Biomechanical frame of references.

When a test for sensation was administered using a cotton ball, there were a couple of instances in which Angelo was able to feel the touch of the cotton ball towards the end of his left hand; however, Angelo was not able to locate where one touched his skin using the cotton ball. It indicates that Angelo has diminished touch on the radial side of his left upper extremity post-stroke.

Theory is defined as a description of a set of phenomena and the relationships among the concepts. A frame of reference are theories that are used as the foundation for developing guidelines for practice that assist therapist with clinical reasoning related to the evaluation and treatment of a specific problems (Mosey.1996). The model practice provides a framework with which the therapist is able to make clinical decisions based on a scientific theoretical foundation such as anatomy and physiology an example is the biomechanical guideline that based on anatomy, physiology, and kinesiology. Guidelines for practice are not diagnosis specific, but rather are address problems that people with a variety of diagnoses may experience.

Becoming knowledgeable in examining, evaluating, and diagnosing will ultimately allow me to develop unique interventions for clients of all ages. By holding myself to the highest standards of excellence in professionalism and practice, I will allow children and all other clients to return to their greatest levels of independence. I have the eagerness to motivate and inspire clients while changing their lives through optimizing movement and effectively practicing physical

This hospital was enormous compared with the clinic. However, I didn’t have opportunity to look to the equipment because I just wanted to see how a physical therapist perform his job with patients. In the hospital there was a patient recovering from a stroke. The patient could not move half of his body specially his hand. This case gain all my attention because my mother had a stroke time before. The therapist was so nice because she tried to communicate in the best way with the patient. The patient speaks Spanish, and the therapist was an American lady but she could said a lot of words in Spanish. She help her patient by helping him to strengthen and stretch his hand. The family of the patient were there also. So the therapist told one of the family members that the patient needed to continue doing some exercises to improve the mobility of his hand. For example, weight bearing exercises because these exercises can help facilitate movement. Weight bearing can be done on the hand while sitting at the edge of the bed or it can be done with the hand on a

Skin-directed treatments are not typically used to treat Sezary syndrome because the disease involves both the skin and the blood at the time of diagnosis, making this particular type of treatment less effective. Many of the systemic treatments used to treat advanced mycosis fungoides, such as photopheresis, oral retinoids, chemotherapy, and targeted therapy, are also used to treat Sezary syndrome. Chemotherapy or targeted therapy are typically used to treat patients who are no longer responding to other forms of treatment. A stem cell transplant might also be a possibility for patients for whom other forms of treatment are no longer effective.

Electrodiagnostic consultation report dated 10/02/15 revealed normal study of both upper limbs and cervical paraspinals. No evidence of cervical radiculopathy. No median or ulnar neuropathy.

Other symptoms involve the skeleton and connective

Hemiplegia is defined as the complete loss of movement or sensation to an entire half of the body. Hemiparesis is a partial loss of sensation or movement throughout one side of the body. Both hemiplegia and hemiparesis are common after a person has had a severe stroke. According to the Center for Disease Control “Stroke is the fifth leading cause of death in the United States and is a major cause of adult disability. About 800,000 people in the United States have a stroke each year” (Stroke Statistics, 2015). A stroke occurs when a blood vessel bursts and oxygen is not being transported to the brain properly. The Stroke Center, a leading independent information provider on strokes, states, “Stroke is the leading cause of serious, long term

Most of the time, the pain is distributed in a neurological distribution. There maybe impairment in mood, quality of life, and activities of daily living.20 Sensory deficit may present in a glove and stocking (peripheral neuropathy), dermatomal (mononeuropathy), or hemispheric (stroke) distribution. Palpation of the skin may show coolness and mottling in a neurological distribution (autonomic neuropathy).17 Depending on the history and clinical findings, work up may include chemistry profile, CBC, CRP, ESR, TSH, free T4, vitamin B1, B6, B12, RPR, HIV, Lyme titer, and ANA. One may also consider MRI, CT, EMG, nerve conduction velocity, nerve biopsy, and skin biopsy.