DISCUSSION: The proposed Treatment Based Classification (TBC) system for mechanical dysfunctions

700 WordsApr 23, 20193 Pages
DISCUSSION: The proposed Treatment Based Classification (TBC) system for mechanical dysfunctions classifies patient based on physical examination into 4 categories. The placement of subject into appropriate treatment group according to TBC system suggests the treatment strategies by providing a set of matched interventions. In our study, it is proved that these set of matched interventions will improve the patient’s pain and function demonstrated by SPADI scores. There is a gap existing in literature which has failed to provide sufficient, high quality evidence favouring one treatment intervention over other in treating subjects with shoulder dysfunction conservatively. The variance that exists among clinicans regarding treatment…show more content…
The first patient had severe pain (VAS>7), started her on PAIN CONTROL treatment. Throughout phase one of her treatment , the patient remained primarily with pain control category, later as she progressed with decreased pain, increased ROM she was shifted to CONDITIONING EXERCIS with emphasis on strengthening of rotator cuff and scapular stabilisers. The second patient had severe restriction of movement and pain. On examining she was placed under MOBILISATION EXERCISES with emphasis to improve range of motion by manual therapy, soft tissue, capsular stretches and assisted exercises. The result was patient improved significantly on SPADI nad range of motion also improved. The third patient had pain and difficult in using arm. After examination, it was evident that patient had weakness of scapular stabilisers and by grouping him under CONDITIONING EXERCISES with emphasis on scapular rehabilitation, he improved significantly after being treated. The exercises were along with shoulder range of motion, scapular retraction exercises, strengthening of lower trapezius, serratus anterior and rowing exercises were being performed by patient. The fourth patient was a young male and based on examination had signs of impingment with scapular weakness.this patient was grouped under CONDITIONING EXERCISES. This patient was treated with specific exercises of
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