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SPADI Intervention Report

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Assessments The goals of this intervention were to decrease patient pain and disability as well as to increase range of motion. Affectiveness of treament was measured with multiple scales to account for both subjective and objective information. The patient was asked to subjectively rate his perceived pain and function. The examiner measured objective ROM, functional movement and special testings. The following are measures that were included: 1. The Shoulder Pain and Disability Index (SPADI) score developed by Roach et al in 1991. ‘The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability.’ (Breckenridge & McAuley, 2011). Each item is measured on a scale of 1-10 (1 being lowest and 10 being highest). A total of the scores are summed and converted to a score out of 100 with a higher number indicating …show more content…

Range of Motion of GH Internal Rotation Extension of the GH saw a steady increase in ROM from the beginning of the study to the end. A total improvement of 20° was measured. The follow-up assessment showed a maintenance of 13° gain, therefore, a loss of some of the gained ROM of extension. (Figure 5) Figure 5. Range of Motion of GH Extension The SPADI questionnaire showed a steady decline in the amount of pain and disability that the patient was experiencing. The patient experienced a difference of 28% less pain over the course of the study and 37.5% less disability. Overall there was 33.8% less pain and disabilty from the start of the study to the finish. The followup assessment showed a slight increase in the total SPADI score with a gain of 5.4% (Figure 6). Figure 6. Shoulder Pain and Disability Index (SPADI) The Apley’s Scratch Test showed a noticable improvement from beginning to end of the study. Figure 7a shows movement at the beginning of the study and Figure 7b shows movement at the end. Measurements are also showen in Table

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