Therapeutic Mobilisations – Case Study SS568
This case study is about a twenty-six year old graphic designer. Who is an amateur rugby player, who trains twice a week for two hours and has games once per week. In terms of previous injury they fractured their left ankle three years ago. The main problem of the client is left-sided neck pain and restriction of range of movement (ROM). The cause was a tackle during a match which resulted in heavily landing on left shoulder they played on but, it gradually stiffened during the match. On observation the client has a poking chin, increased thoracic kyphosis and an elevated left shoulder, also on touch of the left shoulder the upper trapezius is tight. Aggravation of the injury…show more content… In relation to the case study the client has pain in the neck at the end of a working day.
This relates to the amount of activity done to aggravate a client's symptoms, the scale of it and time taken for the symptoms to reduce. Irritability is evaluated by two factors, aggravation (what makes the injury worse) and easing (what makes the injury better). In terms of this case study the aggravating factor for p1 is left side rotation, left side flexion and general stiffness at EOR. When the client sleeps they occasionally change direction because of pain and stiffness. This is a contraindication for Maitland and Mulligan techniques for the reason that neither tests are meant to hurt when performed. However the easing comes from the head being in a neutral position therefore it can be done but therapist must be cautious in carrying out mobilisations. The other form of easing comes from heating, this is beneficial in reducing joint stiffness. A study by (Mclean 1989) states joint stiffness is decreased by surface heating techniques when applied to superficial joints. In summary based on the aggravating causes and easing methods the irritability would be considered low because of how easy the pain can subside.
Nature represents the therapist view of the client's condition. The nature is based on three different factors, chemical, mechanical and neurological. Chemical comes and goes and is worse post activity and is often