Upper Extremity Case Profile

Physiological responses: damaged tissue, eg primary damage response, healing response, the clotting mechanism; the importance of scar tissue control in the re-modelling process; specific to injury, eg sprain/ strain (signs and symptoms of first, second and third degree), haematomas (inter/intra)

First, is the education of the patient, if the athlete is willing to report and communicate the problem to the appropriate personnel at the moment and time when it happens, the medical staff will be on the ability of removing the athlete from participation if it is necessary. In addition of educating the athletes, it will be vital to focus on the education of coaches, and parents over the consequences of this injury, the responses of the athlete during the injury, importance of reporting this to the medical personnel (Athletic trainer), and acceptance of the injury. By increasing the awareness of the injury, the medical staff will be more accurate, precise, and the time of recovery will be lower since the athlete will report it in a shorter period of time.

Once Dr. Swartz acknowledged the ROM method was improper in this case, I turned Dr. Swartz attention to the DRE method. After reviewing the table for the DRE Lumbar Category on page 384 of the AMA Guides, Dr. Swartz placed the applicant into a DRE Lumbar Category II and assigned an impairment of 5% WPI. Dr. Swartz supported her opinion based on the fact there is a subjective complaint of pain radiating into the applicant right leg as documented in his evaluation report of June 16, 2016. However, Dr. Swartz acknowledged there is no objective evidence to verify the radicular complaints, thus the placement into DRE Lumbar Category II is appropriate since there is no verifiable radicular complaint.

ROM, pain level and strength were all improved on re-evaluation. Short-term and long-term goals were achieved. Treatment plan was to educate HEP, E-stim-unattended, Joint/Soft tissue mobilization, manual therapy, MHP/CP, neuromuscular re-education, Therapeutic exercise and strengthening-increase ROM, and Ultrasound.

This association publishes the “Guides to the Evaluation of Permanent Impairment,” which is used to determine an injured worker’s impairment level.

Some assessment tests that can be done to determine areas of occupational dysfunction important to the person are the Canadian Occupational Performance (COPM) interview, the Robinson Bashall Functional Assessment, the Stanford Health Assessment Questionnaire, the Assessment of Motor and Process Skills (AMPS), manual muscle tests, the goniometer, and the dynamometer and pinch meter (Hammond, pp 257). The Robinson Bashall Functional Assessment, as well as the Stanford Health Assessment Questionnaire, is a functional assessment that allows the therapist to get a better understanding of the practical capabilities of patients that are suffering from RA. The Assessment of Motor and Process Skills allows an accurate estimate of ability to do IADLs based on performance of three tasks.

Angelo is a 65-year-old male who has left-sided hemiparesis because of a right cerebrovascular accident that occurred 7 years ago. Though he has left upper extremity weakness, it does not affect his right upper extremity, which is his dominant side. Angelo uses a cane to ambulate between locations, yet he needs to use a rail in order to climb up stairs, and he uses an ankle-foot-orthosis to support his left foot. Although Angelo has no visual and/or perceptual deficits, Angelo struggles to flex his shoulder, extend his elbow, and both flex and extend his fingers. Angelo experiences diminished sensation on his left upper extremity, but it depends on the time of day. When Angelo sits down on a chair next to the table, he places his left upper extremity on the top of the table to support it, using his right upper extremity. In addition, Angelo is able to articulate

Reliability measures come in the form of interrater reliability, test-retest for subtest high, internal consistency of .80 or higher, and decision consistency of classification (Brooks, Sherman, & Strauss, 2010; Davis & Matthews, 2010). Internal consistency used the split-half and Cronbach's Alpha. Concurrent validity for intellectual functioning used the Wechsler Intelligence Scale for Children–Fourth Edition (.34-.58), Differential Abilities Scales–Second Edition, and Wechsler Nonverbal Scale of Ability (.53-.64); academic validity used Wechsler Individual Achievement Test–Second Edition (WIAT-II) (Brooks, Sherman, & Strauss, 2010; Davis & Matthews,

As the client becomes able to participate in therapy the OT would assess functions relating to movement of the upper extremity, ADLs, cognition, vision and perception sensation, Joint ROM, motor control, Dysphagia and emotional and behavioral factors (Tipton-Burton, McLaughlin, Englander, 2013). The occupational therapist will use the information gathered to determine the best ways to perform daily living skills with the focus on the clients’ occupations (Tipton-Burton, McLaughlin, Englander, 2013). Some of the key assessment used during the rehabilitation phase are the Mayo-Portland Adaptability Inventory, Moss Attention Rating Scale, Neurobehavioral Rating Scale and the Participation Objective, Participation Subjective assessments (Powell,

The Lower Extremity Functional Scale (LEFS) is a tool that is administered, and scored due to its’ simple applicability to a vast variety of disability levels and conditions and all lower-extremity sites. This particular scale is easy to read when it comes to understanding error-associated measurements and for verifying the least clinically important score changes and is adequate enough to measure of reliability, validity, and sensitivity to change, at a position that is proportionate with application at an individual patient level (1). The LEFS scale abstract framework is based on the World Health Organization’s model of the handicap and disabled. It was developed to be competent to manage, score, and record in the medical record with

The participants then completed the functional evaluation by completing three one-leg hop tests on each limb. The longest distance was recorded and calculated as the percentage of the performance of the ACL reconstructed leg over the uninvolved leg, the scores were calculated as the limb symmetric index (LSI). The authors of this study defined the ceiling effect as the percent of participants who received the maximum score of 100 points. The Spearman correlation coefficient was used to examine the correlation between both scales and the limb symmetric index and was interpreted as r > 0.5 which indicated a strong association. The Kolmogorov-Smirnov test was then used to examine the distribution

The purpose of this experiment was to identify which flexibility measurement tests correlate with the sit-and-reach and modified sit-and-reach tests. In more recent studies, statistics have shown that both hip flexion test results and shoulder extension test results were directly correlated to modified sit-and-reach test results (Mayorga-Vega, Merino-Marban, and Viciana, 2014). The data gathered for the sample

Thompson is a 62-year-old male, who came into the rehab facility after experiencing a stroke, which left him with right side weakness. According to Nilsen, Gillen, Geller, Hreha, & Saleem “Motor impairments are a common consequence of stroke. These deficits often compromise a person’s ability to engage in meaningful occupations (2015). Therefore, he was assigned to both an Occupational therapist and a physical therapist. Both therapists established their treatment by evaluating Mr. Thompson, the OT focused more with the upper extremities. Therefore, she begun with the use of the hand dynamometer, which provided her with Mr. Thompson grip strength and the Goniometers to measure his Range of Motion. After her evaluation and establishing Mr. Thompson baseline, she was able to create an intervention plan. According to American Occupational Therapy Association, the intervention plan, is a directs action of occupational therapy practitioners, describes selected occupational therapy approaches and types of interventions to be used in reaching clients’ identified outcomes

Had visual and mobility problems, difficulty using hands and fingers. Ambulated with a cane and wore a brace on the right lower extremity. Shoulders and upper and lower extremities were weak. Problems with memory, concentration, understanding, completing tasks, and getting along with people. Had difficulty managing money. Was able to feed himself, understood and followed directions. A caregiver or his mother assisted him with all activities and reminded him to take his

include a decline in flexibility and endurance in the first incident described below. In the second