A woman comes to you with a complaint of 2/10 pain in her knee. She is 9 weeks post-op from a total knee replacement and presents with decreased R.O.M. You have ruled out all serious diagnosis, and have determined that the pain and decreased R.O.M is sole as a result of post-op consequences. What is your course of action?
Rule out serious pathologies- D.E.A.R.T.H.C.O Test muscle lengths, provide PNF lengthening techniques and H.E.P accordingly OMT techniques for the knee- since her pain is 2/10, you may provide her with massage and heat therapy. If the pain was severe (5<), you would address the pain with Grade 1 & 2 OMT techniques. Since her pain is 2/10, you may address the reduced R.O.M with grades 3 & 4
You are in charge of a P.E class that constitutes of 10-year-old boys, all of whom have a moderate level of fitness. Your goal is to improve their cardiovascular fitness How will you determine that that activity you provide for them is effective in targeting and conditioning their CVS system?
Work out Max heart rate: 220-age. Moderate level of fitness- your activity will target their heart rates to increase between 55-65% of their max heart rate Teach them how to self-measure their heart rates that will be taken during the activity to ensure your program is effective
A man complains of a pain in his neck that he describes as a stabbing sensation that runs from the back of his neck down into his upper limb. The pain in the upper limb is accompanied by pins and needles and weakness of the muscles in the arm and shoulder. Provide a possible explanation for this phenomenon, relating it to the neuroanatomy of the limb in question and innervations. Provide a possible diagnosis
The upper limb is innervated by the nerves within the cervical region (C5-T1). Cervical Radiculopathy (either from a worn out or herniated disk), can cause the nerve to become impinged. This will result in pain within the neck region. Due to the innervation of the arm arising from the cervical region, the impinged nerve in this area will result in pain that radiates into the area that is innervated by this nerve- i.e, the upper limb