Differential diagnosis and treatment of chronic neck and upper trapezius pain and upper extremity paresthesia: a case study involving the management of an elevated first rib and uncovertebral joint dysfunction.
Diagnosis and effective treatment of patients presenting with cervicobrachial symptoms are often challenging due to the large number of potential pain sources and the high degree of convergence of sensory afference in the cervical region. A 42-year-old female presented in the clinic with a six-month...
| Publicado en: | Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) Vol. 13; no. 2; pp. 79 - 91 |
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| Autores principales: | , , |
| Formato: | case study pictorial tables/charts Journal Article |
| Publicado: |
Journal of Manual & Manipulative Therapy
2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106542926&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106542926 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10669817 1DS jtl: Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) issn: 10669817 maglogo: N pubinfo: dt: 2005 vid: 13 iid: 2 pid: 2525 pub: Journal of Manual & Manipulative Therapy place: Forest Grove, Oregon artinfo: ui: 106542926 2009005137 10.1179/106698105790825003 106542926 ppf: 79 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Differential diagnosis and treatment of chronic neck and upper trapezius pain and upper extremity paresthesia: a case study involving the management of an elevated first rib and uncovertebral joint dysfunction. aug: au: Brismée J Phelps V Sizer P affil: Assistant Professor, International Academy of Orthopedic Medicine-US, and Texas Tech University Health Sciences Center, Center for Clinical Rehabilitation Assessment 3640 4th Street -- Room 2C 193 -- Mail Stop 6223, Lubbock, TX 79430; jm.brismee@ttuhsc.edu sug: subj: Cervical Vertebrae Physiopathology Immobilization Manual Therapy Methods Neck Pain Etiology Neck Pain Therapy Thoracic Outlet Syndrome Diagnosis Thoracic Outlet Syndrome Etiology Thoracic Outlet Syndrome Therapy Diagnosis, Differential Ergonomics Female Pain Measurement Paresthesia Etiology Paresthesia Therapy Patient Assessment Patient Care Plans Physical Examination Ribs Physiopathology Female ab: Diagnosis and effective treatment of patients presenting with cervicobrachial symptoms are often challenging due to the large number of potential pain sources and the high degree of convergence of sensory afference in the cervical region. A 42-year-old female presented in the clinic with a six-month history of neck pain, upper trapezius pain, and upper extremity paresthesia. A careful history, specific functional examination, and selected special tests led to diagnosis-specific orthopedic manual therapy management of this patient. The patient fully recovered within 6 physical therapy treatment sessions, which included management of an elevated first rib, double-crush phenomenon, uncovertebral joint dysfunction, and careful ergonomic intervention with home instructions. Although controlled trials are needed to evaluate the effectiveness of these techniques and allow generalizability of such interventions, the recovery of this patient suggests the efficacy of manual techniques and ergonomic intervention in the management of uncovertebral joint dysfunction and thoracic outlet syndrome associated with a double-crush phenomenon. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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