Diagnosis: Left forearm structure, stress fracture on Lower, Thoracic and upper lumbar.
Medical/Surgical History: Mild concussion (mild TBI) at the injury other than unknown.
Occupational Profile Xavier is a 48-year Latino male, speaks Spanish primarily, but also English, lives with his seven months pregnant wife and 8-year-old twin boys. As a head of the house, he works as a printer for a large commercial company. When not working, he enjoys socializing with family and friends, going fishing, and working around his house and yard. Recent fell from the ladder, fractured his left forearms, and sustained a stress fracture to his lower/thoracic/upper lumbar vertebrae and the mild concussion. …show more content…
Performance skills Performance skills has been influenced with limited left UE use. All areas in motor skills are restrained and require modification; aligns, stabilizes, position, reaches, bends, grips, manipulates, coordination, moves, lift and endures. Initially, The MMT will be used to use to test muscle strength. The Dynamometry may test his grip and pinch strength, and Wolf Motor Function Test (WMFT) is designed to access the motor ability from moderate to severe UE motor deficit. Process skills are affected by immobility, delayed in choosing a proper equipment for the activities, sequencing, and initiating/terminating tasks. Social interaction skills remain functional. The Disabilities of the Arm, Shoulder, and Hand (DASH).
Performance Patterns The Routines and roles need to modify. His routines need to be modified with assistance, and limitations in performing the role as a father as before, such as he can 't play with them as he did before, and it is hard for him to support his wife who is seven months pregnant.
Content and …show more content…
While the use of external fixation, the movement was extremely limited. It can cause atrophy, rigidity, and limited joint ROM. These underlying condition must be addressed for successful occupational performance. As “Client with cumulative trauma disorders/repetitive strain injuries, tendon tears, lacerations, fractures and requires strengthening is recommended based on this model” (Gillen, 2011), muscle strengthens intervention should be given after muscle lengthening activities which prevent muscle tearing. And strengthening exercise will be held as follows; isometric, isotonic active exercise, including eccentric, concentric then to intrinsic/extrinsic hand muscle then to isokinetic exercise with the gradual gaining of the strength of the affected arm. To modulate swelling and pain, transcutaneous electronic nerve stimulation (TENS) will be given to the client before each exercise session and to stimulate muscle activities from hypotonicity kinesiotype (KT) will be advised to wear when the client is not in therapy. The study of Sbruzzi, Silveira, Silva, Coronel, and Plentz (2012) found the effectiveness of pain modulation with the use of TENS. It should not be used while in the use of external fixator because it can cause skin to burn, fetal if a patient with a pacemaker (Poole, 2008). Xavier’s preferred