However use of this device requires a trained operator. Calibration also needs to be done before using the device. Flexible electrogoniometers are strain-gage-based systems that consists of two light-weight end blocks fixed to the twelfth thoracic vertebrae(T12) and sacral spine(S2)spinal processes. They are separated by a steel spring and it protects a narrow strip of steel foil[11]. Strain gages attached to the foil were used to monitor lumbar angle motion in two different planes during…
reach along with altered versions show validity for evaluating hamstring flexibility. However, they do not show a correlation to the assessment of lumbar flexibility. Nevertheless, within this article, they discussed how the hip joint, lumbar and thoracic spine contribute to the overall performance of Sit and Reach. This test was performed on 195 Brazilian boys ages 18 to 19. All individuals volunteered, weighed 152.02 ± 22.46 lbs. and had an average height of 69.29 ± 2.76 inches. The tests…
“The Effect of a Compressive Brace for the Treatment of Perons with Pectus Carinatum” 1. Lee SY, Lee SJ, Jeon CW, Lee CS, Lee KR. Effect of the compressive brace in pectus carinatum. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 2008;34(1):146-9. The purpose of this study was to observe, over a six year period, the effects and efficiency of compressive brace therapy as a nonsurgical treatment for pectus carinatum (PC).…
This is a 59-year-old female with a 7/29/2009 date of injury, due to a slip and fall. DIAGNOSIS: Cervicalgia; C4-7 anterior cervical decompression and fusion 2014; Lumbar/cervical disc degeneration. 12/15/15 Progress Report described that the patient has significant neck pain radiating to he right upper extremity with weakness and increased elbow pain. She still continues to have severe back pain. She still has lower back pain and occasional lower extremity pain. She gets some pain relief…
(2010) about using thoracic manipulation for the treatment of neck pain was very new to me. There were several instances in the past where I treated patients with neck pain by giving mobilizations techniques and modalities in and around cervical area. This article was a convincing one which helped me to understand the concept of biomechanical and etiological relationship between cervical and thoracic structures and how this knowledge can be capitalized by effectively using thoracic…
Understanding the anatomical map of structures such as the phrenic nerve is vital for medical treatments. G.S. Muller Botha mapped the phrenic nerve and described her findings in The Anatomy of the Phrenic Nerve Termination and the Motor Innervation of the Diaphragm. Sleep apnea is a common disorder caused by under stimulation of the diaphragm from the phrenic nerve, O. Oldenburg and team described alternative treatments for the apnea in Effects of unilateral phrenic nerve stimulation on tidal…
11/13/15. Constant use of Opioids since < 6 months. The average pain level is 6/10 with 5/10-scale level at it’s best and 10/10-scale level at it’s worst. Medication coverage: fair with breakthrough pain. The physical exam of the cervical spine and thoracic spine showed normal ROM and revealed no muscle tenderness. Lumbar spine: there were trigger points at the…
This is a 62-year-old male with a 11/30/2015 date of injury. IW's foot caught the curb of a step, and he fell approximately 10 feet down the concrete stairs. DIAGNOSIS: status post mechanical fall -rib fractures and knee contusion. 12/30/15 Progress Report documented that the patient reported stomach upset due to Norco. There are fractures of the right 6th, 7th and 8th ribs, where he still has pain with respiration. Since the injury, he has experienced significant pain in the left knee,…
On 3/26/18 I met Ms. Black at the office of Dr. Sardelli. She reports that her shoulder is still painful; she cannot fully extend her elbow or rotate from side to side. She reports pain to the inner aspect of the elbow. Her 4th and 5th fingers cannot open fully or close fully. There continues to be a pain in the inner elbow. She is still working with the hand therapist. Dr. Sardelli said that while she was in the hospital he did do a manipulation under sedation of the right shoulder. Today he…
This is an 80-year-old female with 01/14/2003 date of injury, who injured her low back and right hip when she fell out of a chair while reaching for a chart DIAGNOSIS: Chronic low back pain with bilateral radiculitis, degenerative disc, status post laminectomy 12/23/15 Progress Report documented that the patient continues to have pain in her lower back and bilateral hip, which radiates down to the foot. There is also radiating pain to the left side of the neck. The lower back and hip pain are…