Your patient is a 35-year-old computer programmer who is referred to you because of pain symptoms in the right cervical, posterior shoulder, and arm regions. The symptoms get progressively worse when at work; usually the pain begins within 1 hour, and it is 6/10 by lunchtime. The same cycle occurs in the afternoon. There is occasional Ă˘â‚¬Ĺ“tinglingĂ˘â‚¬Âť in the thumb and index finger. The symptoms have progressively worsened over the last 3 months, ever since being placed in a priority job. Recreational activities include tennis and reading; the tennis does not cause symptoms, but reading makes the neck pain worse.
Examination reveals forward head and round shoulder posture. Capital flexion 50% range, cervical rotation and side bending are each 80% range, shoulder external rotation is 75Ă‚Â°. There is restricted flexibility in the pectoralis major, pectoralis minor, levator scapulae, and scalene muscles. Cervical quadrant test reproduces the tingling in the right hand; all other neurological tests are negative. Strength of the suprahyoid and infrahyoid muscles, scapular retractors, and shoulder lateral rotators is 4/5.
Ă˘â€“Â What is provoking the patientĂ˘â‚¬â„˘s symptoms and signs? What are the functional limitations? What is the prognosis?
Save your time - order a paper!
Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You wonâ€™t have to worry about the quality and deadlinesOrder Paper Now
Ă˘â€“Â Identify impairment and functional outcome goals.
Ă˘â€“Â Establish a program of intervention. How can you progress this person to functional independence?