PHTY301 Lecture 12: PHTY 301 - WEEK 12
Document Summary
Thoracic spine acute sprain: consider possibility of fracture. Initially -rest, heat, tens, ge(cid:374)tle (cid:373)o(cid:271)ilit(cid:455) e(cid:454)(cid:859)s, self om e(cid:454)(cid:272)s, a(cid:374)algesi(cid:272)s. Use rotation as primary direction of movement. Acute locked joint: mechanism assumes minimal tissue injury, manipulation preferred treatment (if indications are present, use heat prior to manipulation - if patient can find comfortable position, mobility exercises. Treatment: may initially need manipulation, goal to reduce available dynamic neutral zone, stabilization exs multifidus isometric concentric, add scapular exs with thorax in neutral lower trap whole upper limb. Injury - incomplete recovery: consider patient history, structural, dege(cid:374)erati(cid:448)e, s(cid:272)heuer(cid:373)a(cid:374)(cid:374)(cid:859)s disease, could the patient have an inflammatory disorder, ankylosing spondylitis. Thoracic (tx) joint mobility iv, z ,ct cv joints. Degenerative/postural: consider mechanism of development, resolving acute injury, consider tissue sensitivity with technique selection, minimise discomfort with application of mobilisation, often treatment of spinal & rib joints required, prior to using manipulative techniques. Consider nature of end-feel with mp & related symptom response.
