numbness in midline of forearm extending from elbow to all fingers. Pain is rated 8/10 on the right. He also reports numbness extending from elbow to all fingers in midline of forearm. Phalen sign is positive. Active range of motion shows wrist flexion is 70 degrees‚ extension is 50 degrees‚ ulnar deviation is 25 degrees and radial deviation is 10 degrees. Motor power is graded 4+/5 in wrist motions. He is able to make a full fist. Grip strength is 20 kgw to the right and 42 kgw to the left‚ at
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Case Discussion Beal’s syndrome (OMIM # 121050) is a disorder of connective tissues. The syndrome was first explained by Beal’s and Hecht in 1971. It is inherited as an autosomal dominant disorder that is characterized by multiple flexion contractures‚ arachnodactyly‚ severe kyphoscoliosis‚ abnormal pinnae and muscular hypoplasia. It is caused by a genetic mutation in FBN2 gene (encoding the extracellular matrix micro fibril fibrillin 2) on chromosome 5q23. The FBN2 gene provides instructions for
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Metrics measured included the ground contact time (GCT)‚ knee flexion angle‚ foot strike‚ and stride cadence.4 Testing results revealed that barefoot runners had the smallest amount of rearfoot strikes (40%) when compared to shod runners (87%) and that GCT was the least with barefoot runners (250.6 ms).4 Last‚ the stride
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range of medical problems; all of which relate to the discs of soft tissue that separate the vertebrae in the spinal column. The spine is made up of 24 vertebrae‚ these vertebrae allow for a variety of movement. Flexion and extention [to bend forwards or backwards] and lateral flexion [side way movement and twisting.]. Constant combinations of the two movements can put great strain on to the back‚ which can then result in a slipped disc. A slipped disk can occur due to any one of the following
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Cervical Spine Evaluation Name:__________________ NDI____________________ 9 points = relevant change Age:_________ PMH:___________________________ Previous Episode:______________________________ Occupation:______________________ Current Medications:________________________ Reason for PT:________________________ Have you had recent diagnostic imaging? Y N _____________________
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had significant increase in his pain. He has had no recurrent injury. MD opined that this is a preexisting Grade 2 spondylolisthesis‚ exacerbated by his work related injury. On physical examination‚ he has lumbar spasm‚ tenderness‚ pain on forward flexion and positive straight leg raise. Plan is to proceed with an MRI of the lumbar spine. Per the adjuster‚ the doctor’s first report of occupational injury is not
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There is tightness in the right hand. Right shoulder range of motion is limited and noted as 90 degrees flexion and 90 degrees abduction. Patient is mildly positive for drop arm and empty can tests and positive for impingement sign on the right shoulder. Strength for the right deltoid is graded as 4/5 and limited by pain and the right interossei graded as 3+/5
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Physical Assessment Lab 120-103 1. General Survey ! Level ! Awake & Alert a. Orientation to person‚ place‚ time b. Ability to Communicate in full sentences with clear speech c. Posture: upright and erect‚ shoulders level and symmetrical d. Personal Hygiene: Clean & neat‚ no odor‚ dresses appropriately for the weather. 2. Integumentary System: a. Color: Uniform color - pink‚ tan‚ brown‚ olive. Slightly darker on exposed areas.There are normally no areas of bleeding‚ ecchymosis‚ or increased
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INICAL SUMMARY: DOI: 1/11/2013. The patient is a 67-year-old retired female group teacher who sustained a work-related injury to her left shoulder‚ back‚ left hip and right knee when she turned and fell over a child on a bike. Per PT note dated 10/01/15‚ the patient has been attending PT for her right knee. Plan is to continue with treatment plan. Goals are to decrease pain and improve mobility‚ flexibility and function. Based on the latest medical report by Dr. Wilson dated 02/10/16‚ the
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DOI: 3/16/2005. Patient is a 55-year-old female flight attendant who strained her back and left leg during a recurrent training. Per OMNI‚ she was initially diagnose d with lumbar sprain‚ lumbago and low back pain. Treatment includes electrical stimulation unit and PT. Per the PT note dated 10/11/16‚ the patient reported continued symptoms‚ but she is working on managing her pain. She was assessed to have improved core stability. Based on the progress report dated 10/27/16 by Dr. Waldman‚ the
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