Chiropractic & Rehabilitation
Sports and Rehab Performance
Articles
Post Surgery Elbow Rehab
This article descibes post surgery rehab of a successful elbow repair. The patient’s elbow was shattered when he fell from a roof. The concepts described in this article can be considered and applied to Post Surgery Rehab.Evaluation of Gait and Station- Assessing and Treating Asymmetry
Often many health care providers perform orthopedic and neurological testing without functional assessment. In depth assessment of acute, and chronic conditions is paramount to forming an accurate diagnosis. Complete assessment is equally important in designing an effective treatment plan. Accurate assessment, and an effective treatment plan enhance the chances of a favorable outcome.A Functional Approach to Scoliosis
Patients that present with idiopathic scoliosis usually have a combination of four areas of deficit. The areas of deficits are usually histologic, structural, endocrine and neurological. There are usually complaints of associated neck, upper thoracic and lower back pain as well as muscle imbalances. The presentation includes abnormally shaped vertebrae, increased growth hormone secretion, muscle imbalances including strength and neurologic deficits. The research indicates that for idiopathic scoliosis to occur, all four components must be present to some degree. The originating mechanism is usually genetic and therefore difficult to resolve; however, positive functional outcomes are possible based on a variety of factors. Age and curvature are important predictors when determining the potential for a positive outcome from treatment. The younger the patient and the greater the curve, the more likely the condition will progress negatively if untreated. With appropriate treatment, the potential for positive change is generally good.Functional Approach to the Assessment and Treatment of Acute
Disc Related Low Back Pain
The patient presented with acute vertebrogenic disc related low back pain of biomechanical origin. There was complaint of associated sciatic pain as well as trunk and lower extremity muscle imbalances. The mechanism of injury was a work related torsion injury to the lumbar spine. Initial medical management consisting medication provided only palliative relief. A four-month program of in- office rehabilitation including gym ball stability exercises, endurance training, proprioception training and work conditioning was administered. Initially a brief course of Phase II rehabilitation including therapeutic modalities and Otis Ring protocol were utilized. During phase II & III rehabilitation manipulation was utilized to support the primary treatment as necessary. This program proved effective in providing long-term resolution of the patient's low back pain along with an early return to regular work functional requirements and activities of daily living.
Patients often present with either
acute or chronic vertebrogenic
related headaches of biomechanical
origin. There are usually complaints
of associated neck and upper thoracic
pain as well as muscle imbalances.
The originating mechanism of injury
is often a sprain/strain; however, this
problem can present as either an
acute or chronic condition. The
presentation includes either an
anterior or posterior head
translation. Medication and/or
passive therapy usually only provide
palliative shortterm relief. An
intensive program of in-office
rehabilitation including gym ball
stability exercises, endurance
training, and conditioning was
administered. Initially, a brief course
of passive therapy including
therapeutic modalities was utilized.
The patient was quickly transitioned
to a phase II rehabilitation program
and eventually transitioned into a
phase III rehabilitation program.
During Phase II and III of the
rehabilitation program manipulation
was utilized to address noted joint
dysfunction as necessary. The cases
reviewed proved effective in
providing a long-term resolution of
the postural deficits, provided long
term resolution of the patient’s
symptoms and most important,
improved the patient’s capacity for
occupational, recreational, social and
daily activities.
© Copywrite 2024 George K. Petruska DC, DACRB
Chiropractic&Rehabiltation
© Copywrite 2023 George K. Petruska DC, DACRB
Articles
Post Surgery Elbow Rehab
This article descibes post surgery rehab of a successful elbow repair. The patient’s elbow was shattered when he fell from a roof. The concepts described in this article can be considered and applied to Post Surgery Rehab.Evaluation of Gait and
Station- Assessing and
Treating Asymmetry
Often many health care providers perform orthopedic and neurological testing without functional assessment. In depth assessment of acute, and chronic conditions is paramount to forming an accurate diagnosis. Complete assessment is equally important in designing an effective treatment plan. Accurate assessment, and an effective treatment plan enhance the chances of a favorable outcome.A Functional Approach
to Scoliosis
Patients that present with idiopathic scoliosis usually have a combination of four areas of deficit. The areas of deficits are usually histologic, structural, endocrine and neurological. There are usually complaints of associated neck, upper thoracic and lower back pain as well as muscle imbalances. The presentation includes abnormally shaped vertebrae, increased growth hormone secretion, muscle imbalances including strength and neurologic deficits. The research indicates that for idiopathic scoliosis to occur, all four components must be present to some degree. The originating mechanism is usually genetic and therefore difficult to resolve; however, positive functional outcomes are possible based on a variety of factors. Age and curvature are important predictors when determining the potential for a positive outcome from treatment. The younger the patient and the greater the curve, the more likely the condition will progress negatively if untreated. With appropriate treatment, the potential for positive change is generally good.Functional Approach to the
Assessment and Treatment of
Acute Disc Related Low Back
Pain
The patient presented with acute vertebrogenic disc related low back pain of biomechanical origin. There was complaint of associated sciatic pain as well as trunk and lower extremity muscle imbalances. The mechanism of injury was a work related torsion injury to the lumbar spine. Initial medical management consisting medication provided only palliative relief. A four-month program of in-office rehabilitation including gym ball stability exercises, endurance training, proprioception training and work conditioning was administered. Initially a brief course of Phase II rehabilitation including therapeutic modalities and Otis Ring protocol were utilized. During phase II & III rehabilitation manipulation was utilized to support the primary treatment as necessary. This program proved effective in providing long- term resolution of the patient's low back pain along with an early return to regular work functional requirements and activities of daily living.
