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Autism Spectrum Disorder

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Physical Therapy Of The Shoulder, 4th Edition (... [TOP]


This book covers 28 chapters encompassing topics relevant to an upper extremity therapist. It addresses evaluation and treatment of common hand, wrist, elbow, and shoulder conditions as well as special topics including physical agent modalities, pediatric conditions, manual therapy, amputations and prosthetics, and burns.




Physical Therapy of the Shoulder, 4th Edition (...



Dr. Donatelli served as a member of the PBATS (Professional Baseball Athletic Trainers Society) Research Committee from 1996-2001. In addition, he has served as a physical therapy consultant to the Montreal Expos, Philadelphia Phillies, and Milwaukee Brewers baseball teams.


Although adhesive capsulitis is generally considered to be a self-limiting condition that can be treated with physical therapy [14, 15], to regain the normal extensibility of the shoulder capsule, passive stretching of the shoulder capsule in all planes of motion by means of mobilization techniques has been recommended [7, 8, 11, 12].


When reading this plan please keep in mind that we all come from different physical therapy backgrounds and our experiences can vary greatly. We also bring different life circumstances that may benefit or serve as a disadvantage when studying for this exam. Study tactics that work for one candidate might not for another. What might be overkill of information for one candidate might be grossly inadequate for another.


Over 750 illustrations with over 200 new for the 4th edition and 5 new appendices. Each chapter is updated with a series of multiple-choice questions, complete with detailed answers and references to other hand therapy resources.


Swelling, damage, or bone changes around the rotator cuff in your shoulder can cause pain that puts a kink in the activities of your life. Let's talk about shoulder pain. The rotator cuff is a group of muscles and tendons that attach to the bones of your shoulder joint. The group allows your shoulder to move and keep it stable. The most common cause of shoulder pain is when rotator cuff tendons become inflamed or trapped in your shoulder. This is called rotator cuff tendinitis, or irritation of these tendons and inflammation of the bursa, small slippery fluid filled sacs that the tendons glide over. A rotator cuff tear, when one of the tendons is torn from overuse or injury, can also cause intense shoulder pain. Other causes of shoulder pain can include arthritis, bone spurs - bony projections, a broken shoulder bone, frozen shoulder, when the muscles, tendons, and ligaments in your shoulder become stiff, and shoulder dislocation. Most of the time, you can take care of your shoulder pain at home. Try putting ice on your shoulder for 15 minutes, then leave it off for 15 minutes, three or four times a day for a few days. Make sure you wrap the ice in cloth, so it doesn't give you frostbite. Take ibuprofen to reduce pain and swelling. Slowly return to your regular activities once you start feeling less pain. Sudden shoulder pain can be a sign of a heart attack. Call Emergency Services if you have sudden pressure or crushing pain in your shoulder, especially if the pain starts in your chest, jaw, or neck. If you fall on your shoulder and feel sudden intense pain, you should see a doctor because you may have torn rotator cuff or dislocated your shoulder. If you have had shoulder pain before, try using ice and ibuprofen after exercising. Learn proper exercises to stretch and strengthen your rotator cuff tendons and shoulder muscles. Also, physical therapy can help. Make an appointment and talk about your options.


Patten Koenig, K. (2019). A strength-based frame of reference for autistic individuals. In P. Kramer, J. Hinojosa, & T. Howe (Eds.). Frames of reference for pediatric occupational therapy (4th edition).Philadelphia: Lippincott Williams & Wilkins.


Plaintiff's longest treating relationship was with Dr. Heydarpour. Plaintiff first saw Dr. Heydarpour on October 2, 1996, complaining of low back pain. Plaintiff indicated that on July 22, 1996 as he was working he felt a "snap" in his lower back. Plaintiff saw an orthopedist, Dr. Bryant, who gave him a trigger point injection and a prescription for percocet, with little relief. Plaintiff started physical therapy and received treatment from a chiropractor, Dr. Bergmann, but his symptoms persisted. Plaintiff stated that the last day he worked was August 14, 1996. (Tr. at 177.)


On October 7, 1996, plaintiff advised Dr. Heydarpour that some of his symptoms had improved since the epidural. (Tr. at 175.) Plaintiff returned on October 9 and received another injection. (Tr. at 175.) Plaintiff again saw the doctor on October 14 and complained of severe lower back pain. He requested another injection, but the doctor thought it too soon. On October 17, the doctor performed another epidural injection. (Tr. at 174.) Plaintiff spoke to Dr. Heydarpour on October 21 and noted only transient improvement of his symptoms. Plaintiff requested pain medication on October 23, and Dr. Heydarpour provided a prescription for Oxycodone. (Tr. at 174.) On October 24 plaintiff advised that the Oxycodone was ineffective, and the doctor prescribed Percocet. (Tr. at 173.) On October 25, plaintiff reviewed physical therapy exercises with the doctor and received a refill of Percocet. (Tr. at 173.)


Plaintiff returned on November 1 and noted that he had started swimming therapy but had noticed pain in his right shoulder. The doctor provided a trigger point injection. (Tr. at 173.) On November 4, plaintiff advised that his back pain persisted, but the shoulder was somewhat improved. He was advised to continue therapy. (Tr. at 172.) On November 11, plaintiff returned, complaining of back pain with radiation to the lower extremity. He requested a repeat injection, but the doctor advised him to continue his therapy. (Tr. at 172.) On November 15, plaintiff stated that his symptoms had improved somewhat with therapy but that he wanted a repeat injection, which Dr. Heyparpour provided. Plaintiff also requested a referral to an orthopedic surgeon. Dr. Heydarpour sent him to Dr. Frank. (Tr. at 172.) Dr. Frank advised plaintiff that he *934 was not a surgical candidate and recommended that he continue his therapy. On November 22, Dr. Heydarpour provided a referral for physical therapy. (Tr. at 171.)


On January 7, 1997, plaintiff advised that he was working half days. He had seen Dr. Yoder and was referred to Dr. An for an evaluation of his cervical area. His physical therapy for the low back had been suspended until resolution of his cervical condition. (Tr. at 167.) Plaintiff returned on January 15 and advised that Dr. Yoder had recommended surgical repair of his shoulder. (Tr. at 167.)


Plaintiff saw Dr. Yoder for surgery to his right shoulder on January 25, 1997. (Tr. at 179.) Dr. Yoder's notes relate that plaintiff injured his shoulder while swimming, feeling a tearing sensation. An MRI revealed a rotator cuff tear. (Tr. at 179-80.) Dr. Yoder indicated that conservative treatment had failed, requiring surgical repair. (Tr. at 180-81.) Plaintiff underwent physical therapy following the surgery and made some progress, although he continued to complain of pain, lack of stamina and endurance, and loss of motion.[5] (Tr. 252-53.) In a September 10, 1998 letter, Dr. Yoder opined that plaintiff had permanent partial disability of 12% to the right shoulder based on lack of stamina, endurance, pain and clicking, and some restricted motion. (Tr. at 419.)


Dr. Bergman completed a report dated December 11, 1996, in which he indicated that plaintiff had been disabled since July 22, 1996 and continued to be unable to work. (Tr. at 199.) He did not list a date that he expected plaintiff could return to work and described plaintiff's prognosis as "guarded." He indicated that plaintiff was engaged in physical therapy and working conditioning, as well as epidural injection therapy with Dr. Heydarpour. (Tr. at 199.)


Plaintiff returned on August 20. Dr. Bryant noted that plaintiff had developed severe pain following the last office visit and was excused from work for the rest of the week. The pain was shooting down the right leg laterally and into the lateral calf. Plaintiff stated that he had a hard time sleeping and turning his head and neck. Dr. Bryant advised plaintiff to continue to have maximum rest but wanted him to start physical therapy; he also prescribed Percocet. (Tr. at 261.) Plaintiff was again seen on August 27, had started physical therapy, and was released to return to work on August 28 with a 10 pound lifting restriction. (Tr. at 263.) However, Dr. Bergman then authorized absence from work, with which Dr. Bryant later concurred. (Tr. at 264-65.) Dr. Bryant saw plaintiff on September 5, and plaintiff indicated that he was worse. (Tr. at 265.) Plaintiff stated that he experienced intermittent low back pain and numbness in his left leg. (Tr. at 265.) Plaintiff returned on September 9, and Dr. Bryant suggested that he return to work on September 16, 1996 with a 10 pound lifting restriction. (Tr. at 266.)


Plaintiff returned to Dr. Bryant on November 5, complaining of continuing pain in the shoulder, back and neck. Dr. Bryant recommended that he continue therapy. (Tr. at 273.) Dr. Bryant's records discontinue after November 11, 1996. (Tr. at 275.) However, on December 23, 1998, Dr. Bryant completed a letter report regarding plaintiff's condition, which contained an extensive history of plaintiff's medical condition and various accidents and injuries. (Tr. at 414-18.)


Dr. Schultz opined that plaintiff did not have a straightforward case of chronic low back pain that would likely benefit from surgery or physical therapy alone. He indicated that the approach taken by Dr. Heydarpour did not foster independent self management of pain and did not result in any clear improvement in his functional abilities. Plaintiff had been taking strong pain medication for many years and was unaware of his physical tolerance for activity. (Tr. at 424.) Dr. Schultz indicated that plaintiff fit the profile of an individual with chronic pain syndrome and required multi-disciplinary help. He suggested a drastically different approach from that of Dr. Heydarpour, including behavioral modification, pacing, realistic expectations regarding pain, relaxation training and consistent aerobic exercise. (Tr. at 424.) 041b061a72


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