Effect of rehabilitative exercise and spinal manipulative therapy on veteran with chronic diffuse spine pain: A case report |
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| Institution: | 1. Daily Breath Pilates, LLC, Westlake Village, CA, USA;2. TheraPilates Physical Therapy Clinics, LLC, Monroe, LA, USA;3. Rehfeld e Couto Pilates, LTDA, Nova Lima, Minas Gerais, Brazil;4. SPORTS – Centro de Reabilitação e Ortopedia, LTDA, Belo Horizonte, Minas Gerais, Brazil;1. Eskenazi Health, Indianapolis, IN, USA;2. Fellow-in-training, American Academy of Manipulative Therapy, USA;3. Research Physical Therapy Specialists, Columbia, SC, USA;4. American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, USA;5. Montgomery Osteopractic Physical Therapy and Acupuncture, Montgomery, AL, USA;6. American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy, USA;1. University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan;2. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;3. Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan;4. Faculty of Allied Health Sciences and Head of Department University Institute of Physical Therapy, The University of Lahore, Lahore, Pakistan;1. Post-Graduate Program in Physiotherapy, Department of Physiotherapy, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil;2. Universidad de Sevilla, Seville, Andalucía, Spain;3. Université de Reims, Champagne-Ardenne, France |
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| Abstract: | IntroductionPatient is a 57-year-old male veteran with complaints of musculoskeletal origin. The patient was treated with rehabilitative exercise, manual therapy, and spinal manipulative therapy. Treatment helped improve the patient's ability to perform ADLs and is reflected in rehabilitative exercise progression and objective findings.Case presentationThe patient is a 57-year-old male veteran who presented with chronic cervical, thoracic, and lumbar pain. Range of motion was decreased and painful during all active ranges of motion. Each region had degenerative changes at various levels confirmed via radiographs. Rehabilitative exercise was directed with results from a Selective Functional Movement Assessment (SFMA). Patient was treated with manual therapy and spinal manipulative therapy (SMT). Rehabilitative exercises were selected to improve the patient's ADLs based on goals, to target chief complaints, and correct SFMA findings.Management and outcomeThe patient's progress was tracked with progression in rehabilitative exercise. The patient's objective findings continually improved throughout the care plan. At the end of the care plan, the patient underwent the same examination, and the objective findings were compared. There was an improvement across all objective testing.DiscussionThis case demonstrates the classic veteran with chronic diffuse spine pain that interferes with performance in their normal activities of daily living. This case demonstrated that the combination of soft tissue therapy, SMT and rehabilitative exercise can show an improvement in objective findings and help the patient meet their goals. |
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