Conditions
A military service member has been diagnosed with shoulder impingement after extended periods of carrying heavy equipment. They are undergoing rehabilitation to return to active duty. In this military rehab center, they need to improve strength and mobility to carry out their physical duties, including overhead lifting and carrying heavy packs.
What modifications can be made to the assessment to ensure it is relevant to the military context?
Modify the functional capacity assessment to focus on military-specific tasks (e.g., heavy lifting, overhead movements) and incorporate military gear to assess how the shoulder responds to real-life tasks like lifting heavy packs or carrying a rifle.
A participant in a wilderness therapy program has De Quervain’s tenosynovitis and is having trouble using their hands for tasks like setting up camp or cooking. They need help managing pain and improving function for these activities.
What PAMS modality could you use to help them manage pain and improve function?
Use cryotherapy (cold therapy) after physical tasks like setting up tents or cooking to reduce inflammation and pain in the thumb and wrist. Provide splints to immobilize the thumb and promote healing during the rest of the therapy program.
A client with cubital tunnel syndrome is receiving treatment in home health. They are having trouble with daily tasks such as using the phone, typing, and lifting objects.
How would you apply client-centered practice to this situation?
Use a client-centered approach by involving the client in setting meaningful goals that focus on their specific needs (e.g., increasing independence with household chores, minimizing pain during typing). Provide personalized interventions and support their decision-making process.
Where would you likely encounter a labrum tear in a non-traditional setting?
In a sports rehab setting, especially in athletes involved in overhead activities.
A worker with rotator cuff disease is struggling with lifting tasks in a factory setting.
How would you modify their job duties to reduce strain on the shoulder?
Modify the workplace ergonomics (e.g., adjust the height of work surfaces), recommend job rotation to reduce repetitive movements, and introduce rest breaks to avoid overuse injuries.
A client with carpal tunnel syndrome is attending a wilderness therapy program in the mountains, where they must perform activities like setting up tents, preparing food, and hiking. Their wrist pain affects their ability to carry out these tasks.
How would you adapt your intervention for this non-traditional wilderness setting?
Adapt the intervention by providing splinting to support the wrist, using ergonomic tools for outdoor tasks (e.g., lightweight utensils for cooking), and teaching joint protection techniques to minimize stress on the wrist during physical activities like hiking and carrying a backpack.
A military veteran with shoulder impingement is undergoing rehabilitation and is in need of pain relief during strength training exercises.
Which PAMS modality can you apply in this setting to reduce pain and help with recovery?
Use moist heat therapy to relax the shoulder muscles before exercises and TENS (Transcutaneous Electrical Nerve Stimulation) to manage pain after physical activities like overhead lifting or carrying equipment.
A client with De Quervain’s tenosynovitis is being treated through telehealth. They need to manage their symptoms at home while continuing their daily routines.
Which aspects of the OTPF should guide your telehealth intervention with this client?
Focus on the Occupation domain (e.g., self-care, leisure activities) and Performance Patterns (e.g., work habits and activity modifications) to help the client adapt their routines and minimize pain during daily tasks.
Where would you likely encounter De Quervain’s tenosynovitis in a non-traditional setting?
In a sports rehab setting, especially in athletes or workers who perform repetitive wrist movements.
A client with De Quervain’s tenosynovitis needs help managing pain during daily tasks at home.
How would you adapt the treatment plan in this home health setting?
Use adaptive techniques for cooking, cleaning, and caring for children. Recommend joint protection strategiesand provide a splint to immobilize the thumb and wrist during daily tasks.
An athlete has been diagnosed with rotator cuff disease after repetitive overhead motions in their sport. They are currently in a sports rehabilitation clinic working to regain full shoulder function and return to their sport (e.g., tennis or baseball).
How would you adapt their rehabilitation in this sports setting?
Focus on sport-specific rehabilitation by assessing the athlete’s shoulder movement in the context of their sport, introducing eccentric strengthening exercises, functional task practice, and stretching to improve range of motion and reduce pain during overhead movements.
A client with carpal tunnel syndrome is working remotely and experiencing pain while typing and using the mouse for long periods. They are being treated via telehealth.
What PAMS modality could you recommend during telehealth to help with their symptoms?
Instruct the client to use ice therapy during breaks to manage inflammation and pain, and offer ergonomic advice to reduce stress on the wrist during work tasks. Use video calls to assess and adjust their workstation setup.
A military service member with lateral epicondylitis is undergoing rehabilitation to improve elbow strength for their training.
Which OTPF domain will be most important to address in this setting?
Focus on the Performance Skills domain, particularly motor skills and process skills, to enhance the service member’s ability to carry out military tasks that involve repetitive arm movements and lifting.
Where would you encounter lateral epicondylitis in a non-traditional setting?
In factory rehab, where workers perform repetitive motions like lifting or assembly.
A client with carpal tunnel syndrome is receiving therapy via telehealth while working from home.
What is the best way to conduct telehealth sessions to improve this client’s condition?
Conduct virtual assessments, offer guidance on workplace adjustments, and teach wrist stretches and strengthening exercises through video calls.
A client with lateral epicondylitis is receiving therapy through telehealth. They work as an office manager and spend long hours typing and using a mouse. They need strategies to reduce pain and improve function while working from home.
What interventions can be provided via telehealth to help this client manage their symptoms?
Guide the client through ergonomic adjustments to their workstation, such as adjusting their chair height and desk position. Recommend stretching exercises and pain management techniques like ice therapy, and use video demonstrations to teach exercises and monitor their technique.
An athlete recovering from rotator cuff disease is undergoing rehabilitation in a sports rehab clinic. They need to strengthen their shoulder and reduce pain for better performance during their sport.
Which PAMS modality would be appropriate to support their recovery?
Use cryotherapy after workouts to reduce post-exercise pain and moist heat therapy before exercise to relax the shoulder muscles, improving flexibility and strength during training.
A client with rotator cuff disease is participating in a wilderness therapy program. Their ability to engage in physical activities like climbing, carrying a pack, and setting up tents is limited due to shoulder pain.
Which OTPF principle will guide your intervention in this setting?
Focus on the Context domain (e.g., physical, social, and cultural context of the wilderness environment) and how it affects the client’s ability to engage in outdoor activities. Offer strategies to modify tasks and use adaptive equipment to reduce stress on the shoulder.
Where would you encounter carpal tunnel syndrome in a non-traditional setting?
In a telehealth setting, particularly with remote workers using computers.
A military service member with cubital tunnel syndrome needs to improve their ability to carry heavy equipment during training.
What interventions can help reduce their elbow pain during military tasks?
Recommend splinting during rest periods, nerve gliding exercises, and modifications to their training regimen to prevent excessive strain on the elbow.
A military service member with cubital tunnel syndrome has been experiencing pain and numbness in their elbow due to prolonged heavy lifting during training. They are now in a military rehabilitation program to return to active duty.
How would you approach the intervention in this military rehab setting?
Focus on nerve gliding exercises to reduce compression on the ulnar nerve, splinting to immobilize the elbow and promote healing, and ergonomic modifications to prevent strain during physical tasks such as lifting heavy gear or carrying equipment.
A military service member with cubital tunnel syndrome has pain in their elbow and numbness in their fingers due to prolonged lifting during training. They are undergoing rehabilitation to improve elbow function.
Which PAMS modality could be used to help relieve symptoms in this setting?
Apply iontophoresis to deliver anti-inflammatory medications (e.g., dexamethasone) directly to the elbow area, reducing inflammation and pain while promoting nerve healing.
A client with thumb CMC osteoarthritis is participating in a sports rehabilitation program. They need to improve their ability to perform sport-specific tasks that require gripping, like holding a tennis racquet.
How would you integrate client-centered interventions using the OTPF in this situation?
Focus on client-centered goals to increase sport participation. Address client factors (e.g., pain management, joint protection), activity demands (e.g., racquet handling), and environmental modifications (e.g., using a grip aid).
Where would you likely encounter adhesive capsulitis in a non-traditional setting?
In wilderness therapy, where outdoor activities require shoulder mobility.
A client in wilderness therapy with lateral epicondylitis is struggling with tasks like carrying heavy backpacks.
How can you adjust their activities to accommodate their condition in this setting?
Teach joint protection strategies, use lightweight backpacks, and recommend frequent rest breaks to reduce elbow stress during hikes.