ANTERIOR DISLOCATION- visibly out-of-place shoulder, and bruising, pain, if acute.

Posterior apprehension or Stress test (-)

Crank +
Load and shift +
Relocation +
Mx: Parameters for ROM,

Phase 1 (wks?) PROM, Wand exercises, Submax isometrics, IR/ER

at side, Abd30, 60, 90 as pain subsides
2 Isotonic strengthening of rotator cuff, scapular
stabilizers, deltoids, biceps, triceps, Rhythmic
exercises
3 Progress isotonic strengthening, Dynamic
stabilizations, Plyometrics, Athlete begin to ER/IR
in 90 deg Abd
4 Continue isotonic strengthening, Advance
plyometrics

ADHESIVE CAPSULITIS- shoulder hike during motion, stiffness, faulty posture, LOM of ER, Abd, IR, pain from
anterolat. shoulder to biceps, volar surface of forearm and inferior angle of scap

Mx:

Max Protection PROM at pain-free motion to minimize adhesion

formation
ROM of associated structures to maintain soft
tissue integrity
Pendulum exercises to relieve pain and provide
early motion of jt. structures and fluid
Controlled Motion Wand exercises and Hand slides
Manual stretching
AROM of all motions
Return to function Heavy lifting, pushing, pulling, reaching

ROT CUFF TEAR- resting shoulder hike, tenderness, poor posture, LOM, weak supraspinatus and ER, scap
stab, pain @ lateral shoulder

(-) Hawkins-Kennedy, Neer impingement tests

Drop arm
Supraspinatus
Lift-off
Mx:

Phase 1 Pendulum exercises

Isometric exercises of rotcuff
Scapular squeeze and elevate
ROM of uninvolved structures
2 PROM, Wand exercise, AROM, Strengthening of
deltoids and scapular stabilizers
3 Plyometrics, Thrower’s 10 exercises
ACL RECONSTRUCTION- swelling, hemarthrosis, hyperthermic, tenderness, knee flexor LOM, knee in
extension

(-) Posterior-drawer and posterior sag sign

Anterior drawer’s test

Lachman’s test
Mx:

Phase 1 to achieve full extension of knee Patellar mob

Quads and Hams stretch
Heel slide
SLR
Single leg stance 30-60 sec or wobble board side-
side and forward-backward
2 to restore normal gait Mini-squats 30 deg
Stationary bike high seat low tension
Toe raise
Gastrocsoleus stretch
Stair climbing/ pool walking
3 improve confidence on knee Shuttle run, carioca
4 return to unrestricted activities Cutting drills
5 Strength, endurance, propriotraining, education

ANKLE SPRAIN- inflammation signs if acute, tenderness, LOM, hip hike if knee flexed so as not to WB

Talar tilt

Mx:

Acute days Joint mob grade 2

Subacute weeks Foot circles/alphabet
To initiate motion and strengthening Isometrics in pain-free range
Toe curls
Wobble board
Chronic months to years Gastrocsoleus stretch
Progress strengthening and stretching Heel and toe raises
Stab and proprio Quarter squats
Single leg balance activities

MI- heart sounds, rate and rhythm, murmurs, JVD assessment;

Inspection: Pallor, Jugular vein distention, Nail clubbing, splinter hemorrhage

Palpation: Jugular neck distention 4 fingerbreadth, pulse

Percussion: Anterior axillary line, sternum, along 5th ICS

Auscultation: Heart sounds S4 atrial gallop occurring before S1, murmurs

Aortic 2nd R ICS

Pulmonic 2nd L ICS
Tricuspid 4th L ICS
mitral 5th L ICS
Good morning, I’m Agata your PT for today. You are? How old are you? What’s your sex? What’s your job?

Let’s check your VS

Today I’m going to interview you to find out your complaint and what’s causing it.

HPI & Pain A:

 How can I help you? Can you tell me why you are seeking consultation?
 When did the pain/illness start? How did the pain start? (acute/chronic)
 Can you describe the pain? Where is it painful?
 From a scale of 0-10, 0 being no pain. 5 being tolerable pain, and 10 being the most severe pain;
how would you rate your pain?
 How often do you feel this pain?
 What triggers or makes your pain worse?
 What relieves the pain?
 Did you seek for medical intervention or consultation?
 Do you have any difficulty doing activities that prompted you to be here? Gripping or pinching for
example?
 Any (case-specific associated signs/symptoms) pain anywhere else in your body?

PMHx:

 Have you previously been hospitalized? Or has there been any previous trauma especially to the
area where you feel the pain?
 Have you had any recent fever, infections, weight loss, or sleep problems? Have you or a family
member had the following conditions:
 Hypertension, Diabetes mellitus, Respiratory problems, Heart problems

Medications:

 Any medications? You are taking this for what? How often do you take it? Since when have you
been taking this? Who prescribed this to you? Are you taking any medications that were not
prescribed?