一名患有骶髂关节区域疼痛的老年女性基于损伤的检查与残疾管理
Impairment-based examination and disability management of an elderly woman with sacroiliac region pain.
作者信息
Godges Joseph J, Varnum Denisa R, Sanders Kelly M
机构信息
Kaiser Permanente Southern California Orthopedic Physical Therapy Residency, Los Angeles, CA.
出版信息
Phys Ther. 2002 Aug;82(8):812-21.
BACKGROUND AND PURPOSE
The purpose of this case report is to describe the use of a cluster of sacroiliac tests in conjunction with an impairment-based model of examination, diagnosis, and management of sacroiliac region pain.
CASE DESCRIPTION
The patient was a 74-year-old woman with an 18-month history of low back, left buttock, and groin pain following a misstep. The initial symptoms were intermittent. The symptoms became constant and limited her walking tolerance to 5 minutes, which affected her ability to care for her grandchildren. She was examined using a cluster of sacroiliac tests that examined: (1) innominate active mobility, (2) innominate positional symmetry, and (3) sacroiliac ligament tenderness.
OUTCOMES
Following 4 treatments for identified impairments, the patient had unlimited walking tolerance and she resumed an active caregiving role for her grandchildren.
DISCUSSION
This case illustrates the use of an impairment-based model for examination and management of an elderly patient with what appeared to be sacroiliac joint dysfunction.
背景与目的
本病例报告旨在描述一组骶髂关节检查方法结合基于损伤的模型用于骶髂关节区域疼痛的检查、诊断和管理。
病例描述
患者为一名74岁女性，失足后出现下背部、左臀部和腹股沟疼痛18个月。初始症状为间歇性的。症状变为持续性，使她的行走耐受时间限制在5分钟，影响了她照顾孙辈的能力。对她进行了一组骶髂关节检查，包括：（1）髋骨活动度，（2）髋骨位置对称性，以及（3）骶髂韧带压痛。
结果
针对已确定的损伤进行4次治疗后，患者的行走耐受不受限，她恢复了积极照顾孙辈的角色。
讨论
本病例说明了基于损伤的模型在检查和管理一名看似患有骶髂关节功能障碍的老年患者中的应用。
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