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Advisor(s)
Abstract(s)
Objectivo: descrever a intervenção em fisioterapia numa paciente com
diagnóstico de epicondilalgia. Participantes e Métodos: estudo de caso de
uma paciente que desenvolveu um quadro doloroso no cotovelo esquerdo no
início de Janeiro de 2010 e em que a intervenção de fisioterapia teve início no
princípio de Fevereiro de 2010. Foi utilizada uma variedade de técnicas
articulares, nomeadamente a mobilização com movimento de Mulligan,
aplicação de tape e manipulação cervical. O tratamento foi realizado em dias
alternados e teve a duração total de duas semanas. Resultados: logo no final
da primeira sessão a paciente referiu melhoria na dor à preensão. Na segunda
sessão a paciente demonstrou capacidade de realizar auto-mobilização com
movimento em casa. A regressão dos sintomas foi muito rápida durante as
duas primeiras sessões, passou por uma fase de estabilização da terceira à
quinta sessão, até à completa remissão no fim da sexta sessão. Conclusão: o
processo de raciocínio clínico desenvolvido pelo fisioterapeuta durante as seis
sessões de tratamento foi salientado. Após a recolha dos dados relativos à
história e sua interpretação levantaram-se as primeiras hipóteses:
epicondilalgia, disfunção cervical ou sindroma do túnel radial. No exame
objectivo foram realizados testes para permitir a obtenção do diagnóstico
diferencial – epicondilalgia; elaborou-se então um plano de intervenção em
colaboração a paciente, que se mostrou eficaz, com resultados acima das
expectativas.
Objective: to describe the physiotherapy intervention in a patient with a diagnosis of epicondylitis. Methods and Sample: a patient who developed a painful elbow in the beginning of January 2010 began physiotherapy intervention in early February 2010. A variety of joint techniques, namely the Mulligan’s mobilization with movement, tape application and cervical manipulation were used. The treatment was applied in alternate days during two weeks. Results: right in the end of the first session the patient reported an improvement in pain on hand hold. On the second session the patient demonstrated ability to perform self-mobilization with movement at home. Regression of symptoms was very fast on the first two sessions, from the third to fifth session it passed through a phase of near stabilization until complete remission at the sixth session. Conclusion: clinical reasoning process developed by the therapist throughout the six treatment sessions was emphasized. Collection and interpretation of subjective data led to the settingup of the first hypothesis: epicondylitis, cervical dysfunction or radial tunnel syndrome. Objective exam tests were applied to achieve a differential diagnosis – epicondylitis; then an intervention plan was outlined in collaboration with the patient, which proved effective, with results above expectations.
Objective: to describe the physiotherapy intervention in a patient with a diagnosis of epicondylitis. Methods and Sample: a patient who developed a painful elbow in the beginning of January 2010 began physiotherapy intervention in early February 2010. A variety of joint techniques, namely the Mulligan’s mobilization with movement, tape application and cervical manipulation were used. The treatment was applied in alternate days during two weeks. Results: right in the end of the first session the patient reported an improvement in pain on hand hold. On the second session the patient demonstrated ability to perform self-mobilization with movement at home. Regression of symptoms was very fast on the first two sessions, from the third to fifth session it passed through a phase of near stabilization until complete remission at the sixth session. Conclusion: clinical reasoning process developed by the therapist throughout the six treatment sessions was emphasized. Collection and interpretation of subjective data led to the settingup of the first hypothesis: epicondylitis, cervical dysfunction or radial tunnel syndrome. Objective exam tests were applied to achieve a differential diagnosis – epicondylitis; then an intervention plan was outlined in collaboration with the patient, which proved effective, with results above expectations.
Description
Keywords
Epicondilalgia Mobilização com movimento Manipulação cervical Diagnóstico diferencial Epicondylitis Mobilization with movement Cervical manipulation Differential diagnosis
Pedagogical Context
Citation
Publisher
Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto