Scribd Logo
Upload

Welcome to Scribd!

  • 60 views

    Interventions Project 1 Slide

    Uploaded by

    api-600595608
    The document describes three interventions for a 30-year-old male with osteoarthritis and limited cervical flexion: 1) a Kaltenborn grade 3 joint mobilization to improve range of motion of the C0-C1 joint, 2) proprioceptive neuromuscular facilitation stretching with hold-relax technique to increase tissue extensibility, and 3) high-intensity resistance exercise with a resistance band around the head to strengthen the deep cervical flexors and increase stability and range of motion.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Interventions Project 1 Slide

    Uploaded by

    api-600595608
    60 views3 pages
    The document describes three interventions for a 30-year-old male with osteoarthritis and limited cervical flexion: 1) a Kaltenborn grade 3 joint mobilization to improve range of motion of the C0-C1 joint, 2) proprioceptive neuromuscular facilitation stretching with hold-relax technique to increase tissue extensibility, and 3) high-intensity resistance exercise with a resistance band around the head to strengthen the deep cervical flexors and increase stability and range of motion.

    Original Title

    interventions project 1 slide

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document describes three interventions for a 30-year-old male with osteoarthritis and limited cervical flexion: 1) a Kaltenborn grade 3 joint mobilization to improve range of motion of the C0-C1 joint, 2) proprioceptive neuromuscular facilitation stretching with hold-relax technique to increase tissue extensibility, and 3) high-intensity resistance exercise with a resistance band around the head to strengthen the deep cervical flexors and increase stability and range of motion.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    60 views3 pages

    Interventions Project 1 Slide

    Uploaded by

    api-600595608
    The document describes three interventions for a 30-year-old male with osteoarthritis and limited cervical flexion: 1) a Kaltenborn grade 3 joint mobilization to improve range of motion of the C0-C1 joint, 2) proprioceptive neuromuscular facilitation stretching with hold-relax technique to increase tissue extensibility, and 3) high-intensity resistance exercise with a resistance band around the head to strengthen the deep cervical flexors and increase stability and range of motion.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 3

    Impairment: OA Limited Flexion  

       Intervention: Joint Mob    Intensity/Progression: Low​

    › Mock client (age/gender): 30-year-old male​


    › Brief Description:  Patient in supine, have neck
    slightly flexed, PTs hand under occiput and other hand
    on chin to provide counterforce. Slide occiput
    posteriorly on the atlas moving along an axis through
    the external auditory meatus, ensuring the axis
    of rotation does not move, performing
    a Kaltenborn grade 3 mobilization.​
    › Dosage: 5-10 seconds holds​until joint moves with less
    restriction.
    › Brief Rationale: By doing this mobilization the patient
    will gain cervical flexion of the C0-C1 joint specifically,
    without the lower cervical spine (C2-
    C7) compensating. Performing joint mobilizations may
    help improve ROM by increasing capsular and
    ligamentous stability. ​ Start Position
    › Reference: González Rueda V, López de Celis C, Barra
    López ME, Carrasco Uribarren A, Castillo Tomás S,
    Hidalgo García C. Effectiveness of a specific manual
    approach to the suboccipital region in patients with
    chronic mechanical neck pain and rotation deficit
    in the upper cervical spine: Study protocol for a
    randomized
    controlled trial. BMC Musculoskelet Disord. 2017;18(1). End Position
    doi:10.1186/s12891-017-1744-​ (X is at C2)

    Group Member Names: Anna Zaremba and Amanda Floen


    Impairment: OA Limited Flexion    Intervention: PNF Stretching    Intensity/Progression: Moderate

    › Mock client (age/gender): 30-year-old male​


    › Brief Description: Patient lying supine, therapist
    stabilizes C2 with their thumb and index finger of
    one hand and has their other hand on occiput.
    While doing so the therapist nods the patients
    head forward into flexion. While in flexion, perform
    hold relax technique by having pt roll eyes upward to
    contract, then have them look down when the head
    is nodded forward.

    › Dosage: 
    – 10 sec stretch, 5-10 sec contraction
    – 3-4 reps
    – 1x/day, 5x/week
    › Brief Rationale: Increase ROM in OA flexion by Start Position
    increasing tissue extensibility/flexibility in the
    suboccipital and cervical extensor muscles. ​

    › Reference: Lempke L, Wilkinson R, Murray C, Stanek


    J. The Effectiveness of PNF Versus Static Stretching
    on Increasing Hip-Flexion Range of Motion. J Sport
    Rehabil. 2018 May 1;27(3):289-294. doi:
    10.1123/jsr.2016-0098. Epub 2018 May 22. PMID:
    28182516.
    End Position

    Group Member Names: Anna Zaremba and Amanda Floen


    Impairment: OA Limited Flexion    Intervention: Resistance Exercise    Intensity/Progression:
    High

    › Mock client (age/gender): 30-year-old male


    › Brief Description: Have band wrapped around the
    front of the patient's head secure in a door hinge
    behind. Have patient chin tuck and flex neck.

    › Dosage: 12 reps X 3 sets 


    – Once a day, 4x/week
    – Goal is strengthening/endurance: 80% of 1RM ​
    – Red band (Regress to yellow if too difficult and increase to
    green if not fatigued by rep 18)

    › Brief Rationale: Strengthen deep cervical flexors


    to increase stability and range of motion.​
    Start Position
    › Reference: Lasevicius T, Ugrinowitsch C,
    Schoenfeld BJ, Roschel H, Tavares LD, De Souza
    EO, Laurentino G, Tricoli V. Effects of different
    intensities of resistance training with equated
    volume load on muscle strength and
    hypertrophy. Eur J Sport Sci. 2018 Jul;18(6):772-
    780. doi: 10.1080/17461391.2018.1450898.
    Epub 2018 Mar 22. PMID: 29564973.

    End Position
    Group Member Names: Anna Zaremba and Amanda Floen

    You might also like