course material

1. [From 10$/Pg] 1 Blood Flow Restriction
[From 10$/Pg] 1 Blood Flow Restriction Create a patient case where one of these modalities
would be beneficial to include in their POC. Modalities are : 1 Blood Flow Restriction
Therapy2 Deep oscillation Therapy3 Dry Needling TherapyPlease include impairment,
subjective, and objective data to support appropriateness of modality. Then, justify why the
modality you have chosen would be an ideal choice to include in the patients POC.Here is an
example Subjective: Patient came into physical therapy complaining of lower back pain
(LBP) pointing to the R side with a pain level of 7/10 and it gets worst at night. The patient
is a 35-year-old female athlete who workout every day since she competes in CrossFit (CF)
games. Patient-reported having pain in her LB with certain movements. The patient stated
having also radiating pain from the lower back to the buttocks-R hip, and going down to her
right quadriceps (anteriorly). The patient stated that she was performing a heavy power
snatch when she felt a pull on her lower back. The patient saw her Dr. and according to her
MRI patient has inflammation from L1 to L4 due to bulging discs on L3-L4, stenosis, and
degenerative disc disease. The patient stated that she hopes she can go back to her CF
training and be able to compete soon, “I just want to get better, I miss my
training”.Impairment:Patient presented with decreased lumbar AROM. Flexed posture with
severe spasm on R hip flexors, thoracolumbar spinals, QL, quadriceps, and hamstrings.
Impaired bed mobility. Decreased lumbar and abdominal strength. Decrease activation of
the multifidus muscles. Oswestry disability index score of 75% indicates severe
disabilityObjective:The patient present decreased Lumbar AROM with trunk flexion and
lateral bending. Noted pain at end range of motion mostly with lateral bending to the L.
Palpable tightness on R hip flexors, thoracolumbar paraspinlas, and R QL with tenderness at
touch.Lumbar ROM: flexion 45 degrees with painextension 20 degrees with mild painLeft
lat flex 16 degrees with pain and restrictionRight lat flex 22 degrees mild pain at end
rangeJustification:The patient presents severe muscle restriction and lumbar ROM
limitations. The patient’s radiating pain symptom indicates trigger points mostly on R QL
and hip flexors with severe inflammation of the nerves causing severe pain and muscle
spasms. For this reason, the patient will benefit from Deep Oscillation Therapy (DOT) since
it’s a technique that relaxes the muscles, enables optimal metabolism, and normalize the
defective nerve function. The technique has an anti-inflammatory and edema-reduction
effect and stimulates self-mobilization relieving pain. In addition, it will help to promote
healing and improve the quality of the tissue. After the DOT session patient will have
improved ROM of LB and a reduction of muscle spasms. ReferenceTsaggarelis, N. (n.d.).

2. Deep oscilation. Dr. Nick | Chiropractic, Soft Tissue Therapy, Medical Acupuncture, Sports
Injury Management, Rehabilitation. Retrieved June 8, 2022, from
http://www.drnick.ca/deep-oscilation