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How To Select An Intervention?

Selecting an appropriate clinical intervention requires a thorough understanding of the available types and levels of evidence and how it applies to individual patients. According to the 6S hierarchy of evidence, as published by DeCenso et al. (2009), there are six distinct levels of evidence designed to guide clinical decision-making: Single Studies, Synopses of Studies, Syntheses (such as systematic reviews and meta-analyses), Synopses of Syntheses, … Continue reading How To Select An Intervention?

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Frozen Shoulder Assessment

Frozen shoulder, also known as adhesive capsulitis, is characterized by stiffness, pain, and limited range of motion in the shoulder joint. The condition often progresses through three stages: freezing, frozen, and thawing, each with distinct clinical features. A thorough assessment, including both subjective and objective components, is essential for accurate diagnosis and effective management. Here is a detailed, step-by-step guide to conducting both the subjective … Continue reading Frozen Shoulder Assessment

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Radicular Pain Assessment

Radicular pain is a type of neurogenic pain associated with nerve root or dorsal root ganglion irritation or injury, which creates a specific pattern of pain along a nerve distribution, often with a sharp, shooting quality. This neurogenic pain may lead to segmental sensory, motor, or reflex deficits due to conduction block. In contrast, referred pain is typically more diffuse and arises from musculoskeletal structures … Continue reading Radicular Pain Assessment

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How To Conduct An Assessment?

The Subjective Examination The subjective examination is an important component of the patient assessment process. It lays the foundation for clinical reasoning, which is essential for developing an accurate diagnosis and an effective plan of care. Conducting an effective patient interview requires skill and practice, particularly in knowing where, when, and how to begin. A good starting point is using open-ended questions with a funnel-down … Continue reading How To Conduct An Assessment?

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How To Select A Diagnostic Test?

A diagnostic test is a clinical procedure used to determine the presence, absence, or extent of a disease or condition. These tests are essential for diagnosing illnesses, guiding treatment decisions, and monitoring disease progression. They can involve various methods, such as physical examinations (e.g., manual tests such as valgus test of the knee, apprehension test of the shoulder), imaging (e.g., X-rays, MRIs), or laboratory tests … Continue reading How To Select A Diagnostic Test?

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