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Cervical Upglide Thrust (C2-C7) Patient Position: Supine on the table with the cervical spine in a neutral position. Clinician Position: Standing beside the patient’s head. The superior forearm is placed under the patient’s neck to facilitate upper cervical side bending and rotation to the right. The superior hand rests on the patient’s chin. The lower cervical spine is positioned into left side bending. The segment … Continue reading Noninvasive Procedures
1. Introduction To The Guide To Good Prescribing Prescribing is a complex task that must be grounded in evidence-based principles. Safe and effective prescribing is a practical skill that should be taught to trainees and evaluated using models like the WHO Guide to Good Prescribing (Tichelaar, J, et al. 2020), which provides an evidence-based framework for drug prescription. According to WR Thompson et al. (2020), … Continue reading How To Prescribe 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?
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
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
