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This Concept Map, created with IHMC CmapTools, has information related to: Case 13- Gregory Pulaski, frozen shoulder adhesive capsulitis risk factors HAART therapy 40 or older, women, diabetes, autoimmune reaction hyper/hypothyroid, CVD, TB, rotator cuff injury, stroke, broken arm, Gregory Pulaski, Part I Examination MMT R elbow, wrist WFL R hand grip strength 80 PSI L hand grip strength 70 PSI, HIV treatment HAART strategy highly active antiretroviral therapy 3 or more drugs lowers numbers of circulating virus 60-80% decrease in hospitalizations, deaths depends on overall health, viral load, CD4 count () side effects: nausea, diarrhea, decrease RBC or WBC, nerve damage, inflammation of the pancreas $ 900-2000 per month, Gregory Pulaski, Part I PMHx IVDA, Gregory Pulaski, Part I Examination Sensation intact, rotator cuff consists of SITS muscles, Staphylococcus bacteria type of germ commonly found in skin or in the nose causes endocarditis; osteomyelitis, R R-C repair surgical site red, inflammated with clear exudate from 3mm of suture not fully healed localized swelling, 75% tear of supraspinatus tendon causes tensile overload, repetitive use, abnormalities, poor posture, altered vascular, trauma, MI, acromioclavicular injury, C5-C6 nerve disruption, Staphylococcus bacteria type of germ commonly found in skin or in the nose prevention hand-washing, keep wounds covered dont share personal items, 75% tear of supraspinatus tendon treated with ibuprofen affects liver enzymes, Gregory Pulaski , Part II intervention end range joint mobilization: AC, GH, ST joints, SC joint, Gregory Pulaski, Part I Examination PROM R flex/abd 30 degree w/o scapular sub flex/abd 50 w/ scapular sub ER limited to neutral all else WNL, frozen shoulder adhesive capsulitis diagnosis arthrogram x-ray/MRI PROM/AROM physical exam EMG, bone scan, frozen shoulder adhesive capsulitis causes capsule thickens and tightens around the sh joint, 75% tear of supraspinatus tendon contributors tennis ext. rotation degenerative, Staphylococcus bacteria type of germ commonly found in skin or in the nose causes septic arthritis inflammation of the capsule targets knees most commonly capsule degenerates leading to dislocation and avascular necrosis diagnosis: skin test, culture, xray, fluid analysis anklyosis- fusion of 2 bones at a jt, education compliance greatest gen/ traditionalists (1922-1945): direct me baby-boomers (1946-1964): engage me gen X (1965-1980): educate me gen Y, millennial (1981-2000): connect me, Gregory Pulaski , Part II diagnosis frozen shoulder adhesive capsulitis, Gregory Pulaski, Part I Intervention no strengthening after 6 wks of repair no 90 degrees in any planes, abduction ᡥ patient education on sleeping, activity modification, sling, posture, positioning, hygiene, nutrition, side effects of drugs, surgical limitations, care of incision ice, cryotherapy, e-stim pendulum exercises, codman's exercises supine wand exercises: ER/IR active for hand, wrist, elbow = putty, finger web, pulleys isometric activities scapular stabilization = scap retraction/pinching, PNF