Muscular strains- not enough treatment techniques!!

[karen.hankey]

In the acute stage there isn't a great deal you can do apart from ultrasound and gentle stretches and for them to ice at home. At this stage getting rid of any bruising is important.

If the patient has tenderness on palpation when sub-acute, when pain allowed I would start DTF's. As pain to palpation decreased I would start strength exercises starting at isometric if needed.

[ramywhite]

Ice is great in acute stage with rest at home. Gentle massage with active assisted or active free ROM without pain. You can start gentle stretch in sub-acute stage and upgrade to isometric exercises if there is no pain.
Why should we fill out a half an hour? Do what patient needs whatever it takes. It doesn't matter if it takes only 15 minutes.

[linbin]

hi
i agree with the others suggestions.you can even try soft tissue release in the subacute phase.

[ameerpt]

like others i suggest RICE in firs 3-7 days adding to immobilization but mobilization should be started after first 3- 7 days ( depends on case severity)

[neuromuscular]

Dear physiomitch:

You are not alone in trying to find information on a four sided pelvic bone position test. There is little on this type of testing. The OGI is doing a research project on it and a paper should be forthcoming soon.

I use a landmark test with the following comparison referenees: ASIS to ASIS. PSIS to PSIS, ASIS to PSIS (R&L) with hip abduction directly lateral in the coronal plane from closed foot stance to the maximum obtainable by the patient using 30 cm increments..

Any deviations should be significant. Normal is all landmarks level or even in the horizontal plane.

You can use a goniometer or eye sight. The differences will be greater than 1 cm in the ASIS comparisons and less in the PSIS comparison. ASIS differences are often in the order of 2 cm plus. PSIS usually are less .5 cm or sligthly greater.

Do not look for mm differences. The differecnes must be significant.

See if your results pre therapy and posttherapy are significantly different.

Hope that this is helpful.
Best regards,


Neuromuscular.