Date: 19.10.18
Location: Plymouth Marjon University
Total amount of hours: 9
In the next session a male client ages 26 was seen about a shoulder injury for a second time. The client has complaints for a decreased ROM and pain within the right shoulder.
There had been a slight decrease in pain however mobility is still limited. To assess this, the clients range of movement was tested at the shoulder. This was done by asking the client how far they were able to rotate his shoulder through abduction, adduction, flexion and extension before any of the movements caused him any discomfort. This also helped to compare the results at the end of the session to see whether there is any improvement with his range of movement.
After assessing how far he was able to move and rotate his arm, effleurage was applied around the deltoid and the pectoral muscles to warm up the muscle before treating it. After warming up the muscle, it was then treated using muscular energy techniques, reciprocal inhibition (RI) which will help to strengthen the muscle, relieve any tightness and improve range of movement. After the last treatment where there was a lot of tightness around the pectoral muscles, stretching the pecks was the aim of this session. To do this the client was positioned so that they were laying on their back and the arm abducted so it is positioned off the bed. the client was asked to resist the pressure applied to their arm by trying to raise the arm against the force being pushed down on the arm. This pressure is held for 8-10 seconds before the client relaxes and the arm is then stretched to a further barrier. This was repeated 3 times.
After these muscular energy techniques were applied, the clients range of motion was tested to assess whether these techniques were effective. The client was able to rotate the shoulder further than before treatment was applied, showing that this treatment was effective.
A shoulder assessment can be completed to determine any problems with the shoulder joint/muscles. Measuring the clients range of motion before and after treatment can help to identify if the treatment has been effective and if there any improvements.