Mobilization Of First Rib Impairment Caused By Bone Thronged In Larynx (A Case Study)

Yasir Ali Kazmi, Yasir Ali, Humera Tahir, Aqsa Aroob
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Abstract

Case Description:A 47-year-old female patient was presented in the Department of Physical Therapy, Shahida Islam teaching hospital, Lodhran with the chief complaint of severe headache, vertigo, and decreased neck mobility with severe pain. A detailed history revealed that the patient has bone struck in the throat which was removed in an OPD setting under the procedure of video laryngeal rigid telescopic by the specialist. After the procedure, she was prescribed medicine for headaches and vertigo. She used medicine for 5 days but there was no relief. In Follow up visit after 5 days she complained about the same symptoms of headache, vertigo, and pain which made her sleepless for the last 5 days therefore was referred to the physical therapy department by the physician. In the physiotherapy department she was administered Maitland mobilization, cervical traction, and cervical muscle stretching for first rib mobilization and to increase joint range of motion.Outcomes: The patient was discharged from therapy after 4 physiotherapy sessions weekly, having fully achieved all of her functional goals and resolved her primary complaints of pain and dizziness
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喉骨阻塞致第一肋骨损伤的活动治疗(1例)
病例描述:一名47岁女性患者在Lodhran Shahida Islam教学医院物理治疗科就诊,主诉为严重头痛、眩晕、颈部活动能力下降并伴有剧烈疼痛。详细的病史显示,患者在喉部有骨打击,在门诊设置下由专家在视频喉部刚性伸缩程序下切除。手术后,医生给她开了治疗头痛和眩晕的药。她服药5天,但仍不见好转。在5天后的随访中,她抱怨同样的头痛、眩晕和疼痛症状,这使她在过去的5天里失眠,因此由医生转介到物理治疗科。在物理治疗部门,她接受了Maitland活动、颈椎牵引和颈椎肌肉拉伸,以使第一肋骨活动并增加关节活动范围。结果:患者每周进行4次物理治疗后出院,完全达到了所有功能目标,并解决了疼痛和头晕的主要主诉
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