Application of the Clinical Reasoning Process for the Rehabilitation of a Case with Cervicogenic Pain

Md Waliul Islam, Md. Kutub Uddin, Faruq Ahmed, Md Shujayt Gani, Mohammad Nazmul Hasan, Md Jubair Hassan
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Abstract

Background: The method through which a therapist engages with a patient is known as clinical reasoning. During this process, the therapist gathers data, develops, and tests hypotheses, and then uses this data to determine the best course of action for diagnosis and therapy. It is described as an inferential procedure used by practitioners to gather and assess information and make decisions on the diagnosis and treatment of patient problems. Aim: The aim of this study is to describe the rehabilitation of a solo case with cervical radiculopathy by using clinical reasoning process Method: A case study of typical cervical radiculopathy managed by using clinical reasoning process and advance evidence-based physiotherapy treatment to reduce pain, increase ROM and improve functional ability. Result: After six weeks of treatment, there was a reduction in pain, an increase in range of motion, and a change in disability status as measured by the neck disability index. Conclusion: Finally, this case study states that application of the clinical reasoning process is beneficial for rehabilitation programs.
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临床推理过程在1例宫颈源性疼痛康复中的应用
背景:治疗师与病人接触的方法被称为临床推理。在这个过程中,治疗师收集数据,发展和测试假设,然后使用这些数据来确定诊断和治疗的最佳行动方案。它被描述为从业人员用来收集和评估信息并对患者问题的诊断和治疗做出决定的推理程序。目的:本研究的目的是通过临床推理过程描述一个单独的颈椎神经根病病例的康复。方法:以典型的颈椎神经根病为例,采用临床推理过程治疗,并推进循证物理治疗,以减轻疼痛,增加ROM和改善功能能力。结果:治疗六周后,疼痛减轻,活动范围增加,颈部残疾指数测量的残疾状态改变。结论:最后,本案例研究表明临床推理过程的应用对康复计划是有益的。
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