Cluster Headache Case Study
Title[edit | edit source]
Author/s[edit | edit source]
Emily Meyer, Colleen Niehoff, Mary Wray, Alex Norris, Lauren Snider
Abstract[edit | edit source]
100 word limit, non-structured description
Patient Characteristics[edit | edit source]
Tell us about your patient:
- 49 year old male
- Working as a constuction manager for the past 20 years
- Has had intermittent low back pain for as long as he can remember
- Other co-morbiditis include hypertension and diabetes type II, both of which are controlled with medication
- Patient has received previous outpatient care for his low back pain and describes that he had a decrease in pain for a period of time before the pain returned in his low back.
Examination[edit | edit source]
Tell us your examination findings:
- Subjective : Patient History and Systems Review (chief complaints, other relevant medical history, prior or current services related to the current episode, patient/family goals)
- Self Report Outcome Measures
- Physical Performance Measures
- Objective : Physical Examination Tests and Measures
The examination should also include ICF Findings:
- Body Functions and Structures
- Impairments
- Activity Limitations
- Participation Restrictions
- Environmental Factors
Clinical Hypothesis[edit | edit source]
What was your clinical impression of the patients problem.
Intervention[edit | edit source]
Multidisciplinary approach
Neurologist
- ENT
- PT: May need to rule out more serious complications before initiating PT
Postural exercises (1,3)
- Y's and T's
- Deep neck flexors
Manual Therapy
- Mobilizations to cervical spine (2)
Other
- General stretching to postural muscles (i.e. Upper Trap) (3)
- Heat (4)
- US (4)
- TENS (4)
- Soft tissue/trigger point massage (1,4)
- Balance and gait training with use of varying sensory inputs (3)
- Posture education (1,3)
- Education on ergonomics at home and in the workpalce (1)
Out of our scope
- Relaxation therapy (1,2,3)
- Biofeedback (1)
- Cognitive-behavioral therapy (stress-management) (4)
- Acupuncture (4)
- Medications (1-2)
Outcomes[edit | edit source]
What was the outcome of the intervention.
Discussion[edit | edit source]
This summary statement should include related findings in the literature, potential impact on clinical practices etc.
Related Pages[edit | edit source]
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References[edit | edit source]
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