Rehabilitation Interventions Case Study: Difference between revisions

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== History of Presenting Case ==  
== History of Presenting Case ==
Alan is a 28 year old male. He uses a wheelchair for mobility, is independent in all transfers using standing transfers, and drives. Alan presented for physiotherapist following a right shoulder injury which occurred while blocking a pass during wheelchair rugby. He felt a subluxation at the right shoulder with significant pain and had to stop playing. Rested for 1-2 weeks with ongoing pain prior to going for further assessment and scans, which showed a right labral tear. As a result of COVID-19 restrictions initial physiotherapist was conducted via telehealth.


== Subjective Information ==
== Subjective Information ==


=== '''Medical History''' ===
=== '''Scans''' ===
MRI Right Shoulder Labral Tear
 
==='''Medical History'''===
Alan has Type 3 Osteogenesis Imperfecta and has had 105 long bone fractures (majority occurred during childhood and adolescents with decreased incidence in adulthood) including femurs, tibia, fibula, humerus, ulna and radius with intramedullary rods in all long bones, and multiple surgeries with plates and screws.
Alan has Type 3 Osteogenesis Imperfecta and has had 105 long bone fractures (majority occurred during childhood and adolescents with decreased incidence in adulthood) including femurs, tibia, fibula, humerus, ulna and radius with intramedullary rods in all long bones, and multiple surgeries with plates and screws.



Revision as of 21:18, 12 September 2021

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History of Presenting Case[edit | edit source]

Alan is a 28 year old male. He uses a wheelchair for mobility, is independent in all transfers using standing transfers, and drives. Alan presented for physiotherapist following a right shoulder injury which occurred while blocking a pass during wheelchair rugby. He felt a subluxation at the right shoulder with significant pain and had to stop playing. Rested for 1-2 weeks with ongoing pain prior to going for further assessment and scans, which showed a right labral tear. As a result of COVID-19 restrictions initial physiotherapist was conducted via telehealth.

Subjective Information[edit | edit source]

Scans[edit | edit source]

MRI Right Shoulder Labral Tear

Medical History[edit | edit source]

Alan has Type 3 Osteogenesis Imperfecta and has had 105 long bone fractures (majority occurred during childhood and adolescents with decreased incidence in adulthood) including femurs, tibia, fibula, humerus, ulna and radius with intramedullary rods in all long bones, and multiple surgeries with plates and screws.

Sport Injuries[edit | edit source]

Leg Injuries

  • Tibial Fracture - Left


Shoulder Injuries

  • Rotator Cuff Tendonopathy
  • Rotator Cuff Tears
  • AC Joint Seperation
  • Bursitis


Elbow Injuries

  • Recurrent Lateral Epicondyle Tendonopathy - Right
  • Bursitis


Wrist Injuries

  • Sprains
  • De Quervains Tenosynovitis


Fingers

  • Sprains- Thumb & Multiple Fingers
  • Finger Fractures

Work[edit | edit source]

Alan works as Strength and Conditioning Coach with a personal training company that promote physical and mental wellbeing and provide an alternative take on health and fitness, integrating quality movement training, professional coaching, and social get togethers as a way to promote physical and mental health, and community spirit. Community is at the heart of the company that he works with, and a big part of that is bringing people together outside of training sessions including regular long table lunch events, monthly book club meetings, and movie nights every now and again.

Sport[edit | edit source]

Irish International Player for Wheelchair Rugby

Objective Assessment[edit | edit source]

Range of Movement[edit | edit source]

Strength[edit | edit source]

Transfers[edit | edit source]

Outcome Measures[edit | edit source]

References [edit | edit source]

  1. Aclai. All ages and abilities training at ACLAÍ. Available from: https://youtu.be/K0oGOfxaez0[last accessed 30/10/17]
  2. Aclai. Alan Dineen Training Montage. Available from: https://youtu.be/zXY2_w1ymRM[last accessed 30/10/17]
  3. Paralympic Games. Paralympic Sports A - Z; Wheelchair Rugby. Available from: https://youtu.be/tSzFmlWgVsM [last accessed 30/08/2021]
  4. Irish Wheelchair Association - Sport. Achieving Greatness - Alan's Story. Available from: https://youtu.be/ba9SKRd7uuM[last accessed 30/08/2021]