Acromioclavicular joint mobilizations for the management of grade I sternoclavicular joint sprain: a case report.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-11-02 DOI:10.1080/09593985.2023.2276378

Rosemary Helvey-Byers, Jeffrey O'Laughlin, Nicole Dickson, Reuben Myer, Michael Gross

{"title":"Acromioclavicular joint mobilizations for the management of grade I sternoclavicular joint sprain: a case report.","authors":"Rosemary Helvey-Byers, Jeffrey O'Laughlin, Nicole Dickson, Reuben Myer, Michael Gross","doi":"10.1080/09593985.2023.2276378","DOIUrl":null,"url":null,"abstract":"Objective: Injury to the sternoclavicular joint is a rare phenomenon that has implications for the shoulder complex. Limited literature exists on optimal physical therapy rehabilitation after a sternoclavicular ligament sprain. This case report details the physical therapy management and outcomes of a patient with a posterior sternoclavicular joint sprain.Case description: The patient was a 34-year-old female who sustained a grade I posteriorly directed sternoclavicular sprain during a motor vehicle accident. She received a combination of acromioclavicular joint mobilizations and therapeutic exercise for her shoulder complex for five sessions over six weeks.Outcomes: At discharge, the patient surpassed the minimally clinically important difference (MCID) and the minimal detectable change (MDC) in her Quick-DASH score. She surpassed the MDC and MCID in her Numerical Pain Rating Scale score. She was able to regain full functional use of her involved upper extremity and returned to her work and original exercise regimen with no further limitations.Conclusion: The outcomes suggest that a combination of acromioclavicular joint mobilizations and therapeutic exercise for the shoulder complex was a suitable option for the conservative management of this patient's grade I sternoclavicular sprain.","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2719-2727"},"PeriodicalIF":1.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2023.2276378","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/2 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: Injury to the sternoclavicular joint is a rare phenomenon that has implications for the shoulder complex. Limited literature exists on optimal physical therapy rehabilitation after a sternoclavicular ligament sprain. This case report details the physical therapy management and outcomes of a patient with a posterior sternoclavicular joint sprain.

Case description: The patient was a 34-year-old female who sustained a grade I posteriorly directed sternoclavicular sprain during a motor vehicle accident. She received a combination of acromioclavicular joint mobilizations and therapeutic exercise for her shoulder complex for five sessions over six weeks.

Outcomes: At discharge, the patient surpassed the minimally clinically important difference (MCID) and the minimal detectable change (MDC) in her Quick-DASH score. She surpassed the MDC and MCID in her Numerical Pain Rating Scale score. She was able to regain full functional use of her involved upper extremity and returned to her work and original exercise regimen with no further limitations.

Conclusion: The outcomes suggest that a combination of acromioclavicular joint mobilizations and therapeutic exercise for the shoulder complex was a suitable option for the conservative management of this patient's grade I sternoclavicular sprain.

查看原文本刊更多论文

肩锁关节松动术治疗一级胸锁关节扭伤1例报告。

目的：胸锁关节损伤是一种罕见的肩部复合体损伤现象。关于胸锁韧带扭伤后最佳物理治疗康复的文献有限。本病例报告详细介绍了一例后胸锁关节扭伤患者的物理治疗管理和结果。病例描述：患者是一名34岁的女性，在一次机动车事故中遭受一级后向胸锁扭伤。她在六周内接受了肩锁关节松动术和肩部复合体治疗性运动的组合治疗，共进行了五次治疗。结果：出院时，患者的Quick DASH评分超过了最小临床重要差异（MCID）和最小可检测变化（MDC）。她的数字疼痛评定量表得分超过了MDC和MCID。她能够恢复上肢的全部功能，并恢复了她的工作和最初的锻炼方案，没有进一步的限制。结论：结果表明，肩锁关节松动术和治疗性锻炼相结合是保守治疗该患者I级胸锁关节扭伤的合适选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.