Zusammenfassung der Ressource
AYMAN THE
SWIMMER
- Demographics:
Name: Ayman
Age:19
Occupation:
student,freestyle
swimmer
- Presents with:nagging pain in his
right shoulder, getting worse,throbs
after training and during the night,
sleep disturbance
- -Pain when: lifting/lowering arm
(swimming, combing hair,reaching up) -
- Distressed and
anxious about
competing
- Physical examination:
- Inspection
- Skin
- Discoloration
- Scars
- Abnormal
creases
- Joint
- Shape e.g.swelling
- Position
- No abnormality
- Palpation
- Bonny surface landmarks
- localized
tenderness(greater
tuberosity)
- Muscles e.g. Biceps for
tenderness
- Check for temperature, creptius
- Range of motion
- Active
- externol
rototion
- poinful restricted
movement
- flexion
- abduction
- painful restricted
movement
- painful arc
- internol
rototion
- extension
- adduction
- Passive
- Impingement test
- Biopsychosocial aspect
of pain
- Factors affects
the degree of
pain felt
- genetic
composition
- prior learning
experiences, and
situation
- current
psychological
status
- sociocultural influences
- Pain Catastrophization
- Magnification,
rumination, helplessness
- complications: depression, anxiety,
somatic symptom disorder, and
substance abuse
- Treatment
- exposure therapy
- Treatment & Managment
- Apply ice
- Medication e.g
pain killers
- physiotherapy
- Rest
- Alternative Treatment
- Electrotherapy
- using electrical current to treat
acute or chronic pain and
muscular atrophy.
- Laser acupuncture
- using laser to stimulate
acupuncture points
- Anatomy of the shoulder
- Bones
- Muscles
- Nerves
- Brachial plexus
- Blood vessels
- Possible causes of
joint pain e.g
- Sport Injuries
- Acute
- Contact
- Contution
- laceration
- Ligament Sprains
- Dislocations/
sublaxation
- Fractures
- Chronic
- Tendinopathy
- e.g.swimmer's shoulder
- painful shoulder overuse
injuries that occur in
swimmers
- Stages
- Stage 1: Some torn fibers and feeling of pain
- Stage 2: Partial thickness tear and increase in the feeling of pain
- Stage 3: complete tear in the tendon and increase in the pain
- Muscle strains
- Bursitis
- Osteoarthritis
- Stress fractures
- referred
pain
- Osteoarthritis