Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A multi-modal treatment approach for the shoulder: A 4 patient case series. | Chiropractic Osteopathy BioMed Central Case report Open Access A multi-modal treatment approach for the shoulder A 4 patient case series Mario Pribicevic1 and Henry Pollard 2 Address 1Macquarie Injury Management Group Department of Health and Chiropractic Macquarie University 2109 Sydney Australia and 2Macquarie Injury Management Group Department of Health and Chiropractic Macquarie University 2109 Sydney Australia Email Mario Pribicevic - mariochiro@ Henry Pollard - hpollard@ Corresponding author Published 16 September 2005 Received 06 September 2005 Chiropractic Osteopathy 2005 13 20 doi 1746-1 340-13-20 Accepted 16 September 2005 This article is available from http content 13 1 20 2005 Pribicevic and Pollard licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background This paper describes the clinical management of four cases of shoulder impingement syndrome using a conservative multimodal treatment approach. Clinical Features Four patients presented to a chiropractic clinic with chronic shoulder pain tenderness in the shoulder region and a limited range of motion with pain and catching. After physical and orthopaedic examination a clinical diagnosis of shoulder impingement syndrome was reached. The four patients were admitted to a multi-modal treatment protocol including soft tissue therapy ischaemic pressure and cross-friction massage 7 minutes of phonophoresis driving of medication into tissue with ultrasound with 1 cortisone cream diversified spinal and peripheral joint manipulation and rotator cuff and shoulder girdle muscle exercises. The outcome measures for the study were subjective objective visual analogue pain scales VAS range of motion .
