Rehabilitation Plan Case Solution And Analysis, HBR Case Study Solution & Analysis of Harvard Case Studies

Rehabilitation Plan Case Solution

The short term treatment plan also should include the use of rigid strapping tape. The implementation of this approach to the short-term treatment provides the patient with an opportunity to eliminate the negative impact of poor posture and scapular mechanisms, while developing appropriate scapular motion.(Pallavi Rawat MPT, 2017)

The short-treatment plan might include injections into the glenohumeral joint. (Page & Labbe, 2010). The injections include a corticosteroid and an anesthetic; therefore, they are capable of stretching the vibes and distending the capsule. (MARTIN J. KELLEY M. A., 2013)The approaches remain effective during the early stage of the health condition. (Phil Page, 2010)

Medium Term Treatment Plan

The medium treatment plan focuses on the use of “gentle” therapy. According to Page and Labbe (2010), the particular type of therapy focuses on painless pendulum and active exercises. This type of therapy is more effective than “intensive” therapy, which includes passive stretching. According to Jewell and colleagues, “joint mobilization and exercise were the most effective interventions” (Page & Labbe, 2010). According to (Jonathan Zavala-Gonzáleza, 2018)a Mainland's mobilization technique applied alone or added-on to a treatment program in patients with primary adhesive capitalistic at any stage, remains effective in terms of pain, function and ROM. (Jacob Isaac Jason, 2015)The medium treatment plan should focus on modalities, manual techniques and therapeutic exercise.

The medium term treatment plan should include rota-tor cuff (RC) muscles strengthening combined with mobilization and trans-cutaneous electrical nerve stimulation. The particular intervention activates the muscles and provides their extension. The implementation of this approach remains effective for the treatment of the health condition experienced by the patient. (Pallavi Rawat MPT, 2017)

Long Term Treatment Plan

The long-term treatment should focus on the approaches that are capable of providing the patient with an opportunity to prevent the evolvement of the health condition. Soft tissue mobilization and deep friction massage remain some of the most effective long-term treatment approaches. “Deep friction massage, using the Cyriax method, was shown to be superior to the superficial heat and diathermy in treatment of patients with adhesive capitalistic i.e. an intervention for the health condition”.(Sharma, (2014)) The long-term treatment should also rely on the use of instrument-assisted soft tissue mobilization due to its effectiveness based on strong afferent stimulation. (Phil Page, 2010)The use of rigid strapping tape is also appropriate during the long term treatment to support the achieved treatment outcomes. Beyond the above mentioned techniques, shoulder strengthening and stretching exercises are considered beneficial in terms of functional improvement and pain relief. (Ruivo RM, 2017)

Table 2: Treatment Plan

Problem	Short-term Plan (2 weeks)	Long-term Plan (6 weeks)	Intervention
Increased pain particularly at night	Decrease worsening in pain: 8/10	Decrease worsening in pain: 6/10	Place a heat pack for around 15 minutes for pain tolerance
Decreased Range of motion	Increase AROM by 5 degree	Increase AROM and PROM according to standard protocol	Start with less intense exercise and then progress to medium intensity
Strengthening	Low-resistance end ranges using pulley or a device	High resistance end ranges using pulley or a device (MARTIN J. KELLEY P. W., 2009)	Gradual increase in the resistance, after the low target is achieved

Appropriate Outcome Measures

The outcomes of the treatment should be evaluated while comparing the physical measures at the beginning and at the end of the treatment. The physical characteristics that should be taken into consideration, include: thickening of the synovial capsule, adhesion within the subatomic or subdivided bursa, adhesion to the biceps tendon, and/or obliteration of the maxillary fold secondary to adhesion. (Abhay Kumar, 2012)These physical characteristics should be measured before the treatment and after each stage of the treatment plan. The statistical analysis is required after the treatment plan incorporation.....................

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Rehabilitation Plan Harvard Case Solution & Analysis