Poster Sessions - 2018 Research Day

Event Title

The Effectiveness of Mechanical Diagnosis and Therapy for a Patient with Sudden Onset Neck Pain: A Retrospective Case Report

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background/Purpose: Neck pain is one of the most common disorders worldwide, causing increased morbidity and decreased function. Neck pain has many treatment options; however, the exact cause of some cases of neck pain are unknown. The Mechanical Diagnosis and Therapy approach treats patients based on their response to movements since there is limited accuracy with medical diagnoses. The purpose of this case study was to describe the effectiveness of the MDT approach and exercise progression to address functional limitations and restore function in a patient with neck pain.

Case Description: 75-year-old Caucasian female with sudden onset of neck pain when she awoke. Pain radiated into her shoulders and face. CT Scan had no remarkable findings. Patient was unable to drive and complete ADLs secondary to pain. Patient wanted to go to her grandson’s wedding without pain.

Outcomes: After the 3rd visit, the patient was able to attend her grandson’s wedding without pain. On the 4th and final visit, the patient was able to complete functional activities without an increase in neck pain and was able to return to her ADLs at home. Her NDI score was a 0% at discharge, showed improved cervical range of motion, and pain was 0/10 since the 3rd visit.

Discussion: A simple MDT exercise progression consisting of cervical ROM exercises and patient education, with good patient adherence, showed positive results in the decrease of pain and restoration of function. Further studies would be beneficial in determining the recurrence of neck pain.

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

The Effectiveness of Mechanical Diagnosis and Therapy for a Patient with Sudden Onset Neck Pain: A Retrospective Case Report

Hall of Governors

Background/Purpose: Neck pain is one of the most common disorders worldwide, causing increased morbidity and decreased function. Neck pain has many treatment options; however, the exact cause of some cases of neck pain are unknown. The Mechanical Diagnosis and Therapy approach treats patients based on their response to movements since there is limited accuracy with medical diagnoses. The purpose of this case study was to describe the effectiveness of the MDT approach and exercise progression to address functional limitations and restore function in a patient with neck pain.

Case Description: 75-year-old Caucasian female with sudden onset of neck pain when she awoke. Pain radiated into her shoulders and face. CT Scan had no remarkable findings. Patient was unable to drive and complete ADLs secondary to pain. Patient wanted to go to her grandson’s wedding without pain.

Outcomes: After the 3rd visit, the patient was able to attend her grandson’s wedding without pain. On the 4th and final visit, the patient was able to complete functional activities without an increase in neck pain and was able to return to her ADLs at home. Her NDI score was a 0% at discharge, showed improved cervical range of motion, and pain was 0/10 since the 3rd visit.

Discussion: A simple MDT exercise progression consisting of cervical ROM exercises and patient education, with good patient adherence, showed positive results in the decrease of pain and restoration of function. Further studies would be beneficial in determining the recurrence of neck pain.