Based on the best available evidence, which intervention has the strongest support for effectiveness in managing true adhesive capsulitis?

BONUS: What’s the most important takeaway or highlight from this orthopedic course that you plan to apply during your upcoming clinical experiences? 

A physical therapist (PT) notes the patient has weak grip, particularly with left wrist flexion during the objective examination. The PT attempts to discern if the weakness is centrally located within the cervical spine. What other upper extremity motion shares the same myotome level consistent with the finding above?

Case Bill: A 55-year-old male presents with a primary complaint of pain and tingling in the lateral hand, specifically affecting the thumb and index finger, ongoing for the past six months. He reports that his symptoms have worsened since transitioning to a new position as a professor, which involves increased time spent typing at a computer desk. Bill rates his pain as a 5/10, occurring both during the day and at night. He denies any current or past neck pain, reports no weakness, and does not recall any specific injury or trauma to the area. What interventions would be the most evidence-based approach to assist Bill in reducing his symptoms?

Case Bill: A 55-year-old male presents with a primary complaint of pain and tingling in the lateral hand, specifically affecting the thumb and index finger, ongoing for the past six months. He reports that his symptoms have worsened since transitioning to a new position as a professor, which involves increased time spent typing at a computer desk. Bill rates his pain as a 5 out of 10, occurring both during the day and at night. He denies any current or past neck pain, reports no weakness, and does not recall any specific injury or trauma to the area. The treating PT notes significant limitations in wrist extension AROM/PROM at the radiocarpal joint. Which mobilization would be the most appropriate to improve this patient’s wrist extension mobility?

A 79-year-old patient presents to outpatient physical therapy 3 weeks after a fall with persistent dizziness and headache. They report a brief period of confusion but no loss of consciousness.   Which factor most increases this patient’s risk for prolonged recovery? 

An 80-year-old female patient is referred to outpatient PT for evaluation and treatment of strength, balance, and posture with a diagnosis of osteoporosis. She was diagnosed with osteoporosis after sustaining a T10 compression fracture from a fall. Patient reports 1 additional fall in the last year, occurring in the shower, after which she had shower strips placed on the floor. Medical Diagnoses from her records include:   Diabetes mellitus type II with Diabetic peripheral neuropathy  Diverticulosis  Fibromyalgia   Hypercholesterolemia    When reviewing the patient’s DEXA Scan, which of the following results would the PT expect to see? 

Case Study: An 80-year-old female patient is referred to outpatient PT for evaluation and treatment of strength, balance, and posture with a diagnosis of osteoporosis. She was diagnosed with osteoporosis after sustaining a T10 compression fracture from a fall. Patient reports 1 additional fall in the last year, occurring in the shower, after which she had shower strips placed on the floor. Medical Diagnoses from her records include:   Diabetes mellitus type II with Diabetic peripheral neuropathy  Diverticulosis  Fibromyalgia   Hypercholesterolemia   As part of the plan of care, the PT includes safe functional mobility training. Which of the following pictures describes safe functional mobility for a patient with osteoporosis?  

A physical therapist assesses a patient after sustaining a traumatic anterior shoulder dislocation following a fall on an outstretched hand. He expresses concerns and seeks guidance from the PT on the best course of action.  Which of the following statements best supports evidence-based clinical practice?   

Case Sally: A 32-year-old female has a chief complaint of worsening left shoulder pain over the last 3 months. She states that her pain is localized to the anterolateral aspect of the shoulder, described as a dull, aching pain. The treating physical therapist has performed a thorough subjective and objective examination (OE). Items included in the OE included:  Upper quarter clearing examination  Shoulder range of motion (all normal, except for 20 degrees of lacking shoulder internal rotation)  Shoulder manual muscle testing (weakness/pain with shoulder scaption/external rotation)  Special tests including: (+) Hawkins Kennedy, (+) painful arc sign   The PT observes a deficit in shoulder internal rotation and decides to use joint mobilizations to address this limitation. Which joint mobilization should be performed, considering the normal biomechanics of the shoulder?