A 25-year-old female student with a history of a MVA 40 days ago while going to school.  Since then, the patient has had 6 visits of physiotherapy within 2 weeks with no improvement in neck pain . Her pain 1 (P1) is left C2-7 and upper trapezius and does extend to left upper extremity into all fingers. Patient rates pain 3-9/10, and pain varies from a dull ache to sharp pain with occasional pins and needles, depending on neck position. P1 is aggravated by sitting and walking > 30 minutes and turning to the left. P1 occasionally disturbs sleep, particularly when rolling over in bed and coughing/sneezing does not increase pain. P1 is sometimes eased by heat and stretching. Patient experiences frequent head-aches (general, non-specific) that are variable and unpredictable.  NSAIDs have no effect. X-ray day of MVA is negative, negative cauda equina, vertebral artery and cord signs. General health is generally good. The patient voices concern about fear of driving and has not been driving since the accident.  Also, patient expresses she is going through a complex divorce. Which of the following will be a MOST beneficial treatment plan for this patient? 

A 25-year-old female student with a history of a MVA 40 days ago while going to school.  Since then, the patient has had 6 visits of physiotherapy within 2 weeks with no improvement in neck pain. Her pain 1 (P1) is left C2-7 and upper trapezius and does extend to left upper extremity into all fingers. Patient rates pain 3-9/10, and pain varies from a dull ache to sharp pain with occasional pins and needles, depending on neck position. P1 is aggravated by sitting and walking > 30 minutes and turning to the left. P1 occasionally disturbs sleep, particularly when rolling over in bed and coughing/sneezing does not increase pain. P1 is sometimes eased by heat and stretching. Patient experiences frequent head-aches (general, non-specific) that are variable and unpredictable.  NSAIDs have no effect. X-ray day of MVA is negative, negative cauda equina, vertebral artery and cord signs. General health is generally good. The patient voices concern about fear of driving and has not been driving since the accident.  Also, patient expresses she is going through a complex divorce. What is the dominant pain mechanism? 

FES for decreasing shoulder subluxation in patients post-CVA…

EXTRA CREDIT Which of the following is a CONTRAINDICATION for mechanical cervical traction?

You have been treating a 17 yo female dancer for patella-femoral pain syndrome for the past 6 weeks.  Recently, she went back to dancing.  One day she comes to your clinic with moderate swelling over her patella tendon and an antalgic gait. She reports she “over-did it” in her dance practice last night.  The most appropriate action is to….

Which of the following is true regarding the frequency of US?

When applying US with the goal to create a thermal effect, how does the therapist know if the parameters were effective?

Which of the following heat modalities would be MOST effective for a patient with OA of the MCPs, PIPs, and DIPs who can perform AROM of those joints while using this modality? 

A physical therapist positions a patient in supine on a treatment plinth in preparation for a hot pack.  When preparing the hot pack for the low back, the therapist should utilize:

Shortness of breath following intermittent pneumatic compression (IPC) may indicate