Clinical reasoning for complex cervical spine conditions

被引:5
作者
Reid, Duncan [1 ]
Rebbeck, Trudy [2 ]
McCarthy, Christopher [3 ]
机构
[1] Auckland Univ Technol, Sch Clin Sci, Private Bag 92006, Auckland 1142, New Zealand
[2] Univ Sydney, Sydney, NSW, Australia
[3] Manchester Metropolitan Univ, Manchester Movement Unit, Manchester Sch Physiotherapy, Brooks Bldg, Manchester, Lancs, England
关键词
Clinical reasoning; Case study; Vertebral artery dissection; Tempero mandibular joint; Whiplash; WHIPLASH-ASSOCIATED DISORDERS; ARTERY DISSECTION; NECK PAIN; PRESSURE PAIN; DISABILITY; MOVEMENT; EXERCISE;
D O I
10.1016/j.ijosm.2017.09.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Clinical reasoning is at the cornerstone of clinical practice. Case studies are not viewed as highly in the evidence hierarchy as randomised controlled trials but they provide valuable insights into individual cases and clinicians often relate well to these as there are parallels with patients they see in their own clinics. This master class presents three cases related to cervical spine pathologies as assessed or managed by three physiotherapists. These therapist are experienced clinicians and academics and bring their expertise of both worlds (clinical and academic) to these cases providing an overview of the case, followed by their interpretation and rationale for care with their clinical reasoning insights. The cases where originally presented at a recent international physiotherapy conference and reworked for journal publication. (C) 2017 Published by Elsevier Ltd.
引用
收藏
页码:45 / 51
页数:7
相关论文
共 51 条
[1]  
[Anonymous], 2008, CLIN GUID BEST PRACT
[2]  
[Anonymous], MANUAL COMBINED MOVE
[3]  
[Anonymous], NZ J PHYSIOTHER
[4]   Vertebral artery dissection - Presenting findings and predictors of outcome [J].
Arnold, Marcel ;
Bousser, Marie Germaine ;
Fahrni, Gregor ;
Fischer, Urs ;
Georgiadis, Dimitrios ;
Gandjour, Joubin ;
Benninger, David ;
Sturzenegger, Matthias ;
Mattle, Heinrich P. ;
Baumgartner, Ralf W. .
STROKE, 2006, 37 (10) :2499-2503
[5]   INFLUENCE OF DIFFERENT UPPER CERVICAL POSITIONS ON ELECTROMYOGRAPHY ACTIVITY OF THE MASTICATORY MUSCLES [J].
Ballenberger, Nikolaus ;
von Piekartz, Harry ;
Paris-Alemany, Alba ;
La Touche, Roy ;
Angulo-Diaz-Parreno, Santiago .
JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2012, 35 (04) :308-318
[6]  
Behrsin J F, 1986, Aust J Physiother, V32, P101, DOI 10.1016/S0004-9514(14)60646-2
[7]   Postmenopausal osteoporosis: general practitioners' application of the risk factors in the AFSSAPS guidelines Survey of 2658 general practitioners [J].
Cortet, Bernard .
PRESSE MEDICALE, 2009, 38 (09) :1213-1219
[8]   Does a stubborn commitment to 'evidence' stifle innovative thinking? [J].
Crosbie, Jack .
JOURNAL OF PHYSIOTHERAPY, 2013, 59 (02) :69-71
[9]   Patients with chronic neck pain demonstrate altered patterns of muscle activation during performance of a functional upper limb task [J].
Falla, D ;
Bilenkij, G ;
Jull, G .
SPINE, 2004, 29 (13) :1436-1440
[10]   The Change in Deep Cervical Flexor Activity After Training Is Associated With the Degree of Pain Reduction in Patients With Chronic Neck Pain [J].
Falla, Deborah ;
O'Leary, Shaun ;
Farina, Dario ;
Jull, Gwendolen .
CLINICAL JOURNAL OF PAIN, 2012, 28 (07) :628-634