Upper Quarter Regional Interdependance Flashcards
Regional Interdependence
The concept that a patient’s primary musculoskeletal
symptom(s) may be directly or indirectly related or
influenced by impairments from various body regions
and systems of proximity to the primary symptom(s).”
Allostasis
Process to maintain homeostasis- with systems including musculoskeletal, somatovisceral, biopsychosocial, neurophysiological
Regional interdependence and MTT. How many people with shoulder pain had impairments in CT spine and ribs
40%
Lateral elbow pain- which percent of people with lateral elbow pain had impairments higher up in CT spine
70%
CTS (carpal tunnel) findings in Cervical spine
greater forward head and less ROM
EXPOSS study how many pts with shoulder pain improved with neck tx
47.6%- “maybe noisy neighbor theory”
WHat to do with MTT and shoulder pain
Test-retest Use CT + shoulder mobilizations and if improved symptoms good to use
Local treatment vs CT+local treatment for LE
CT+local- large differences in pain free grip and DASH