Question

A 48 yo pt is suffering from DM and was referred to an OP clinic with a diagnosis of adhesive capsulitis. The physical therapist examined the pt and decided to utilize mobilizations as part of the initial treatment. During a grade 2 inferior glide on the glenohumeral joint, the pt complains of severe pain and irritability. Which of the following interventions is the BEST course of action for the PT to make?

A) Do active assisted exercises and wait for the pain to subside

B) Moist heat, glides applied in opposite direction to the direction of restriction

C) Interferential therapy, moist heat and active assisted exercises

D) US, moist heat, and active exercises

Answer 1

The physical therapist should do active assisted exercises and wait for the pain to subside.

Step-by-step explanation:

The best course of action for the physical therapist to take when the patient complains of severe pain and irritability during a grade 2 inferior glide on the glenohumeral joint is to do active assisted exercises and wait for the pain to subside. This is because the severe pain and irritability indicate that the mobilization technique may be too aggressive for the patient at this time. By doing active assisted exercises and giving the patient time to recover, the therapist can gradually progress the treatment plan and avoid further aggravating the patient's symptoms.