Article

The purpose of this case report is to present a multimodal approach for patient
management using the Maitland concept framework for cervical and lumbar
radiculitis with an underlying diagnosis of Ehlers-Danlos Syndrome-Hypermobility
Type (EDS-HT). This case presents care guided by evidence, patient values, and
rationale for the selected course of physical therapy treatment provided by
therapist experience.
A 35-year-old female with a 2-year history of worsening
lumbar and cervical pain was referred to physical therapy to address these
musculoskeletal issues concurrent with diagnostic testing for EDS. A multimodal
approach including manual therapy, therapeutic exercise, postural and body
mechanics education, and a home exercise program was used. The patient specific
functional scale (PSFS) was used to gauge patient's perceived improvements which
were demonstrated by increased scores at reevaluation and at discharge. Following
the Maitland concept framework, the physical therapist was able to make sound
clinical decisions by tracking the logical flow of constant patient assessment. A
10-month course of treatment designed to maximize recovery of function was
successful with a chronic history of pain and the EDS-HT diagnosis. The role of
education and empowering the patient is shown to be of utmost importance.
Optimizing therapeutic outcomes long-term for this patient population requires
maintaining a home exercise program, adaptation and modifications of work and
lifestyle activities.

Langue : ANGLAIS