case presentation for a specific disease.

1. CASE
PRESENTATION
MD. MONERUZZAMAN SHIHAB
B.P.T 5TH SEMESTER
GONO BISHWABIDYALAY

2. Patient’s Information
 NAME : Prosenjit Kumar
 AGE : 30 yrs
 GENDER : Male
 OCUPATION : Businessman
 WEIGHT : 65 kg
 HEIGHT : 5.8 Feet
 ADDRESS : Shamoli,Dhaka
 D.O.A : No
 CHIEF COMPLAINTS : Having Pain in the upside of Scapula 15 days ago & before
had an Experience of same pain & was taken Physio. & Medical Management.1
year before had an injury in both index finger.

3. SUBJECTIVE EXAMINATION
 HISTORY:
 Present medical history:
This patient complains of pain in the upper arm & undergoing
physiotherapy treatment .
 Past medical history:
 Previously he had an experience of tramatic injury.
 No history of DM , HTN
 Surgical history: No
 Socio economic history: Affordable

4. PAIN ASSESSMENT
Onset : Gradual.
Side : Right side
site : Supraspinatus Muscle
Duration : 15 Day
Character : Intermittent
Type : Dull aching
Aggravating factors : Abduction,Elevation
Relieving factors : Rest

5. ON OBSERVATION
 Built : Fair
 Posture : Normal
 Deformity : No deformity
 Limb position : Symmetrical

6. ON PALPATION
 Swelling : Present
 Tenderness : Grade 3 tenderness
 Warmth : Present

7. ON EXAMINATION
 Range Of Motion : Decrease (Abduction less
than 120 degree)
 Muscle Atrophy : present

8. INVESTICATION
 X RAYS

9. DIAGNOSIS
Special Test :
Hawkin’s sign : Possitive.

10. Drop Arm Test : Pain in (120 – 60 )degree

11. Empty Can Test : Possitive

12. Differential Diagnosis:
o Acromioclavicular Joint Injury
o Brachial Plexus Injury
o Rotator Cuff Injury
o Shoulder Dislocation
o Frozen Shoulder

13. Confirm Diagnosis:
Supraspinatus Tendinitis : Because Empty Can
Test, Hawking’s sing test are positive.

14. PHYSIOTHERAPY
 AIM :
 To relieve pain
 To improve range of motion
 To improve muscle power
 To improve ADL
TREATMENT

15. TREATMENT:
 Hot Pack
 Myofascial Release
 DTF Over The Supraspinatus
 Shoulder Abduction Exercise
 Tapping
 UST 0.8 W/cm

16. Home Advice:
 Shoulder Stretching Exercise
 Pendular Exercise
 Pulley Exercise

17. THANKS TO ALL
For Your Patient

18. Any Question ???