Clinical Report: Analysis of Thigh Stiffness Treatment Strategies

This clinical report examines the treatment strategies for a 28-year-old male patient experiencing thigh stiffness in the right posterior thigh. The report begins with an introduction outlining the patient's history, including a car accident and asthma, and the purpose of identifying effective treatment modalities for musculoskeletal injuries. The main body details the subjective examination, identifying aggravating factors and potential causes, followed by the chosen treatments: muscle remodelling, body massage, and therapeutic exercise. Muscle remodelling involves eccentric strength training, while body massage aims to relax stiff muscles. Therapeutic exercise includes cycling and various shuffle exercises to improve balance and motion. The report includes a table summarizing the aims, modalities, and FITT principles of the treatments. The conclusion reinforces the importance of muscle remodelling and therapeutic exercise for managing the patient's condition. The report is supported by relevant references, including journal articles and online resources.

The Demonstration Of Clinical
Report

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
Demonstration of clinical report helps in deriving improvement or deterioration in health
of patient. The assessment aim is to analyse and justification of treatment strategies used for 28
year old male suffering from thigh stiffness in right posterior. In accordance with his past history
he had car accident last year and is suffering from Asthma. Further, the purpose report is to
identify modalities which are applied for treating of musculoskeletal injuries and conditions.
Hypothesis of the case scenario includes biceps femoris long head which is combination of
muscle like short head of biceps demoris which is developed in flexor area of thigh and
Hamstring muscle group which are three muscles of posterior thigh.
MAIN BODY
In accordance with clinical demonstration, it is determined that 28 year fol man is
suffering from thigh stiffness in right posterior. On the basis of subjective examination it is
analysed that aggravating factor can be running hard in gym. Moreover, the cause of stiffness
and pain can be due to odd aches which occurs due to car accident. The treatment for reliving
pain and stiffness is suggested after subjective examination and various test like, straight leg
raising, seated straight led raise test and bilateral straight leg raise test. In accordance with test ,
subjective examination and clinician impression there was no sciatic nerve irritation, back pain
or hip pain. Therefore, with regard to over clinical demonstration treatment chosen were muscle
remodelling, body massage, and therapeutic exercise.
 Muscle Remodelling: Muscle modelling is related to skeletal muscle which aid in
enhancing capacity of damaged muscles by deriving capability of remodelling of
repairable muscles (Kidgell and et.al., 2015). The remodelling is supports exercising like
involvement in physical activity to boost motion in particular muscles of body part.
However, in accordance with clinical demonstration of 28 year old man ecocentric
strength training in which service user will be occurring on bench press, pull ups and
downs, squats, dips and dead lift (Yasuda and et.al., 2012). This will enable motion in
thigh stiffness of right posterior
 Body massage: In accordance with case it is important for the patient to have soft tissue
massage which aid in recreating strength of muscles by relaxing stiff muscle. According
to Giangregorio and El-Kotob, 2017, in this treatment plan patient experiences relaxed
therapy which enables relaxing and contraction of muscle to develop movement in stiff
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muscles of specific body part. Muscles of thighs are made of three groups that is
hamstrings which at back of leg, quadriceps which is in front of legs and adductor which
are inside the leg (Thigh Strain, 2018). However, soft tissue massage is part of
physiotherapy which will assist service user in normalising range of motion, neuro
dynamics and muscle strengths.
 Therapeutic exercise: It is a key component of rehabilitation program which is
suggested to patient for improving functionality of body and improving strength of
muscle. The exercising schedule includes cycling for 10 minutes on stationery bike for 7
to 6 days. Further, it comprises side shuffle with high or moderate intensity, boxer
shuffle, rotating body bridge, grapevine jog, supine knee bridge etc. All the exercise are
clinically approved as aid the patient in attaining balance, and motion in stiff muscles of
thighs. According to Cakir and et.al., 2014, Therapeutic exercise helps patient in
restoring movement in stiffened body part or muscles and assist in pain management
which improves proprioception.
Aim Modality FITT Principles Outcome marker
Th aim behind
choosing
treatment is to
enable develop
skeletal muscle
strength and
mass
(MacDonald,
2013)
Muscle Remodelling
As per FITT
principles muscle
remodelling is
essential for the
person suffering
from stiffness in
thigh because it aids
in developing
muscular strength by
increasing intensity
for heavy resistance.
Recording of muscle
soreness and
perceived exertion
pre and post
treatment
The aim is to
develop control
over
neuromuscular
ability
Therapeutic exercise As per FITT
principles
Therapeutic exercise
is necessary for
reducing pain and
Restoration in thigh
stiffness in right
posterior,
improvement in
balance, decrease in
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improving balance
and muscle strengths
which promotes easy
movement of
damaged body part.
pain and increase in
motion of service
user.
CONCLUSION
The study outline about treatment and modality used for the 28 year old male suffering
from thigh stiffness in right posterior. It discussed about the needs of two major modality that is
muscle remodelling and Therapeutic exercise for managing improvement and wellness in health.
The justification is supported by principles of frequency, intensity, time and type.
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REFERENCES
Books and Journals
Cakir, S., Hepguler, S., Ozturk, C., Korkmaz, M., Isleten, B., & Atamaz, F. C. (2014). Efficacy
of therapeutic ultrasound for the management of knee osteoarthritis: a randomized,
controlled, and double-blind study. American journal of physical medicine &
rehabilitation. 93(5). 405-412.
Giangregorio, L., & El-Kotob, R. (2017). Exercise, muscle, and the applied load-bone strength
balance. Osteoporosis International. 28(1). 21-33.
Kidgell, D. J., Frazer, A. K., Rantalainen, T., Ruotsalainen, I., Ahtiainen, J., Avela, J., &
Howatson, G. (2015). Increased cross-education of muscle strength and reduced
corticospinal inhibition following eccentric strength training. Neuroscience, 300, 566-
575.
MacDonald, G. Z., Penney, M. D., Mullaley, M. E., Cuconato, A. L., Drake, C. D., Behm, D. G.,
& Button, D. C. (2013). An acute bout of self-myofascial release increases range of
motion without a subsequent decrease in muscle activation or force. The Journal of
Strength & Conditioning Research. 27(3). 812-821.
Yasuda, T., Loenneke, J. P., Thiebaud, R. S., & Abe, T. (2012). Effects of blood flow restricted
low-intensity concentric or eccentric training on muscle size and strength. Plos
one. 7(12). e52843.
Online
Thigh Strain, (2018). [Online]. Available through: <https://physioworks.com.au/injuries-
conditions-1/quadriceps-thigh-muscle-strain>.
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