Chiropractic: Case Study 1 | Case Study 2 | Case Study 3
Physical Therapy: Case Study 1 | Case Study 2
Massage Therapy: Case Study 1

Physical Therapy Case Study 2

Patient: 56 year old male with a 5 year history of bilateral rotator cuff syndrome diagnosed as “frozen shoulder”. Initial 12 weeks of PT and Cortisone injections with mild improvement followed by complete relapse with in 4 weeks. CC was agrevated by work related truck driving and lifting activities.

Presentation: R>L restricted shoulder ROM in all directions, with persistent low-grade ache and pain. Elevation was restricted to 85’ Rt. and 110’ Lf. with noted full recruitment of acsending traps. Active and passive ROM were equal.

SRA Evaluation: C4 and C1 bilateral and induced secondary L5 axial spinal reflexes with a net soft tissue contracture pattern of bilateral latissimus dorsi, levator scapula, and desending trapezius fibers. Combined contractures resulted in a full “lock down” of the scapulas bilaterally.

Treatment: SRA based Attachment Point therapy per involved reflexes netted an elevation increase of 45+ degrees in the Rt. shoulder with a 60+ degree increase Lt. on the first treatment. Two follow-up treatments netted shoulder ROM function to within 5% of normal Rt. and full ROM Lt.

Recommendations: Spinal intrinsic exercises, home stretches, and ergonomics education was prescribed.