MANAGEMENT PLAN

Diagnosis: Subacute constant moderate right elbow distal pronator teres grade 1 strain

Timeline Treatment Rehabilitation Progression PROMS /

Home
advice
Phase 1 Education: altering ADL Tissue sparing: 1 visit 1/52 VAS on
Recovery phase movements to be in pain free modified directly to Pain free ROM every visit
(1 week) ROM patients occupation and & decrease in DASH on
hobbies VAS initial visit
Electrotherapy: stimulate muscle
regeneration Modification
of ADLs
Myofascial release of forearm and tissue
flexors and extensors sparing

Manipulation / mobilisation of
elbow and hand

Phase 2 PNF / PIR stretching Isometric exercise of 1 visit 1/52 VAS every
Rebuilding phase pronation of the Decrease VAS visit
Passive care Electrotherapy: stimulate muscle forearm and increase in
(2 weeks) regeneration stability and
Progression to return to coordinative
Myofascial release of forearm ADL but within pain free factors of
flexors and extensors ROM forearm
muscles
Manipulation / mobilisation of Progression to
elbow and hand eccentric/concentric
and isotonic exercises
of arm
Phase 3 Education: on mechanism of Return to normal ADL Pain free ADL VAS
Return to play injury and how to potentially and sport / occupation and hobbies / DASH
(1 weeks) avoid reinjury being conservative of occupation and PAR-Q
pain thresholds 0 score on
PNF / PIR stretching Education: on the VAS, DASH
negatives to “no pain, and sufficient
Electrotherapy: stimulate muscle no gain” PAR-Q
regeneration

Myofascial release of forearm

flexors and extensors

Manipulation / mobilisation of
elbow and hand

This report is used only for educational purposes with the CQ University Chiropractic Clinic System.