International classification of diseases vs functional classification, disability and health status: muscle contract. Case report.
Abstract
We present a case of a patient referred due to a muscular contracture at the left upper trapezius muscle level, the muscular contracture has been defined as a permanent, painful and involuntary contraction of a muscle, that is not stopping with rest and its duration ranges from five to ten days. It’s the doctor who makes the diagnosis of the CIE-11 from a thorough assessment, considering the referral of patient to different professionals including the physiotherapist, who is responsible for making an assessment about the health status of structures, functions, limitation of activity, restriction of participation, environmental factors and personal factors. Although the physiotherapist doesn’t issue a diagnosis based on the CIE-11, he determines the working status, disability and health status of a person, in orden to establish a treatment plan from a well-being and quality of life perspective, overcoming the biomedical perspective incorporating a biopsychosocial perspective to the human functioning and disability.
Downloads
Disciplines:
Physiotherapy, TraumatologyReferences
Mezzich JE, Zapata MI, Schwartz K. La nueva clasificación internacional de enfermedades y el diagnóstico multiaxial en medicina general. Rev Med Hered . 1995; 6(4):187-192 https://doi.org/10.20453/rmh.v6i4.479
Fernández JA, Fernández-Fidalgo M, Alarcos C. Los conceptos de calidad de vida, salud y bienestar analizados desde la perspectiva de la Clasificación Internacional del Funcionamiento (CIF). Rev. Esp. Salud Publica. 2010; 84(2):169-184 https://doi.org/10.1590/S1135-57272010000200005
Organización Mundial de la Salud. Clasificación Internacional del funcionamiento, de la discapacidad y de la salud CIF. ISBN 924154544-5, 2001. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/43360/9241545445_spa.pdf?sequence=1
Hernán-Garcia M, Garcia D, Cubillo J, Cofino R. Fundamentos del enfoque de activos para la salud en atención primaria de salud. FMC. 2019; 26 (1):1-9 https://doi.org/10.1016/j.fmc.2019.06.005
Bourgaize S, Newton G, Kumbhare D, Srbely J. A comparison of the clinical manifestation and pathophysiology of myofascial pain syndrome and fibromyalgia: implications for differential diagnosis and management. The Journal of the Canadian Chiropractic Association. 2018; 62(1):26-41.
Laimi K, Mäkilä A, Bärlund E, Katajapuu N, Oksanen A, Seikkula V, Saltychev M. Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review. Clinical Rehabilitation. 2018; 32(4):440-450 https://doi.org/10.1177/0269215517732820
Cabaynes Truffino J. Protocolo diagnóstico de las contracturas musculares. Medicine. 2015; 11(75):4528-4531 https://doi.org/10.1016/j.med.2015.03.005
Daza JS, Iglesias A. Dolor Musculoesquelético. ACED, Editora Guadalupe S.A. 671p, 2010
Saxena A, Chansoria M, Tomar G, Kumar A. Myofascial pain syndrome: an overview. Journal Of Pain & Palliative Care Pharmacotherapy. 2015; 29(1):16-21 https://doi.org/10.3109/15360288.2014.997853
Arranz-Martín B, Navarro-Brazález B. Abordaje fisioterapéutico del síndrome de dolor miofascial tras cirugía reconstructiva por cáncer de mama: estudio de caso. Fisioterapia. 2018 ;40(5):273-277 https://doi.org/10.1016/j.ft.2018.05.001
Serrano-Muñoz D, Gomez-Soriano J, Avila-Martín G, Galán-Arriero I, Romero-Muñoz LM, Taylor J, et al. Sensibilización central al dolor en pacientes con síndrome del latigazo cervical: Una revisión. Revista Latinoamérica de Cirugía Ortopédica. 2016; 1(3):102-107 https://doi.org/10.1016/j.rslaot.2017.02.001
Velasco M. Dolor musculoesquelético: Fibromialgia y síndrome de dolor miofacial. Revista Médica Clínica las Condes. 2019; 30(6):414-427 https://doi.org/10.1016/j.rmclc.2019.10.002
Van Oosterwijck J, Nijs J, Meeus M, Paul L. Evidence for central sensitization in chronic whiplash: A systematic literature review. Eur J Pain. 2013; 17(3):299-312 https://doi.org/10.1002/j.1532-2149.2012.00193.x
Chavarría J. Síndrome de dolor miofascial, diagnóstico y tratamiento. Revista Médica de Costa Rica y Centroamérica LXXI. 2014; (612): 683-689.
Pooja S, Pradeep S. Advances in the management of myofascial pain dysfunction syndrome - A short review. Drug Invention Today. 2019; 12(2):309-13.
Bourgaize S, Srbely J, Newton G, Janjua I, Murnaghan K, Mior S. Fibromyalgia and myofascial pain syndrome: Two sides of the same coin? A scoping review to determine the lexicon of the current diagnostic criteria. Musculoskeletal Care. 2019; 17(1): 3-12 https://doi.org/10.1002/msc.1366
Nijs J, Malfliet A, Ickmans K, Baert I, Meeus M. Treatment of central sensitization in patients with 'unexplained' chronic pain: An update. Expert Opin Pharmacother. 2014; 15:1671-1683 https://doi.org/10.1517/14656566.2014.925446
Peolsson A, Landen-Ludvigsson M, Overmeer T, Dedering A, Bernfort L, Johansson G, et al. Effects of neck-specific exercise with or without a behavioural approach in addition to prescribed physical activity for individuals with chronic whiplash-associated disorders: A prospective randomised study. BMC Musculoskelet Disord. 2013; 14:311 https://doi.org/10.1186/1471-2474-14-311
Stewart MJ, Maher CG, Refshauge KM, Herbert RD, Bogduk N, Nicholas M. Randomized controlled trial of exercise for chronic whiplash-associated disorders. Pain. 2007; 128: 59-68 https://doi.org/10.1016/j.pain.2006.08.030
Wang ZM, Heshka S, Pierson RN, Heymsfield SB. Systematic organization of body-composition methodology: an overview with emphasis on component-based methods. The American Journal of Clinical Nutrition. 1995; 61(3): 457-465 https://doi.org/10.1093/ajcn/61.3.457
Ledezma FP, Vernaza-Pinzón P. Enfermedad de Kienböck: Reporte de un caso. Revista facultad Ciencias de la Salud. Universidad del Cauca. 2013; 15(3): 41-45.
Wang ZM, Pierson RN, Heymsfield SB. The five-level model: a new approach to organizing body-composition research. The American Journal of Clinical Nutrition. 1992; 56(1):19-28 https://doi.org/10.1093/ajcn/56.1.19
Kaur J, Garnawat D. The mental health benefits of physiotherapy. Fysioterapeuten. 2016; 7: 33-36.
.png)
