Krystal Campbell R.M.T. Krystal Campbell R.M.T. MedRehab Physiotherapy Clinic http://www.medrehabgroup.

com 380 Bovaird Drive E, Unit 26 Brampton, On L6V 2S8 Tel: (905) 970-0101 Fax: (905) 970-0069 Email: KrystalCampbell@medrehabgroup.com

Nov 9th/2013

Requested By:

Address:

Phone:
Date Requested:

Jackie Anderson Lawyer Zayouna Law firm 510-10 Four Seasons Pl Etobicoke, ON M9B 6H7 647-497-7987
05/07/2012

Claimant:
Address:

Mrs. Airabella Simmons

473 Britannia Rd E Mississauga, ON L8M 5N9 01/26/1985 Back pain due to recent car accident 24/06/2012 30/06/2012 02/09/2012 Krystal Campbell R.M.T. MedRehab Physiotherapy Clinic 380 Bovaird Drive E, Unit 26 Brampton, On L6V 2S8

Date of Birth: Reason for Claim: Date of Accident: Date of Assessment: Date of Reassessment: Reported By: Address:

Krystal Campbell R.M.T. Dear Jackie Anderson,

Nov 9th/2013

You have asked me to assess Mrs. Airabella Simmons and to answer all of your questions regarding her current health status and prognosis. This is in regards to legal act taken against the driver that hit Mrs. Simmons and compensation for her injuries. I have assessed Mrs. Simmons on June 30th, 2012 and will reassess her on September 2nd, 2012. My report is based on my initially intake. Regards, Krystal Campbell

Professional Qualifications My name is Krystal Campbell and I have been a registered massage therapist for the last 4 years. I have worked at Med Rehab Physiotherapy clinic in Brampton Ontario for the last 3 years. I have experience in motor vehicle accidents, musculoskeletal injuries and remedial massage. I have taken continuing education units in acupuncture, whiplash assessment and treatment, infant massage, labour support; trigger point therapy, manual lymph drainage and cervical spine mobilizations. Patient Profile/History/Symptoms Mrs. Airabella Simmons is a 28 year old competitive equestrian horse rider. She competes in Dressage and Jumping competitions in the Olympics and has won 3 gold medals for jumping and 2 silvers medals for dressage. Mrs. Simmons current competes in small competitions when getting ready for the olympics games. Her partner in crime is a beautiful 6 year old, dun coloured horse called Comanche. They have been competing together since Comanche was 1 year old and have been inseparable ever since. On June 24th, 2012 Mrs. Simmons was driving up to the stable, to take Comanche out for a trail ride like she did every Sunday. On her way there she was she was stopped at a stop light 5 minutes away from the stable. The light finally turned green and she continued to drive, out of now where she heard a loud crash, her car started spinning and then abruptly stopped when she smashed into the light pole. The man that hit her was driving a black cadillac escalade and ran the red light due to heated argument he was having over the phone. After the accident she was feeling pretty shaken up and went to see her doctor. After 2 days she started to get headaches, pain in her shoulders, arms and hands, she also was experiencing pain and soreness in her neck when laying down. Assessment 30/06/2012 The initial assessments that I used with Mrs. Simmons was a postural assessment, active range of motions (AROM), passive range of motions (PROM) and resisted range of motions (RROM) and also palpations. With the postural assessment I found that Mrs. Simmons has hyperlordosis (excessive ccurve in lower back area) in her lumbar region, an anterior pelvic tilt (pelvic bone angling to the front of the body) and both of her scapulae (shoulders blades) are elevated (raised) and slightly protracted.

Krystal Campbell R.M.T.

Nov 9th/2013

With her AROM and PROM she is experience reduced range in cervical spine, for flexion, extension, rotation and lateral flexion. When preforming RROM Mrs. Simmons experiences pain in flexion, extension, lateral flexion and rotation of the neck for both sides. On palpation she felt pain, resting tension and stiffness. Her reassessment will be done on September 2nd, 2012. Clinical Suspicion I suspected that Mrs. Simmons had experience a neck strain due to the sudden powerfully impacted from the car. Recommendations for Outcomes of care Our main long term goal would be to get Mrs. Simmons back on her horse without feeling pain in her neck from the movement and to regain the function in her neck. The short term goals would be to decrease the pain, resting tension and stiffness in her neck. Recommendations for Treatment My short term treatment plan will consist of 6 sessions of 30 minute massages, 2 times a week for 3 weeks. Her long term treatment plan will be 12 sessions of 1 hour massages, 1 time a week for 12 weeks. I will do a reassessment in the 6th week to see how the short term goals are progressing. Then at the 12th week of treatment I will reassess Mrs. Simmons again and either decide to discharge her or toe refer her to another healthcare practioner if I believe she still hasnt regained her normal functions. For the neck the techniques I will use are effleurage, muscle stripping, muscle squeezing, petrissage and a very slow passive stretch. For her shoulders the techniques I will use are effleurage, broad and specific compressions, muscle stripping, muscle squeezing, petrissage and a passive stretch. These techniques will help to reduce the pain, resting tension and decrease the stiffness in her neck. For home remedial exercise she would stretch the neck 2 to 3 times a day and hold for 30 seconds. Clinical Conclusions Mrs. Simmons horseback training is greatly affected by the pain in her neck. She has not been training due to the fear of re-injuring her neck from landing jumps on Comanches. She has slowly started taking Comanches for walks has her neck improves. Massage therapy is recommended to reduce the stiffness, pain and resting tension in the neck. At the end of the massage treatment plan the desired outcome would be to have Mrs. Simmons back competing in competitions with no neck pain and to regain her range of motion.

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Krystal Campbell R.M.T.