ICF

STRUCTURE IMPAIRED CLINICAL REASONING

Related to musculoskeletal Right Shoulder joint. Swimming after long time

systen (scapular muscles
particularly) Sudden movement of
shoulder girdle.

Causing abdrupt movement

of muscles in wrong
direction and reduce space
for muscles to move.

Causing muscles to jam

against scapular surfaces

Impingement of scapular
muscles
FUNCTION IMPAIRED CLINICAL REASONING

Pain and sensation Pain Inflammation causing release of

chemical mediator like
prostaglandins, histamine
interleukin bradykinins
stimulating free nerve ending/
nociceptor to carry pain impulse

Related to Musculoskeletal Range of motion Reflexive inhibition of muscle due

system to pain on movement resulting in
ineffective contraction to induce
movement causing reduced
range of motion

Scapular Dyskinesia
FUNCTION IMPAIRED CLINICAL REASONING

Related to musculoskeletal Reduced muscle strength Pain during movement

system prevents the movement due
to irritation of structure
resulting in disuse of
muscle. This prolong
inefficient function of
muscle causes reduced
strength of muscle

Functions of Digestive, Diabetes mellitus and (HTN) : Due to ageing there

Metabolic, and Endocrine hypertension since two is stenosis of arteries
Systers years causing increase in blood
pressure
(DM) Due to ageing there is
impaired insulin secretion in
glucose which causes
insulin resistance in
peripheral tissue
 Activity and participation
Domain Activity Limitation Capacity Qualifier

D2- General task Carrying out daily Unable to Should be able to Moderate
and demands routines perform do so
overhead activity
due to pain

D5- Self care Washing ,Dressin Unable to dress Should be able to Moderate
g ,Eating as overhead do so
activity causes
pain
 Contextual factors
FACTORS BARRIER FACILITATOR

Product and technology Physiotherapy

Attitude

Age

Co morbidities DM and HTN

Occupation