Your 45-year-old male patient presents with mid-back stiffne…

Your 45-year-old male patient presents with mid-back stiffness and pain for the past 3 months. Pain is worse in the morning and after sitting at a desk for long periods, and slightly eases with walking or stretching. He describes a dull, achy sensation along the thoracic spine without radiation to the arms. No numbness or tingling reported. PMH: Hyperlipidemia. Social history: Office worker; plays golf occasionally. Functional limitations: Difficulty sitting upright for long periods, limited endurance for desk work, and discomfort during recreational golf.   What are likely movement impairments? 

Suppose that you walk past the home of your friend, John. St…

Suppose that you walk past the home of your friend, John. Standing in front of the house is someone who somewhat resembles your friend, so you shout, “Hi, John!” To your embarrassment, it is not John but his younger brother—substantially shorter and with darker hair. This error can be traced to ________.

Your 32-year-old female patient presents with left shoulder…

Your 32-year-old female patient presents with left shoulder pain that has been gradually worsening over the past 6 months. She reports that the pain began after the birth of her first child. Pain is worse when feeding her child and holding objects in her left arm. She describes a dull, sore feeling across the anterior and lateral shoulder that occasionally radiates into the upper scapular region. No numbness or tingling is reported. Ice or gentle massage provides mild relief. PMH: Type I Diabetes. Social history: Lives with husband and 5-month-old child; works part-time as a pediatric nurse. Functional limitations: Difficulty lifting her child, reaching overhead, dressing, and performing household chores.   What are likely movement impairments?

Your 50-year-old female patient presents with pain in her ri…

Your 50-year-old female patient presents with pain in her right wrist and hand for the past 3 months. She reports that the pain began gradually after increasing her computer use at work. Pain is worse when typing, gripping objects, or holding a coffee mug, and eases slightly with rest. She describes a dull ache across the dorsal and palmar aspects of the wrist and mild stiffness in the fingers, particularly in the morning. She denies numbness or tingling. PMH: Type II Diabetes. Social history: Works as an accountant; plays piano recreationally. Functional limitations: Difficulty typing for extended periods, lifting objects, and performing household tasks such as cooking or cleaning.   What is your initial hypothesis? Tissues involved?