PREFERRED PRACTICE PATTERN
As of June, 2014, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated.
Algorithm for the diagnosis and treatment of gastroesophageal reflux (GERD). bid, twice daily; EGD, esophagogastroduodenoscopy; H2RA, H2-receptor antagonist; OTC, over-the-counter; prn, as needed; qd, daily. (From Greenberger NJ, Blumberg RS, Burakoff R. Current Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy, 2nd ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
A 60-year-old patient is referred to PT with general shoulder pain. He plays softball in a senior league and somehow injured his shoulder. Although he cannot be specific about any single event or injury, he plays first base and occasionally fills in for the pitcher. He is moderately obese, but does go regularly to the gym to work out. His medications include an ace inhibitor for high blood pressure and occasional antacids for heartburn. During the initial examination he is rubbing the front of his shoulder and pectoralis area on the right. Hiccups and occasional coughing interfere with conversation at times, and he complains that he suffers from them more and more often. He is anxious to get better as his team is in the playoffs. Physical examination reveals bursitis and soreness in both shoulders.
Condition in which stomach acid backs up into esophagus
Patients experience burning feeling in abdominal, chest, or throat areas
Common symptom and complaint is “heartburn”
Acid reflux or indigestion, minimum twice weekly1
Inability to or difficulty with swallowing
Burning in chest
Regurgitation of food or sour liquid (acid reflux)
Complaint of lump in throat
Cough without mucous production or congestion
Broad array of GI disorders may be encountered by physical therapists
While PT may not manage GI disorders specifically, clients may receive care for secondary problems: Weakness, gait abnormalities, limited aerobic endurance, sarcopenia, musculoskeletal/neuromuscular problems, ...
Log In to View More
If you don't have a subscription, please view our individual subscription options below to find out how you can gain access to this content.
Want remote access to your institution's subscription?
Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.
If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.
AccessPhysiotherapy Full Site: One-Year Subscription
Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.
Pay Per View: Timed Access to all of AccessPhysiotherapy
24 Hour Subscription $34.95
48 Hour Subscription $54.95
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.