- 315.4 Developmental coordination disorder
- 718.45 Contracture of joint, pelvic region and thigh
- 719.70 Difficulty in walking
- 728.2 Muscular wasting and disuse atrophy, not elsewhere classified
- 728.89 Disorders of muscle, ligament, and fascia
- 729.9 Other and unspecified disorders of soft tissue
- 780.7 Malaise and fatigue
- 781.2 Abnormality of gait
- 782.3 Edema
- 786.0 Dyspnea and respiratory abnormalities
- 786.05 Shortness of breath
- K21.9 Gastro-esophageal reflux disease without esophagitis
- As of November 2012, 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.
- 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
- Sore throat
- Regurgitation of food or sour liquid (acid reflux)
- Complaint of lump in throat
- Cough without mucous production or congestion
- Chest pain
- Nausea, vomiting
- 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, weight loss/gain
- Problems may be acute, post-operative, chronic, viral, bacterial, or congenital/hereditary
- PT should recognize possible GI pathology in differential diagnosis, especially when findings are inconsistent with conditions commonly treated
- GI disorders frequently refer pain to other body areas; individuals may be inappropriately referred to PT
- History of heartburn or indigestion may indicate GI or cardiac problems
- May lead to more serious conditions such as Barrett’s esophagus
- May increase risk of cancer or ulcer
- GI disorders occur throughout lifespan (birth through geriatric)
- 55 to 60% of general population suffer from occasional symptoms of GERD2
- Some indication of genetic tendency
- Depending on the pathology, occurrence rates may differ based on ethnicity, diet, lifestyle, gender, age
- High incidence in general population due to potential for lifespan occurrence
- Chronic indigestion
- Burning in throat, heartburn
- Relief with antacids
- Indigestion at least twice weekly
- Symptoms worsen when lying flat
- Difficulty swallowing (related to esophageal or oral problems rather than neuromuscular)
- Abdominal/stomach pain, cramping (constant or intermittent, severe)
- Chest pain
- Pain upon ingesting food or liquid
- Pain after ingesting fatty foods (gallbladder sign)
- Bowel changes
- Diarrhea (acute, chronic)
- Constipation (acute, chronic), especially with antacid ingestion
- Occult blood in stool
- Change in stool odor or color
- Mucous in stool or mucous discharge
- Unexplained weight loss
- Abdominal muscle spasm, guarding
- Loss of appetite, cachexia, complaints of “feeling full” regardless ...
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.