TY  - CHAP
M1  - Book, Section
TI  - Sedative-Hypnotic Drugs
A1  - Jobst, Erin E.
A1  - Panus, Peter C.
A1  - Kruidering-Hall, Marieke
PY  - 2020
T2  - Pharmacology for the Physical Therapist, 2e
AB  - CASE  STUDYD.H.  is  a  72-year-old  man  with  a  primary  diagnosis  of  lumbar  strain  that  was  the  result  of  lifting  a  large  generator  during  an  electricity  outage  due  to  a  recent  tropical  hurricane.  The  patient  was  initially  seen  in  an  urgent  care  facility.  He  followed  up  with  an  orthopedic  physician  who  recommended  spinal  imaging,  which  was  negative  for  any  bony  abnormalities.  The  orthopedic  physician  recommended  physical  therapy  for  evaluation  and  treatment  as  indicated.  On  initial  examination,  the  physical  therapist  noted  that  the  patient  demonstrated  a  forward  flexed  posture  with  limited  trunk  range  of  motion  in  all  planes  with  pain  at  end  ranges.  Upon  palpation,  D.H.  had  tenderness  in  the  low  back  paraspinal  musculature.  The  patient  had  significant  pain  with  bed  mobility,  sit-to-stand  transfers,  and  stair  negotiation.  D.H.  was  also  unable  to  assist  with  the  post-hurricane  cleanup  of  his  home  and  property.  D.H.  stated  that  he  felt  useless  because  he  had  to  rely  on  others  to  take  care  of  these  issues.  This  made  him  very  anxious  and  unable  to  sleep  at  night.  He  stated  he  has  been  taking  diazepam  (10  mg)  occasionally  at  night  to  help  him  sleep  and  have  a  restful  night.  The  urgent  care  physician  prescribed  this  benzodiazepine  for  his  back  spasms,  but  D.H.  found  that  it  helped  him  sleep.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessphysiotherapy.mhmedical.com/content.aspx?aid=1192815134
ER  -