Deconditioning and functional- physical decline: Clinical reasoning and clinical judgment using TAREK approach. Case study

Abstract

The purpose of this case report was to explore the benefits that could be obtained from using TAREK approach in the evaluation of patient who was poorly responding to regular physical therapy sessions. The study subject was a 52 years old right hand dominant house wife, who is suffering from neck-shoulder pain and deconditioning after sustaining a traumatic injury four months ago. The patient did not show any satisfactory response to physical therapy sessions and was reported to senior physical therapist for further evaluation using TAREK approach. The systematic way of using TAREK approach enabled the therapist to extract detailed clinical findings, judge the effect of applying short session of intervention, and evaluate the region of concern in addition to finally evaluate the gross functional mobility. It has been concluded that TAREK approach is applicable and should be increasingly adopted by clinicians to provide better management for poorly responding patients.

Clinical measurements of spinal mobility, static balance, and functional performance in healthy participants: a simple biokinesiological analysis of performance

“…There was significant difference (p<0.05) favoring standing on one leg with the eyes open (71.2 ± 45.2) over with the eyes closed (29.3 ± 28.8). Closing eyes deprive participants from receiving visual feedback that is essential to integrate with the vestibular and proprioceptive sensations for maintaining balance longer6, 19 ) . The difference in the mean timing of balance on one leg between the two studies is due to using 60 seconds as ceiling time in the present study whereas in El-gohary et al previous study the ceiling time was as long as tolerated6 ) .…”

Total Assessment-Reassessment & Evaluation Using Biokinesiologic (TAREK) Approach for Resolving Complicated Cases

“…The gap in the body of knowledge has urged distinguished clinicians to introduce some evaluation methods. Recently, El Gohary et al [3] have published Total Assessment-Reassessment & Evaluation using BioKinesiologic (TAREK) approach to help clinicians in resolving complex manifestations using systematic way of clinical reasoning and clinical judgment under umbrella of critical thinking [4,5]. The poor response to regular physical therapy intervention and the undetermined source of complaints have prompted the interventionist to refer the patient for evaluation using TAREK approach (Figure 1).…”