Severity, Irritability, Nature, Stage, and Stability (SINSS): A clinical perspective

Petersen, Evan J.; Thurmond, Stephanie M.; Jensen, Gail M.

doi:10.1080/10669817.2021.1919284

Cited by 12 publications

(5 citation statements)

References 54 publications

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“…Dysfunctional breathing was also identified, which may contribute to faulty posture and mechanics. Her primary symptoms presented as minimal severity, moderate irritability, mechanical nature, acute-on-chronic, and stable state 63. Additional factors complicating her pain and eventual recovery were the demands of her preferred activities (high-intensity functional conditioning, running, and volleyball).…”

Section: Evaluation and Diagnosismentioning

confidence: 99%

Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report

Piropato¹,

Deering

2023

Journal of Women's Health Physical Therapy

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Background: Physiological and biomechanical changes must be considered when evaluating and treating musculoskeletal impairments in a perinatal female athlete, whether or not these impairments are directly related to their pregnant or postpartum state. Case Description: This case report describes a 34-year-old woman active in high-intensity functional conditioning, recreational volleyball, and running, seeking care for shoulder and thoracic back pain from birth to 1 year postpartum. Her primary complaint of shoulder pain was exacerbated by overhead activities. She also presented with a secondary complaint of "weakness" through her core, preventing return to sport. Treatment focused on joint mobilizations, neuromuscular reeducation, and core strength using biotensegrity principles throughout the postpartum journey of return to sport. Outcomes: The patient was highly motivated and met her desired goals to (1) compete in recreational sand and indoor volleyball starting at 6 weeks postpartum, (2) participate in a relay trail race at desired pace, and (3) compete in a weightlifting competition at 8 months postpartum without an increase in shoulder pain. Discussion: This case demonstrates the importance of addressing the entire kinetic chain in the postpartum athlete while addressing what may be considered a "straightforward" orthopedic condition. Understanding birth and postpartum healing is essential for physical therapists working with active mothers. Knowledge of the physiological and biomechanical changes during and after pregnancy is essential to appropriate treatment of these patients.

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Section: Evaluation and Diagnosismentioning

confidence: 99%

Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report

Piropato¹,

Deering

2023

Journal of Women's Health Physical Therapy

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“…The SINSS model aids the physiotherapist in gathering comprehensive data regarding the patient's state, sorting and categorizing the data, ranking their list of issues in order of importance, and choosing which tests to administer and when. This ensures that no information is overlooked and that the patient is not checked or treated excessively [7]. Five points of recording and research are included in the SINSS model:…”

Section: Clinical Reasoningmentioning

confidence: 99%

“…This approach involves gathering information, formulating and testing hypotheses, and ultimately arriving at the most suitable diagnosis and treatment plan based on the gathered data. It has been characterized as "an inferential process utilized by healthcare practitioners to gather, assess data, and make informed decisions regarding the diagnosis and management of patients' issues" [6,7]. This process of clinical reasoning assists healthcare professionals in making well-informed judgments to establish an effective strategy for addressing each patient's injury [8] while also aiding the patient in identifying meaningful goals [9].…”

Section: Introductionmentioning

confidence: 99%

An Intelligent Injury Rehabilitation Guidance System for Recreational Runners Using Data Mining Algorithms

Tzelepis,

Matlis,

Dimokas

et al. 2023

Algorithms

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In recent years the number of people who exercise every day has increased dramatically. More precisely, due to COVID period many people have become recreational runners. Recreational running is a regular way to keep active and healthy at any age. Additionally, running is a popular physical exercise that offers numerous health advantages. However, recreational runners report a high incidence of musculoskeletal injuries due to running. The healthcare industry has been compelled to use information technology due to the quick rate of growth and developments in electronic systems, the internet, and telecommunications. Our proposed intelligent system uses data mining algorithms for the rehabilitation guidance of recreational runners with musculoskeletal discomfort. The system classifies recreational runners based on a questionnaire that has been built according to the severity, irritability, nature, stage, and stability model and advise them on the appropriate treatment plan/exercises to follow. Through rigorous testing across various case studies, our method has yielded highly promising results, underscoring its potential to significantly contribute to the well-being and rehabilitation of recreational runners facing musculoskeletal challenges.

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“…This allows students to be explicit regarding the category of clinical judgment they are formulating a hypothesis about. Information from the patient’s case may also elicit hypotheses in one or more categories, such as severity, irritability, nature, stage, and stability (SINSS concept), which would have implications for precautions and contraindications, management and prognosis [ 54 ]. Requiring students to be explicit in the basis for their hypotheses allows for feedback on the accuracy of hypotheses and associated rationale.…”

Section: Description and Rules Of The Hypothesis Families Card Gamementioning

confidence: 99%

“…Requiring students to be explicit in the basis for their hypotheses allows for feedback on the accuracy of hypotheses and associated rationale. Relevance of key information missed, such as SINNS or a red flag can be addressed in feedback [ 54 ]. It is essential that the Families of hypotheses used are defined beforehand by the teacher, for example during a theoretical course with explanation and discussion regarding each category of clinical judgment teachers want students to be able to formulate and what patient information assist in making each judgment.…”

Section: Description and Rules Of The Hypothesis Families Card Gamementioning

confidence: 99%

Description and rules of a new card game to learn clinical reasoning in musculoskeletal physiotherapy

Hage

Fourré

Ramonfosse

et al. 2022

Journal of Manual & Manipulative Therapy

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Teaching hypothetico-deductive clinical reasoning (CR) should be an essential part of the physiotherapy education system, but currently there are very few learning tools for teachers in the musculoskeletal discipline. The aim of this article was to describe and present the rules of a new game-based and structured didactic tool that can be used by teachers for 'players' (students and licensed clinicians) to learn systematic CR in musculoskeletal physiotherapy.Our tool is based on the 'Happy Families' card game, and we propose to use it as part of a classic musculoskeletal subjective examination-based hypothesis category framework and the International Classification of Functioning, Disability and Health model. It allows players to dynamically formulate hypotheses from clinical case studies. Each 'Family' of cards represents a hypothesis category. The game highlights the missing information and trains players to consider it in their CR.This game should efficiently structure all components of CR and is an interesting resource for all teachers. Its greatest strength is that it can be used with other category frameworks. Further studies are needed to assess the efficacy and efficiency of such a tool and to measure students' actual progress in learning the CR.

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Severity, Irritability, Nature, Stage, and Stability (SINSS): A clinical perspective

Cited by 12 publications

References 54 publications

Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report

Addressing the Kinetic Chain in a Postpartum Multisport Athlete: A Case Report

An Intelligent Injury Rehabilitation Guidance System for Recreational Runners Using Data Mining Algorithms

Description and rules of a new card game to learn clinical reasoning in musculoskeletal physiotherapy

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