[Solved]: Case Scenario 4 Use the following case scenario to…

Case Scenario 4 Use the following case scenario to answer questions 12-14. The patient is a 22 year old college student who presents in PT with a chief complaint of right sided headaches, which have been present since she was 8, as well as neck pain. Her headaches are located on the right temporal side of her head as well as pain located “behind my eyes” which she reports is a 7/10 which increases with long days of studying. She denies a specific injury onset. Physical exam results show: Slight upper cervical extension with lower cervical flexion Inability to place chin to her chest (approximately 1 inch from chest) Cervical Extension AROM is 60 degrees Cervical Rotation AROM is 35 degrees bilaterally Segmental mobility testing: limitations of right C0-C1 with reproduction of R sided temporal pain Palpation of Left suboccipital musculature is negative Palpation of Right suboccipital musculature reproduces R sided temporal and retro-orbital pain During the initial evaluation the patient completed a Neck Disability Index. Over the course of her treatment sessions she reports improvements. What is the minimum value that indicates the patient indeed has made progress through physical therapy interventions that exceeds the error of the measurement? Minimal clinical importance difference of 17 percentage points Minimal clinically important difference of 20 percentage points minimal detectable change of 7 percentage points A Minimal Detectable change of 12 percentage points