Feasibility Study Musculoskeletal Wellness Center

8/13/2019 Feasibility Study Musculoskeletal Wellness Center

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CHAPTER I

EXECUTIVE SUMMARY

Introduction:

The human musculoskeletal system (also known as the locomotor system)

is an organ systemthat gives humans(and many animalspecies) the ability to

move using the muscular and skeletal systems. It is made up of the bodys

bones(the skeleton), muscles,cartilage, tendons, ligaments,joints, and

other connective tissuethat supports and binds tissues and organs together. Its

primary functions include supporting the body, allowing motion, and protecting

vital organs. The skeletal portion of the system serves as the main storage

system for calciumandphosphorusand contains critical components of

the hematopoietic system.

There are, however, diseases and disorders that may adversely affect the

function and overall effectiveness of the system. These diseases can be difficult

to diagnosedue to the close relation of the musculoskeletal system to other

internal systems. omple! issues and injuries involving the musculoskeletal

system are usually handled by a physiatrist(specialist in "hysical #edicine and

$ehabilitation) or an orthopedic surgeon.

#usculoskeletal pain affects the bones, muscles, ligaments, tendons, and

nerves. It can be acute (having a rapid onset with severe symptoms) or chronic

(long%lasting). #usculoskeletal pain can be locali&ed in one area, or widespread.
http://en.wikipedia.org/wiki/Organ_(anatomy)http://en.wikipedia.org/wiki/Humanhttp://en.wikipedia.org/wiki/Animalhttp://en.wikipedia.org/wiki/Muscular_systemhttp://en.wikipedia.org/wiki/Skeletal_systemhttp://en.wikipedia.org/wiki/Skeletonhttp://en.wikipedia.org/wiki/Musclehttp://en.wikipedia.org/wiki/Cartilagehttp://en.wikipedia.org/wiki/Tendonshttp://en.wikipedia.org/wiki/Ligamentshttp://en.wikipedia.org/wiki/Jointshttp://en.wikipedia.org/wiki/Connective_tissuehttp://en.wikipedia.org/wiki/Calciumhttp://en.wikipedia.org/wiki/Phosphorushttp://en.wikipedia.org/wiki/Hematopoietic_systemhttp://en.wikipedia.org/wiki/Medical_diagnosishttp://en.wikipedia.org/wiki/Physiatristhttp://en.wikipedia.org/wiki/Physical_Medicine_and_Rehabilitationhttp://en.wikipedia.org/wiki/Physical_Medicine_and_Rehabilitationhttp://en.wikipedia.org/wiki/Orthopaedic_surgeonhttp://en.wikipedia.org/wiki/Organ_(anatomy)http://en.wikipedia.org/wiki/Humanhttp://en.wikipedia.org/wiki/Animalhttp://en.wikipedia.org/wiki/Muscular_systemhttp://en.wikipedia.org/wiki/Skeletal_systemhttp://en.wikipedia.org/wiki/Skeletonhttp://en.wikipedia.org/wiki/Musclehttp://en.wikipedia.org/wiki/Cartilagehttp://en.wikipedia.org/wiki/Tendonshttp://en.wikipedia.org/wiki/Ligamentshttp://en.wikipedia.org/wiki/Jointshttp://en.wikipedia.org/wiki/Connective_tissuehttp://en.wikipedia.org/wiki/Calciumhttp://en.wikipedia.org/wiki/Phosphorushttp://en.wikipedia.org/wiki/Hematopoietic_systemhttp://en.wikipedia.org/wiki/Medical_diagnosishttp://en.wikipedia.org/wiki/Physiatristhttp://en.wikipedia.org/wiki/Physical_Medicine_and_Rehabilitationhttp://en.wikipedia.org/wiki/Physical_Medicine_and_Rehabilitationhttp://en.wikipedia.org/wiki/Orthopaedic_surgeon


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'ower back pain is the most common type of musculoskeletal pain. ther

common types include tendonitis, myalgia (muscle pain), and stress fractures.

nyone can e!perience musculoskeletal pain. It is most often caused by

an injury to the bones, joints, muscles, tendons, ligaments, or nerves. This can

be caused by jerking movements, car accidents, falls, fractures, sprains,

dislocations, and direct blows to the muscle.

#usculoskeletal pain can also be caused by overuse. "ain from overuse

affects **+ of adults. ne cause is poor posture or prolonged immobili&ation.

#usculoskeletal fitness can be operationally defined by measurements of

joint fle!ibility, muscular strength, muscular power, and muscular endurance.

There is a limited body of scientific evidence that indicates that musculoskeletal

fitness is related to health status (-,/) and is a predictor of mobility, disability,

and independent living in the elderly (0,1,2,1,-). Thus, measures of

musculoskeletal fitness are often performed as part of health%related fitness

tests, such as the anadian "hysical ctivity, 3itness and 'ifestyle ppraisal

("3') (*), the most widely used standardi&ed health%related fitness appraisal

in anada.

The 4orld 5ealth rgani&ation suggests health is a state of complete

physical, mental or social well%being and not merely the absence of disease or

infirmity. "hysical health includes such characteristics as body si&e and shape,

sensory acuity, susceptibility to disease and disorders, body functioning,

recuperative ability and the ability to perform certain tasks. ne aspect of

physical health is the musculoskeletal system, which consists of * components6


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muscular strength, endurance and fle!ibility. #uscular strength (dynamic) is

defined as the ma!imum force a muscle or muscle group can generate at a

specific velocity. #uscular endurance is the ability of a muscle or muscle group

to perform repeated contractions against a load for an e!tended period of time.

3le!ibility has components, dynamic or static, where dynamic fle!ibility is the

opposition or resistance of a joint to motion, that is, the forces opposing

movement rather than the range of movement itself. 7tatic fle!ibility is the range

of motion about a joint, typically measured as the degree of arc at the end of joint

movement. If strength, endurance and fle!ibility are not maintained,

musculoskeletal fitness is then compromised which can significantly impact

physical health and well%being. #any health benefits are associated with

musculoskeletal fitness, such as reduced coronary risk factors, increased bone

mineral density (reduced risk of osteoporosis), increased fle!ibility, improved

glucose tolerance, and greater success in completion of activities of daily living

(8'). 4ith aging, the performance of daily tasks can become a challenge.

dditionally, falls, bone fractures and the need for institutional care indicate a

musculoskeletal weakness as we age. The earlier in life an individual becomes

physically active the greater the increase in positive health benefits6 however,

becoming physically active at any age will benefit overall health. Improved

musculoskeletal fitness (for e!ample, through resistance training combined with

stretching) is associated with an enhanced health status. Thus, maintaining

musculoskeletal fitness can increase overall 9uality of life.


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Background of the Stud:

dventist 5ospital serves the medical needs of people throughout the agayan

:alley. It is a non% stock, non% profit and self% supporting private hospital with -;

beds. It is affiliated to more than -;; healthcare institutions worldwide operated

by the 7eventh 8ay dventist hurch licensed as Tertiary 'evel 5ospital by the

8epartment of 5ealth (85) and accredited by the "hilippine 5ealth Insurance

orporation ("hil5ealth) as . #ember of the "hilippine

5ospital ssociation, "rivate 5ospitals ssociation in the "hilippines and

dventist 5ealth 7ystem? sia. It is recogni&ed internationally for its 9uality

service. The first and only hospital certified as I7 1;;@;;; in $egion II and

first dventist 5ospital in the "hilippines certified with I7 1;;@;;A by TB:

7B8 sia "acific, 'td.

7ervices and 3acilities@


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utologous 7tem ell Therapy

nesthesiology

haplaincy? 5ealth Cducation

hemotherapy

8ental 7ervices

8iagnostic Imaging

T% 7can

8 Ccho

*8 Bltrasound

D% $ay

8ialysis

8ietary? anteen? 5ealth 3oods

Clectrocardiogram (CE)

0 5ours Cmergency 7ervices

Cndoscopy

#edicine

Internal #edicine

ardiology

8ermatology

8iabetology

CCFT

Cndocrinology


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Eastroenterology

Eeriatric #edicine

5ematology

#edical ncology

"ulmonology

"sychiatry

'aboratory

Glood Gank

E2"8 onfirmatory Testing

Fewborn 7creening

Gacteriology

7pecial Tests

bstetrics and Eynecology

b%gyne

Eyne ncology

"ediatric and dolescent

Eynecology

"athology

"ediatrics

Eeneral "ediatrics

"ediatric 5ematology

"ediatric ncology

"ediatric ardiology


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0 5our "harmacy

"hysical Therapy

7urgery

Eeneral 7urgery

CCFT

CFT% 5ead and Feck 7urgery

Feuro 7urgery

phthalmology

rthopedic

Brology

7moking essation "rogram

Greast 3eeding ampaign

Furse Training "rograms

ritical are Fursing

I: Therapy Fursing

ther 7pecialty reas ($, 58B, C$)

Santiago Cit


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fficial 7eal

Countr "hilippines

Region agayan :alley ($egion II)

Pro!ince Isabela

"i#trict (0th 8istrict of Isabela and

7antiago ity)

$ounded #ay A-A

Cithood Huly 2, 110

Baranga# */

%o!ern&ent

' Maor Hoseph 7alvador Tan

Area

' Tota( /-.;; km(;2.A s9 mi)

Po)u(ation (;;)

' Tota( *,A;0

' "en#it 0A;?km(,*;;?s9 mi)

Ti&e *one "5T(BTA)

+IP Code **

Inco&e

c(a##

st class 6 independent component

city
http://en.wikipedia.org/wiki/List_of_sovereign_stateshttp://en.wikipedia.org/wiki/Philippineshttp://en.wikipedia.org/wiki/Regions_of_the_Philippineshttp://en.wikipedia.org/wiki/Cagayan_Valleyhttp://en.wikipedia.org/wiki/Provinces_of_the_Philippineshttp://en.wikipedia.org/wiki/Isabela_(province)http://en.wikipedia.org/wiki/House_of_Representatives_of_the_Philippines#District_representationhttp://en.wikipedia.org/wiki/Legislative_districts_of_Isabela#4th_Districthttp://en.wikipedia.org/wiki/Legislative_districts_of_Isabela#4th_Districthttp://en.wikipedia.org/wiki/Barangayhttp://en.wikipedia.org/wiki/Mayorhttp://en.wikipedia.org/wiki/Time_zonehttp://en.wikipedia.org/wiki/Philippine_Standard_Timehttp://en.wikipedia.org/wiki/UTC%2B8http://en.wikipedia.org/wiki/List_of_ZIP_codes_in_the_Philippineshttp://en.wikipedia.org/wiki/Cities_of_the_Philippines#Classificationhttp://en.wikipedia.org/wiki/Cities_of_the_Philippines#Classificationhttp://en.wikipedia.org/wiki/List_of_sovereign_stateshttp://en.wikipedia.org/wiki/Philippineshttp://en.wikipedia.org/wiki/Regions_of_the_Philippineshttp://en.wikipedia.org/wiki/Cagayan_Valleyhttp://en.wikipedia.org/wiki/Provinces_of_the_Philippineshttp://en.wikipedia.org/wiki/Isabela_(province)http://en.wikipedia.org/wiki/House_of_Representatives_of_the_Philippines#District_representationhttp://en.wikipedia.org/wiki/Legislative_districts_of_Isabela#4th_Districthttp://en.wikipedia.org/wiki/Legislative_districts_of_Isabela#4th_Districthttp://en.wikipedia.org/wiki/Barangayhttp://en.wikipedia.org/wiki/Mayorhttp://en.wikipedia.org/wiki/Time_zonehttp://en.wikipedia.org/wiki/Philippine_Standard_Timehttp://en.wikipedia.org/wiki/UTC%2B8http://en.wikipedia.org/wiki/List_of_ZIP_codes_in_the_Philippineshttp://en.wikipedia.org/wiki/Cities_of_the_Philippines#Classificationhttp://en.wikipedia.org/wiki/Cities_of_the_Philippines#Classification


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Hi#tor

The origin of 7antiago ity can be drawn from the first native settlement

discovered by the early 7panish missionaries at the bank of the old arig $iver

(now 8iadi $iver) from which its original name, arig, was derived. The early

inhabitants were the Eaddangs and the Ibanags. 4hen the 7panishsettled in,

the city was named "ueblo of 7antiago postol de arig, with7antiagoas the

7panish name of 7aint Hames the postle. In the early 1-;s, the #unicipal
http://en.wikipedia.org/wiki/Spainhttp://en.wikipedia.org/wiki/Santiago_(name)http://en.wikipedia.org/wiki/James,_son_of_Zebedeehttp://en.wikipedia.org/wiki/Spainhttp://en.wikipedia.org/wiki/Santiago_(name)http://en.wikipedia.org/wiki/James,_son_of_Zebedee


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"resident :icente arreon changed the name to simply 7antiago. 7antiago

remained a municipalityfor A0 years.

7antiago was originally a part of the province agayan(comprising the

whole agayan :alleyregion), which was reorgani&ed as a political subdivision

in -A* with Fueva 7egovia as its capital. n #ay , A-2, when

the "rovinceof Isabela was carved out by a $oyal 8ecree, 7antiago was among

the towns relin9uished to the newly created province. The first five barrios after

the adastral survey in 1/ were "atul, Gatal, Fabbuan, Guenavista and

8ubinan.

It was said that there were only about three 3ilipino%owned sari%sari stores

in 7antiago in 1/. The settlers ac9uired most of their merchandise and other

provisions from hinese traders in Cchague, the landing &one for products

intended for 7antiago and other towns, owing to its pro!imity to the agayan

$iver.

It was when the :illa%:erde Trail was opened when things were set in

motion. It facilitated the entry of immigrants from various provinces in 'u&on to

the agayan :alleyand 7antiago absorbed a si&able share of these travelers.

The new route served as an impetus for growth and introduced new technologies

and business opportunities.

7antiago survived through world wars, although badly damaged, and from

then on developed to become the leading commercial and industrial city

in agayan :alley.

In 10, occupied by the Hapanese forces entered in the town of 7antiago.
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In 10-, founded to the liberation in the town of 7antiago province

of Isabelabeginning the 3ilipino soldiers of the st, nd, th, th, *th and

-th Infantry 8ivision and the B73I"%F' th Infantry $egiment of the

"hilippine ommonwealth rmy, the st Infantry $egiment of the "hilippine

onstabulary and the recogni&ed guerrilla fighter unit against the Hapanese

Imperial forces under defeated during 4orld 4ar II.

n 8ecember /, 11*, the bill converting 7antiago into an independent

component city was approved by the 'ower 5ouse. n the following year, the

7enate ommittee on 'ocal Eovernment approved another public hearing dated

3ebruary *, 110.

n #ay -, 110, by virtue or $epublic ct //; signed by 5is C!cellency,

"resident 3idel :. $amos, 7antiago was pronounced as an independent

component city, the first in the agayan :alley $egion. This made 7antiago, self%

governing and autonomous city from the rule of the provincial governor. $epublic

ct A-A repealed this statute transforming it back to a component city. It was

not until 8ecember 1, 111, when the 7upreme ourtcontested the validity of

the latter decision and favored 7antiago to be once again an independent

component city.

Econo&

7antiago ity is the gateway of agayan :alley. "eople from neighboring

towns go to 7antiago ity to do their business. s the only Independent
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omponent ity in $egion II, most of the establishments seen in #anila can also

be found here.

The ity of 7antiago is an independentcitylocated in

Forthern 'u&onisland of the "hilippines. It is surrounded by four provinces

(Fueva :i&caya, Ifugao, =uirino and Isabela) and is the gateway to the vast

lands of agayan, Isabelaand =uirino. ccording to the ;; census, it has a

population of *,A;0.

7antiago is situated *2 kilometers north of #etro #anila. The city sits on

a vast area of predominantly flat and fertile land in the agayan :alley,

surrounded by the araballo #ountainsto the south, the Ereat 7ierra #adreto

the east and the ordillera #ountain $ange to the west.

7antiago ityis agayan :alleyJs pioneer city. Its cityhood motivated

other towns to grasp for more progress and to uplift the peopleJs standard of

living. 7antiago ity has highly e9uipped facilities in health, education and

security making it a first choice in terms of settlement.

5ome of several business enterprises, banking institutions, educational entities,

as well as manufacturing companies, the ity of 7antiago is considered the

ommercial and Industrial enter of agayan :alley.

$obinsons 'and orporationhas recently launched $obinsons "lace

7antiago as its pioneer mall in agayan :alley. :ista 'and and 'ifescapes,

Inc.entered agayan :alley by building amella Isabela. It has recently

launched another project named as amella 7antiago. The head%office of Erupo
http://en.wikipedia.org/wiki/Philippine_cityhttp://en.wikipedia.org/wiki/Luzonhttp://en.wikipedia.org/wiki/Philippineshttp://en.wikipedia.org/wiki/Nueva_Vizcayahttp://en.wikipedia.org/wiki/Ifugaohttp://en.wikipedia.org/wiki/Cagayanhttp://en.wikipedia.org/wiki/Isabela_(province)http://en.wikipedia.org/wiki/Quirinohttp://en.wikipedia.org/wiki/Metro_Manilahttp://en.wikipedia.org/wiki/Cagayan_Valleyhttp://en.wikipedia.org/wiki/Caraballo_Mountainshttp://en.wikipedia.org/wiki/Sierra_Madre_(Philippines)https://www.facebook.com/SantiagoCityPhil.3311http://en.wikipedia.org/w/index.php?title=Robinsons_Land_Corporation&action=edit&redlink=1http://en.wikipedia.org/wiki/Vista_Land_and_Lifescapes,_Inc.http://en.wikipedia.org/wiki/Vista_Land_and_Lifescapes,_Inc.http://en.wikipedia.org/w/index.php?title=Grupo_Marilens&action=edit&redlink=1http://en.wikipedia.org/wiki/Philippine_cityhttp://en.wikipedia.org/wiki/Luzonhttp://en.wikipedia.org/wiki/Philippineshttp://en.wikipedia.org/wiki/Nueva_Vizcayahttp://en.wikipedia.org/wiki/Ifugaohttp://en.wikipedia.org/wiki/Cagayanhttp://en.wikipedia.org/wiki/Isabela_(province)http://en.wikipedia.org/wiki/Quirinohttp://en.wikipedia.org/wiki/Metro_Manilahttp://en.wikipedia.org/wiki/Cagayan_Valleyhttp://en.wikipedia.org/wiki/Caraballo_Mountainshttp://en.wikipedia.org/wiki/Sierra_Madre_(Philippines)https://www.facebook.com/SantiagoCityPhil.3311http://en.wikipedia.org/w/index.php?title=Robinsons_Land_Corporation&action=edit&redlink=1http://en.wikipedia.org/wiki/Vista_Land_and_Lifescapes,_Inc.http://en.wikipedia.org/wiki/Vista_Land_and_Lifescapes,_Inc.http://en.wikipedia.org/w/index.php?title=Grupo_Marilens&action=edit&redlink=1


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#arilens, the largest homegrown corporation in the region, is in 7antiago ity.

Three of the biggest T: networks in the country (i.e.G7%

GF, E#/,T:-)stationed their regional networks in the city. 7an #iguel

orp., "epsi ola, "urefoods,8igiteland"'8Talso operate in the city while

different car companies abound(i.e.#itsubishi, Fissan, Isu&u, 5yundai,KI, 3ord,

other car companies as well as Lamaha and 5onda #otors). The Fational 3ood

uthoritycompetes with local traders to stabili&e prices.

7antiago ityhouses some of the biggest hospitals in the region. The

Bniversity of 'a 7alette 5ospital is said to be the biggest having a capacity of at

least *-; bed. 8e :eraJs #edical enter, allang Eeneral 5ospital and agayan

:alley 7anitarium are also e9ually e9uipped private hospitals. The 7antiago ity

Cmergency 5ospital and 3lores 5ospital are now considered #edical enters.

Fotable school institutions located in the city are the Bniversity of 'a

7alette and Fortheastern ollege, one of the oldest schools in the region. The

7outhern Isabela ollege of rts and Trades is the biggest vocational school

operating in the city.

%eogra)h
http://en.wikipedia.org/w/index.php?title=Grupo_Marilens&action=edit&redlink=1http://en.wikipedia.org/wiki/ABS-CBNhttp://en.wikipedia.org/wiki/ABS-CBNhttp://en.wikipedia.org/wiki/GMA_Networkhttp://en.wikipedia.org/wiki/TV5_(Philippines)http://en.wikipedia.org/wiki/San_Miguel_Corphttp://en.wikipedia.org/wiki/San_Miguel_Corphttp://en.wikipedia.org/wiki/Pepsihttp://en.wikipedia.org/w/index.php?title=Purefoods&action=edit&redlink=1http://en.wikipedia.org/wiki/Digital_Telecommunications_Phils.,_Inc.http://en.wikipedia.org/wiki/PLDThttp://en.wikipedia.org/wiki/Mitsubishihttp://en.wikipedia.org/wiki/Nissanhttp://en.wikipedia.org/wiki/Isuzuhttp://en.wikipedia.org/wiki/Hyundaihttp://en.wikipedia.org/wiki/Kia_Motorshttp://en.wikipedia.org/wiki/Fordhttp://en.wikipedia.org/wiki/National_Food_Authorityhttp://en.wikipedia.org/wiki/National_Food_Authorityhttps://www.facebook.com/SantiagoCityPhil.3311http://en.wikipedia.org/w/index.php?title=Grupo_Marilens&action=edit&redlink=1http://en.wikipedia.org/wiki/ABS-CBNhttp://en.wikipedia.org/wiki/ABS-CBNhttp://en.wikipedia.org/wiki/GMA_Networkhttp://en.wikipedia.org/wiki/TV5_(Philippines)http://en.wikipedia.org/wiki/San_Miguel_Corphttp://en.wikipedia.org/wiki/San_Miguel_Corphttp://en.wikipedia.org/wiki/Pepsihttp://en.wikipedia.org/w/index.php?title=Purefoods&action=edit&redlink=1http://en.wikipedia.org/wiki/Digital_Telecommunications_Phils.,_Inc.http://en.wikipedia.org/wiki/PLDThttp://en.wikipedia.org/wiki/Mitsubishihttp://en.wikipedia.org/wiki/Nissanhttp://en.wikipedia.org/wiki/Isuzuhttp://en.wikipedia.org/wiki/Hyundaihttp://en.wikipedia.org/wiki/Kia_Motorshttp://en.wikipedia.org/wiki/Fordhttp://en.wikipedia.org/wiki/National_Food_Authorityhttp://en.wikipedia.org/wiki/National_Food_Authorityhttps://www.facebook.com/SantiagoCityPhil.3311


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The total land area the city is A;+ flat or nearly level land in the portions

of northwestern, eastern and western parts of the city. 4hile adjacent areas have

gently undulating and moderately rolling areas, and the remaining areas

constitutes steeply undulating and rolling lands. The Galintocatoc 5ills is the

highest point in the city.

The geographic coordinate of the city lies between 2M*-;;> to 2M0/*;>

north latitude and M-;;> to M*/;;> east longitude.

baya ld $esidence

Baranga#


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7antiago ity is politically subdivided into */ barangays.

bra

mbalatungan

Galintocatoc

Galuarte

Gannawag Forte

Gatal

Guenavista (Brban)

abulay

alao Cast ("ob.)

alao 4est ("ob.)

alaocan (Brban)

:illa Eon&aga

entro Cast ("ob.)

entro 4est

("ob.)

8ivisoria

8ubinan Cast

("ob.)

8ubinan 4est

(Brban)

'una

#abini ("ob.)

#alvar ("ob.)

Fabbuan

Faggasican

"atul

"laridel (Brban)

$i&al (Brban)

$osario (Brban)

7agana

7alvador

7an ndres (Brban)

7an Isidro

7an Hose

7inili

7insayon (Brban)

7anta $osa

:ictory Forte ("ob.)

:ictory 7ur (Brban)

:illasis ("ob.)

"e&ogra)hic#

Po)u(ation Cen#u# of Santiago Cit

Year Po), -. ),a,
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/001 1A,-0 N

2333 ;,-* .*+

2334 2,00 .1+23/3 *,A;0 ./;+

%o!ern&ent

The city is governed by a mayor%councilsystem. There are ; ity

ouncilors. The council is the official government body of the city, it is also

known as 7FEBFIFE "FE'BFE78. ouncil agenda is presided by the

ity :ice #ayor. Fo native was ever elected mayor of 7antiago since the

"hilippine became a ommonwealth and $epublic.

8uring the #iranda 3lagship, the city Eovernment adopted the parental

!$ 5ybrid rice seed production as its flagship program for agriculture, which

produces the offspring 3 5ybrid rice seed. This rice variety makes phenomenal

yield of 01 per ha. doubling the income of 7antiago ity farmers per cropping,

and is e!pected to bring 7antiago ity over billion in income and also additional

ta!es of / million and the national government of ** million per year.

fter the previous leadership, The Favarro dministration added more life

in culture and strengthen the livelihood of the people. The FavarrosJ

spearheaded a uni9ue program for farmers in planting on mid%summer and

harvest by early 7eptember side%by%side in focusing on high%value fruits.

5i#t of the current e(ected officia(#
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ongressman Eiorgidi G. ggabao (0th 8istrict of Isabela and 7antiago

ity)

#ayor Hoseph 7alvador Tan

:ice%#ayor #arcelino abucana, Hr.

Sangguniang Pang(ung#od Me&6er#

oun. rlene lvare&

oun. eline baya%

7i9uian

oun. "andong 'ugod

oun. :inchy ggabao

oun. ysen #arrero

oun. Kathrina 7able

oun. Ficky Gautista

oun. 5e! lvare&

oun. ndong 8irige

oun. Grenda $agsac%

'una

Tag#

Investment 5ub of the Forth

=ueen ity of the Forth

Investment 5ub of the Forth

"remier ity of agayan :alley

"ioneer ity of agayan :alley

ommercial nd Industrial enter of $egion
https://www.facebook.com/JosephSalvadorTanhttps://www.facebook.com/JosephSalvadorTan


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Cu(ture

The ity celebrates Pattaradday Festivalor dubbed as Santiago Day.

"attaradday is an Ibanagword which means unity. It celebrates the unity of the

ethno%linguistic groups that have merged in the city to make it the melting pot of

culture of $egion II and contributed to the citys progress and development%unity

in action. it is celebrated every #ay % #ay 2 the founding anniversary of

7antiago.

In ;;/, The ity was given a "residential ward for the #ost hild%

3riendly ity under the leadership of former #ayor Favarro.

Transportation

7erving as a bridge to the regionJs provincial network, numerous bus

terminals are present in the city. These include, :ictory 'iner, Felbusco, 3lorida,

Galiwag Transit, Forth 7tar Gus, 8agupan Gus, $C# 'iner,uto Gus among

others. Gy air via auayan ity airport

The 7antiago ity Integrated Terminal has also been established to cater

for public vehicles that operate from nearby provinces and localities to the city.

Bu# Co&)anie#

:ictory 'iner

3lorida

Forthern 'u&on Gus line (Felbusco)

Galiwag
http://en.wikipedia.org/wiki/Ibanag_languagehttp://en.wikipedia.org/wiki/Cauayan_Airporthttp://en.wikipedia.org/wiki/Ibanag_languagehttp://en.wikipedia.org/wiki/Cauayan_Airport


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"efinition of Ter:

5uman musculoskeletal system % is an organ systemthat gives humans(and

many animalspecies) the ability to move using the muscularandskeletal

systems. The musculoskeletal system provides form, support, stability, and

movement to the body.

#usculoskeletal pain % affects the bones, muscles, ligaments, tendons, and

nerves. It can be acute (having a rapid onset with severe symptoms) or chronic

(long%lasting). #usculoskeletal pain can be locali&ed in one area, or widespread.

#usculoskeletal rehabilitation program O a doctor%supervised program designed

for people with impairments or disabilities due to disease, disorders, or trauma to

the muscles or bones. #usculoskeletal rehabilitation programs can often improve

functional capacity, reduce symptoms, and improve the well%being of the patient.

5ot "acks@

5ot packs, also known as hydrocollator packs, warm tissue by conduction. They

typically consist of canvas bags filled with silicon dio!ide that absorbs many

times its own weight in water. 5ot packs are immersed in a hot water bath, and

are removed from the bath when needed, wrapped in 2 to A layers of toweling or

an insulating cover, and applied to the patient. They are used to heat the body

part prior to physical therapy. To avoid scalding, e!cess water should be drained

from the pack and the covering towels or pad should be checked for e!cessive
http://en.wikipedia.org/wiki/Organ_(anatomy)http://en.wikipedia.org/wiki/Humanhttp://en.wikipedia.org/wiki/Animalhttp://en.wikipedia.org/wiki/Muscular_systemhttp://en.wikipedia.org/wiki/Skeletal_systemhttp://en.wikipedia.org/wiki/Skeletal_systemhttp://en.wikipedia.org/wiki/Organ_(anatomy)http://en.wikipedia.org/wiki/Humanhttp://en.wikipedia.org/wiki/Animalhttp://en.wikipedia.org/wiki/Muscular_systemhttp://en.wikipedia.org/wiki/Skeletal_systemhttp://en.wikipedia.org/wiki/Skeletal_system


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dampness. The packs cool slowly and can remain warm for *; or more mins.

#edicare considers hydrocollator units as non%covered institutional e9uipment.

Clectric 5eating "ads@

Gecause electric heating pads do not cool spontaneously, use should be limited

to ; mins to avoid the risk of burns. There is no evidence that the use of

circulating%water heating pads or moist electric heating pads provide superior

outcomes, in terms of enhancing recovery of function, compared to standard

electric heating pads. ccording to #edicare 8#C # policy, it has not been

established that a moist electric heating pad or water circulating heat pad with

pump is reasonable and necessary compared to a standard electric heating pad.

The policy states that, because a water%circulating heating pad system is not

medically necessary, a replacement pump or pad is not reasonable and

necessary.

ccording to 8urable #edical C9uipment #edicare dministrative ontractor

(8#C #) policy, standard electric heating pads are necessary to relieve

certain types of pain, decrease joint and soft tissue stiffness, rela! muscles, or

reduce inflammation. 8#C # policy states that a heating pad is not

reasonable and necessary to treat pain due to peripheral neuropathy, including

but not limited to diabetic neuropathy.

In uncomplicated cases, heat treatments of this type, as well as paraffin baths,

may not re9uire the skills of a physical therapist.


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5eat 'amps@

5eat lamps warm tissues by conversion (i.e., by converting radiant energy to

heat). 5eat lamps often use -;%4att incandescent bulbs and are usually

placed about 0; to -; cm from the patient. Gecause ordinary incandescent light

bulbs produce large amounts of infrared energy, special infrared sources (e.g.,

9uart&, tungsten) are seldom necessary. 5eating rates and ma!imum

temperatures are controlled by adjusting the distance between the lamp and the

patient. 5eat lamps may be preferred over hot packs where the patient is difficult

to position or cannot tolerate pressure. 5eat lamps may also be easier to use

than hot packs. ccording to 8#C # policy, the safety and effectivness of

using a heat lamp in the home setting is not established.

"araffin Gaths@

"araffin baths are primarily used to treat contractures, particularly for patients

with rheumatoid arthritis, hand contractures, or scleroderma. The typical paraffin

bath consists of a container filled with appro!imately a @/ mi!ture of mineral oil

and paraffin maintained at -P to -0P. lthough paraffin%oil mi!tures can be

heated in a double boiler or stove, small commercial units are available for home

use, which have the advantages of ease of use and increased safety. The

patient may either continuously immerse the treated part for ; to *; mins, or

may repetitively dip and remove the treated area from the paraffin.

Bltrasound@


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Bltrasound is sound above the limits of human hearing. The therapeutic effects

of ultrasound result from the conversion of sound to heat energy. Bltrasound

diathermy typically employs fre9uencies between ;.A and #5&.

Bltrasound diathermy is considered a deep heating modality in that most

absorption occurs far beneath the skin. It is most commonly used to treat

tendonitis and bursitis, musculoskeletal pain, degenerative arthritis, and

contractures. #a!imal heating may be limited by deep tissue factors and not by

skin tolerance. Bltrasound may be applied directly by placing the applicator on

the skin, or indirectly by immersing the body part and applicator in a water%filled

container.

Gecause of the importance of appropriate techni9ue and inherent dangers,

ultrasound diathermy should be applied by a trained attendant and the devices

are not appropriate for unsupervised home use.

7hort%4ave 8iathermy@

7hort%wave diathermy uses radio waves to heat tissue conversively6 tissue is

heated by the actions of a rapidly alternating electrical field. Gecause of the

inherent risks involved in application of this deep heating modality, short%wave

diathermy machines are inappropriate for unsupervised use at home.

#icrowave 8iathermy@

#icrowave diathermy involves the use of microwaves for heating tissues, and

offers an advantage over short%wave diathermy in treating small areas in that


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they can be relatively easily focused. 5owever, microwaves generally do not

penetrate tissue as deeply as short%waves.

#icrowave diathermy has been used primarily to heat relatively superficial

muscles and joints. #icrowave diathermy is used relatively rarely, and

indications for which microwaves would be appropriate often are treated with

superficial heat, short%wave diathermy, or ultrasound. Gecause of the importance

of appropriate application techni9ue and the inherent risks of this deep heating

modality, microwave diathermy machines are inappropriate for unsupervised

home use.

Infrared 5eating "ads@

n infrared heating pad system consists of a pad or pads containing mechanisms

(for e!ample, luminous gallium aluminum arsinide diodes) that generate infrared

(or near infrared) light and a power source. ccording to 8#C # policy, there

are no indications for which these devices have been demonstrated to have any

therapeutic effect. 8#C # policy considers these devices and any related

accessories not medically reasonable and necessary. s a heating device,

infrared heating pads have not been shown to be more effective than electric

heating pads and hot packs, despite their greater cost.

TE7S

Transcutaneous electrical nerve stimulationhas been found to be

ineffective for lower back pain,however, it might help withdiabetic neuropathy.
http://en.wikipedia.org/wiki/Transcutaneous_electrical_nerve_stimulationhttp://en.wikipedia.org/wiki/Lower_back_painhttp://en.wikipedia.org/wiki/Diabetic_neuropathyhttp://en.wikipedia.org/wiki/Transcutaneous_electrical_nerve_stimulationhttp://en.wikipedia.org/wiki/Lower_back_painhttp://en.wikipedia.org/wiki/Diabetic_neuropathy


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Tran#cutaneou# e(ectrica( ner!e #ti&u(ation 8TE7S9is the use of

electric current produced by a device to stimulate the nerves for therapeutic

purposes. TCF7 by definition covers the complete range of transcutaneously

applied currents used for nerve e!citation although the term is often used with a

more restrictive intent, namely to describe the kind of pulses produced by

portable stimulators used to treat pain.The unit is usually connected to the skin

using two or more electrodes. typical battery%operated TCF7 unit is able to

modulate pulse width, fre9uency and intensity. Eenerally TCF7 is applied at high

fre9uency (Q-; 5&) with an intensity below motor contraction (sensory intensity)

or low fre9uency (R; 5&) with an intensity that produces motor contraction.


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CHAPTER 2

MA7A%EME7T ASPECT

#usculoskeletal fitness is an important and inade9uately appreciated

component of overall health and well%being. 4ellness as it applies to strength

and conditioning has numerous benefits. It allows maintenance of functional

independence for longer periods in older adults. It impacts the metabolic

capabilities of children and adults affecting the ability to maintain an ideal body

weight. It has been shown to influence the prevalence and possibly the

prevention of many musculoskeletal disorders such as muscle sprains, low back

pain, osteoarthritis, osteoporosis, shoulder instability, and knee stability and pain.

The #usculoskeletal utpatient $ehabilitation 7ervice, helps people

recover from traumatic injury and illness, hip fractures and joint surgery. It could

be the result of serious injuries in a car accident, a long illness in hospital, or a

broken hipfrom a fall on an icy sidewalk. 7uddenly, the hundreds of movements,


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actions and activities that we perform each day are impossible. 4e help

individuals regain their strength, physical abilities and independence.

The ustomer

The target customers are the people of 7antiago ity and neighboring

towns who are suffering from different kinds musculoskeletal diseases.

The Cmployees

side from rthopedic, there is also a need for a nurse who at the same

time will act as secretary and receptionist who will accept and entertain the

clients and a physical therapy who will help the patient as they undergo the

rehabilitation program.

The ommunity

The people of 7antiago ity and neighboring towns will be assured of

accessing to an advanced musculoskeletal wellness center that will cater to the

patients with musculoskeletal diseases and injuries.

The Eovernment

The ity of 7antiago will benefit of this wellness center through ta!es.

6;ecti!e#:


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. To improve strength and coordination and return the patients to their

previous levels of function and performance.

. To help the patient return to the highest level of function and

independence possible, while improving the overall 9uality of life%

physically, emotionally, and socially.


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rgani*ationa( Chart:

CHAPTER

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Feasibility Study Musculoskeletal Wellness Center

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