Case Study: Left Total Knee Replacement

Pain is located in the low back and left leg, rated as 4/10. There is associated numbness to the left thigh and foot, and pins and needles sensation to the left foot. He continues with Percocet with 80% help with use. CURES was very consistent and appropriate.

Strength is 4/5 with knee extension on the right compared to the left. Patient is able to raise from a seated position with mild difficulty. Gait is antalgic. Current medications include Atenolol, Norco 10-325 mg 1 tablet every 6 hours as needed and Cyclobenzaprine 10 mg 1 tablet 3 times daily. IW was diagnosed with knee pain.

Per OMNI payment screen, the patient has completed approximately 17 PT sessions to the left wrist from 10/03/14 through

Per pulmonary function tests, his condition was stable. Degenerative disc disease lower back and neck, lower back pain. Degenerative joint disease right knee. Right and left knee scope in 2008, right knee scope in 07/2010, decreased range of motion bilateral knees. Independent with activities of daily living.

Harbor Physical Therapy, P.C. is a full-service physical therapy clinic that is located in Huntington, New York. They treat the arthritis/joint pain, neck and back pain, sprains, strains, and fractures, sports injuries and sports-specific injury prevention programs, shoulder injuries, tennis and golfers elbow, hip injuries, knee injuries, etc. They also treat the neurological conditions such as MS, parkinson 's, and strokes, swelling and lymphedema, difficulty walking, loss of balance, and falls, jaw pain and headaches, and muscular imbalances and flexibility. Harbor Physical Therapy, P.C. also provides total joint replacements of the hip, knee, shoulder, and ankle as well as post-surgical care for the spine, joints, and muscles, tendons, and

Ken stated that he has been using his manual wheelchair for mobility the majority of the time. In order to mitigate the risks of skin integrity breakdown and optimize energy efficiency and functionality, a thorough assessment of his body (e.g.posture, range of motion, trunk control, length of legs, etc.), current wheelchair, and cushion must be conducted, keeping future declines in physical condition in mind (Pendleton, H., & Schultz-Krohn, 2013). An unstandardized, personalized wheelchair assessment will be conducted. It will be personalized by doing it after assessing Ken’s home environment, evaluating the impact of his motor and non-motor symptoms of PD, and defining his occupational goals.

The United States Centers for Disease Control and Prevention (CDC) have strongly recommended the use of PT, non-drug, non-opioid as the first-line of treatment for chronic pain. The public tends to think that physical therapy deals more on the physical aspect of health. As we have learned in Health and Wellness, there is more than to the physical aspect of health. Wellness do not only include

I am excited about the opportunity to attend the Regis University Physical Therapy Program. I am especially interested in the clinical emphasis at Regis and the international clinical experiences. Additionally, I appreciate the emphasis on hands-on clinical education, manual therapy, and using research findings to improve the care of patients. I would enjoy attending PT school in Denver, but I also welcome the opportunity to gain clinical experience in both a rural setting, as well as at another site outside of Colorado. Growing up in Alaska exposed me to people from diverse socioeconomic and cultural backgrounds.

The OT will look at how things may have changed for Taylor after a TBI and SCI and then recommends different ways to do tasks or provide modified equipment to support him to be independent as much as possible. This includes recognising levels of care and help needed to complete tasks. PT should conduct both the physical assessment and planning of physical therapy. They can assess and promotes mobility, movement, muscle strength, coordination, balance and stamina. PT can also provide information on walking aids, develop a fitness/mobility plan and provide training to Taylor’s family/caregiver.

Working full time for the past two years, I have had experience being both a physical therapist aide/technician and even an assistant. I have completed observation hours at Gentilly Physical Therapy and Sports Rehabilitation, where I was a technician to a couple physical therapy assistants and physical therapists. At Gentilly rehabilitation center, I understood the nature of the work by assisting patients through weight training, teaching them the proper way to move around and assisted with recording the progress of each treatment. While observing patients under a physical therapist's supervision, I also had the responsibility of supervising lower level technicians during my support duties. Then the following year I observed at PhysioFit; I had a chance to

From its point of view, the body is a functioning machine that made up of specific parts that may be damaged by disease or injury. This frame of reference is based in the desire to explain function anatomically and physiologically and it assumes successful human motor activity is based of physical mobility and strength and participation in activity involving repeated specific graded movements that maintains and improves function. Besides, it also assumes activity can be graded gradually to meet particular demands within an intervention programme. According to the biomechanical frame of reference, physical function can be promoted by using media and equipment to promote physical function in which it can be applied to a variety of creative and constructive activities and use specific techniques for measuring movements, strength and

If a patient has reached their goals but discontinuing intervention would result in a decrease in functional level, then continued care would be necessary. However, if the patient could sustain their functional level with or without intervention, the PT should terminate treatment to keep in line with the Guide to Professional Conduct, Principle 4.1.H, stating, “A physical therapist shall determine when a patient/client will no longer benefit from physical therapy services” and 7.1.D: “When a physical therapist’s judgment is that a patient will receive negligible benefit from physical therapy services, the physical therapist shall not provide or continue to provide such services if the primary reason for doing so is to further the financial self-interest of the physical therapist or his/her employer. A physical therapist shall avoid overutilization of physical therapy services.” PTs should only treat those in need of PT intervention and not waste resources on healthy

On Friday January 12, 2018 I was privileged to observe with Kathy Schwartz, PT at Warm Springs Outpatient Physical Therapy Center off Sonterra Blvd in San Antonio, TX. I began my visit at 8:30 am where I was introduced to all the staff and oriented to the facility. Following this, I received a brief background on the patients I would be seeing during my visit. Which included: two patients with Parkinson’s disease (PD), one patient with complex regional pain syndrome and one patient with a total hip replacement. The first patient I encountered at 9:15 am was a 65-year-old female presenting with balance and gait disturbances.

After four weeks of constraint induced movement therapy, many of the other children also realized that it was possible to regain some control in their hemiplegic arm showing just how rehabilitation can improve an individual’s life experiences. My interest in physical therapy first came about during a career seminar my senior

The CPG content is based on the clinical practice guidelines developed by our professional organization, the APTA after an exhaustive review of the most current evidence in physical therapy practice. The CPR part is based on expertise heuristic clinical reasoning employed by