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- Creator:
- Tobon, Adrianna K. and Crisologo, Carmel E. A.
- Description:
- This project is based on the literature surrounding suicide postvention and the importance of preparing high school staff to implement appropriate suicide postvention practices. Suicide postvention protocols are inconsistent across schools and lack many components recommended by the current research. Most school personnel lack sufficient preparation to successfully and confidently engage in postvention activities after a suicide in their school. It is important for staff to be trained on postvention practices that are informed by current research because certain postvention practices may potentially result in negative effects on students. There are two main objectives of this training. The first objective is to educate high school personnel of the need for suicide postvention and potential suicide postvention issues. School personnel must be prepared to follow appropriate protocols while navigating special issues regarding suicide, such as complicated bereavement, social stigma, risk of contagion, and developmental and cultural differences. Understanding these key aspects is critical to appreciating the importance of appropriately implemented suicide postvention. The second main objective is to prepare the audience with empirically informed training on how to appropriately respond in the event of a suicide in the schools. The training introduces the essential steps of a suicide postvention protocol and what actions should be taken at each stage of the protocol and clarifies different staff members’ involvement at each phase. This training is also intended to develop a sense of empowerment in participants by sufficiently preparing them to implement suicide postvention services. This inservice training was created to train high school personnel. Materials provided include a PowerPoint presentation with presenter’s notes, participant handouts, and enrichment activities. This inservice training was designed to be presented by a school-employed mental health professional, such as a school counselor or school psychologist.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- School Psychology
- Creator:
- Fernandes, Alexandria R.
- Description:
- A patient with left total hip arthroplasty following a fall resulting in femoral neck fracture was seen for physical therapy treatment for 12 sessions from July to August, 2016. Physical therapy treatment took place at a skilled nursing facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. On the initial encounter, the patient was evaluated using goniometry of L hip flexion, manual muscle testing of left hip musculature, the modified Clinical Test of Sensory Interaction and Balance (mCTSIB), the Tinetti Performance Oriented Mobility Assessment (POMA), the Elderly Mobility Scale (EMS), and the Tinetti Falls Efficacy Scale. The goals for the patient were to improve strength, range of motion (ROM), improve balance, complete bed mobility tasks, transfers, and ambulate independently. The overall interventions approach was progressive strengthening, task specific training, early weight bearing, and patient education. The patient’s ROM, strength, balance, independence in bed mobility, transfers, and gait improved significantly. The patient was discharged to home with her family accompanied by a home exercise program and home health physical therapy services.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Lim, Gretchen Marie
- Description:
- A patient with left shoulder adhesive capsulitis was seen for physical therapy treatment for 4 sessions from 06/27/16-07/22/16 at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Shoulder Pain and Disability Index (SPADI), manual muscle testing (MMT), and goniometry measurements, and a plan of care was established. Main goals for the patient were to decrease pain, improve strength, range of motion (ROM), and functional independence. Main interventions used were joint mobilization, passive movements, and functional training. The patient made minimal improvements in pain, ROM and functional independence. She discharged herself from outpatient physical therapy in order to seek alternative treatment.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Lazar, Ramona
- Description:
- A patient with total left knee arthroplasty was seen for physical therapy (PT) treatment for 16 sessions from May to July, 2016 at an outpatient PT clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with manual muscle tests, range of motion (ROM) measurements, girth measurements, numeric pain rating scale, and gait evaluation. Based on the patient’s test results, a plan of care was established. The main goals for the patient were to decrease pain and swelling, improve strength, ROM, gait during functional activities, functional independence and static and dynamic standing balance. The main interventions used were aquatic therapy, strength training, flexibility, and functional training. The patient improved her strength, ROM, motor control, gait sequencing, speed, balance, and functional independence. The patient was discharged home with a home exercise program and a follow up with her physician.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Powers, Athena A.
- Description:
- A patient with a chief complaint of anteromedial knee pain in the left knee, perception of instability and giving way and an inability to walk more than 3 miles was seen for physical therapy treatment for 7 sessions from March to May, 2016 at an outpatient orthopedic pro bono clinic at CSU, Sacramento. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, manual muscle testing, dynamometry, Numeric Pain Rating Scale, the Lower Extremity Functional Scale, the Six-Minute Walk Test, and the Western Ontario and McMaster Universities Osteoarthritis Index and a plan of care was established. Main goals for the patient were to improve pain levels, strength, range of motion, and motor control during functional activities and gait. Main interventions used were manual therapy including passive mobilizations to the left knee and hip, motor control training, therapeutic exercise and individualized progressive stretching and strengthening home exercise program. The patient eliminated pain and improved strength, range of motion, gait speed. The patient was discharged to home with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Scott, Harrison
- Description:
- A patient with chronic low back that radiated into his left buttock was seen for physical therapy treatment for 12 sessions over two months at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Oswestry Disability Index, Fear-Avoidance Belief Questionnaire, the Numeric Pain Rating Scale, the modified Thomas test, the straight leg raise test, the passive lumbar extension test, and the prone instability test. Based upon this evaluation, a plan of care was developed. The main goals for the patient were to improve strength and motor control of the trunk and lower extremity, improve range of motion of the hip, decrease low back pain and improve sitting tolerance, return to customary activities with friends, and decrease the patient’s fear of movement. Main interventions used were stabilization exercises, therapeutic neuroscience education, lower extremity strengthening and stretching exercises, and task-specific training. Low back pain was completely eliminated during the course of treatment, moving from a 7 to a 0 on the Numeric Pain Rating Scale. There was an improvement in functional ability as measured by the Oswestry Disability Index, from a moderately disabled score category to a minimally disabled score category. Fear of movement as measured by the Fear-Avoidance Belief Questionnaire moved from a high category in the subscales to a low category. The manual muscle test of the trunk muscles improved, moving from a score of 4/5 to 5/5. The patient was discharged home with a graded home exercise program and instruction on how to progress his exercises properly.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Mikesell, Sara
- Description:
- A patient with normal pressure hydrocephalus was seen for physical therapy for 3 daily treatment sessions in an acute care setting as the patient underwent external lumbar drainage of cerebral spinal fluid. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Montreal Cognitive Assessment-Basic, and the Tinetti Balance Assessment Tool. Main goals for the patient were to improve lower extremity strength, cognitive functioning of memory and attention, foot clearance, step length, step continuity, and functional independence. Main interventions were auditory and visual cues aimed at improving gait parameters and functional independence. The patient improved his step continuity, base of support, and step length. The patient was discharged to home with a shower chair along with a recommendation for home health physical therapy. Patient was to return to the hospital a few weeks later for an elective ventriculoperitoneal (VP) shunt placement.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
158. Outpatient rehabilitation for a patient following a surgically stabilized trimalleolar fracture.
- Creator:
- Hammond, Julie
- Description:
- A 46 year old woman with a right surgically stabilized trimalleolar fracture was seen for physical therapy treatment for 13 sessions from 06/17/2016 to 09/16/2106 at an outpatient pro bono physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with manual muscle test, goniometric measurements, single leg balance test, Timed Up and Go test, and a self-report questionnaire (Foot and Ankle Ability Measure). Following the evaluation a plan of care was established. The main goals for the patient were to improve her strength, increase her range of motion, normalize her gait pattern, improve her static standing balance, and regain her functional independence. The main interventions used were therapeutic exercise, joint mobilization, soft tissue mobilization, over-ground gait training, and functional activity training. The patient improved her strength, increased her range of motion, improved her balance, normalized her gait pattern, regained her functional independence in all activities of daily living, and was able to resume participation in a few recreational activities. The patient was discharged from outpatient physical therapy with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Ferrie, Danielle
- Description:
- A 55-year-old patient with a total knee arthroplasty was seen six days a week for three weeks at a skilled nursing facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, the Numeric Pain Rating Scale, the Western Ontario and McMaster Universities Arthritis Index (WOMAC), 10 Meter Walk Test, the Tinetti Performance Oriented Mobility Assessment, and the assessment of independence level in the performance of functional activities; and a plan of care was established. Problems found were decreased range of motion of the knee, increased pain, decreased strength, decreased balance, decreased gait speed, and decreased independence with functional activities. The main goals of the treatment course were to decrease pain, increase range of motion of the knee, increase balance, increase gait speed, and achieve independence with functional abilities. The main interventions used were range of motion activities, strength activities, and task-specific functional activities. The patient met her goals in pain level, balance, gait speed, and ability to climb stairs. The patient made some progress but did not meet her goals in knee range of motion, functional activities as measured by the WOMAC, and the ability to participate in community outings. She was discharged home with an exercise program and was to continue physical therapy in an outpatient setting.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Stogsdill, Teisha C.
- Description:
- A patient with chronic right knee pain was seen for physical therapy treatment for 5 sessions over two months at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Lower Extremity Functional Scale, Knee Injury and Osteoarthritis Outcome Score, manual muscle test, and goniometry, and a plan of care was established. Main goals for the patient were to improve range of motion, increase strength, improve motor control, decrease pain, improve ability to ascend/descend stairs, and return to sport. Main interventions used were joint accessory mobilizations, physiological mobilizations, strengthening, task-specific training, and functional training. The patient improved range of motion, strength, motor control and functional abilities with decreased symptoms. The patient was discharged from physical therapy with a progressive home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Strong, Jill
- Description:
- The patient in this case study was a 46-year-old male who sustained a severe Traumatic Brain Injury (TBI) due to a fall from a 40-foot ladder 4 weeks prior to physical therapy evaluation in inpatient rehabilitation. The patient initially presented to the emergency department with a Glasgow Coma Scale score of 8. At the time of inpatient rehabilitation evaluation, his cognitive and behavioral functioning was classified as level IV on the 8-level Rancho Los Amigos Cognitive Function Scale. He had impairments in attention, functional mobility, and balance, all of which limited his ability to participate in activities of daily living. Physical therapy was provided in inpatient rehabilitation for 4 weeks by a student physical therapist under the supervision of a licensed physical therapist. Interventions included task specific functional mobility training, conventional strength training, power training, balance training and dual task training in an open environment. The patient achieved goals in improved strength, improved functional mobility, improved postural control and improved ability to participate in community outings. The patient was discharged to home with family providing supervision due to cognitive deficits. The patient was referred to outpatient physical therapy for continued improvements in power, endurance, neuromuscular control and high-level mobility.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Farnady, Krista
- Description:
- A patient with moderate-severe traumatic brain injury was seen for physical therapy treatment for 6 sessions from 7/12/16 to 7/18/16 in the Traumatic Neurologic Intensive Care Unit (ICU) at an inpatient hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated with the Moss Attention Rating Scale, Agitated Behavior Scale, Rancho Levels of Cognitive Functioning, Physical Function ICU Test, Activity Measure for Post-Acute Care 6-Clicks Basic Mobility Short form, Timed Up and Go, Disability Rating Scale and a plan of care was established. Main goals for the patient were to improve mobility, cognition, and independence. Interventions used were task-specific training, experiential and didactic cognitive rehabilitation, therapeutic and functional exercise, fine motor practice, and balance training. The patient improved his attention, agitation, cognition, fine motor skills, muscular strength and endurance, functional mobility, balance, independence and was discharged to a sub-acute rehabilitation facility.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
163. Acute rehabilitation of a patient with total knee arthroplasty in the setting of bipolar disorder
- Creator:
- Peterson, Sara
- Description:
- A patient with a complex history of mental illness received a right total knee arthroplasty during the summer of 2016 and was seen for physical therapy treatment for 5 sessions in an acute care hospital setting. Treatment was provided by a student physical therapist (SPT) under the guidance and supervision of a licensed physical therapist. The patient was evaluated with manual muscle testing, goniometry, numeric pain rating scale, two-minute walk test, and levels of assistance. The results of these assessments were evaluated and a plan of care was established to address the patient’s specific impairments and activity limitations. The plan of care addressed the patient’s reduced right knee range of motion, weakness of bilateral hips and right knee, pain while resting and with movement, limited endurance, and impaired bed mobility, transfers and gait. The main goals set for this patient were to improve range of motion in the surgical knee and gain independence in transfers, bed mobility, and gait. Interventions included range of motion exercises, functional mobility training, and cryotherapy. The patient improved independence with all functional mobility activities, increased right knee range of motion, and experienced a reduction in pain with movement by the time of discharge. The patient was safe to discharge home with assistance of a caregiver, and was discharged with a progressive, individualized home exercise program, continuous passive movement device, and orders for home health physical therapy.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Lum, Sarah
- Description:
- A 17-month old male with Trisomy 21 was seen for physical therapy treatment for nine sessions from 04/08/16 to 05/12/16 at an outpatient pro bono clinic, including one home-based visit. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated with the Beighton Scale of Hypermobility, the Ten Meter Walk Test, the Peabody Developmental Motor Scales-2, the Gross Motor Function Measure-88, and the Pediatric Evaluation of Disability Inventory. This data was used to develop a plan of care, with the primary goals being to improve core muscular strength and postural control and increase functional mobility by developing independence with the use of a reverse walker. Interventions were implemented following a task-specific approach and family-centered care approach and included treadmill training and functional activities training. Although the patient did not improve relative to age-matched norms, he showed a significant improvement in function and participation at the end of the nine sessions. He was able to utilize a reverse walker with minimal assistance and showed greater consistency in four-point creeping on hands and knees. The patient was discharged home with a home exercise program and instructions to follow-up with his regular outpatient physical therapist.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Magnuson, Ryan
- Description:
- A patient with an acute left middle cerebral artery infarction was seen for physical therapy treatment for 4 sessions over a three-day period for acute inpatient physical therapy at a county hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Boston University Activity Measure for Post-Acute Care (AM-PAC), and a plan of care was established. Goals for the patient were to improve strength, muscle performance and motor control during functional activities in order to improve gait, static and dynamic standing balance, and promote modified functional independence. Main interventions used were bed strengthening exercises, over-ground gait training, balance training and task-specific training. The patient improved in strength, muscle performance, motor control, gait, static and dynamic balance, and progressed towards modified functional independence. The patient was discharged to a skilled nursing facility (SNF) for further rehabilitation.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Graham, Emma
- Description:
- A patient with a multiple sclerosis (MS) exacerbation was seen for physical therapy treatment for 3 sessions in July 2016 in an acute inpatient physical therapy setting. Treatment was provided by a physical therapy doctoral student under the supervision of a licensed physical therapist.The patient was evaluated during the initial encounter with a lower extremity Manual Muscle Test (MMT), Timed Up and Go (TUG), 6 Minute Walk Test (6MWT), and Functional Reach Test (FRT). A plan of care was established and the main goals for the patient were to improve strength, balance, endurance, mobility during functional activities, and functional independence. The main interventions used were overground gait training, task-specific training, functional training, and strength training. The patient improved strength, balance, endurance, mobility during functional activities, and functional independence. The patient was discharged to home with a referral to outpatient physical therapy and supervision for all functional activities.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Carrillo, Alexandria
- Description:
- A patient with right subacromial impingement syndrome was seen for physical therapy treatment for eight sessions for an eight-week period at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, inclinometry, manual muscle testing, numeric pain rating scale, special tests for the shoulder, passive shoulder joint play assessment, palpation, observation, and the QuickDash, after which a plan of care was established. Main goals for the patient were to improve cervical and shoulder range of motion, upper extremity strength, functional activities, and to decrease pain. Main interventions used were therapeutic exercise including stretching and strengthening, and manual therapy.The patient improved cervical and shoulder range of motion, upper extremity strength, and in functional activities, and decreased pain. The patient was discharged with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Montanez, Rafael
- Description:
- A patient with right patellofemoral pain syndrome was seen for physical therapy treatment for 10 sessions over the course of two months at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with manual muscle test, active range of motion, functional tests, and special tests for knee pathology. Based on this evaluation, a plan of care was established. Main goals for the patient were to: increase walking distance; improve mobility; increase strength in lower extremity muscles which included the right hip and knee extensors, hip abductors, external rotators, and knee flexors; perform housework and basic home maintenance without pain; and regain functional independence. The main interventions included manual therapy, task-specific training, isometric/concentric/eccentric strengthening exercises, and functional training. The independent home exercise program (I-HEP) incorporated strength, stretching and walking program with progression to continue a path of becoming more physically active. The patient had an overall improvement in pain inducing functional activities. By the end of the 5 weeks, she was able to ascend/descend more than 12 steps, perform a squat past 90°, and walk more than 4 miles all without pain. The patient also improved her score in the Lower Extremity Functional Scale from 56/80 to 71/80 surpassing the minimal clinically important difference score of 9. She was discharged to her home with an I-HEP after reaching all of her goals.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Stoehr, Trevor
- Description:
- A patient with low back pain and left hip pain was seen for physical therapy treatment for 9 sessions over the course of 2 months in an outpatient pro bono physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated during the initial objective examination with: a manual muscle test, lumbar range of motion, a lumbar segmental examination, Numeric Pain Rating Scale, Fear Avoidance Beliefs Questionnaire and Oswestry Disability Index. The evaluation determined the patient to have weakness in the hip abductors, pain and muscle incoordination with prone hip extension, poor sitting posture, intolerance of prolonged sitting and standing, trunk instability with single leg stance, and functional disability due to low back pain. A plan of care was established to meet the patient’s goals of: improving strength, pain, motor control, sitting posture, sitting and standing tolerance, trunk stability with single leg stance and functional ability. The interventions utilized in this patient’s plan of care were stabilization exercises, lumbar spine mobilizations, patient education and a home exercise program. The patient met her goals of improved hip abductor strength, improved pain and motor control with prone hip extension, maintained correct sitting posture, improved tolerance of prolonged sitting and standing, improved trunk stability with single leg stance and improved functional ability. The patient did not meet her participation level goal of being able to provide rehabilitative treatment (while sitting) to children without experiencing pain.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Svityashchuk, Victor
- Description:
- A patient post right vestibular schwannoma resection was seen for physical therapy by a student at an outpatient setting for 7 treatment sessions from 6/22/16 to 7/22/16 under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Modified Clinical Test of Sensory Interaction on Balance, vestibulo-ocular and oculomotor exam, Dynamic Gait Index, Activities-specific Balance Confidence Scale, Dizziness Handicap Inventory and a plan of care was established. Main goals for the patient were to improve static and dynamic standing balance, increase independence with functional tasks, and increase activity tolerance. Main interventions used were vestibular rehabilitation including habituation and gaze stability exercises, Gentile’s taxonomy of task to improve balance, functional activities, dual task and task-specific activities. The patient improved activity tolerance, balance, and functional independence. The patient was discharged to home, independent with home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
171. Outpatient physical therapy for a pediatric patient with a diagnosis of hypotonic cerebral palsy
- Creator:
- Timberlake, Briana
- Description:
- A non-ambulatory pediatric patient with hypotonic cerebral palsy (CP) was seen for outpatient physical therapy twice a week for 5 weeks from March 5 to May 19, 2016. Treatment was provided by a student physical therapist under the direct supervision of a licensed physical therapist. The initial evaluation involved assessment using Peabody Developmental Motor Scale (PDMS-2), Gross Motor Function Measure-66 (GMFM-66), Pediatric Evaluation of Disability Inventory (PEDI), 10- Meter Walk Test, 1-Minute Walk Test, and goniometry, all of which were used to develop a plan of care. The primary goal for this patient was to achieve independent steps; supplemental goals included increasing standing balance, increasing knee extensor and functional strength, gait speed and endurance, and functional independence within the home and the community. Main interventions used were treadmill training, task-specific training, balance and functional strength training. The patient made some improvements in balance, strength, gait speed and endurance, and functional independence. The patient was discharged to continue to live at home with parents and a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Takhar, Simranjit Singh
- Description:
- A patient with intermittent and variable lower cervical and upper thoracic pain along with intermittent and variable right upper trapezius pain was seen for seven physical therapy treatment sessions over a seven-week period at a university’s orthopedic pro bono clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with a postural assessment, Neck Disability Index, fear avoidance beliefs questionnaire, deep neck flexor endurance test, range of motion measurements, manual muscle testing, and spinal and rib mobility testing, after which a plan of care was established. Main goals for the patient were to improve posture, range of motion, strength, endurance, mobility, pain, activity tolerance and function during work related activities. Main interventions used were manual therapy, therapeutic exercise, and patient education. The patient improved in posture, range of motion, strength, endurance, first rib mobility, pain, activity tolerance, and function. The patient was discharged with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Lu, Chan Wen
- Description:
- A patient with right rotator cuff tendinopathy was treated for 5 sessions over 5 weeks at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. Tests and measures that were used to monitor changes were the following: goniometry, numeric pain rating scale, manual muscle tests, observation, palpation, QuickDASH, and patient report. The main goal for the patient was to be able to perform overhead Crossfit exercises with a 45-pound barbell without shoulder symptoms. Tissue irritability and impairments found guided the intensity and type of treatments. Interventions included manual therapy and therapeutic exercise. The patient improved in shoulder pain, strength, tenderness, and function. The patient was discharged with an individualized home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Qiu, Nan
- Description:
- A 21-year-old female college student and receptionist with a 3-week history of left posterior LBP and left lateral buttock pain was seen for physical therapy treatment for 7 weekly sessions at a physical therapy outpatient pro-bono clinic. The signs and symptoms were mild to moderately irritable and musculoskeletal in nature. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with a subjective and objective examination. The Oswestry Disability Index was given as an outcome measure assessing functional disability due to low back pain, and a plan of care was established. The main goals for the patient were to improve range of motion, decrease pain, increase lumbosacral stability, decrease functional disability, and to improve the patient’s function as a full-time student and part-time office assistant. The main interventions used were lumbar spine stabilization exercises, lumbar joint mobilization, postural awareness, pain management, ergonomic training, stretching exercises, and patient education. The patient made clinically meaningful changes in pain severity, range of motion, lumbosacral stability, and functional disability outcome measure. The patient was able to return to being a student and a receptionist, and was discharged from physical therapy with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Self, Megan
- Description:
- A patient with seronegative Myasthenia Gravis was seen for 16 sessions of physical therapy treatment during his stay at a large urban hospital for a 4-week period. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. Upon initial evaluation the patient was intubated for progressive dysphagia and progressive worsening respiratory distress and unable to participate in transfers or ambulation. During his course of stay, the following measures were used to assess his balance, strength, endurance and functional mobility: Tinetti Performance Oriented Mobility Assessment, Five Times Sit to Stand, and Two Minute Walk Test. Impairments were identified and a plan of care was established. The goals for this patient were to improve balance, endurance, functional strength and mobility, and to return to him to his prior level of function. The patient’s most significant goal was to be able to return home, which required that he be able to ascend the 22-stairs to enter to his home. The primary interventions for this patient included balance, transfer, gait, and stair training exercises with an emphasis on functional application and close monitoring of vital signs. The patient achieved gains in balance, strength, gait, stairs and overall functional ability and independence. The patient was able to discharge home with a home exercise program and physical therapy home health services.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Jennison, Erica
- Description:
- A 58-year–old female high school teacher was seen for physical therapy treatment for 6 sessions over three weeks at an outpatient physical therapy clinic. Following a fall down twelve stairs six weeks prior, the woman presented in clinic with primary complaints of pronounced neck stiffness and range of motion loss. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, inclinometry, the Deep Neck Flexor Endurance Test, the Neck Disability Index, and the Fear and Avoidance Beliefs Questionnaire; and a plan of care was established. Main goals for the patient were to improve strength, range of motion, reading tolerance, and the ability to turn to look behind herself while driving. Main interventions used were strengthening, stretching, manual joint and soft tissue mobilization, instrument assisted soft tissue mobilization (IASTM), thermotherapy, and patient education.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Peterson, Dylan
- Description:
- A patient with cervical spondylosis and presentations consistent with cervical radiculopathy was seen for treatment at an outpatient physical therapy clinic for 9 sessions from 6/24/2016 to 8/18/2016. The treatment of this patient was delivered by a student physical therapist who was supervised by a licensed physical therapist. Patient evaluation during initial visit consisted of Neck Disability Index, grip strength, cervical range of motion, upper limb tension test, dermatome testing, myotome testing, accessory motion testing of cervical and thoracic spine, and patient report on numeric pain rating scale. A plan of care was created to intervene with patient’s presentation of impairments. The primary goal established with patient input was to return fully to quilting and needlework. Secondary goals included improving mobility, strength, and function, and decreasing sensitivity of structures. Primary interventions included directional preference of cervical spine, cervical traction, exercise, education, and manual therapy. The patient exhibited improvements in strength, function, mobility with decreased sensitization of structures. These improvements helped patient return partially to primary goal of resuming quilting and needlework. The patient was discharged back to her home with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
178. Outpatient rehabilitation for a patient with a nontraumatic spinal cord injury due to osteomyelitis
- Creator:
- Fields, Briana
- Description:
- A patient with a high thoracic incomplete spinal cord injury (SCI) was seen for physical therapy for 8 sessions over a 4-week period at an outpatient physical therapy clinic. Treatment was provided by a student of physical therapy under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter by the International Standards for Neurological Classification of Spinal Cord Injury (ASIA Impairment Scale), Goniometric Measures of Lower Extremity Flexibility, Manual Muscle Test, 6-Minute Walk Test, 10-Meter Walk Test, Walking Index for Spinal Cord Injury, Spinal Cord Injury Functional Ambulatory Index, Falls Efficacy Scale, and Short Form-36 and a plan of care was established. The main goals for the patient were to improve lower extremity range of motion, strength, motor recruitment and control of trunk musculature, aerobic endurance, gait speed, functional independence with ambulation, and reduce fear of falling. The main interventions used were over-ground gait training, balance training, task-specific training for strength, flexibility, and fall recovery. The patient improved endurance, gait speed, and functional independence with ambulation. The patient was discharged home with a home exercise program to continue improvements in strength, flexibility, standing balance, ambulation parameters, and efficacy with dynamic positions with decreased fear of falling.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Hadley, Heather L.
- Description:
- A patient who experienced a left cerebrovascular accident in 2010 was seen for physical therapy treatment for 21 sessions over a three-month period at an outpatient pro bono physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Stroke Rehabilitation Assessment of Movement lower extremity and mobility subscales, 6 Minute Walk Test, Goniometry, 10 Meter Walk Test, and falls history - a plan of care was established. The goals were to improve lower extremity functional motor control, aerobic capacity, ankle passive range of motion, gait speed, and decrease incidence of falls. Interventions were gait training and task-specific training. The patient improved functional motor control, aerobic capacity, ankle range of motion, fast gait speed, and decreased falls incidence. The patient was discharged home with an exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Lineback, David
- Description:
- A patient with incomplete C4 spinal cord injury was seen for outpatient physical therapy treatment for 16 sessions over 8 weeks at a university outpatient pro bono clinic. All treatment sessions were administered by a student physical therapist under the direct supervision of a licensed physical therapist. Upon physical therapy evaluation, the patient’s functional limitations were assessed with the 6 Minute Walk Test, 10 Meter Walk Test, the Walking Index for Spinal Cord Injury, Spinal Cord Injury Spasticity Evaluation Tool, and assistance required during transfers. Goals were established to evaluate improvement of the patient’s gait speed and endurance, and decrease assistance required during gait and transfers. Treatments included over-ground gait training, balance training, transfer training, lower extremity and trunk strengthening, endurance training, and caregiver education. Improvement in these functional limitations was important for the patient to regain leisure activities within the community. The patient was discharged to home with his wife and caregiver, and was provided a home exercise program to promote further progress towards functional independence.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Thompson, Kasey
- Description:
- A 29-year old woman with hemorrhage of a brainstem cerebral cavernous malformation was seen for physical therapy treatment. The episode of care began on 4/1/16 and ended on 5/20/16. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. Initial evaluation was conducted at week 6 post-hemorrhage and discharge evaluation at week 12. The patient presented with severe left hemiparesis and walked with a front-wheeled walker (FWW), having experienced only minimal neurological recovery. She was evaluated with Manual Muscle Testing, the 6-Minute Walk Test, the Fugl-Meyer Upper Extremity Subscale, the 10-Meter Walk Test, the Functional Gait Assessment, the Nine Hole Peg Test, and the Stroke Specific Quality of Life Scale. Physical therapy treatment was administered twice weekly for 6 weeks and consisted of functional, task-specific strengthening and endurance training using the overload principle. A daily home exercise program was implemented and adhered to. The patient returned to all activities including riding a bicycle and bimanual typing. She was discharged home to continue her exercise program and return to all previous activities.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Tutop, Shara I.
- Description:
- A 67-year-old female patient with bilateral knee osteoarthritis attended outpatient physical therapy for 8 sessions from June through August of 2016. She was treated by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated with goniometry, manual muscle testing, Thomas Test, Numeric Pain Rating Scale, and the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire at initial evaluation. Goals established were to improve range of motion, strength, flexibility, decrease pain with activity, and return to participation in community. Main interventions were hip and knee strengthening, manual therapy, and functional movement training. The patient’s strength, range of motion, and body mechanics during activity improved and was discharged to home with a home exercise program. She would follow up with physician due to increasing right knee pain.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Patel, Bhumisha
- Description:
- A patient with cerebral palsy was seen for physical therapy treatment for 12 sessions from 3110/15 to 5/08/15. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Peabody Developmental Motor Scales to measure gross and fine motor delays, the Six Minute Walk Test to measure gait endurance, the Gross Motor Function Measure-66 to measure and predict the gross motor development, and the 10 Meter Walk Test to measure the gait velocity. Following the evaluation a plan of care was established. The main goals for the patient were to improve gait endurance, standing balance, gait speed, and functional mobility. Main interventions used were over-ground gait training including ascending and descending stairs, and treadmill training. The patient presented with improved gait endurance, had moderate improvement in his gait speed and functional mobility, but no improvement was noted in his standing balance. The patient was discharged to home with a home exercise program and recommendation to continue with the different therapies provided by the patient's school.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Guinee, Jonathan
- Description:
- A patient with gross hematuria with mild anemia was seen for physical therapy treatment for 23 sessions from 7/3/15 to 8/6/15 at a skilled nursing facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Manual Muscle Test, Borg fatigue scale, 10 Meter Walk Test, Berg Balance Scale, 6 Minute Walk Test, and Fatigue Severity Scale. A plan of care was established based on patient report and the findings from these tests. Main goals for the patient were to improve fatigue, strength, endurance, activity tolerance, and functional mobility and independence. Main interventions used were over-ground gait training, restorative training, task-specific training, and functional training. The patient made moderate improvements in fatigue, strength, endurance, functional mobility and independence, due to complications from contracting Clostridium difficile. The patient was self-discharged to home with a home exercise program and recommendation for use of a front wheeled walker and follow-up from home health physical therapy.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Ma, Tom
- Description:
- A patient with a diagnosis of left lateral thigh pain was seen for physical therapy treatment for a total of 7 sessions from 2/24115 to 4/21115 at an outpatient pro-bono physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with a subjective and objective examination, and a plan of care was established. Main goal for the patient was to identify the cause of her condition, decrease pain throughout daily activities, and a return to running and playing sports without pain. Main interventions were patient education, therapeutic exercises, motor control training, and manual therapy. At discharge, the patient had a decrease in pain and sleep disturbance, improved strength, motor control, flexibility, posture, gait mechanics, and functional mobility. The patient was discharged to home with a progressive home exercise program and no other follow up was scheduled.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Baumgardner, Benjamin
- Description:
- A patient, after receiving a total hip arthroplasty, was seen for physical therapy treatment for 8 sessions from 8/01/15 to 8/05/15 in an acute care hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Well’s Clinical Prediction Rule to assess for the presence of deep vein thrombosis; the Numeric Pain Rating Scale was used to assess pain; the Physical Function ICU Test –Scored was used to assess strength; the Activity Measure for Post-Acute Care mobility short form was used to assess functional mobility; the 10 Meter Walk Test was used to assess gait speed; the Lower Extremity Function Scale was used to assess independence with ADL’s; a plan of care was established based on the results of these outcome measures. Main goals for the patient were to improve pain, range of motion, strength, functional mobility, gait speed, and functional independence. Main interventions used were over-ground gait training, restorative training, resistive exercises, bed mobility and transfer training, and functional training. The patient improved in pain levels, strength, range of motion, functional mobility, gait speed, and functional independence. The patient was discharged to home with a home exercise program and a plan to follow-up with home health physical therapy.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Fuccella, Meghan
- Description:
- A 64 year-old female with 21 year history of multiple sclerosis was seen for physical therapy treatment for eight sessions from 2/11/15 to 4/8/15 at the California State University, Sacramento neurological pro bono clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. This patient was examined over the course of the first 2 sessions using the Modified Fatigue Impact Scale, Modified Clinical Test of Sensory Integration in Balance, Six Minute Walk Test and Multiple Sclerosis Quality of Life questionnaire, visual observation, sensory, coordination and proprioception testing, Modified Ashworth Scale and Activities-Specific Balance Confidence scale. These measures were used to determine an appropriate plan of care, including goals to improve static and dynamic balance, walking endurance, range of motion, quality of life and to decrease the impact of fatigue. Interventions for this patient included overground interval gait training, balance activities, stretching program and patient education. After the course of treatment, the patient demonstrated decreased impact of fatigue, increased walking endurance and improved static balance. This patient was discharged to her home with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Crouch, Aaron
- Description:
- A patient with a minor superficial and deep partial thickness burn to his distal dorsolateral surface of his right foot, including all five toes, was seen for physical therapy treatment for 8 sessions from 6/22/15 to 8/16/15 at an outpatient physical therapy clinic affiliated with a hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with determination of total body surface area affected, clinical observation, photographic documentation, and a plan of care was established. Following re-epithelialization, the Patient Observer Scar Assessment Scale was administered to monitor post-burn scarring. Also, at the conclusion of treatment, quality of life post-burn was measured using the Burn Specific Health Scale – Brief. Main goals for the patient were to achieve granulation and re-epithelialization of burned integument, improve active and passive range of motion of involved joints, and return to work with no restrictions. Main interventions used were sharp debridement, silver-based burn dressings, patient education for scar management, and silicone padding with compression. The patient’s burned area achieved 100% re-epithelialization, improved range of motion, displayed minimal hypertrophic scarring, and returned to work. The patient was discharged to home with a home exercise program, which addressed further scar management, and no follow up services.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Kukis, Kelley
- Description:
- A 63 year old patient with multiple sclerosis was seen at an outpatient physical therapy clinic for eight visits over the course of eight weeks. She was found to have decreased dynamic balance during walking and stair tasks as well as decreased static standing balance with vestibular involvement and limited dorsiflexion passive range of motion. She received balance training, stair training, gait training, vestibular rehabilitation therapy, and patient education. The patient showed increased right ankle dorsiflexion passive range of motion and improved static standing balance. She showed improvements in functional testing of dynamic balance and stair negotiation. She was discharged to continue living at home with the support of her husband and adult daughter, and upon discharge she was independent in a home exercise plan.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Myers, Rachel
- Description:
- A patient with chronic spinal cord injury neurologic level C5 American Spinal Injury Association (ASIA) Impairment Scale level C was seen for physical therapy treatment for 16 sessions from 4/10/15 to 5/15/15 at a local university. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with several balance tests, a lower extremity endurance test, the 10 Meter Walk Test, the 6 Minute Walk Test, the Physiological Cost Index, Walking Index for Spinal Cord Injury, a patient-specific confidence scale for balance, and the World Health Organization Quality of Life Measure and a plan of care was established. Main goals for the patient were to improve lower extremity endurance, cardiovascular and gait endurance, functional gait speed, static and dynamic standing balance, balance confidence, independence at gym, and quality of life. Main interventions used were over-ground gait training, endurance training, task-specific training, and functional training. The patient improved endurance, functional gait speed, balance confidence, and quality of life. The patient was discharged to home with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Vetrone, Molly
- Description:
- A patient with a medical history of perinatal arterial ischemic stroke which resulted in a diagnosis of hemiplegic cerebral palsy was seen for physical therapy treatment for 16 sessions from 3/10/15 to 5/5/15 at the pro-bono outpatient physical therapy clinic at California State University, Sacramento. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the 6 Minute Walk Test to evaluate endurance, Peabody Developmental Motor Scale-Second Edition to evaluate gross and fine motor development, 10 Meter Walk Test to test walking speed, Gross Motor Function Measure-66 item to test gross motor function, Pediatric Evaluation of Disability Inventory to evaluate dependence on caregiver for assistance, observation for limitations in functional strength, and parent report on participation restrictions, and a plan of care was established. Main goals for the patient were to improve functional strength, static and dynamic standing balance, independent ambulation, gait speed, usage of right upper extremity and functional independence. Main interventions used were gait training, task-specific training, constraint induced movement therapy, bimanual training and functional training. The patient improved strength, balance, independent ambulation, gait speed, usage of the right upper extremity and functional independence. The patient was discharged to home with a home exercise program to be guided by his parents.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Nelson, Lyle
- Description:
- A patient, 6 weeks post-total knee arthroplasty (TKA) on the left, and 1 week post-TKA on the right with an additional factor of manipulation under anesthesia (MUA) on the left was seen for physical therapy treatment for 20 sessions from 7/13/15 to 8/19/15 at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, manual muscle tests, gait evaluation, and the Western Ontario and McMaster Universities Osteoarthritis Index, and a plan of care was established. Main goals for the patient developed in collaboration with the supervising physical therapist were to improve strength, range of motion, gait mechanics during walking, and overall physical function. Main interventions used were passive stretching, active and passive range of motion, strength training, and over-ground gait training. The patient improved in range of motion, strength, and gait mechanics. The patient was discharged with a home exercise program and follow up with her physician.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Paine, Kathryn
- Description:
- A pediatric patient diagnosed with global developmental delay and ataxic cerebral palsy was seen between March 5, 2015 and April 30, 2015 for 13 outpatient physical therapy sessions in a university setting. Under the supervision of a licensed physical therapist, the student physical therapist provided evaluation and treatment. Per the patient’s plan of care, the main goals were to improve the endurance, gait pattern and coordination, strength, balance, walking ability, gross motor function and independence with preschool activities of the patient. Examination measures included the Peabody Developmental Motor Scales, Six Minute Walk Test, Ten Meter Walk Test, Gross Motor Function Measure version 66, and Pediatric Evaluation of Disability Inventory. Main interventions used were treadmill and overground gait training, balance exercises, and functional therapy training. The patient improved her gross motor function, balance and gait pattern and coordination and was discharged under the care of her parents with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Hatton, Nathan
- Description:
- A patient with a left acute thoracolumbar strain due to a work injury was seen for physical therapy treatment for 6 sessions from 7/21/15 to 8/06/15 at an outpatient occupational health physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with attention to treatment based classification guidelines for lower back pain established by the American Physical Therapy Association, and a plan of care was established. Main goals for the patient were to improve strength, range of motion, neuromuscular control and lumbar stabilization impacting functional activities, gait mechanics, and reduction of disability. Main interventions used were spinal mobilization techniques, therapeutic exercises for strength and range of motion, and spinal stabilization exercises with an emphasis on prevention of future recurrence of lower back pain. The patient improved in strength, range of motion, and functional mobility. Pain and disability were reduced. The patient was discharged to home with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Switters, Sophia Milan
- Description:
- A patient who underwent a right total knee arthroplasty was seen for physical therapy treatment for five sessions from 8/3/15 to 8/5/15 at an acute hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Numeric Pain Rating Scale, Manual Muscle Testing, goniometric measuring, Timed Up and Go, Lower Extremity Functional Scale, and functional mobility level of assistance, and a plan of care was established. Inpatient goals for the patient was to decrease pain, improve strength, increase range of motion, improve motor control and sequencing during functional activities, increase gait speed, increase static and dynamic balance, and increase functional independence. Main interventions used were over-ground gait training, restorative training, task-specific training, and functional training. The patient improved in strength, motor control and sequencing, gait speed, balance, and functional independence. The patient was discharged to home with a home exercise program and with follow up with home health and outpatient physical therapy.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Gonzales, David
- Description:
- A patient with a left middle cerebral artery stroke was seen for physical therapy treatment for 8 sessions from 4/17/15 to 5/15/15 at the Department of Physical Therapy at California State University, Sacramento. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Five Times Sit to Stand to assess lower extremity muscular strength, the Six Minute Walk Test to assess cardiovascular endurance, the 10 Meter Walk Test to measure ambulatory status and gait speed, the Timed Up and Go test to measure fall risk, and the Falls Efficacy Scale-International to measure fall risk, and a plan of care was established. Main goals for the patient were to improve lower extremity strength, neuromuscular control, cardiovascular endurance, gait speed, and decrease risk for falls. Main interventions used were repetition, task-specific training, over-ground gait training, and neuromuscular control training. The patient improved lower extremity strength, cardiovascular endurance, gait speed, and reduced her risk for falls. The patient was discharged to remain living at home with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Cunningham, Katie
- Description:
- A patient with a chronic lower trapezius muscle strain was seen for physical therapy treatment for 8 sessions from 7/14/15 to 8/11/15 at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the numeric pain rating scale, goniometry, manual muscle tests, observation, patient report and the Disabilities of the Arm, Shoulder and Hand Questionnaire, and a plan of care was established. Main goals for the patient were to reduce pain, improve strength, improve posture and improve ability to perform instrumental activities of daily living. Main interventions used were functional strengthening and stretching. The patient improved strength, motor control and sequencing, gait speed, balance, and functional independence. The patient was discharged to home with a home exercise program and with possible follow-up for outpatient physical therapy pending insurance approval.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Yanez, Susana
- Description:
- A patient with right total hip arthroplasty was seen for physical therapy treatment for seven sessions over the course of four days in the hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Numeric Pain Rating Scale, 10 Meter Walk Test, Western Ontario and McMaster Universities Osteoarthritis Index, and Boston University Activity Measure for Post-Acute Care (AM-PAC) "6-clicks" Basic Mobility Inpatient Short Form, and a plan of care was established. The main goals for the patient were to decrease pain severity, improve basic functional mobility, increase gait speed, and advance health related quality of life. The principal interventions used were resistance training, over-ground gait training, task-specific training, and functional training. The severity of the patient’s pain improved significantly [75%], and, to a lesser degree, basic functional mobility and gait speed improved as well. The patient was discharged to an extended care facility for further physical therapy treatment.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Gillis, Ashly
- Description:
- A patient with left shoulder dysfunction following an arthroscopic subacromial decompression and surgical debridement of the labrum was seen for physical therapy treatment for 14 sessions from 6/15/15 to 8/12/15 at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with an assessment of upper extremity range of motion; the Disabilities of the Arm, Hand, and Shoulder questionnaire to measure upper extremity function; the Focus on Therapeutic Outcomes questionnaire to assess the patient’s ability to perform activities of daily living; and the Fear-Avoidance Beliefs questionnaire to assess the patient’s potential fears related to avoidance of physical activity, and a plan of care was established. Main goals for the patient were to improve range of motion, strength, endurance, power, and neuromuscular control in order to return to baseball. Main interventions used were manual therapy, therapeutic exercise, and sport-specific training. The patient improved range of motion, strength, endurance, power, and neuromuscular control and was able to return to throwing. The patient was discharged home with a home exercise program.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy
- Creator:
- Atwal, Bipan
- Description:
- A patient with chronic obstructive pulmonary disorder was seen for physical therapy treatment for 10 sessions from 7/9/15 to 7/20/15 at a skilled nursing facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Manual Muscle Testing, Functional Independence Measure, Berg Balance Scale, and 2 Minute Walk and a plan of care was established. Main goals for the patient were to improve strength, functional independence, static and dynamic balance, and gait endurance. Main interventions used were gait training with a front-wheeled walker, therapeutic exercise and activities, balance training, task-specific training, and breathing strategies for symptom management.
- Resource Type:
- Project
- Campus Tesim:
- Sacramento
- Department:
- Physical Therapy