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Successful treatment of a patient with knee osteoarthritis using therapeutic exercise and passive mobilization with regard to regional interdependence
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.