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Use of manual therapy and task specific training in the rehabilitation of a patient presenting with post-traumatic chronic right knee pain in an outpatient setting
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.