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Outpatient physical therapy for a patient with impaired lower extremity neurodynamics and painful scapular dyskinesis
A patient with impaired lower extremity neurodynamics and scapular dyskinesis was seen for physical therapy treatment for 6 sessions from 04/21/14 to 05/19/14 at the Sacramento State orthopedic pro bono clinic under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with manual muscle testing, scapular slide test, eccentric shoulder extension, passive accessory intervertebral movements, Slump test, and straight leg raise testing, and a plan of care was established. Patient goals were to be able to participate in a flexibility routine without neural symptoms limiting participation and to be able to carry folding tables for work without scapular pain. The main interventions used were nerve tension maneuvers, thoracic mobilization, and strengthening of scapular muscles. The patient achieved seven of eight body structure goals, three of three activity level goals, and three of four participation level goals. At the time of discharge the patient was able to participate in her flexibility routine for dance and perform all lifting duties; including carrying folding tables for work without symptoms. The patient was discharged to self-management with home exercise program.