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Inpatient physical therapy for a patient following a stroke and with facioscapulohumeral muscular dystrophy
A patient with right CVA and facioscapulohumeral muscular dystrophy was seen for physical therapy treatment for 17 days of treatment from July 12th, 2014 to July 29th, 2014 at an in-patient rehabilitation unit under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with manual muscle testing , the National Institutes of Health Stroke Scale , Functional Independence Measure and Medical Outcomes Study Short Form 36 version 2.0 and a plan of care was established. The main goals for the patient were to increase functional strength & range of motion, improve bed mobility, improve transfer ability, and improve wheelchair mobility. The main interventions used were task-specific and functional based activities training. The patient achieved the following goals: supine to sit bed transfers with minimum assist, slide board transfers with minimum assist and verbal cueing, and self-propulsion with light-weight wheelchair on level surfaces for 50 feet with minimum assist. The patient was discharged to his home with family care and given a home exercise program, with follow-up care provided by home health physical therapy.