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Post-acute rehabilitation of a patient following a left hemiarthroplasty for a pathological hip fracture
A patient who underwent a left hip hemiarthroplasty was seen for physical therapy treatment for 9 sessions from 07/22/15 to 08/03/15 at a skilled nursing facility. All physical therapy interventions provided to the patient by a student physical therapist were supervised by a licensed physical therapist. The tests and measures used to assess the patient's condition at the initial evaluation included the following: 2 Minute Walk Test, manual muscle testing, Borg Rate of Perceived Exertion scale, Tinetti Performance-Oriented Mobility Assessment, and the Western Ontario and the McMaster Universities Osteoarthritis Index. The main goals for the patient were to improve strength, balance, bed mobility, transfers, and increase gait endurance and functional mobility. The main interventions used were progressive resistance training, patient education, over-ground gait training, task-specific training, and balance training. The patient improved her strength, balance, gait endurance, transfer ability, bed mobility, and functional mobility. The patient was discharged home with a home exercise program with support from her caregivers and family.