Project

Acute care physical therapy for a patient with complex pelvic fracture, type iii odontoid fracture, and vertebral artery dissection

A patient with complex pelvic fracture, odontoid fracture, and vertebral artery dissection was seen for physical therapy for eleven treatments from July 9th, 2014 through July 14th, 2014 at an acute care hospital under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with manual muscle testing, goniometry, functional activity testing, and the Functional Status Score for the Intensive Care Unit, and a plan of care was established. Main goals for the patient were to increase strength and range of motion, become independent in bed mobility, transfers, and ambulation on level surfaces with an assistive device; and to ascend/descend three or more steps using an assistive device with contact-guard assist. Main interventions used were task-specific training and an independent bed exercise program. The patient achieved the following goals: independent in bed mobility, transfers, and ambulation on level surfaces with a front wheel walker and supervised in stair ascent/descent using an axillary crutch with contact-guard assist. The patient was discharged to home with family support.

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