Renee Wenger, MPT, CLT, MBA and Lisa Sibits, MPT
Patient is a 65 year old male who presented to outpatient PT for this episode of care seven weeks s/p R THA (9/21/10). Additional PMH includes CVA (Cerebrovascular Accident) in 2003 with significant R sided hemiparesis, L THA ’09, osteosynthesis for B LE fractures s/p MVA ’71, hypertension, and hyperlipidemia. Patient has been seen in our outpatient PT/OT department for bilateral patellofemoral knee pain treatment in the past and has been very compliant with attending completing sessions with physical therapy exercises and performing his home exercise program. Patient received OT and PT services at a frequency of two times per week during the time of this case study.
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Short term and long term goals were established at the time of the initial PT evaluation on 11/11/10. These goals focused on decreasing pain with functional activity; increasing R LE strength and dynamic balance in order to progress with functional mobility skills; increasing ambulation distance, speed and progressing towards ambulation without an assistive device; improving control and decreasing reliance on arm support with stairs negotiation, and improving overall endurance to allow patient to accomplish functional mobility in the community setting.
Functional outcome measures noted below were tracked pre-AlterG and 4 weeks post using the AlterG physical therapy equipment during OP PT:
- Timed Up and Go
- 6 Minute Walk
- Lower Extremity Functional Scale
- Patient-Specific Functional Scale
History / Progression
Patient has been seen in OP PT two times per week for the above goals. Patient has been WBAT on R LE since surgery with total hip precautions. Patient initiated OP PT at 7 weeks post-op and started ambulation on AlterG at 9 weeks post-op. Patient completed 9 sessions on AlterG within four weeks with the goals of increased gait speed, improved endurance/tolerance for ambulation, better gait mechanics on level surfaces, and progression to ambulation without an assistive device. See table below for details re: AlterG parameters utilized during OP PT sessions.
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