Alison E. Barker, PT
14 year old active teenager was playing basketball in February and injured his left hip. Initially it was treated as a groin strain, but later it was determined that he had a slipped capital femoral epiphysis. Patient underwent surgery to fixate in May and was referred to physical therapy 3 months later. Patient wants to return to high school sports of basketball, football, and baseball. Patient needed Capital Femoral Epiphysis treatment.
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- Increase strength of lower extremities and core stabilizers.
- Restore full pain free hip ROM
- Restore normal gait mechanics
- Improve tolerance to long duration walking and loading while running
- Develop cardiovascular conditioning for return to sport
- Return to football, basketball, and baseball
History / Progression
Patient first felt hip pain while playing basketball in February. He thought it was a groin strain and continued to play on it. After further assessment, it was determined that he had a slipped capital femoral epiphysis (SCFE) and he underwent surgical fixation. Patient presented in therapy with minimal pain, but had an antalgic gait with decreased stance time, step length, and speed on the involved lower extremity. In addition, he had decreased hip and core strength, decreased hip ROM, decreased hip joint mobility, and poor balance.Treatment provided consisted of: manual therapy (soft tissue mobilization, joint mobilization, and facilitated stretching), therapeutic exercises for increasing lower extremity strength, especially for left hip abduction and extension, core strengthening, proprioceptive work and AlterG gait training./p>
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