Health Status Measurements Have Become Standard Protocols

DIAGNOSIS: Flexion contracture of the knee, quadriceps weakness, patellar tendonitis, contusion of knee, and knee pain

Physical therapy saw the patient, and the result of the examination are as follows; 6/10 left knee pain at rest and during activity (0 no pain, 10 worst pain), manual muscle testing for both upper and lower extremities were 4/5 except left knee flexion/extension 3+/5 due to pain, sensation on both UE/LE were intact to light touch, Stephen requires a moderate assistance of one person for both functional mobility and gait activity. He uses a front wheeled walker up to 35 feet due to decreased balance and antalgic gait from the left knee

Because this focuses on such a specific rehabilitation type, it provides a deeper insight on rehabilitation.

The article describes functional deficits that correspond with each level of injury. The article briefly discusses what type of assistance will be required depending on the severity of the injury. Some assistive devices and durable medical equipment are suggested.

MD discussed with Dr. Kinsman the following: Assessment (1) The patient is somatically oriented; (2) The patient is getting some improvement regarding activity level and endurance/ergonomics with the current court of physical therapy, but the patient has very little understanding of functional management as a long-term strategy to manage her symptoms; (3) MD and Dr. Kinsman feel that the patient would likely be a good fit for the functional restoration program and deserves a one day evaluation for the functional restoration program.

According to psychological rehabilitation from injury (KIN 370 Lecture Notes, 10/25/16), an injury is a physical disability to the body that is temporary and

Co-morbidities-Two studies reported(23,24) that CVS disease such as hypertension or ischemic heart disease are considered as the risk factor and one study also reported that respiratory illness can also contribute to OA. Mork et al suggested that sedentary lifestyle exacerbated knee OA such association of the co-morbidities may accelerate the progression of each other. Depression was statistically linked with knee OA was concluded in two out of three

All patients included in the study were recalled for subjective, objective, and functional evaluation; the study protocol involved the range of motion (ROM), ligamentous stability, Tegner-Lysholm Score, Modified Cincinnati Rating System Questionnaire, Short Form-12 (SF-12) in addition to the plain radiograph, computed tomography (CT), and magnetic resonance imaging (MRI) of the knee. According to international knee documentation committee (IKDC) score, any development of arthrosis was assessed at the final follow-up.

Assessments include the following: right knee osteoarthritis; derangement of right knee meniscus due to old tear or injury; right shoulder bursitis; right shoulder adhesive capsulitis; right rotator cuff sprain; bilateral femur osteonecrosis; neck joints and ligaments sprain; cervical spondylosis without myelopathy or radiculopathy; and derangement of left knee meniscus due to old tear or injury.

The knee OA is a degenerative disease characterized by the leading to joint stiffness, swelling, pain and loss of function and ultimately knee disability (Musumeci et al, 2015; Lane, Shidara & Wise, 2017). The main symptom of knee OA is joint pain, which is often described as crepitus, morning stiffness, impairment of movement and function and lead to limitations of activities (Ryan, 2015). It has a major impact on their functioning in daily life. The patient loses the ability to walk especially when walking up the stairs and sitting becomes unsteady gait (Musumeci et al, 2015). The risk factors of knee OA are genetics, advanced age, gender (women), obesity, physical activities and lifestyle behaviors include sitting in a kneeling squatting,

Patient health behaviors manifest in physical and emotional ways. The tools discussed in these class provides me with the understanding of tools to utilize in a primary care setting and traditional therapy settings. According to Wood, Garb and Nezworski “Better measurement makes better clinicians”. Assessment results often lead to diagnosis and treatment.

Special concerns- Again, depends on the SCI sustained but it is important to avoid anything that may further or enhance the injury. How activities are adapted to facilitate the individuals ability to perform should be done on a case by case basis.

   the two vary based on the type of patient.  This is the secondary assessment; the history, the

PHYSICAL EXAM: The patient's exam is essentially unchanged from 48 hours ago with patient reluctant to move the knee through a range of motion. There is effusion of the knee and diffuse nonlocalized tenderness. Knee is grossly stable with stress testing at 0 and 30 degrees with varus and valgus stress as well as

DN is a 68 year old Caucasian male who lives in Pomona, Missouri. On September 14, 2009, DN underwent a scheduled left total knee arthroplasty at Baxter County Regional Medical Center. A consultation appointment about a total knee arthroplasty was scheduled when DN had increasing pain in his knees while doing chores and working on his dairy farm. The increasing pain DN was having been due to a history of osteoarthritis and the wear-and-tear on his joints throughout his life, no specific injury was noted. Depending on the outcome of the left knee, DN was consulted on having his right knee done in the future