MFAS: A Case Study

For shoulder flexion 61% of the variance could be accounted for by the sit-and-reach. A correlation was also found between the modified sit-and-reach test and both the shoulder extension and hip flexion tests. For shoulder extension 33% of the variance was accounted for by the modified sit-and-reach and for hip flexion 22% of the variance was accounted for by the modified sit-and-reach.

Illinois agility test 17.3 Seconds This result shows that he bad with he’s coordination as he only reached the average result because this was he’s best result after trying this test 3 times.

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

ROM, pain level and strength were all improved on re-evaluation. Short-term and long-term goals were achieved. Treatment plan was to educate HEP, E-stim-unattended, Joint/Soft tissue mobilization, manual therapy, MHP/CP, neuromuscular re-education, Therapeutic exercise and strengthening-increase ROM, and Ultrasound.

8. If yes, what types of physical tests would you recommend? Title of Test: FedEx Courier Physical Abilities Test Introduction: This test is for a position that requires lifting packages up to 40 pounds unassisted or 80 pounds assisted.

Patients will report to physical therapists with a multitude of impairments throughout the progression of the disease. The most prominent impairments will present during cerebellar testing. Patients will show signs of dysmetria, dysphasia, dysdiadochokinesia, and ataxia primarily as a result of the atrophy and damage to the cerebellum. Instability and lack of postural control will be demonstrated during the Romberg's test. Additionally, cranial nerve testing will have positive results for many cranial nerve palsies such as CN III, V, VII, IX, and XII. Patients show weakness in their trunk and extremities during the manual muscle testing. Vestibular testing will result in abnormal VOR, saccades, smooth pursuits and nystagmus. As a result of these impairments, patients experience functional limitations. Primarily, these patients are considered to be “high fall risks,” which ultimately decreases their independence due to weakness, instability and decreased postural control. These patients will feel uncomfortable in many situations and be unable to function independently in the community. This creates an increased risk for further injury. Due to the dysmetria and weakness, patients will also experience difficulty with their daily living skills, such as maintaining proper hygiene; They will have trouble bathing themselves and brushing their teeth without assistive equipment. PT interventions can help minimize and control these limitations. The implementation of balance training and assistive devices will be imperative interventions for an individual to modify and adapt to their gait

I directed Henderson to place her right foot in front of her left and keep her hand by her side while I demonstrate. Henderson was unable to keep balance without swaying. Henderson was then asked to stop before she hurt herelf. I demonstrated five times how to do the test and Henderson still had difficulties following instructions. Henderson also started the test without being promt to do so.

However, client demonstrate deficit in narrow BOS balance and tandem standing balance with closed eyes and slight resistance. In addition, client was concerned about her balance during one leg rising with opposite hand raising gym exercise. Client will attend occupational therapy services 3x per week and will be able to stand on balance board for 1 minute with wider BOS while holding side bar to improve her balance. For long term goal, client will attend occupational therapy services 3x per week and will be able to stand independently on balance board for 1 minute with narrow BOS to improve her endurance, strength and balance while standing. Client will get education from an occupational therapist for increasing her BOS while standing, and to hold side rail while walking/exercising to avoid future fall accident. It is also recommended that client will attend outpatient physical therapy service to address her balance

Mr. James Versace is a 17 years old male who have a right meniscus tear and ACL repair 3 weeks ago. He is still ambulating on one crutch. He is a soccer player and would like to be fit in 8 weeks in time for a major soccer trial. Mr.

The spasticity is considered the main problem as it will cause the affected muscle constantly in contracted state, hence limited the range of movement of the affected joint. Spasticity is defined as a velocity dependent increased resistance to passive muscle stretch, or alternatively as inappropriate involuntary muscle activity associated with

Thompson is a 62-year-old male, who came into the rehab facility after experiencing a stroke, which left him with right side weakness. According to Nilsen, Gillen, Geller, Hreha, & Saleem “Motor impairments are a common consequence of stroke. These deficits often compromise a person’s ability to engage in meaningful occupations (2015). Therefore, he was assigned to both an Occupational therapist and a physical therapist. Both therapists established their treatment by evaluating Mr. Thompson, the OT focused more with the upper extremities. Therefore, she begun with the use of the hand dynamometer, which provided her with Mr. Thompson grip strength and the Goniometers to measure his Range of Motion. After her evaluation and establishing Mr. Thompson baseline, she was able to create an intervention plan. According to American Occupational Therapy Association, the intervention plan, is a directs action of occupational therapy practitioners, describes selected occupational therapy approaches and types of interventions to be used in reaching clients’ identified outcomes

with a boy.When The physical signs of aging include a decline in flexibility and endurance in the first incident described below. In the second

c. It would be beneficial for the individual diagnosed with CMT to work with physical and occupational therapy to maintain muscle strength (CMTA, n.d.). “Physical and occupational therapy, the preferred treatment for CMT, involves muscle strength training, muscle and ligament stretching, stamina training, and moderate aerobic exercise” (NINDS, 2007, para.18). Physical and occupational therapy may reduce the degeneration of muscles and prevent deformities of joints caused by the disease. Eventually, individuals may require the use of orthopedic equipment, such as braces or orthopedic shoes, to maintain mobility.

Given In his book, The Sensitive Nervous System, Butler1 describes the complexity and connectedness of the nervous system. He describes how unique the nervous system is, in that a change in one part will have effects on other parts, whether those changes be electrical, chemical, or mechanical.1 This means, theoretically, producing

he patient was very fidgety, non-compliance, and occasionally displayed behavioral problems. The patient required max A. with all the activities and displayed inappropriate body posture. Also, patient tolerated 60% of the wilbeger protocol and was very fidgety thought out the sessions. The patient will benefit from wilbager protocol, weight bearing technique, and to enhance proprioceptive, muscle strength, endurance needed to be like other kids in her age