MFAS: A Case Study

It doesn’t take time to perform all the individual needs to be is sit down legs touching the front of the box and stretch as far as possible without bending the legs to see how far the individual can reach. The test requires an assistant to make sure that the individual is performing the workout properly to reduce any risk of getting injured and also to read the results. The disadvantages of doing the sit and reach test is that it is related to muscle pain due to the tightness in the lower back and hamstrings it can help to determine a person’s risks of injury and future pain (32). There are variations in length of arms and legs so comparisons between individuals can be misleading and not accurate, it also doesn’t measure flexibility in other parts of the body except for the lower back and the hamstrings. The test can’t be done in all environments because equipment is needed to perform the

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.

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 aim of this test is to see the progress of the athlete’s ability of maintain a state of balance in a stationary position. First the athlete needs to take off their shoes and place their hands on their hips, then position the non-supporting foot against the inside knee of the supporting leg. The person is given one minute to practice the balance. The person raises their heel to balance on the ball of the foot. The stopwatch is started as the heel is raised from the floor.

Introduction: This test is for a position that requires lifting packages up to 40 pounds unassisted or 80 pounds assisted.

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

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.

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

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.

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

A 22 year-old graphic designer name Alex A. got into a car accident that led to spinal cord injuries. The spinal cord controls body functions and feelings through ascending and descending impulses to the brain (Groves 1995). This accident prevented the patient’s spinal cord from delivering sensory or motor function below C2. A ventilator was needed for him to breath and he was fed intravenously. For this reason, a surgery was required to stabilize his condition. After five months of rehabilitation at spinal cord injury center, his motor and sensory function improved by being able to move his hands adequately. However, his lower extremities are concerned since he still had problems with mobility and defecation.

include a decline in flexibility and endurance in the first incident described below. In the second

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

For him to progress with these goals also meant balance and spasticity would have to be addressed. The treatment plan consisted of making his home his own rehabilitation clinic creating and performing activities in all aspects of the home in hope of creating independence and adherence in home exercise program. Integrating exercises into the patient’s daily routine is important for compliance and management of fatigue and heat sensitivity.6 Physical therapy services were provided for the patient two times per week with 30 minutes dedicated to aerobic and strengthening plus an additional 30 minutes for stretching and transfer training. At the patient’s request, visits were made in the morning hours when he was rested and more energetic. He would work on his endurance and aerobic conditioning using a restorator, a simple, portable pedal exerciser but an effective way to increase circulation, starting at 2 to 3 minutes, 2 times per day with the goal of being able to perform 15 to 20 minutes at one time without rest breaks. Aerobic exercise has been shown to reduce fatigue, not only physical but also psychological, and improve walking ability and walking speed.16 Patient would also engage in standing with support for 1 minute initially gradually

Justin was first referred to Physical Therapy, with a T8 Asia A spinal cord injury. Even though his upper extremities were fully intervened there was still restriction to his independent movement. Prescribed a TLSO with a Minerva extension, Justin had no use of his innervated core or neck muscle. Spasticity and limited range of motion in his lower extremity prevented his full participation in treatment. To help Justin attain a higher level of function, training has to occur outside of physical therapy.