Physical Therapy Case Study

My first experience observing a physical therapist, commenced in the summer of 2014. At the time, I was given the opportunity to observe a physical therapist named Jennifer Moreland. Throughout my time observing her, I began to recognize she was not just a physical therapist with her patients. Many times, she took on the role of a consoler, cheerleader, friend and supporter for her patients. Reflecting back on this, I am able to see that the primary reason she has succeeded as a physical therapist; is due to her amiable, encouraging and empathetic nature. These character traits have allowed her to do more than heal patients' musculoskeletal problems. She has also been able to heal hearts, souls and minds by cheering, supporting, listening

OrthoOklahoma is an orthopedic medical clinic with a physical therapy branch that provides outpatient physical therapy care. The facility has a staff of three licensed physical therapists and a physical therapy assistant along with four physical therapy techs. I was able to observe all three physical therapists, Megan Ripley, Joe Ogle and Ken Roberts. At OrthoOklahoma, the most common patients are post-surgery from repairs of muscles, bones or joints. While shadowing these therapists, I observed cases of total knee replacement, total hip replacement, ACL/meniscus repair, rotator cuff repair, frozen shoulder, labrum repair, and other ailments from wear-and-tear and aging. This experience allowed me to talk to physical therapists about the ins and outs of their job, learn about different exercises and routines for treatment of injuries, and really get an idea of the work it takes to become a well-respected physical therapist.

The surgery being performed on your son consists of a few different procedures. First, what we did was to identify the muscles, blood vessels and nerves in both the arm and the stump. Then Dr. Ramos will trim the wound, and insert the supporting plate. This is what is holding your son’s arm in place, and also made reattachment possible. Before we did this, he had to trim the bone, which will make the right arm one inch shorter then the left arm. With the supporting plate in place, we will then be able to reattach everything else. The only bad news is that unfortunately Jim will never regain entire use of his right arm. Although all the vessels and muscles are connected properly the nervous system is too damaged to send messages to the brain. Because of this, recovering movement capabilities will be a slow process. Although with practice and physical therapy, Jim will slowly regain function and strength.

Starting within four weeks of being sent to my ward on November 5th, 2017, Ms. Murakami had left total hip replacement (THR). Since the surgery, she has experienced subnormal recovery time, increased weakness, and lethargy; limiting mobility and weight-bearing exercises.

Unfortunately, after only a few sessions, Darden suffered from what he refers to as "a freak knee injury" and was sidelined while recovering from surgery to repair a torn meniscus.

He trained five times a week for three hours at a time. During those 3 hours he spent 30 minutes warming up, but he did not engage in any stretching prior to running. The sprinter felt pain during the acceleration phase at the beginning of the race. Proceeded by a complete loss of function of the lower limb appeared forcing him to stop running and fall.

She said that the fact I kept working out (keep moving my arm) is the reason I had a pretty good range of motion in my arm, in comparison to most people in a similar situation, so it was good to hear that I was already helping with my recovery. Two days after, I went to my second appointment with the PT and she noticed some improvement, so she said I could add a 3-lb weight to the exercises she prescribed and that I could increase the weights as it gets easier; which was awesome news!!! So I’ll take it a day at a time; improvement is what I’m looking for and the end goal being 100% back to

The next months following surgery entailed countless visits to physical therapy. I often left the office in utter pain and frustration with the slow progress I had made. Specifically, the fact that it took all concentration and effort to perform a task which was once muscle memory took time to fully comprehend. I learned to channel my frustration into as much hard work as I was allowed in the session. Bending of my knee led to strengthening, which led to walking, running, and later on agility and endurance. Throughout the process, as I reached a new levels of overcoming this setback, it filled me with newfound determination to work as hard and efficient as possible to return to the

I started with walking. After an hour, it was to great shock, that I found my lower back in so much discomfort that it was necessary to stop and sit down. Two weeks later I went for the same walk and the same result. A later MRI showed a significant disc bulge causing an annular tear in the lower back. In the following months I found that the lower back pain prevents me from enjoying long walks, runs over three miles, and really any other extended physical activity that would simply just help me clear my head and feel better about all that has happened. The setbacks would continue. On May 31st, I had arthroscopic surgery on the right wrist in an effort to reduce pain and increase the much-lost range of motion experienced. However, what resulted from a complication was, the loss of motion of the ring and pinky finger due to a torn tendon in the right hand. I had a third surgery June 27th to try and correct this. It’s too early to tell but, as I type this only with my left hand, my right experiences excruciating, scar-tissue related nerve pain. To further try to reduce pain, a fourth surgery that would entail shortening the ulna bone is an option. But the truth of the matter is, with more surgery comes more risk. Considering my body and mind

Although the patient has obtained mild to moderate cumulative improvement from the current course of PT, the patient has not reached maximum therapeutic goals. In order to achieve additional gains and improve (diminish) the degree of disability and facilitate return to work and to pre-injury health and function, MD is prescribing a different new set of PT modalities at 3 times a week for 4 weeks to the neck and lower back with passive modalities to reduce pain, edema, inflammation, spasm and with active modalities to increase muscle strength and endurance, flexibility and range of motion.

Treatment plan includes continuation with therapy at 3 times per week working with postoperative treatments to the lumbar spine, follow-up with a neurologist regarding his headaches and dizziness, follow-up with a spine specialist and follow-up with a psychologist regarding his depressed mood.

HISTORY OF PRESENT ILLNESS: Katherine is here for an almost three weeks out followup left hip hemiarthroplasty. She is doing very well. She is actually at home, amazingly, already. She has complaints of mild groin pain at night that occasionally wakes her up. No pain really, while she is walking. Overall, she is doing quite well.

Reports came out last week that the star forward’s hip that he had surgery on this summer, isn’t fully healed. Rumor has that he rushed his recovery to play in the World Cup of Hockey.

•Case Study 2 –The patient could walk unsupported on bear feet five months after surgery. No major complications or pain and no medication was

Keenan had pulled me to the side of the runway after I had just finished a failed attempt at a run-through. While he was being a watchful brother, he had noticed my pain and advised me to stop for the night. However, I was too stubborn and wanted to get my steps down. After doing some more run-throughs, Karas had noticed my worsening limp that was impossible to ignore. Karas immediately ordered me to stop for the night and gave me a ride back to the gym because at that point, it caused me to much grief to walk back.