Who Is The Client?

The patient is a 72 year old female. She has been experiencing progressively worse pain and stiffness in her joints. She is reports that she is having decreased range of motion, redness, and swelling in her joints. She is reports symptoms occur in the same joints on both sides of her body. She is also reporting the symptoms are worse when she first wakes up in the morning.

problems affecting posture or balance is unclear, with not clinical consensus. It is unclear why dynamic

The participants then completed the functional evaluation by completing three one-leg hop tests on each limb. The longest distance was recorded and calculated as the percentage of the performance of the ACL reconstructed leg over the uninvolved leg, the scores were calculated as the limb symmetric index (LSI). The authors of this study defined the ceiling effect as the percent of participants who received the maximum score of 100 points. The Spearman correlation coefficient was used to examine the correlation between both scales and the limb symmetric index and was interpreted as r > 0.5 which indicated a strong association. The Kolmogorov-Smirnov test was then used to examine the distribution

Six standing trials include 1) single dominant leg stance on a firm surface (SDFS), 2) single non-dominant leg stance on a firm surface (SNDFS), 3) double leg stance on a firm surface (DFS), 4) single dominant leg stance on a wobble board (SDWB), 5) single non-dominant leg stance on a wobble board (SNDWB), and 6) double leg stance on a wobble board (DWB). The order of the standing trials will be randomized. A two minute testing period will be recorded for each standing condition. During testing, participants will be instructed to position barefoot with the hands akimbo for as still as possible for both a firm surface and a wobble board conditions. During all one leg stance trials, participants will be instructed to flex the knee of the contralateral

The patient presents with chronic neck and low back pain status post MVA in 2008. He was ran off the rode while on his motorcycle fracturing his neck and lower back. Mr. Buchanan denies having radiating symptoms down either lower extremity. His pain is constant throughout the day making it very difficult to perform his daily activities. The patient has not had injection therapy or surgeries for his neck and back pain. The patient was told after his last MRI that he has arthritis in both his neck and lower back.

The problems that are identified in 56-year-old Jonathon are painful, swollen, erythematous of the knee with periarticular involvement, high blood pressure of 191/112, high cholesterol of 300 mg/dl, and obesity. The differential diagnoses for Jonathon are osteoarthritis, acute monoarthritis, and Gout. I believe that Jonathan’s primary diagnosis is osteoarthritis. Osteoarthritis is a degenerative joint disease that affects cartilage between bones, which may restrict movement and leads to pain, stiffness, swelling, and inflammation (Thakur, Mande, & Mitra (2014). According to Kullich, Overbeck, & Spiegel (20130, osteoarthritis is associated with pain with weight bearing, but it can be experienced during rest as the disease become more advanced. Being that Jonathan is a retired mechanic, his knee problem could have stemmed from his previous occupation and his knee possibly developed normal wear and tear due to frequent required bending from his last job. Jonathan weighs 310 lbs, his problem could have

In these patients, 100% complained of knee pain, 33.1% of limping, 29.7 % of joint enlargement and 43.2 of crepitation. On clinical examination 52% had knee pain, 65.4 patellar crepitus, 48.6% joint enlargement, 48% joint stiffness and 50% joint malalignment.

A highly reliable measurement of ROM would yield consistent measurement results when successive measurements are taken on the same subject under the same conditions. When the goniometric or inclinometry measurement is valid, an examiner can confidently use the results of a highly reliable measurement to determine the mobility and flexibility of a joint or even diagnose a change in dysfunction due to the minimal measurement error. Only by obtaining a reliable and consistent measurement of elbow range of motion can the presence of joint ROM limitation be diagnosed, patients’ improvements toward rehabilitation be evaluated, and the usefulness of therapeutic interventions be assessed. Based on the subject’s performance in range of motion assessments, appropriate range of motion exercises could then be assigned to patients who have a limited elbow extension range. It is important for joint flexibility to be improved or maintained because motions such as elbow extension is essential for transfers, propped sitting, reaching for objects and

A difference between left and right leg is observed in many individuals as defined one as dominant leg and another as non-dominant leg. Leg dominance is usually defined from a limb preference to perform a motor task depending on a nature of the specific tasks (manipulation or stabilization) such as kicking, highest jumping, stepping-up, or unipedal standing (Mcgrath et al 2016). A preferred kicking leg is famously used to classify leg dominance in various lower limb asymmetrical studies. In strength and performance studies, the literatures showed no significant differences between dominant and non-dominant leg in active adult population (Brown et al 2004, Daneshjoo et al 2012, Delextrat et al 2013, de Ruiter et al 2010). In addition to a postural control study showed no differences in sway area and sway path length between dominant and non-dominant leg during unipedal standing (Hoffman et al 1998). Although most studies showed no leg dominance effects

Also, the severity of the knee pain of the participant was assessed by use of Kujala questionnaire and OSTRC Overuse injury questionnaire (Appendix 3).

Prior to the physical examination and to accurately identify clinical findings, the patient should don a gown, if culturally permitted, to easily view the anatomical landmarks. To avoid excessive repositioning and client discomfort, the examiner would be most successful by positioning the patient in a standing position initially, followed by sitting, supine, and prone positioning. While in the standing position, the examiner would assess posture, signs of scoliosis, hyperlordosis and kyphosis. Scoliosis is assessed by requesting the patient to bend forward 90 degrees. Asymmetric rib deformity is indicative of a positive finding. The examiner may also identify lateral curvature of the spine accompanied by vertebral rotation in the thoracic or lumbar region. The most common finding with vertebral involvement is right thoracic scoliosis (Hay, 2014). Restrictions in movement are determined by passively and actively flexing, extending, rotating and laterally bending the spine. By instructing the patient to stand on one leg, allows for spinal expansion and assesses for pain. Spondylolysis (interarticularis fractures) is a positive finding. The clinician would then examine the patient in a seated position. This marks a prime opportunity to check for muscle strength, deep tendon reflexes and sensation. Motor strength tests help determine the degree of neurologic deficit. Sensation and

My client Miles Meredith tested within normal limits for Response to vertical loading, dynamic foot function, and spine range of motion, and knee position. He also tested negative for scoliosis. However during the postural analysis I notice that patient has lordotic posture as well as forward neck posture.

My client, Tony Martin, has been employed by Eagle Airlines as a mechanic at its repair facility. He initially worked at the Minneapolis-Saint Paul Airport. However, Eagle Airlines reduced its Minnesota staff, and consequently, eliminated his job in early 2011. Tony utilized his union seniority to acquire a similar job by “bumping” a Chicago mechanic, but Eagle downsized its Chicago operations as well. As a result, a few months later, Tony ended up working in the LaGuardia, New York Airport. Finally, he “bumped” an Anchorage mechanic to conclude with a job in that airport. However, he ran out of seniority and was permanently fired by Eagle Airlines. Tony kept his family and residence in the Minneapolis area throughout his work assignments in New York, Chicago, and Anchorage. Consequently, Tony deducted his entire out-of-town expenses, to include meals and lodging, as work expenses. The issue at hand is to establish if this determination of his expenses as work related was appropriate. Therefore, I must ascertain if Tony’s travel expenses were considered incurred while he was away from home.

These clients are both looking to have an active retirement. Client 1 is much closer to retirement and she is looking to utilize the Transition to Retirement program offered by her company. She wants to live a moderate lifestyle and do a bit of traveling. Both her and her partner have very good savings already and continue to add to it until they are both fully retired. With the amount of money already in their savings I think she can be a bit more aggressive to save more before her retirement. She already sees herself, as a moderate to high risk taking and clearly having more money for retirement is a good thing. We also want to make sure she has enough money to spoil her grandchildren as much as possible. I would put her current risk

The client is a 70 year old Caucasian male, who is married to his third wife, and has five children. The client has become an American businessman, television personality, author, politician and nominee of the Republican Party for President of the United States in the 2016 election. The client is one of the world 's wealthiest billionaires.