A physical therapist is treating a patient who was diagnosed…

A physical therapist is treating a patient who was diagnosed with ALS 6 months ago.  During conversation the patient demonstrates nasal tone in their voice and the patient reports having difficulty eating secondary to choking.  His nutritional status has suffered and he is losing weight.  The patient also demonstrates right lower extremity weakness.  His manual muscle test indicated the following:   hip 3+/5, knee 3+/5 and ankle 2+/5.  Patient reports tripping often and increased fatigue with walking within the community. As part of the initial examination, a physical therapist is checking the patient’s cranial nerves.  Which activity would assess the integrity of Cranial Nerve XI?

Patient is a 24 year old male who injured his spine in a car…

Patient is a 24 year old male who injured his spine in a car accident.  His car flipped several times and he was ejected from the vehicle, resulting in a T4 spinal cord injury.  He has full functional strength of his upper extremities.  Complete paraplegia is noted in the lower extremities.  When sitting in a properly fitted wheelchair, which area would be most at risk for skin breakdown?

Patient is a 24 year old male who injured his spine in a car…

Patient is a 24 year old male who injured his spine in a car accident.  His car flipped several times and he was ejected from the vehicle, resulting in a T4 spinal cord injury.  He has full functional strength of his upper extremities.  Complete paraplegia is noted in the lower extremities.  For independence in sitting, transfers, and dressing, what would be the optimal length of the hamstring muscle as measured by straight leg raising?  

Patient is a 24 year old male who injured his spine in a car…

Patient is a 24 year old male who injured his spine in a car accident.  His car flipped several times and he was ejected from the vehicle, resulting in a T4 spinal cord injury.  He has full functional strength of his upper extremities.  Complete paraplegia is noted in the lower extremities.  During his initial transfer training a sliding board was utilized.  When instructing a patient to use the sliding board, what should be your initial instruction?