Objective Testing Results: Light touch and sharp/dull sensat…

Objective Testing Results: Light touch and sharp/dull sensation: impaired LUE/LE.  Proprioception: impaired LUE, intact LLE. Abnormal Synergy: Selective movement noted BUE/LE.  Spasticity: MAS 1+ in L calf, 2 in L biceps. MMT: RLE/RUE 4/5 throughout.  LLE: hip flexion 3+/5, hip abduction 3-/5, hip extension 3-/5, knee extension 4/5, ankle DF and PF 3-/5.  LUE: 3+/5 throughout.  Design a treatment intervention to address Betsaida’s strength deficit. Your intervention should be functional (not just a classic therapeutic exercise) and be an appropriate level of challenge for her current status. Describe this in enough detail that it could be replicated by another therapist who is treating Betsaida for the first time. Include the following (4 points total): a) set-up of the functional activity, including equipment/environment, patient position, what you are doing as the therapist (cues, physical assist, etc) (1 point) b) what muscle groups you are targeting with this functional activity (1 point) c) what your thoughts are about dosing and how you will determine if that dosing is appropriate for Betsaida (1 point) d) choose one of the three OPTIMAL Theory concepts and describe how you would apply it to this intervention (1 point)

The next two questions pertain to this case example: Nelson…

The next two questions pertain to this case example: Nelson is a 25 y/o male reporting a 10-day history of progressive, distal-to-proximal weakness and tingling, burning sensations starting in his hands and feet and progressing to both arms and legs.  He reports that he had an upper respiratory infection 2 weeks ago before his symptoms started, but was otherwise healthy.  Lumbar puncture results show increased protein in the CSF.  Nerve conduction test demonstrates slowing consistent with demyelination.  PMH and family history is unremarkable. He was diagnosed with Guillain-Barré Syndrome and admitted to acute care.   Nelson’s symptoms have been continuing to worsen, although in the past 24 hours the progression seems to be slowing.  Which PT intervention is most appropriate for his condition at this stage?

Mr. G has had a right CVA and now presents with left hemipar…

Mr. G has had a right CVA and now presents with left hemiparesis and lateropulsion. His pushing behavior is moderate in sitting and becomes severe in standing and while attempting to walk, resulting in the need for significant physical assistance. Which of the following would be the best intervention when starting his physical therapy program?

Joe (he/him) presents with a sudden onset of vertigo & nause…

Joe (he/him) presents with a sudden onset of vertigo & nausea yesterday when he got out of bed. The results of your positional testing are as follows: Roll Test (-) bilateral, R Dix-Hallpike no nystagmus but a few seconds of mild dizziness, L Dix-Hallpike showed robust L torsional upbeating nystagmus with a latency of 13 seconds & duration of 48 seconds, with Joe becoming very vertiginous & nauseous. What is your diagnosis?