Blog

Please provide your primary ICF category and pathoanatomical…

Please provide your primary ICF category and pathoanatomical impairment:   Based on the case information, please provide the rationale for your primary diagnosis:   Please provide your secondary ICF category/pathoanatomical impairment (ICF category could be the same but pathoanatomical dx should be different):    Based on the case information, please provide the rationale for your secondary diagnosis

The patient is a 18-year-old female, presently taking 3 aero…

The patient is a 18-year-old female, presently taking 3 aerobic classes per week and reports pain and aching along her left posterior medial leg/ankle of a three week duration. She began running ‘about 2 miles’ one time per week, 2 months ago, in addition to her 3 fitness classes each week.   Pain: (0-10 VAS) described as sharp with jumping/running (7/10) and aching at rest (2/10). Imaging: None Meds: Birth control, Tetracycline for acne. Social/Work: fitness/exercise. Outcome Measures: LEFS 65/80 PSFS: Working out 5/10, dancing 5/10   Examination Findings: Posture:  Increased L Femoral IR  L>R Genu recurvatum   Right Left Hips/ Knees WNL WNL Ankle Plantarflexion 55/60 55/60 Ankle Inversion 40/45  40/45 with pain Ankle Eversion 10/15 10/15 Toe Flexors WNL WNL    MMT:   Right Left Ankle Plantarflexion 10 reps 10 reps pain at rep 6 reps w/out pain Ankle Inversion 5/5 4/5 with pain.  Ankle Eversion 5/5 5/5 Toe Flexors 5/5 4/5   Gait: Excessive and prolonged pronation L>R during stance phase   Palpation: tender posterior medial malleolus region and medial side of gastroc tendon

A 40-year-old female seeks PT for with a four-year history o…

A 40-year-old female seeks PT for with a four-year history of recurrent low back pain.  Her primary functional complaints are an inability to tolerate sitting or standing for any extended period. She has been previously treated by a chiropractor three months ago who focused on heat, massage, and manipulation. These interventions provided temporary relief and did not improve her functional status. . Pain:   Location:  low back R > L side, intermittent R > L  gluteal pain, worsens with sustained postures           NPRS: 2/10 on average and 5/10 at worst Aggravating Factors: prolonged postures Imaging: Radiographs show degenerative changes to L4-L5 disc space Past Medical History:  Autoimmune disorder in childhood with steroid use x 6 years. Meds: Meloxicam 7.5 mg PRN  Social/Work:  Caregiver-2 year old child    Patient performs remote assistance and meetings (desk) work for 8 hours/day.  . Outcome Measure: Oswestry Disability Index- 22%- sitting, standing, lifting are the greatest difficulty  Examination Findings: Posture: Increased anterior pelvic tilt ROM: Lumbar flexion 75%, aberrant movement upon return. No change with repeated motions Lumbar Extension 50% without movement deviation Lumbar rotation 100% without movement deviation. Myotomes:  strong DTR- +2 bilaterally LE Sensation: Intact to light touch. Special Testing:  SLR- negative for neural tension bilaterally Slump – negative for neural tension Palpation: B PSIS tender, L4 increased tenderness greater than PSIS   Please answer the below questions and state rationale for each answer.  Please be as concise as possible, your first choices will be the ones graded.