Case study on physical therapy

Case study on physical therapy capialareapt.com

Case study on physical therapy 

Collection of Physical Therapy Case Studies

About this collection

The library collects digital copies of each case study written by students of Doctor of Physical Therapy. This site is a digital repository for electronic copies. It can be searched by title, author, year, and keywords that can be searched in the abstract. These projects are stored as PDFs that are secured to prevent copying and to maintain integrity.

Abstract

Technology develops at an unprecedented speed. Because patients appreciate the speed and convenience of the internet, there is an increasing demand for telemedicine. Therefore, practitioners must adapt their clinical skills to the development of online technology. This paper presents a series of three case studies where physical therapists first assess and treat musculoskeletal disorders through safe, live video. The basis of mechanical assessment is the observation of movement rather than palpation. In each case, virtual mechanical assessment identifies specific subclassifications with directional preferences. All patients reported improvements in symptoms and function in less than four visits and all maintained symptom reduction after three months. Given the role of "breaking hands" from evaluators, this approach can be an effective tool in the health care platform of telerehabilitation.

What is wrong? Case Study of Patient Injuries During Physical Therapy Sessions

A patient injures himself during a physical therapy session. What happens next?

Patients face a longer recovery time, of course. And depending on the physical therapist's (PT) approach to risk management, PT could face potentially expensive malpractice claims and damage careers that might have been avoided.

The latest case study (.pdf) is now available from the Health Service Provider Service Organization (HPSO) telling the story of a PT entrepreneurial contract working in a rehabilitation facility. His patient, a 49-year-old woman, was recovering from a hit-and-run accident which resulted in a broken spine, broken wrists, and a broken spine. He is fat, heavy smoker, and uses prednisone.

Five months in treatment, the patient is injured during a physical therapy session. He filed a malpractice claim against PT.

Could injury be avoided? Are the exercises he did at the time of the injury properly regulated and monitored? Is the exercise itself evidence-based? And what other elements of PT practices might be revealed in mediation or court hearings? The HPSO case study sets out the facts.

"Case studies like this are a reminder for PT that risk management is not only part of practice, but professional responsibility," said Nancy White, PT, DPT, OCS, APTA executive vice president for professional affairs. "Things can and are indeed wrong, but PTs that fully understand the risks are better able to protect patients, which in turn protect PT."

Case study on physical therapy  scottgraphy.com

The latest case studies join a series of case studies available on the HPSO website. HPSO is the official provider of professional liability insurance for APTA members.

It is important that we have information about the role of physical therapists in the treatment of patients with hip osteoarthritis before total pelvic arthroplasty. This article describes the management of patients with limited range of right hip motion due to osteoarthritis. Patients made significant improvements in pain relief, increased range of right hip motion, increased periarticular muscle strength, increased gait, and increased mobility. One year later, the patient had the right total hip arthroplasty. Reasons for managing patients with hip osteoarthritis are discussed. In addition, the role of physical therapists in the management and care of patients with osteoarthritis before total pelvic arthroplasty is discussed.

Case Study: Physical Therapy for Management of Neck & Upper Limb Pain

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Case Study: Physical Therapy for Management of Neck & Upper Limb Pain

Capital Area PT Case Study: Neck & Upper Leg Pain

In this case study of physical therapy, neck pain and upper limb pain were handled, focusing on helping to resolve the pain without injection or surgery!

History

A 45-year-old woman experienced a recent increase in complaints about chronic neck pain, this episode also included pain in her shoulder and left arm and tingling in all the fingers of her left hand. The symptoms are worse by sitting long at work when he uses his computer and by turning his head while driving and shopping for groceries. X-rays show degenerative discs and narrowing in the spine.

Evaluation

During the patient's first visit, various objective measurements were made to assess the basic function and help the therapist in developing an individual treatment plan. Some of these measurements include: range of neck and arm motion, strength, nerve function and tension, muscle palpation in and around the upper quarter, and postural assessment.

Treatment

Visit 1: We don't waste time! Treatment for the patient's initial evaluation included extensive education on ergonomic sitting posture focusing on the position of the head and neck, involvement of the shoulder and upper back, and the use of lumbar support rolls to help align his posture from the foundation of his spine. Massage, joint mobilization, and muscle release are carried out in the neck and shoulders. Instruments assisted by soft tissue techniques were performed in the neck and throughout the distribution of the nerves in his left arm. His homework includes neck exercises for positioning, body awareness, and increased endurance and nerve gliding.

Case study on physical therapy btetech.com

Visit 2: The patient returns without pain in his left arm or tingling in his hand since starting an exercise program at home. His neck still hurts with rotation and looks down. Overall the symptoms improve and display a phenomenon known as "centralization," which means we are moving in the right direction! This session included soft tissue mobilization techniques and joints similar to those on the first day, increasing thoracic mobility and the range of active stretching and functional patterns for the arms and shoulders.

Visits 3-10: Sessions focused on improving cervical movements, manual techniques to help mobility and reduce pain, progressive therapy exercises aimed at stability and endurance of body posture, scapular mechanics, and functional movement patterns such as pushing, pulling, and lifting. Kinesiology recordings are used intermittently as postural reminders and for tone reduction.

Results & Follow-Up

The patient returned to PT after a two-week absence from service. He reported full return to his daily work and relaxing activities without pain or limitations. He reported the continuation of stretching his neck and the use of lumbar support roll in the workplace regularly. If he has signs of possible symptom provocation, a home exercise program helps reduce or eliminate symptoms. Objective steps that were initially assessed on the first visit were reassessed and significant improvements were observed.

For more information about this case study on physical therapy for management of upper neck and leg pain, or to make an appointment for evaluation or treatment, contact us at one of our two physical therapy clinics in Malta and Queensbury NY.