Wednesday, June 5, 2019
Patient Case Study of Knee Injury
 tolerant Case Study of Knee InjuryShort  pillowcase description 25 years old, female injured her right knee during basketball game. She left playing, required little assistance to get her car. PCP evaluated her, gave her non-steroidal anti-inflammatory drug with P.T referral.Brief summary of patient history injury occurred when she planted her right leg and rotated to the right to evade a defender. She denied hearing a pop, she  inform immediate  torture was 8 out of 10 on a visual analog scale. Her current pain level is 5 out of 10. Patient came 2 days after injury, with knee swelling and locking. . Patient pain and mechanism of injury are consistent with a meniscus injury.Examination  report Examination elementsICF  division assessingFindingPain ashes structure  manoeuver5/10 with non-steroidal medication EffusionBody structure function portray (first grade)Active knee  bend Body structure function10-110Active knee extensionBody structure function0-10 passive knee flexionBody stru   cture function10-120Passive knee extensionBody structure function0-5Manual Muscle  footrace for knee flexionBody structure function4/5Manual Muscle  streamlet for knee extensionBody structure function3+/5McMurrays testHealth conditionPositive with palpable clickJoint  demarcation tenderness testBody structure functionPositive with reproduction of pain on medial tibiofemoral jointApleys compression testHealth conditionPositive with reproduction of pain consistent with medial meniscal injuryAmbulation Activity  demarcationAssistive tool (single cane)Limping, antalgic gaitsquattingActivity  restrictionQuite a bit difficultWalking a mileActivity limitationExtreme difficulty release up or down 10 stairsActivity limitationQuite a bit difficulty stand one hourActivity limitationExtreme difficultyRunning over even groundActivity limitationExtreme difficulty baron to kook at home kitchenparticipation-involvementQuite a bit difficultyAbility to  experience social meetingsparticipation-involve   mentQuite a bit difficulty familiar sports activityparticipation-involvementExtreme difficultyAssessment/evaluation 25 Y/O female had right medial meniscus sprain with positive  surplus Tests, pain, effusion, weakness, limited knee range of movement of flexion and extension and limited activities of  daily living with inability to participate in usual sports activities.Interventions physical therapy handling includeModalities to reduce pain (whirlpool, electric stimulation, and cryotherapy).Modalities to reduce knee effusion (whirlpool, taping, pulsed ultra sound, and static quadriceps drill exercise).Intervention to restore range of  deed deficits therapeutic exercise progression, joint mobilization/ manual therapy.Therapeutic exercise to restore muscular strength and aerobic fitness.Functional strengthening exercise to  fall down to previous level of function and participate in usual sports routine.Outcomes After 7 weeks of rehabilitation patient get improved with following outcom   esOutcomeICF categoryChanges at D/CPainBody structure function2/10 with strenuous activity EffusionBody structure functionAbsent Active knee flexionBody structure function0-140Active knee extensionBody structure function0Passive knee flexionBody structure function0-140Passive knee extensionBody structure function0Manual Muscle test for knee extension/ flexionBody structure function5/5McMurrays testHealth condition , disease, injurynegativeJoint line tenderness testBody structure functionnegativeApleys compression testHealth condition , disease, injurynegativeAmbulationActivity limitation ruler gait without canesquattingActivity limitationNo difficultyWalking a mileActivity limitationNo difficultyGoing up or down 10 stairsActivity limitationNo difficultyStanding one hourActivity limitationNo difficultyRunning over even groundActivity limitationNo difficultyUsual sports activityparticipation-involvementNo difficultyAbility to attend social meetingsparticipation-involvementParticipatin   g with no difficultyAbility to kook at home kitchenparticipation-involvementParticipating with no difficultyLEFS SCALEactivityChanges at D/C 20 points improvement to be 76/80After 7 weeks of successful rehabilitation, patient was able to participate in routine sports activities and her daily living with no need to more medical or physical therapy assistance.  
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