Traumatic Brain Injury - Case Study Part 4

Presenting Condition

For background information go to

Traumatic Brain Injury - Case Study Part 1

Traumatic Brain Injury - Case Study Part 2

Traumatic Brain Injury - Case Study Part 3

Assessment Update

18 Months Post Injury

Upper Limb Lower Limb
Left Right Left Right
Tone Increased NAD Increased NAD
Power 3/5 5-/5 3+/5 Ankle

3+/5 Hip

3/5 Knee

5-/5
Coordination Impaired
Range of Movement

Muscle Length

Shoulder:

Flexion 110°

Abd 90°

IR 40°

ER 55°

Elbow:

Full ROM

Wrist:

Full ROM

Shoulder:

Full ROM

Elbow:

Full ROM

Wrist:

Full ROM

Hip:

Full ROM

Knee:

Full ROM

Ankle:

Decreased ROM

DF with Knee Ext 0°

Hip:

Full ROM

Knee:

Full ROM

Ankle:

Decreased ROM

DF with Knee Ext 5°

Sensation Impaired
Proprioception Unable to Assess
Reflexes Increased NAD Increased

Plantar - Upgoing

NAD

Plantar  - Downgoing

Current Function

Independent Standing Transfer 


Supervision  of 1 with 1 Elbow Crutch & AFO for Mobility

  • 6 Min Walk Test Complete
  • Distance

Supervision of 1 on Stairs

  • Up to 20 Steps
  • Reciprocal Pattern Ascending
  • 2 Feet to Step Descending with at least 1 Handrail 


Supervision of 1 on 6 Inch Curb 


Ultimate Goal: Return to Cycling

Discussion

Consider the role of physical activity for James in their current management. Considering his clinical condition what do you think are the benefits of exercise and what might limit the activities he can do? What advice or home exercises would you give James ? Go to Discussion