Traumatic Brain Injury - Case Study Part 4: Difference between revisions
(Created blank page) |
No edit summary |
||
| Line 1: | Line 1: | ||
'''18/12 Post Injury''' | |||
{| class="wikitable" | |||
| | |||
| colspan="2" |Upper Limbs | |||
| colspan="2" |Lower Limbs | |||
|- | |||
| | |||
|Left | |||
|Right | |||
|Left | |||
|Right | |||
|- | |||
|Tone | |||
| | |||
|N | |||
| | |||
|N | |||
|- | |||
|Power | |||
|3/5 | |||
|5-/5 | |||
|3+/5 Ankle | |||
3+/5 Hip | |||
3/5 Knee | |||
|5-/5 | |||
|- | |||
|Sensation | |||
| colspan="4" |Impaired | |||
|- | |||
|Coordination | |||
| colspan="4" |Impaired | |||
|- | |||
|Reflexes | |||
| | |||
|¯ | |||
| | |||
|¯ | |||
|- | |||
|ROM | |||
Muscle Length | |||
|GHJ Flexion 110° | |||
Abd 90° | |||
IR 40° | |||
ER Lat Rot 55° | |||
Ext 40° | |||
Elbow Full ROM | |||
Wrist Full ROM | |||
|Full all joints | |||
|Hip Full | |||
Knee Full | |||
¯Muscle Length TA | |||
DF with Knee Ext. 0° | |||
|Hip Full | |||
Knee Full | |||
¯Muscle Length TA | |||
DF with Keee Ext. 5° | |||
|} | |||
'''Current Function''' | |||
• Independent Standing Transfer
| |||
• Supervision of 1 with 1 Elbow Crutch & AFO for Gait | |||
• Supervision of 1 on 20 steps reciprocally with a Handrail
| |||
• Supervision of 1 on 6 Inch Curb
| |||
• Currently Typing with 1 Hand on Keyboard - Unable to Touch Type | |||
'''Goals''' | |||
· Return to Cycling | |||
· Be able to type with 2 hands on keyboard | |||
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 to achieve his goals? '''Go to Discussion''' | |||
Revision as of 22:27, 19 September 2019
18/12 Post Injury
| Upper Limbs | Lower Limbs | |||
| Left | Right | Left | Right | |
| Tone | N | N | ||
| Power | 3/5 | 5-/5 | 3+/5 Ankle
3+/5 Hip 3/5 Knee |
5-/5 |
| Sensation | Impaired | |||
| Coordination | Impaired | |||
| Reflexes | ¯ | ¯ | ||
| ROM
Muscle Length |
GHJ Flexion 110°
Abd 90° IR 40° ER Lat Rot 55° Ext 40° Elbow Full ROM Wrist Full ROM |
Full all joints | Hip Full
Knee Full ¯Muscle Length TA DF with Knee Ext. 0° |
Hip Full
Knee Full ¯Muscle Length TA DF with Keee Ext. 5° |
Current Function
• Independent Standing Transfer
• Supervision of 1 with 1 Elbow Crutch & AFO for Gait
• Supervision of 1 on 20 steps reciprocally with a Handrail
• Supervision of 1 on 6 Inch Curb
• Currently Typing with 1 Hand on Keyboard - Unable to Touch Type
Goals
· Return to Cycling
· Be able to type with 2 hands on keyboard
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 to achieve his goals? Go to Discussion
