Traumatic Brain Injury - Case Study Part 4: Difference between revisions
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== Assessment Update == | == Assessment Update == | ||
=== 18 | === 18 Months Post Injury === | ||
{| | {| width="800" border="1" cellpadding="1" cellspacing="1" | ||
|- | |- | ||
| | ! scope="col" | | ||
! colspan="2" scope="col" |Upper Limb | |||
! colspan="2" scope="col" |Lower Limb | |||
|- | |||
! | |||
|Right | |||
|Left | |Left | ||
|Right | |Right | ||
|Left | |Left | ||
|- | |- | ||
| | |Tone | ||
| | |Decreased | ||
| | |NAD | ||
| | |Decreased | ||
| | |NAD | ||
|- | |- | ||
|Power | |Power | ||
| Line 37: | Line 38: | ||
3/5 Knee | 3/5 Knee | ||
|5-/5 | |5-/5 | ||
|- | |- | ||
|Coordination | |Coordination | ||
| colspan="4" |Impaired | | colspan="4" |Impaired | ||
|- | |- | ||
| | |Range of Movement | ||
Muscle Length | Muscle Length | ||
| | |Shoulder: | ||
Flexion 110° | |||
Abd 90° | Abd 90° | ||
| Line 59: | Line 51: | ||
IR 40° | IR 40° | ||
ER | ER 55° | ||
Elbow: | |||
Full ROM | |||
Wrist: | |||
Full ROM | |||
|Shoulder: | |||
Full ROM | |||
Elbow: | |||
Full ROM | |||
Wrist: | |||
Full ROM | |||
|Hip Full | |Hip: | ||
Full ROM | |||
Knee | Knee: | ||
Full ROM | |||
DF with | Ankle: | ||
Decreased ROM | |||
DF with Knee Ext 0° | |||
|Hip: | |||
Full ROM | |||
Knee: | |||
Full ROM | |||
Ankle: | |||
Decreased ROM | |||
DF with Knee Ext 5° | |||
|- | |||
|Sensation | |||
| colspan="4" |Impaired | |||
|- | |||
|Proprioception | |||
| colspan="4" |Unable to Assess | |||
|- | |||
|Reflexes | |||
|Decreased | |||
|NAD | |||
|Decreased | |||
Plantar - Upgoing | |||
|NAD | |||
Plantar - Downgoing | |||
|} | |} | ||
=== Current Function === | |||
Independent Standing Transfer
| Independent Standing Transfer
| ||
| Line 92: | Line 119: | ||
* Up to 20 Steps | * Up to 20 Steps | ||
* Reciprocal Pattern Ascending | * Reciprocal Pattern Ascending | ||
* | * 2 Feet to Step Descending with at least 1 Handrail
| ||
Supervision of 1 on 6 Inch Curb
| Supervision of 1 on 6 Inch Curb
| ||
Ultimate Goal: Return to Cycling | 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''' | 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''' | ||
Revision as of 23:35, 29 September 2019
Presenting Condition[edit | edit source]
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[edit | edit source]
18 Months Post Injury[edit | edit source]
| Upper Limb | Lower Limb | |||
|---|---|---|---|---|
| Right | Left | Right | Left | |
| Tone | Decreased | NAD | Decreased | 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 | Decreased | NAD | Decreased
Plantar - Upgoing |
NAD
Plantar - Downgoing |
Current Function[edit | edit source]
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[edit | edit source]
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
