Traumatic Brain Injury - Case Study Part 4

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	Imapired
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 Mobility

• 6 Min Walk Test Complete
• Distance

Supervision of 1 on Stairs

• Up to 20 Steps
• Reciprocal Pattern Ascending
• @ Feet to Step Des with at least 1 Handrail 


Supervision of 1 on 6 Inch Curb 


Ultimate Goal: Return to Cycling

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