Abstract
A patient with a lumbar contusion was seen for 5 sessions over 3 weeks at an outpatient physical therapy clinic specializing in work-related injuries by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter using the Numeric Pain Rating Scale, thoracolumbar active range of motion, movement analysis, visual examination and palpation of swelling and bruising, passive accessory mobility assessment of the lumbar spine, and the Oswestry Disability Index. A plan of care was established to address his pain, limited thoracolumbar range of motion, aberrant movement, bruising, and inability to work. The main goal for the patient was to squat and lift 50 pounds without pain so he could perform his normal work duties. Main interventions used were trunk stabilization and mobilization exercises. The patient achieved the following goals: elimination of pain, increased thoracolumbar range of motion, increased trunk strength, and return to full work duty. The patient was discharged to home to continue performing his home exercise program independently.