Abstract
A 63-year-old female patient status post right total knee arthroplasty was seen for physical therapy treatment for 5 sessions over a 3-day span at an acute inpatient setting. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, the numeric pain rating scale, manual muscle testing, sensation of light touch, Well’s Criteria, the Activity Measure for Post-Acute Care, levels of assistance, and discharge destination so a plan of care could be established. The patient was found to have impaired range of motion, strength, and sensation as well as limitations in ambulation and functional mobility which restricted her ability to complete basic activities of daily living. The main goals for the patient were to improve strength, range of motion, quality of ambulation, and overall functional mobility to ensure a safe transition home. The main interventions used were task-specific bed mobility practice, transfers, gait training, stair training, and therapeutic exercise to address range of motion and strength impairments. The patient improved strength, range of motion, and functional mobility adequately to return home with family care. The patient was discharged home to the care of her husband and son with home health physical therapy services.