Abstract
An 88-year-old male with an intertrochanteric femur fracture and subtrochanteric extension after a ground level fall was seen for 8 sessions in a 4-day period following an open reduction internal fixation. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated with range of motion (ROM) and manual muscle testing of the hip, Numeric Pain Rating Scale, Mini-Mental State Exam, Activity Measure for Post-Acute Care ‘6-Clicks’ Basic Mobility Inpatient Short Form, and observation of levels of assistance during functional mobility and recall of weightbearing precautions and exercises. A plan of care was established to address limited hip flexion ROM, limited strength of hip flexors and abductors, pain during movement, and impaired functional mobility. Main goals for the patient were to improve strength, ROM, pain, recall of educational interventions, and independence during functional mobility. At the participation level, the discharge destination was used to address the patient’s goal of returning home. Intervention involved multiple, daily physical therapy sessions focusing on task-specific functional mobility training and bed-level exercises. The patient showed moderate improvements in ROM, strength, bed mobility, and standing balance. The patient was discharged to a skilled nursing facility.