Abstract
A patient with left total hip arthroplasty following a fall resulting in femoral neck fracture was seen for physical therapy treatment for 12 sessions from July to August, 2016. Physical therapy treatment took place at a skilled nursing facility. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. On the initial encounter, the patient was evaluated using goniometry of L hip flexion, manual muscle testing of left hip musculature, the modified Clinical Test of Sensory Interaction and Balance (mCTSIB), the Tinetti Performance Oriented Mobility Assessment (POMA), the Elderly Mobility Scale (EMS), and the Tinetti Falls Efficacy Scale. The goals for the patient were to improve strength, range of motion (ROM), improve balance, complete bed mobility tasks, transfers, and ambulate independently. The overall interventions approach was progressive strengthening, task specific training, early weight bearing, and patient education. The patient’s ROM, strength, balance, independence in bed mobility, transfers, and gait improved significantly. The patient was discharged to home with her family accompanied by a home exercise program and home health physical therapy services.