Abstract
A 31-year-old male patient with a chronic low-grade posterior cruciate ligament tear was seen for student physical therapy treatment for 8 visits over 4 weeks at an outpatient clinic under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with gait observation, the Numeric Pain Rating Scale, goniometry, manual muscle testing, light touch sensation testing, passive patellar mobilization, posterior and anterior drawer tests, the 90°-90° Straight Leg Raise, Thomas Test, Posterior Sag Sign, Lower Extremity Functional Scale, and percent perceived limitation to participating in recreational sports due to left knee symptoms. A plan of care was established to address left knee pain and range of motion deficits, decreased bilateral hip flexor and extensor range of motion, and limitations in community ambulation, sitting, standing, bending, using stairs, navigating inclines, and participating in recreational sports. The main goals for the patient were pain relief, increased bilateral hip muscle length, improved left knee range of motion, increased strength of bilateral hip and knee joint musculature, and unrestricted ability to perform activities of daily living and participate in recreational sports. The main interventions used were cryotherapy, bilateral lower extremity stretching, and strength-focused traditional and eccentric therapeutic exercise. At 4 weeks, the patient achieved all goals related to pain reduction, left knee range of motion, and functional return. The patient was discharged to continue a home exercise program.