Abstract
A 74-year-old female patient with a left total knee arthroplasty was seen for 11 physical therapy sessions over a 7-week period at an outpatient physical therapy clinic. Treatment was provided by a physical therapist student under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, manual muscle testing, NPRS, Timed Up-and-Go test, FOTO Knee Outcome Measure, PHQ-2, Wells’ DVT Criteria and a plan of care was established to address range of motion, strength, and pain impairments, walking, prolonged standing, gait, and functional mobility limitations, and participation restrictions in grocery shopping, and independence with household chores. Main goals for the patient were to reduce fall risk, ambulate independently in the community, and to improve standing tolerance. Main interventions used were progressive resistance exercise, low-load long duration stretching, endurance exercise, functional training, and patient education. The patient achieved goals for reducing fall risk, improving overall functional capacity, and participation goals. The patient was discharged to home with instructions for HEP maintenance.