Abstract
A 77-year-old male patient who was 8 days post right total knee arthroplasty was seen for student physical therapy treatment for 18 visits across 8 weeks at an outpatient orthopedic clinic under the supervision of a licensed physical therapist.
The patient was evaluated at the initial encounter with numeric pain rating scale, goniometry, manual muscle testing, observational gait analysis, 30 second chair stand test, 6 minute walk test, Western Ontario and McMaster Universities Osteoarthritis Index, Well’s criteria for deep vein thrombosis, and timed up and go and a plan of care was established to address right knee pain, decreased range of motion and strength, decreased walking capacity, decreased physical function, decreased sleep, and inability to drive. The main goals for the patient were improving pain, range of motion, strength, walking capacity, physical function, sleep, and ability to drive. The main interventions used were patient education, range of motion exercises, functional strength training, task-specific training, and balance training. The patient achieved the goals of improved pain, active range of motion, muscle strength and endurance, walking capacity, sleep, and driving to visit his wife. The patient was discharged to continue with HEP independently at home.