Abstract
A patient, 6 weeks post-total knee arthroplasty (TKA) on the left, and 1 week post-TKA on the right with an additional factor of manipulation under anesthesia (MUA) on the left was seen for physical therapy treatment for 20 sessions from 7/13/15 to 8/19/15 at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometry, manual muscle tests, gait evaluation, and the Western Ontario and McMaster Universities Osteoarthritis Index, and a plan of care was established. Main goals for the patient developed in collaboration with the supervising physical therapist were to improve strength, range of motion, gait mechanics during walking, and overall physical function. Main interventions used were passive stretching, active and passive range of motion, strength training, and over-ground gait training. The patient improved in range of motion, strength, and gait mechanics. The patient was discharged with a home exercise program and follow up with her physician.