Abstract
A patient with cervical spondylosis and presentations consistent with cervical radiculopathy was seen for treatment at an outpatient physical therapy clinic for 9 sessions from 6/24/2016 to 8/18/2016. The treatment of this patient was delivered by a student physical therapist who was supervised by a licensed physical therapist. Patient evaluation during initial visit consisted of Neck Disability Index, grip strength, cervical range of motion, upper limb tension test, dermatome testing, myotome testing, accessory motion testing of cervical and thoracic spine, and patient report on numeric pain rating scale. A plan of care was created to intervene with patient’s presentation of impairments. The primary goal established with patient input was to return fully to quilting and needlework. Secondary goals included improving mobility, strength, and function, and decreasing sensitivity of structures. Primary interventions included directional preference of cervical spine, cervical traction, exercise, education, and manual therapy. The patient exhibited improvements in strength, function, mobility with decreased sensitization of structures. These improvements helped patient return partially to primary goal of resuming quilting and needlework. The patient was discharged back to her home with a home exercise program.