Abstract
A 91-year-old patient status post hip fracture repair and internal fixation was seen for student physical therapy treatment for 12 sessions over 6 weeks at an outpatient physical therapy clinic under the supervision of a licensed physical therapist.The patient was evaluated at the initial encounter with the Numeric Pain Rating Scale, Manual Muscle Testing, goniometry, the Lower Extremity Functional Scale, the mini-Balance Evaluation System Test, and the Flexion-Adduction-Internal-Rotation test. A plan of care was established to address pain, decreased strength, limited range of motion, functional limitations, balance, and impaired gait mechanics. The main goals for the patient were to improve lower extremity strength, balance, and ambulate independently without an assistive device. Main interventions used were neuromuscular re-education, manual therapy, and general strength training. The patient achieved the following goals: improved lower extremity strength, increased range of motion, improved balance, and independent community ambulation. The patient was discharged to continue living at home with an independent home program.