Abstract
A 58-year–old female high school teacher was seen for physical therapy treatment for 6 sessions over three weeks at an outpatient physical therapy clinic. Following a fall down twelve stairs six weeks prior, the woman presented in clinic with primary complaints of pronounced neck stiffness and range of motion loss. 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, inclinometry, the Deep Neck Flexor Endurance Test, the Neck Disability Index, and the Fear and Avoidance Beliefs Questionnaire; and a plan of care was established. Main goals for the patient were to improve strength, range of motion, reading tolerance, and the ability to turn to look behind herself while driving. Main interventions used were strengthening, stretching, manual joint and soft tissue mobilization, instrument assisted soft tissue mobilization (IASTM), thermotherapy, and patient education.