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Physical therapy for a patient with diabetic peripheral neuropathy and foot drop in an outpatient setting
Dissertation   Open access

Physical therapy for a patient with diabetic peripheral neuropathy and foot drop in an outpatient setting

Melissa Kovar
California State University, Sacramento
Doctor of Physical Therapy (DPT), California State University, Sacramento
09/25/2026
Handle:
https://hdl.handle.net/20.500.12741/rep:14394

Abstract

Diabetic neuropathies Drop foot Exercise therapy for older people
A 71 year-old, female patient with diabetic peripheral neuropathy and foot drop was seen for student physical therapy treatment at an outpatient orthopedic clinic under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with goniometric measurements, manual muscle testing (MMT), fall risk screenings and the Michigan neuropathy screening index (MNSI). A plan of care was established to address right active ankle range of motion (AROM) deficits, lower extremity (LE) muscle weakness, and balance. Main goals for the patient were to decrease right foot drop and increase confidence with balance and walking. Main interventions used were manual therapies and modalities. The patient did not fully achieve the goals but did demonstrate an increase in ROM, strength, confidence in balance and quality of gait. The patient continued their visits to the clinic after SPT left to further improve strength and balance deficits.
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