Abstract
A 53-year-old male patient was seen for outpatient physical therapy by a student physical therapist for 12 weeks (18 sessions) under the supervision of a licensed physical therapist. The patient was 1-week postoperative for arthroscopic debridement and bone graft surgery for synovitis and osteonecrosis of the lateral femoral condyle of the right knee. The patient was evaluated at the initial encounter for range of motion (ROM) measurements, muscle strength, pain, and functional ability. A plan of care was established to address impairments of knee ROM, limited functional status, and inability to return to work. Main goals for the patient were to improve strength, ROM, weight-bearing tolerance, gait pattern; to minimize pain; and to return to work. Main interventions used were manual therapy, therapeutic exercise, blood flow restriction training, and over-ground gait training. The patient responded well to the plan of care and demonstrated improvements in ROM, strength, weight-bearing tolerance, gait pattern, and achieved the goal of returning to work. The patient was discharged home and independent in his home exercise program.