Rehab care plan
1.Pain management:
TENs:100HZ 20min, within patient’s tolerance
Ultrasound:3MHz,0.8cm2/W 3min
Manual therapy over soft tissue( gluteus maximus, tensor fascia lata)
2.To improve ROM:
Dorsiflexion: Manual therapy for triceps surae fascia, stretching, ankle mobilization (supratalar joint, glide talus posteriorly)
Hip flexion and extension: manual therapy for hip flexor&extensor fascia, stretching
Knee flexion and extension ROM: Manual therapy for quadriceps/ hamstring fascia, stretching
3.Recover movement pattern:Correction training for hip, ankle, knee motion during squat down
1. The comparison of squatting down
Before treatment: tingling over knee, difficulty with squatting down, limited knee flexion and extension
After treatment: pain absent, complete full squat down without any difficulty
2. The comparison of gait
Before treatment: pain during walking, gait instability, limp
After treatment: Able to jog without pain
Case source: GRS-HS consulting service cooperative medical institution