Rehab care plan
1.To improve gait and mobility:
Assistive device modification and training.
Affected knee motor control training
Quad strengthening exercises
Bike exercises
2.Strengthening and balance exercises:
Lower extremities strengthening isometric exercises-weight bearing exercises- step exercises
Balance training: Center of gravity shifting training-marching training- balance pad training
3.Pain management:
Ultrashort wave
Ultrasound
Interferential
Ice/cold pack
4.To improve the ROM:
Knee mobilizations
PNF techniques
Patella mobilizations
Rehab outcomes
1.Knee ROM
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Before Rehab: Limited knee ROM, 60°-110° |
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Before Rehab: Limited knee ROM within normal range, 0°-125° |
2.Standing
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Before treatment: unable to bear weight over Rt leg, need support from others due to standing instability |
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After treatment: able to stand steadily, bear weight over Rt leg, BLL able to resist the elastic force of the Thera band |
3.Ambulation
Before treatment: patient ambulated with wheelchair during the 1st treatment, he was able to ambulate with walking stick after 1 month treatment
After treatment: Rt knee completely recovered, able to jump without difficulties
Case source: GRS-HS consulting service cooperative medical institution