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(PT Evaluation (Outcome Measures (RPE, 2MWT, MFI - 20, Functional Gait…
PT Evaluation
Functional Mobility
Pain Scale
Outcome Measures
RPE
2MWT
MFI - 20
Functional Gait Assessment
Romberg
Patient History
Family History
Social History
Medical History
Vital Signs
Breathing assessment
Sensation assessment
Postural Assessment
PT Intervention
Monitoring
Fatigue
Vitals
Orthotics
Patient Education
Energy Conservation
Sleeping Habits
Pain Management
Fall Prevention
Postural Corrections
Increase Patient work capacity
Strength training
Endurance Training
Flexibility training
Breathing Exercises
Balance Training
Energy conservation techniques
Transfer Training
Gait Training
Pathophysiology
Polio virus enters body
Affects nerve cells
Remaining neurons compensate
New nerve fibers sprouting
Surviving motor units enlarge
Promotes recovery of the use of the muscle
Nerve cell body required to nourish additional fibers
Post-Polio signs and symptoms appears decades later (on average 30-40 years)
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Muscle Atrophy
Residual left leg weakness
Limb length discrepancy
Scoliosis
Restrictive Lung disease
Hypoventilation
ICF
Participation
Decreased ability to play with children
Unable to go on long walks on the beach with wife
Decreased ability to grocery shop
Activity
Fatigue during ADL's
Decreased ability to perform ADL's
Decreased ability to ambulate
Difficulty getting up in the morning
Body Function
SOB during exercise
Pain and weakness in Bilateral LE and Right UE
Personal Factors
55 year old male
Overweight
Severe scoliosis
3cm Leg Length Discrepancy
Lawyer
Dx of poliomyelitis at age 7
Long Leg Brace and cane when ambulating
Environmental Factors
Lives with Wife and 2 children
Lives in small town
Wife works
Medical Management
Diagnosis
Previous diagnosis of Polio
Electromyography (EMG) testing
Nerve Conduction Studies
MRI/CT Scan
Muscle Biopsy
Blood Tests
Treatment
Pain Relief Medication
Sleep apnea treatment
Speech Therapy
Energy Conservation
Occupational Therapy
Orthopedist
Pulmonologist
