Traumatic Brain Injury - Case Study Part 4
Presenting Condition[edit | edit source]
For background information go to
Traumatic Brain Injury - Case Study Part 1
Traumatic Brain Injury - Case Study Part 2
Traumatic Brain Injury - Case Study Part 3
Assessment Update[edit | edit source]
18 Months Post Injury[edit | edit source]
| Upper Limb | Lower Limb | |||
|---|---|---|---|---|
| Left | Right | Left | Right | |
| Tone | Increased | NAD | Increased | NAD |
| Power | 3/5 | 5-/5 | 3+/5 Ankle
3+/5 Hip 3/5 Knee |
5-/5 |
| Coordination | Impaired | |||
| Range of Movement
Muscle Length |
Shoulder:
Flexion 110° Abd 90° IR 40° ER 55° Elbow: Full ROM Wrist: Full ROM |
Shoulder:
Full ROM Elbow: Full ROM Wrist: Full ROM |
Hip:
Full ROM Knee: Full ROM Ankle: Decreased ROM DF with Knee Ext 0° |
Hip:
Full ROM Knee: Full ROM Ankle: Decreased ROM DF with Knee Ext 5° |
| Sensation | Impaired | |||
| Proprioception | Unable to Assess | |||
| Reflexes | Increased | NAD | Increased
Plantar - Upgoing |
NAD
Plantar - Downgoing |
Current Function[edit | edit source]
Independent Standing Transfer
Supervision of 1 with 1 Elbow Crutch & AFO for Mobility
- 6 Min Walk Test Complete
- Distance
Supervision of 1 on Stairs
- Up to 20 Steps
- Reciprocal Pattern Ascending
- 2 Feet to Step Descending with at least 1 Handrail
Supervision of 1 on 6 Inch Curb
Ultimate Goal: Return to Cycling
Discussion[edit | edit source]
Consider the role of physical activity for James in their current management. Considering his clinical condition what do you think are the benefits of exercise and what might limit the activities he can do? What advice or home exercises would you give James ? Go to Discussion
