Primary-Progressive Multiple Sclerosis (PPMS) - A Case Study
Abstract[edit | edit source]
Purpose:
Case Presentation:
Intervention:
Outcomes:
Introduction[edit | edit source]
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Client Characteristics [edit | edit source]
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Examination Findings[edit | edit source]
Subjective Assessment[edit | edit source]
Chief Complaint: Michelle has concerns about taking her dog for daily walks in the summer. She is afraid of losing her balance and worried she won’t have enough energy to complete the walks. Michelle is also having trouble with the stairs in her house. She finds her legs weak and she is tired by the time she reaches the top of the stairs.
History of Present Illness:
Medical diagnosis: PPMS active with progression
- MRI to confirm and identify areas of lesions in the brain
- Positive lumbar puncture test
- Positive evoked potentials test
Treatment to Date: No previous history of physiotherapy treatment.
Current Symptoms:
- Impaired mobility
- Weakness and stiffness in the legs, the right leg worse than the left.
- Decreased attention, and memory
- Pins and needles in the feet
- Urgency incontinence
- Fatigue
- Difficulty with normal gait
- Balance impairments
Past Medical History:
Medications:
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Functional History:
Current Functional Status:
Patient Goals:
Objective Assessment[edit | edit source]
Clinical Impression[edit | edit source]
Interventions[edit | edit source]
Outcome[edit | edit source]
Discussion[edit | edit source]
Self-Study Questions[edit | edit source]
References[edit | edit source]
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