Traumatic Brain Injury - Case Study Part 4

18/12 Post Injury

	Upper Limbs		Lower Limbs
	Left	Right	Left	Right
Tone		N		N
Power	3/5	5-/5	3+/5 Ankle 3+/5 Hip 3/5 Knee	5-/5
Sensation	Impaired
Coordination	Impaired
Reflexes		¯		¯
ROM  Muscle Length	GHJ Flexion 110° Abd 90° IR 40° ER Lat Rot 55° Ext 40° Elbow Full ROM Wrist Full ROM	Full all joints	Hip Full Knee Full ¯Muscle Length TA DF with Knee Ext. 0°	Hip Full Knee Full ¯Muscle Length TA DF with Keee Ext. 5°

Current Function

•   Independent Standing Transfer 


•   Supervision  of 1 with 1 Elbow Crutch & AFO for  Gait 

•   Supervision of 1 on 20 steps reciprocally with a Handrail 


•   Supervision of 1 on 6 Inch Curb 


•    Currently Typing with 1 Hand on Keyboard - Unable to Touch Type

Goals

·      Return to Cycling

·      Be able to type with 2 hands on keyboard

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 to achieve his goals? Go to Discussion