HAMSTRING – PF STRETCH: Patient was progressed through stretching to B hamstrings and gastroc/soleus to increase Bilateral knee extension and Dorsiflexion ROM for improved foot clearance during gait cycle and upright anatomical alignment in standing.
HAM - PF STRETCH WITH LAQIn order to improve upright posture and functional mobility in standing, patient was progressed through stretching exercises to B hamstrings and gastroc/soleus and resisted LAQs for increasead B knee ext and B ankle DF ROM and increased BLE strength. Patient required moderate verbal cueing and tactile facilitation to B quads for enhanced muscular contractions.
HAMSTRING STRETCH + AW EXERICSE - Patient was lead through stretching exercises to B hams in order to increase B knee ext. ROM and LAQs with -----1lb ankle weights to BLE in order to increase quads strength for improved standing posture and gait pattern. Patient performed sit-to-stands and timed standing in order to improve functional strength to BLE extensor musculature for improved balance and tolerance to standing activities. Patient required verbal cueing for correct sequencing of task and upright posture and min A to come to come to standing position.
FALL RISK – STRETCHING – TBAND EXERCISE - In order to improve foot clearance during ambulation and for management of fall risk, patient was progressed through stretching exercises to increase B DF ROM.In order to improve dynamic balance and tolerance to standing functional activities and gait, patient was lead through B resisted DF using yellow T-band, mat to/from WC stand-and-pivot transfers, and side-to-side stepping with BUE support using R/w. Patient required CGA during standing activities and moderate verbal cues for correct and safe performance of tasks.
SCIATIC NERVE GLIDES - In order to improve functional mobility, patient was progressed through sitting sciatic nerve glides and stretching to B glutes, hams, and gastroc/soleus in order decrease risk of scarring, increase soft tissue extensibility, and promote proper collagen alignment. Patient required careful monitoring of pain levels with increased pain noted to LLE and was provided with patient education for correct and safe performance of exercises.
STRETCH PF + BRIDGING + PREGAIT HIP ABD - In order to improve functional mobility, patient was lead through B stretching to gastroc/soleus to increase ankle DF ROM and through BLE strengthening exercises via bridging, SAQs, and AROM hip ABD to improve foot clearance during gait. Patient was able to complete all exercises correctly and well; however, presented with decreased tolerance to R SAQs due to --- knee pain.