Patient Name: James M.Occupation: Construction WorkerDiagnosis: Right Quadriceps Muscle Strain (Grade II)Injury Date: 5 days agoReferral: Outpatient PT for pain management and return to function Subjective:James reports a sudden “pulling” sensation in his right thigh while lifting a heavy tool bucket at work. He initially had difficulty walking and now complains of aching pain, stiffness, and weakness, especially when attempting to climb stairs or stand from sitting. His pain is 5/10 with activity and 2/10 at rest. He has no relevant past medical history. Objective: Inspection reveals moderate swelling and ecchymosis over the mid-thigh. AROM: Limited knee extension, with mild pain during active motion. PROM: Mild restriction with end-range discomfort. Strength: 3-/5 for right quadriceps (manual muscle test). Gait: Slight limp, avoids full stance phase on the right leg. No signs of infection or DVT. Skin is intact and sensation is normal. Plan:The physical therapist is considering adding electrical stimulation as part of the plan of care to manage pain and promote healing.  Which of the following is a contraindication to using electrical stimulation in this case?

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During an ultrasound treatment, your patient experiences aching directly under the ultrasound head. What is the MOST appropriate next step in the management of this patient?

A patient with osteoarthritis in the knee is receiving IFC therapy. The patient asks how this treatment helps with pain. What is the MOST appropriate explanation the physical therapist can provide to the patient?

Which of the following statements specific to electrical stimulation BEST describes its action for creation of a muscle contraction?

EMG biofeedback has been clinically proven to be an effective intervention for addressing impairments in patients associated with which of following diagnosis’?

A  presents with acute low back pain following yard work. The patient reports sharp pain with forward flexion but no radicular symptoms.The physical therapist plans to use conventional TENS for pain relief during daily activities.

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