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.  What is the MOST appropriate type of electrical stimulation to address quadriceps weakness during this stage of healing?

A patient with a chronic Achilles tendinopathy presents with pain and decreased dorsiflexion ROM. The physical therapist decides to use ultrasound. Which of the following is the most appropriate ultrasound setting to achieve thermal effects for tissue extensibility?

A patient presents with a recent diagnosis of cellulitis in the lower leg and significant swelling.  What is the BEST course of action regarding compression therapy?

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. Based on the timing of the injury and clinical presentation, which phase of tissue healing is MOST likely occurring?

A patient is status post  left shoulder labral repair with surgery taking place 4 weeks ago.  The physical therapist chooses to add russian stimulation to the patients plan of care to maintain deltoid muscle mass during the protective phase of rehab. Which of the following characteristics is most specific to Russian stimulation?  

What is the primary benefit of using ultrasound for treating scar tissue in the remodeling phase of healing?

 A patient is unable to voluntarily contract their quadriceps following ACL reconstruction. The physical therapist chooses to use EMG biofeedback to assist in motor recruitment. Which feedback threshold setting is MOST appropriate for the initial session?

A patientwith chronic low back pain is scheduled to receive IFC therapy. The physical therapist plans to use a quadripolar electrode placement, covering a large portion of the patients back. Where should the electrodes be placed for effective pain management?

Which of the following statements below provides the BEST rationale for supporting the clinical concept that pressure garment bandaging reduces the formation of excessive scarring in the skin following severe trauma like severe burns?

Which of the following BEST describes the maturation phase or remodeling phase of tissue repair?