Rick’s Movement Analysis: Gait: Rick walks short distances w…
Rick’s Movement Analysis: Gait: Rick walks short distances with a forearm crutch, but struggles significantly to advance his left leg forward due to excess knee extension and ankle plantarflexion. He hikes and circumducts his left leg to help clear the floor, but is not effective and needs Mod A. Stance phase of gait: He has adequate stance stability in his left knee, but has excessive hip flexion and forward trunk collapse and relies heavily on the crutch. His LUE remains a little flexed while he is walking, but he is developing control out of synergy. Sensation: Intact RUE/LE for light touch, sharp/dull, and proprioception. LUE: impaired light touch and sharp/dull: upper arm 8/10 stimuli correct, forearm 8/10 stimuli correct, hand 6/10 stimuli correct. Proprioception intact at shoulder and elbow, impaired at wrist. LLE: impaired light touch and sharp/dull: 7/10 stimuli correct throughout entire leg. Proprioception intact. Motor control: Movement combining synergies in the LUE (flexion pattern) and LLE (extension pattern) Spasticity: MAS 1 in left biceps, MAS 2 in left quadriceps, MAS 3 in left plantarflexors. MMT: R UE/LE: 5/5 throughout. LUE: shoulder flexion and abduction 4/5, biceps 4/5, triceps 2/5, wrist flex/ext 2+/5, weak grasp. LLE: hip flexors 2-/5, hip extensors and abductors 2/5, hamstrings 2+/5, quads 4/5, ankle DF 3/5, ankle PF influenced by spasticity – unable to get clear test. Cognition/Behavior: RLOCF VI. He can currently attend for 30-45 minutes at a time, depending on how well he slept the night before. What is one intervention you could do to address Rick’s spasticity or motor control? Describe which you are choosing to address and provide enough detail so that another therapist can replicate it. (2 points):
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