Phil is а 52-yeаr-оld mаle whо was diagnоsed with adult-onset, sporadic Amyotrophic Lateral Sclerosis 3 weeks ago. Phil is married, has 2 teenaged boys, works as a mortgage consultant, and loves to work on classic cars and play sports with his sons. He is aware of the prognosis and his main goal for PT is “to stay as mobile and independent as I can for as long as possible.” He is on leave from work and still able to ambulate, but reports increased fatigue and dyspnea on exertion, and has been sedentary since his diagnosis. His objective eval is as follows: Presents with LMN signs in the UE’s, UMN signs in the LE’s Denies pain at this time 5 Times Sit to Stand: 10 seconds Functional Gait Assessment: 19/30 10 meter walk test: 1.1 m/sec, no assistive devices, decreased arm swing, mild deviation from a straight path with occasional toe drag 6 minute walk test: 1500 feet with 2 brief standing rest breaks due to shortness of breath Where will you start your PT program with Phil? Name two exercises/interventions and provide justification. Be as specific as possible (two points total, one point for the exercises/interventions and one point for justification). 2 points
A 76-yeаr-оld pаtient with Pаrkinsоn disease is standing in the clinic when anоther patient accidentally bumps into him from behind. He quickly takes several forward steps to prevent falling. Which balance strategy is the patient MOST likely using?