NPTE Clinical Files | Physical Therapy
Episodes
Visceral Dysfunction
26 Feb 2020
Contributed by Lukas
Martin has a history of alcohol abuse along with chronic use of over the counter anti-inflammatory medications. The physical therapist is challenged ...
Pulmonary Medications
19 Feb 2020
Contributed by Lukas
Tubby presents with reports of a dry mouth and has persistent coughing that frequently interrupts his therapy sessions. The physical therapist is cha...
Upper Extremity Nerve Differential
12 Feb 2020
Contributed by Lukas
Ofilia was recently diagnosed with Whiplash-Associated Disorder (WAD) after a severe motor vehicle accident. The patient has an inverted supinator sig...
Vestibular Special Testing
29 Jan 2020
Contributed by Lukas
Will presents to physical therapy with complaints of difficulty hearing. The physical therapist is challenged with determining the MOST likely reason...
EKG Part 2
22 Jan 2020
Contributed by Lukas
Jave is treating a patient in cardiac rehabilitation who is taking Spironolactone, Lisinopril, and Aricept. The physical therapist is challenged with...
Lower Extremity Biomechanics
15 Jan 2020
Contributed by Lukas
Sahar presents with a fixed left ankle into 30 degrees of plantarflexion after elective surgery. The physical therapist is challenged with determinin...
The Bell Curve
08 Jan 2020
Contributed by Lukas
Cassandra has been reading an article on shoulder mobility after a bout of adhesive capsulitis. The physical therapist is challenged with determining...
Orthopedic Surgical Protocol: SLAP
25 Dec 2019
Contributed by Lukas
Jake underwent a type 2 slap repair 1.5 weeks ago and has been cleared to begin physical therapy. The physical therapist is challenged with determini...
Neurological Examination
18 Dec 2019
Contributed by Lukas
Nadia is a 27-year-old female with an overactive thymus and complains of daily fluctuations in fatigue levels that are highly dependent on rest time....
Peripheral Vascular Disease
11 Dec 2019
Contributed by Lukas
Francisco presents with significant left lower leg edema and discoloration along the medial side. The physical therapist is challenged with determini...
Power In A Study
04 Dec 2019
Contributed by Lukas
Sal is a therapist who is running a research study to determine the effectiveness of a forearm band on grip strength. The physical therapist is chall...
Lower Back Pain Examination
27 Nov 2019
Contributed by Lukas
Chelsea is a gymnast with complaints of diffuse lower back pain and feelings of instability. The physical therapist is challenged with determining th...
History Taking
20 Nov 2019
Contributed by Lukas
Jessy is a female athlete that presents with a chief complaint of a recent onset of left plantar foot pain with running. The physical therapist is ch...
Neurological Differential
13 Nov 2019
Contributed by Lukas
Danny is being evaluated in a neurological recovery unit after a sudden onset of gait and limb ataxia. The physical therapist is challenged with dete...
6 Minute Walk Test
30 Oct 2019
Contributed by Lukas
Fred is being assessed for his limited endurance using the 6 minute walk test. The physical therapist is challenged with determining the appropriate...
End Feels
23 Oct 2019
Contributed by Lukas
Becca presents to physical therapy with a knee injury and difficulty completing full knee motion. The physical therapist is challenged with anticipa...
Genitourinary Differential
16 Oct 2019
Contributed by Lukas
Dwayne presents for an initial evaluation for lower back and perineal pain but without a comprehensive medical history. The physical therapist is ch...
Topical Agents
09 Oct 2019
Contributed by Lukas
Carlos is being treated for a second-degree burn that he received at work. The physical therapist is challenged with determining the proper topical a...
Traumatic Brain Injury
02 Oct 2019
Contributed by Lukas
Gail suffered a traumatic brain injury during a fall at home and is now being seen in the hospital.The therapist notices a significant change in the p...
Exercise Response
18 Sep 2019
Contributed by Lukas
Dorian is undergoing an examination during cardiac rehabilitation phase II. After 3 minutes the patient begins to complain of excessive fatigue. The ...
Gout
11 Sep 2019
Contributed by Lukas
Berry presents with mild back pain and an acute onset of gout. The physical therapist is challenged with which lifting maneuver is the least appropri...
Electrical Stimulation
30 Jul 2019
Contributed by Lukas
Brady presents with first and second-degree burns across his anterior shins. The physical therapist is challenged with determining the proper setting...
Shoulder Special Testing
17 Jul 2019
Contributed by Lukas
Beniah is a 16-year-old baseball pitcher with persistent right shoulder pain. The physical therapist is challenged with determining which special tes...
Pulmonary Interventions
10 Jul 2019
Contributed by Lukas
Paul is a patient with a 4-year history of ALS and has been having recurrent respiratory infections The physical therapist is challenged with determ...
Cranial Nerve Testing
03 Jul 2019
Contributed by Lukas
Adriana has a past medical history of multiple sclerosis and blurred vision and is undergoing cranial nerve testing. The physical therapist is challe...
Therapeutic Ultrasound
26 Jun 2019
Contributed by Lukas
Danica is treating a patient post MVA with lower back pain.The physical therapist is challenged with determining the treatment area to ensure proper t...
Blood Gases
19 Jun 2019
Contributed by Lukas
Berlin is being treated in the hospital for hypokalemia. The patient presents with impaired blood gases. The physical therapist is challenged with an...
Gait Dysfunction Part 2
05 Jun 2019
Contributed by Lukas
Harrold is examining a patient who sustained a right trimalleolar fracture ten weeks ago.The physical therapist is challenged with determining the cor...
Hypercortisolism
29 May 2019
Contributed by Lukas
Sandra is reviewing a patient's medical record who has a history of hypercortisolism and persistent weight gain. The physical therapist is challe...
Pusher's Syndrome
22 May 2019
Contributed by Lukas
Ben presents with a posterolateral thalamic stroke and pusher's syndrome.The physical therapist is challenged with determining the safest and appr...
Femoral Torsion
15 May 2019
Contributed by Lukas
Sara presents with 5 degrees of femoral torsion and medial knee pain.The physical therapist is challenged with determining which muscles are the most ...
Heart Sounds
08 May 2019
Contributed by Lukas
Arya is a seasoned athlete is undergoing an auscultatory examination of her heart.The physical therapist is challenged with determining what heart sou...
Vestibular Hypofunction
01 May 2019
Contributed by Lukas
Jenn presents with a referral for physical therapy to evaluate and treat bilateral vestibular hypofunction. The physical therapist is challenged w...
Aquatic Therapy
24 Apr 2019
Contributed by Lukas
Anthony is being treated in aquatic therapy for severe osteoarthrosis. The patient being treated in tepid water up to the head. The physical therapis...
Exercise Intensity Measures
17 Apr 2019
Contributed by Lukas
Eric recently had a cardiac transplant and has been cleared for exercise by his medical doctor. The physical therapist is challenged with determinin...
Lab Values
10 Apr 2019
Contributed by Lukas
Vicky is being seen in the hospital for a severe bacterial infection. Prior to today's treatment, the therapist is reviewing the patient's med...
Visceral Pain
03 Apr 2019
Contributed by Lukas
Pearl presents with persistent right shoulder pain without a known cause. The physical therapist is challenged with determining the most likely reas...
Amputee Pathological Gait
27 Mar 2019
Contributed by Lukas
Ross presents with a transtibial amputation and a significant gait deviation during initial contact to loading response. The physical therapist is ch...
Motor Stages
20 Mar 2019
Contributed by Lukas
Derek presents with a TBI and is being instructed on wheelchair to bed transfers for the first time. The physical therapist is challenged with determ...
Behavioral Change
13 Mar 2019
Contributed by Lukas
Miles presents with a past medical history of diabetes type II and obesity. The physical therapist is challenged with determining which activity list...
Stair Training
06 Mar 2019
Contributed by Lukas
Harriet presents with status post-TKA and is undergoing stair training with the physical therapist. The physical therapist is challenged with deter...
Hemodialysis
27 Feb 2019
Contributed by Lukas
Ricky presents with a past medical history of atrial fibrillation, orthostatic hypotension, and chronic renal failure.The physical therapist is challe...
Pelvic Mal-alignment
20 Feb 2019
Contributed by Lukas
Kerri presents with significant pelvic girdle pain with ambulation. The patient is found to have a notable innominate rotation during the examination....
Spina Bifida
13 Feb 2019
Contributed by Lukas
Jimmy is a three-year-old child with L2 myelomeningocele. The patient requires the use of orthotics for home ambulation. The physical therapist is ch...
Right Knee Injury
06 Feb 2019
Contributed by Lukas
Samuel is a basketball star who injured his right knee after he pivoted on his right foot. The patient reports pain immediately afterward and has been...
Patient Compliance
30 Jan 2019
Contributed by Lukas
Heather has a past medical history of hypothyroidism and is being treated for deconditioning. The patient reports that she is not taking her medicatio...
PTA Professional Responsibilities
23 Jan 2019
Contributed by Lukas
Taylor is attending her first follow-up appointment for right calcific tendinitis. A PTA is treating the patient and needs to make an appropriate deci...
Outcome Measures
16 Jan 2019
Contributed by Lukas
Brenda is a physical therapist looking to utilize the correct outcome measure to assess a patient's improvements and current ability related to AD...
AFO Prescription
09 Jan 2019
Contributed by Lukas
Kelli presents with spastic cerebral palsy and plantarflexor spasticity. The physical therapist is challenged with determining the correct AFO to uti...
Acute Care Lines
02 Jan 2019
Contributed by Lukas
Camron presents with pulmonary hypertension and suspected Cor PulmonaleThe physical therapist is challenged with determining which acute care lines wi...
Testing Sensation
26 Dec 2018
Contributed by Lukas
Collin presents difficulty grasping objects and impaired sensation in his hands. The physical therapist is challenged with determining which sensatio...
Mechanical Traction
19 Dec 2018
Contributed by Lukas
Maurice presents with non-specific lower back pain that has been responding favorably to mechanical traction.The physical therapist is challenged with...
PNF Patterns
05 Dec 2018
Contributed by Lukas
Monte presents with a recent MCA stroke and upper extremity spasticity. The patient demonstrates movement out of synergy, however, is having difficul...
Spine Observation
28 Nov 2018
Contributed by Lukas
Haddie is a child who would like to try out for gymnastics. During her physical screening, she is found to have some spinal/trunk abnormalities. The p...
EKG Reading
21 Nov 2018
Contributed by Lukas
Nate is a physical therapist evaluating a patient in the acute care setting. The patient is found to have some cardiac arrhythmias on their EKG prior ...
Primary Hyperparathyroidism
14 Nov 2018
Contributed by Lukas
Saphie is being seen post-MVA for neck and mid-thoracic pain. The patient has a history of primary hyperparathyroidism. The physical therapist is ch...
Postural Dysfunction
07 Nov 2018
Contributed by Lukas
Bobby is a carpenter who presents with paresthesias into his right hand and forearm. The physical therapist is challenged with determining the condi...
SCI Functional Outcomes
31 Oct 2018
Contributed by Lukas
Jax is being seen for a C7 ASIA B SCI. The patient has been participating in physical therapy for 2 months but continues to have functional limitation...
Active Vs. Passive Insufficiency
24 Oct 2018
Contributed by Lukas
Nadine assesses her patient's knee flexion strength in both the sitting and standing positions. The therapist finds that the patient has diminished en...
Monofilaments
19 Sep 2018
Contributed by Lukas
Tim presents to physical therapy for functional decline and poor blood sugar control. The patient has multiple pressure ulcers but is unable to sense ...
Transverse Humeral Fracture
10 Aug 2018
Contributed by Lukas
Carly is being evaluated by physical therapy post transverse humeral mid-shaft fracture. The patient does present with possible neurological compromis...
Cardiovascular Response To Exercise
08 Aug 2018
Contributed by Lukas
Davis presents with CHF and is undergoing a 6-minute walk test. The patient's HR, SPO2, and blood pressure are all being monitored to ensure patient s...
Transtibial Amputation
03 Aug 2018
Contributed by Lukas
Rodney underwent a right transtibial amputation and is being fitted for a patellar-tendon bearing socket. The physical therapist is challenged with ...
Toe Walking
18 Jul 2018
Contributed by Lukas
Victoria is a 3-year-old child who presents to physical therapy for severe toe walking. The physical therapist is challenged with determining the mo...
Rapid Knee Hyperextension
04 Jul 2018
Contributed by Lukas
Brandon is being evaluated in physical therapy for his posterior knee pain. The patient gait assessment reveals a rapid knee hyperextension during the...
Standard Wheelchair Measurements
15 Jun 2018
Contributed by Lukas
Sonia presents to physical therapy post-MVA a T10 spinal cord injury. She has been using a wheelchair for her primary mode of transportation and now h...
Middle Cerebral Artery Stroke
30 May 2018
Contributed by Lukas
Pam has a history of a middle cerebral artery stroke and is currently having difficulty combing her hair. Despite multiple teaching strategies, the pa...
Diabetes Mellitus Type 2
11 May 2018
Contributed by Lukas
Janice presents to physical therapy with a past medical history consistent with diabetes mellitus type 2. The patient also has a resting blood glucose...
Cerebral Palsy
27 Apr 2018
Contributed by Lukas
Isabelle presents to physical therapy with a history of cerebral palsy and a developmental age of 8 months. The physical therapist is challenged wit...
Lateral Ankle Sprain
13 Apr 2018
Contributed by Lukas
Jason has a recent onset of a lateral ankle sprain. He is being treated in the outpatient physical therapy clinic with therapeutic ultrasound. The phy...
Hypothyroidism
14 Mar 2018
Contributed by Lukas
Shirley is a 48-year-old female who has a past medical history of hypothyroidism. She has non-pitting edema, dry skin, and poor peripheral circulation...