Based upon observation and subjective history/complaints our goals for the week as follows:
1. Able to obtain 0 degrees knee extension with standing ADL's, walking, and right lower extremity heel strike.
2. Able to go up and down stairs using both legs for ascending and descending.
3. Progress from rolling walker to straight leg cane.
4. Increase walking distance to 1 city block.
Day 1
I decided to start treatment and when I got him supine noticed that there was about 1.5 inch leg length discrepancy.
Upon functional mobilization with stability to the L. LE and pelvis, they became even. We worked on L. pelvis abduction and extension.
Treatment lasted about 45 minutes and home program was to stand every 15 minutes, with both knees straight and weight shift side to side.
Note that we had adapted his recliner chair to be about 3 inches higher on blocks and provided support behind the his back to get him over his pelvic floor.
Patient tolerated treatment well.
