hello friends,
I'm a junior physiotherapist. Now I'm working as a volunteer in Yangon Orthopedic Hospital in Myanmar. My patient is 23 -year old man. He has patella dislocation with Tibia fracture. Swelling and inflammatiion around the knee is so large. Muscle wasting is present and evident. Knee joint limitation is bad. Flexion is 25 degree and extension is 15 dg.Movement is so limited. Firstly I gave him static quadricep exercise mainly with pillow. Assisted active ex for knee and hip ex are givenwith heel drag. Suspension ex for hip is given. After 3 days , I planned to give him small weight spring ex for knee extensors and glueti muscle.Then, in sitting position, reciprocal knee bending and straightening ex are given.His ROM is increased to 85 dg and 10 dg. High - Weight spring ex is continued. Swelling is reduced. Sand bags are used for PRE. In third week in parallel bar, standing and weight shifting are trained. In fourth week, walking is trained and gait training is corrected. Walking aids are used to support. Finally half- squating and continued to 3/4 squating . Stationary bicycle was used to further training. So please give me advice for my patient.
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