Group 2: OA

Balonon
Bautista
Chan
Dantes
Medrano
Nuevo

Problem List Goals Treatment Plan

  Pain on (L)
anteromedial aspect of
knee & proximal tibia
 LOM on (L) knee joint
ext & flex
 Muscle
weakness/atrophy on
knee flex & ext & ankle
PF & DF
 Joint stiffness on (L)
knee joint
 Joint laxity on (L) knee
joint
 Swelling at the base of
patella
 Genu Varum on (L)
Knee
 Gait Deviation
 crepitus
Impairments
Short Term Goal:
 Pt. will report 3/10 pain
d/t swelling in (L) knee at
worst within 3-6 PT Rx
session.
 Pt. will achieve increased
ROM for atleast 30° in (L)
knee flex & ext within 3-6
PT Rx session.
 Pt. will be able to
increase MMT from
grade 4/5 to grade 5/5 to
knee flex & ext & ankle
PF & DF withing 3-6 PT Rx
sessions.
 Strategy: Patient Education
1. Teach the patient regarding
the impairments caused by
OA and possible activity
limitation
2. Teach the pt regarding joint
protection and energy
conservation techniques
 Strategy: Physical modality
to reduce pain
 Tactics:
1. HMP on (L) anteromedial
aspect of knee x 5mins. c pt.
in sitting position
 Strategy: Manual Therapy
for pain Mx
 Tactics:
1. Friction massage to (L) knee
x 5mins. c pt. in sitting
position
2. PJM Gr. 2 distraction &
oscillation towards all glides
to (L) knee joint with patient
in supine position
 Strategy: Therapeutic
Exercise to maintain joint
integrity
 Tactics:
1. PROM> AROM to (L) knee
joint within pain free-range
towards AP 10 reps x 3 sets c
pt. in short sitting position
 Strategy: Therapeutic
Exercise to increase muscle
strength
 Tactics:
1. Multiple-angle Isometrics to
(L) Knee flex-ext & ext-flex 7
SH x 5 sets c pt. in short
sitting position
 Strategy: Therapeutic
Exercise to increase CV
endurance
 Tactics:
1. Aquatic Exercise c low-
intensity 30-45 mins.
 Strategy: Functional Training
to aid in ADL of the pt.
 Long Term Goal:
 Pt. should be able to
ambulate on even &
uneven surface s pain for
atleast 500m c AD within
6-12 PT Rx session.
 Pt. should be able to
ascend and descend
stairs s pain for atleast 3
flight of stairs (10 steps)
using step to gait pattern
for 5- 10 mins within 6-12
 Limitation in
PT Rx session.
ambulating on even &
 Pt. should be able to
uneven surface
perform sit-to-stand s
 Difficulty in ascending
pain for atleast 10
& descending stairs
LimitationActivity

repetition for 30 secs.

 Mild difficulty in
Within 6-12 PT Rx
prolonged standing
session.
 Limitation in sit-to-
Shor tTerm Goal:
stand
 Pt. should be able
 Difficulty in bed
maintain prolonged
mobility & transfer
standing on leveled
 Limitation in Self-care
surface for atleast 10
mins. within 3-6 PT Rx
session.
 Pt. should be able to
perform transfer from
chair to bed & back for 5
reps for atleast 15 mins.
within 3-6 PT Rx session.
 Pt. should be able
perform bed mobility
from supine- sitting
transition for 10 reps for
atleast 10 mins. within 3-
6 PT Rx session

Home Instruction/ Exercise

1. Respect fatigue
2. Maintain Proper Body mechanics
3. Walk around the house for atleast 30 mins.
4. Pull instead of push
5. Avoid extra trips
6. If the you are going to lift make sure you lift close to your body