Description
Each student will be assigned a patient scenario. Each student is required to submit an individually completed research paper; complete with references and citations within text (APA style) from peer reviewed medical or therapy journals.
Using the assigned patient scenarios:
Follow the rubric criteria.
Include your assigned patient information at the beginning of the paper.
Discuss the condition/diagnosis in terms of basic information, pathology, phase of healing.
Identify and define 3 physical agents that are appropriate for the patient per scenario and the method of transference into the body.
Correlate the interventions chosen with the condition and the rationale for the choices based on that particular condition /diagnosis.
Identify the physiological effects delivered to the body for each modality.
Identify therapeutic goals/indications for the patient needs for each modality chosen.
Indicate each physical modality treatment parameters and include supportive statements (from research articles) for the choice of these parameters. Hint: make sure to cite research articles within text when appropriate.
Discuss all treatment precautions and contraindications that are appropriate for the patient.
Provide a summary based on research of the literature for the efficacy of each modality and provide all appropriate citations.
FOLLOW THE RUBRIC CRITERIA!!
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Physical Therapist Assistant Program
PTA 1240
Physical Agents Research Paper Assignment
Each student will be assigned a patient scenario. Each student is required to submit an individually completed
research paper; complete with references and citations within text (APA style) from peer reviewed medical or
therapy journals.
Using the patient scenarios below:
1. Follow the rubric criteria.
2. Include your assigned patient information at the beginning of the paper.
3. Discuss the condition/diagnosis in terms of basic information, pathology, phase of healing.
4. Identify and define 3 physical agents that are appropriate for the patient per scenario and the method of
transference into the body.
5. Correlate the interventions chosen with the condition and the rationale for the choices based on that
particular condition /diagnosis.
6. Identify the physiological effects delivered to the body for each modality.
7. Identify therapeutic goals/indications for the patient needs for each modality chosen.
8. Indicate each physical modality treatment parameters and include supportive statements (from research
articles) for the choice of these parameters. Hint: make sure to cite research articles within text when appropriate.
9. Discuss all treatment precautions and contraindications that are appropriate for the patient.
10. Provide a summary based on research of the literature for the efficacy of each modality and provide all
appropriate citations. FOLLOW THE RUBRIC CRITERIA!!
Patient Scenarios
A. Miss Tedo is 69-year-old female with a diagnosis of cervical degenerative joint disease.
Subjective: Patient states that she has neck stiffness and pain rated as 6/10. Patient states that she has
tingling and pain (5/10) that radiates down the right arm to the little finger.
Clinical Findings: She presents with limited cervical range of motion, 30o of rotation bilaterally and 10o of
lateral flexion bilaterally. She exhibits moderate cervical paravertebral muscle hypertonus with a forward
flexed posture and poor postural awareness.
Therapy Goals: Reduce pain in the cervical spine and RUE, decrease cervical muscle hypertonus, improve
cervical spine facet mobility and range of motion, improve postural awareness and postural alignment.
Plan of Care: Provide physical agents/modalities to accomplish the therapy goals.
• Pain reduction
• Muscle hypertonus
• Postural awareness
B. Mrs. Leo is 28-year-old female tennis player with a diagnosis of acute right humeral lateral epicondylitis
and mild adhesive capsulitis of the right shoulder.
Subjective: The patient reports 4/10 right lateral elbow pain and right shoulder stiffness at rest, increasing
to 6/10 pain with overhead reaching.
Clinical Findings: AROM is normal for right elbow and forearm; 120o glenohumeral abduction and 40o
degrees of glenohumeral internal and external rotation. The glenohumeral joint capsule has moderate
palpable scar adhesions. The right upper trapezius has moderate hypertonus secondary to abnormal
scapulohumeral rhythm. Girth measurements over the lateral epicondyles: L = 16 cm and R = 19 cm.
MMT: R wrist extension = 4/5, glenohumeral flexion and abduction = 4/5
Therapy Goals: Decrease right elbow and shoulder pain, decrease right lateral elbow inflammation, restore
normal right upper trapezius muscle tone, establish normal glenohumeral rhythm, reduce right glenohumeral
capsular adhesions, decrease inflammation and swelling in area of right lateral epicondyle, normalize ROM
of the right shoulder and elbow, and patient education and home program instruction.
Plan of Care: Provide physical agents/modalities to accomplish the therapy goals.
• Pain reduction
• Inflammation control
• Resolve adhesions
• Normalize upper trapezius tone
C. Mr. Peterson is a 60-year-old postal worker who fell while delivering the mail.
Diagnosis: Two months postoperative left patellar fracture with open reduction internal fixation (ORIF).
Subjective: The patient reports 3/10 patellar pain but 5/10 quadriceps pain which he believes is from
walking stiffly with knee flexed to guard the left knee.
Clinical Findings: The patient exhibits decreased left LE stance time with independent ambulation.Range
of motion is 130o of left knee flexion in supine, 90o of left knee flexion in prone and 15o of left knee
extension. There are moderate left midline quadriceps scar adhesions with moderate patellar hypomobility.
Left knee strength is 4/5 for the hamstring and quadriceps grossly. The patient has moderate keloid scarring
of the left patellar surgical incision and moderate edema in the knee joint.
Therapy Goals: Decrease left knee and thigh pain, restore normal gait pattern, normalize scar tissue and
patellar mobility, resolve left knee edema, normalize knee range of motion and strength, and achieve
independence with a home treatment and exercise program.
Plan of Care: Provide physical agents/modalities to accomplish the therapy goals.
• Patellar left thigh scarring and adhesions
• Resolve edema
• Pain reduction and muscle joint stretching
Physical Therapist Assistant Program
PTA 1240
Physical Agents Research Paper Assignment
Each student will be assigned a patient scenario. Each student is required to submit an individually completed
research paper; complete with references and citations within text (APA style) from peer reviewed medical or
therapy journals.
Using the patient scenarios below:
1. Follow the rubric criteria.
2. Include your assigned patient information at the beginning of the paper.
3. Discuss the condition/diagnosis in terms of basic information, pathology, phase of healing.
4. Identify and define 3 physical agents that are appropriate for the patient per scenario and the method of
transference into the body.
5. Correlate the interventions chosen with the condition and the rationale for the choices based on that
particular condition /diagnosis.
6. Identify the physiological effects delivered to the body for each modality.
7. Identify therapeutic goals/indications for the patient needs for each modality chosen.
8. Indicate each physical modality treatment parameters and include supportive statements (from research
articles) for the choice of these parameters. Hint: make sure to cite research articles within text when appropriate.
9. Discuss all treatment precautions and contraindications that are appropriate for the patient.
10. Provide a summary based on research of the literature for the efficacy of each modality and provide all
appropriate citations. FOLLOW THE RUBRIC CRITERIA!!
Patient Scenario
Mr. Peterson is a 60-year-old postal worker who fell while delivering the mail.
Diagnosis: Two months postoperative left patellar fracture with open reduction internal fixation (ORIF).
Subjective: The patient reports 3/10 patellar pain but 5/10 quadriceps pain which he believes is from
walking stiffly with knee flexed to guard the left knee.
Clinical Findings: The patient exhibits decreased left LE stance time with independent ambulation.Range
of motion is 130o of left knee flexion in supine, 90o of left knee flexion in prone and 15o of left knee
extension. There are moderate left midline quadriceps scar adhesions with moderate patellar hypomobility.
Left knee strength is 4/5 for the hamstring and quadriceps grossly. The patient has moderate keloid scarring
of the left patellar surgical incision and moderate edema in the knee joint.
Therapy Goals: Decrease left knee and thigh pain, restore normal gait pattern, normalize scar tissue and
patellar mobility, resolve left knee edema, normalize knee range of motion and strength, and achieve
independence with a home treatment and exercise program.
Plan of Care: Provide physical agents/modalities to accomplish the therapy goals.
• Patellar left thigh scarring and adhesions
• Resolve edema
• Pain reduction and muscle joint stretching
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