Begin a course of active-assisted range of motion exercises, focusing on the upper extremities and creating a home program to improve shoulder active range of motion.The MOST appropriate course of action is to: This has led to a pressure ulcer forming on his right ear from contact with the wheelchair headrest. The boy has significant shortening of the left sternocleidomastoid muscle, creating a severe torticollis to the right. This describes a “high” ankle sprain, or Syndesmosis sprain.Īn 11 year old male presents to the physical therapy clinic with signs of hypertonicity related to cerebral palsy.This describes a mild or Grade I lateral ankle sprain.This describes a severe or Grade III lateral ankle sprain.This describes a Grade II lateral ankle sprain. Partial tear of the syndesmosis, creating generalized swelling and tenderness throughout the ankle joint complex inability to bear weight, severe ecchymosis, and mortise widening.Stretch of the lateral ligament complex with no macroscopic tear or joint instability, little swelling or tenderness.Complete rupture of the anterior talofibular ligament, calcaneofibular ligament, and capsule with mechanical joint instability severe intra/extra-capsular swelling, ecchymosis, tenderness and inability to weight-bear.Partial tear of the lateral ligament complex with mild joint instability, moderate intra-capsular swelling and tenderness, and some loss of ROM and joint function.What are the characteristics of a Grade II ankle sprain? Stable would mean the result does not fluctuate.Ī 20 year old male soccer player presents with a Grade II right lateral ankle sprain upon evaluation.Statistically significant would mean the result is likely NOT due to chance.

With high specificity, a test that is positive will rule IN the condition because the negatives are so reliable.

Specificity is the % of true negatives identified.

With high sensitivity, a test that is negative will likely mean that you can rule OUT the condition because positives are so reliable. A test that is sensitive will correctly identify the true positives. If a magnetic resonance image (MRI) correctly identifies 95% of patients as positive for anterior cruciate ligament tears, then the MRI is:

Physical therapy podcasts free