Exam questions:

Functional status: 

Loading response: Shock absorbtion?

​Midstance:  (1) shank WFL, (2) excessively reclined shank, or (3) excessively reclined shank?

​Terminal stance: Therapeutic gait?

Swing?

Musculoskeletal findings:

What structures are receiving excessive stress in the movement system?

Which muscles have altered line of pull?

Neuromotor and Motor control findings:

In which muscle groups do you observe

·       Impaired timing for function?

·       Altered tonic contraction?

​What strategies are available to for balance reactions?

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Sensory Perception and Pain:

What is your hypothesis for the usefulness of the LE cortical map for function?

Relevant systems screening:

What systems might be contributing to S’s gait impairments? Any referrals you want to make?

Individual:

           

Key findings: What are the suspected drivers and limiting factors?

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Goals:

What are relevant goals for S?

Body Structure and function:

Activities:

Environment, Participation, and Personal Factors:

​What are goal areas that might be in conflict (ICF levels/family goals/patient goals/team member goals)? Who is right?

 

Pain and Health Condition Education:

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Neuroplasticity questions:

Demonstrate/describe 3  activities to promote neuroplasticity/cortical map plotting of the LEs. Bonus points for creative activities/games NOT mentioned in the manual. How will you progress the complexity for cortical map development?

 

Manual Therapy:

Demonstrate the joint mobilizations that might be appropriate

Demonstrate the soft tissue mobilizations that might be appropriate .

How might you modify techniques?

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Strengthening questions (Page 133-148):

Improved strength in what 3 muscle groups would make the biggest functional difference ?

Demonstrate the progressive resistive exercises you plan to do. How will you modify for him?