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Case Study 13 year old male Diagnosis Cerebral Palsy Medical History This patient is a thirteen-year-old male diagnosed with Cerebral Palsy birth His female therapist physical therapist assistance PTA at Andalusia Regional Hospital has been seeing him since he was three months old This patient is an outpatient along with a homehealth patient He has had surgeries for muscle releases of contractures Since the PTA has been seeing him of his entire life I will only discuss his most recent surgery In April 2002 he had surgery bilaterally for the lengthening of his hamstrings HS He was prescribed bilateral knee immobilizers along with a short leg cast on his right ankle Following surgery he w as cleared to weight bear as tolerated His prior level of functioning was dependent for most activities of daily living ADLs and gait in which he did use a rolling walker The patient required maximum assistance for standing also The strength of his quadriceps bilaterally was 25 to 35 left dorsi flexion DF and plantar flexion PF was a 25 bilateral upper extremities were 35 Plan of care Immediately following surgery the patients plan was therapeutic goals were to wear knee immobilizers full-time except when bathing for 2 weeks then essentially full time for 2 more weeks to encourage healing with his hamstrings stretched After four weeks he was to wear them all night Also he needed to be able to stand on his right foot in four to five days with his only limit being pain His short-term goals STGs included 1 Moderate assistance with sit
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