CASE STUDY PART 3

INTERVENTIONS

INTERVENTIONS

INTERVENTIONS

PATIENT RESPONSES & MODIFICATIONS
• Patient reports no pain with therapeutic exercises
and activities
• Modifications
• Sticking to doctor protocol
• No other medical interventions needed

OUTCOMES
• Prognosis
• Patient is expected to make a full recovery to normal
function
• Patient will most likely be unable to return to dance due
to possibility of re-injury

• Recommendations
• Continue with physical therapy 2-3 times per week
• Continue with regular doctors visits
• Discontinue dance

• Community Resources
• Fitness program at Central PT

REFERENCES
1. Lewis C, Sahrmann S. Acetabular Labral Tears. Journal of Physical Therapy. 2006; 86: 110121.
Annotation:
This research was about the anatomy and function of the hip joint, and potential
impingements encountered. The methods used included analysis of gait, functional
activities, and common tests. The researcher used other research articles to support his
information on hip impingements. This article was not an experiment, but rather a summary
of several research studies to explain the fundamentals of the hip joint and impingements.
These findings relate to my patient because I am better able to understand her diagnosis,
surgery, and potential prognosis. This article also helped for potential other patients I may
encounter because I now know the signs and symptoms of a hip impingement. This article
influenced my interventions because it contained information on what tests to use, what to
look for in gait assessment, and what modifications to make in a patient’s functional
activities.
Reflection:
This source related to my research because it explained what exactly an impingent is and
what effect this has on a patient. This source supports other articles I have researched as
well. My clinical practice was modified due to the evidence in this article. This source gave
me more information on exercises to have the patient perform as well as activities to avoid.

REFERENCES
2. Charbonnier C, Kolo F, Duthon V, et al. Assessment of Congruence and Impingement of the Hip Joint in
Professional Ballet Dancers: A Motion Capture Study. American Journal of Sports Medicine. 2011; 39: 557-576.
Annotation:
This research study was about the congruency of the femoral head and the acetabulum in certain ballet
positions. The researchers used MRI scans to determine any preexisting hip pathologies, and motions capture
cameras to look for impingements. The experiment design was a descriptive laboratory study. Their subjects
were 11 female dancers, resulting in 22 hips, which are ages 18 to 38, with the mean age being25.36. The
dancers were either advanced ballet students or professional dancers that had 10 or more years of dance
experience and practiced 12 or more hours a week. The experimental variables were the dance positions
tested and which dancers were chosen. The findings revealed that 4 dance moves produced significant stress
on the hip joint, which will eventually cause cartilage hyper compression and early osteoarthritis. This article
relates to my patient because she is an elite dancer that practices more than 12 hours a week and
participates in dance year round, and she had surgery for her impingements. This article gave us a better idea
of what dance moves to tell her to avoid or limit. We are also able to incorporate dance moves that do not
impinge or sub lux the hip into her exercises by referring to what those moves are in this study.
Reflection:
This source gave me a lot of information on impingements and subluxations in the hip, specifically for
dancers. I was able to have facts and statistics to support why dancers hips can be injured. This source
supports other sources I have used because it verifies what most therapists believe about hip injuries in
dancers. The source also supports the clinical practice we have been using with this patient. Because of the
research done in the study, we know what movements to have the patient avoid, and what movements we
can incorporate into her plan of care to make therapy more enjoyable for her.

REFERENCES
3. Ackerman I, Ademi Z, Osborne R, Liew D. Comparison of Health-Related Quality of Life, Work Status, and
Health Care Utilization and Costs According to Hip and Knee Joint Disease Severity: A National Australian
Study. Journal of Physical Therapy. July 2013; 93: 889-899.
Annotation:
This research study was about the effects of hip and knee joint disease on patients’ lives and the costs
involved. The researcher used a national cross-sectional survey to estimate the burden of these diseases on
individuals. The subjects included 10,000 random individuals from all electoral division that were at least 39
years old. 1,158 people responded using the Western Ontario and McMaster Universities Osteoarthritis Index
(WOMAC), which is a disease-specific measure of a patient’s health status. The experimental variables were
the questionnaires used and age group sampled. Their findings concluded that severe osteoarthritis in the hip
or knee leads to increased health care costs, less work or activity participation, and greater likely hood of
surgery. These findings relate to my patient because her doctor believes that if she continues with dance she
could put herself into the beginning stages of osteoarthritis by age 21. She may also need multiple hip
replacements over her lifetime. This influenced my interventions because we are taking more time to show
her that dance may not be a possibility. We want her to learn this on her own by trying dance moves and
realizing the pain and long term implications that will come along with those if she continues.
Reflection:
This source relates to my research because it shows data on the long-term consequences of osteoarthritis on
a patient. This source supports other sources by confirming what limitations can happen with osteoarthritis
and the importance of prevention and treatment. This source supports my clinical practice and is used as
evidence to help my patient make her decision about continuing dance or not. This source supported our
treatment approach and will be used when speaking with the patient about potential options for the future.