Case Study Presentation

Made by
Rashmi Jain
A1106616090
Demographic data:

Name: Aamna
Age: 60 years

Gender: Female
Occupation: Unknown
Subjective Information

History: Noted
Hypertension
Right renal calculi
Observation- Patient is conscious, oriented and following the
commands
 IV line present over left arm
 Foleys catheter present
 Body build: Mesomorphic
On examination
 Airway entry: Reduced bilateral lower zones
 GCS- E4V5M6
 Neuromuscular examination-
 Manual Muscle Testing:
 3+ /5 (left lower limb & upper limb) Gross
 3/ 5 ( right upper limb & right lower limb) Gross
 Sensory examination- Intact ( B/L upper & lower limb)

 ROM- Range of motion of Bilateral upper and lower limb are

within normal limits
 Coordination- Affected (B/L UL & LL)
 Balance : Positive Romberg’s sign
 Gait: Ataxic Gait
 Tone- Normal
 Reflexes: Normal

Provisional diagnosis- Acute meningoencephalitis

Treatment-

Exercise programme:
 Deep breathing exercises( Diaphragmatic) x 10 repetitions
 AROM of B/L upper and lower limb x 10 repetitions
 Isometric Quadriceps & Hamstrings x 10 repetitions
 Dynamic quadriceps x 10 repetitions
 Spinal mobility exercises x 10 repetitions
 Bed side standing with support
 Ambulation done(with support)
After 3 days
 Continuation of above exercises
 Strengthening exercises of B/L Upper limb and lower limb
 Coordination exercises
 Marching
 Squatting
Next week

On examination
 Neuromuscular examination-
 Manual Muscle Testing:
 3+/5 (left lower limb & upper limb) Gross
 3/ 5 ( right upper limb & right lower limb) Gross
 Sensory examination- Intact ( B/L upper & lower limb)
 Coordination- Affected (B/L UL & LL)
 Balance : Positive Romberg’s sign
 Tone- Normal
PT Advice:
 Continuation of above exercises
 Coordination exercises
 Gait training
 Tandem walking with support
 Heel and toe up with support
After 2 days
 Gait training
 Sit to stand activity x 10 repetitions
 Tandem walking without support initiated
 Heel and toe with minimal support
THANK YOU