Based on your above diagnosis, which would be the primary intervention that you would perform?

Patient is a 45-year-old male presenting 6 weeks post-op Lt rotator cuff repair. The operative note indicates the patient had a medium sized tear in the supraspinatus without signs of atrophy or fatty infiltration. The patient is left hand dominant and wants to eventually return to work as a mechanic. He is progressing appropriately in physical therapy. Which the following is an appropriate rehab goal at this time?

Neuromuscular electrical stimulation was applied to the quadriceps muscle.  The stimulation was done at 60° of knee flexion and the intensity was increased to at least 30% of the patient’s daily maximum voluntary isometric contraction, as described previously. This patient was also progressed to a cane to facilitate more symmetrical weight bearing and greater functional use of the left lower extremity. By week 2 she had full active knee extension. During gait, she continued to ambulate with a flexed knee during stance since she was not functionally using her extension. Standing terminal knee extension with resistance band (Figure) was added to her program. Cues to increase knee extension during stance were reinforced during gait training. By week 3, the patient’s main complaint was difficulty descending and ascending stairs. Upon reevaluation, she had 0° to 130° of active knee range of motion. She had a 3.5-cm girth difference left to right measured at midpatella. She continued to ambulate with a single-point cane in a symmetrical step pattern. Maximum volitional isometric contraction testing showed the right quadriceps produced 440 N and the left produced 297 N of force; the quadriceps force production of the left was 68% of the right. The Timed Get Up and Go Test was completed in 9.1 seconds; the Stair-climbing test was finished in 18.45 seconds. Her Knee Outcome Survey was 77%. The patient’s main impairment at this time is:

If you wanted to look at the influence of the external cervical musculature in cervical rotation what test could you perform to evaluate?

What is the next physical examination test the physical therapist should conduct?

Use the below case information to answer the next 3 questions  A 46 year old patient arrives at your clinic with a chief complaint of neck and head pain.  The patient labels “sharp” pain on the right side of her neck going up into the suboccipital region.  The patient reports that the pain has been present for 18-24 months, and denies a focal mechanism of injury.  The patients main complaints is rotation of her head to the right when driving and headaches after being at the computer all day.   Pain at rest is 3/10, and increases to 6/10 at the end of the day.      In the review of systems form she marked headaches, and a prior MVA 5 years ago.     The patient reports that he job is as a customer service representative for a cable company where she is in front of a computer and on the phone all day.  The patient has a referral from the MD that states “neck pain”, and during his examination x-rays were taken that were unremarkable.  The patient is currently taking 800mg of ibuprofen prescribed by MD for the past week that has been mildly effective.    The patient arrives with a moderate forward head posture noted, as well as rounded shoulders present.  The patient ROM is 45 degrees in flexion without increased pain, 25 degrees in extension without reproduction of symptoms,  side-bending is 20 degrees bilaterally, and 30 degrees of right rotation with focal pain at base of skull, 70 degrees of left rotation without focal symptoms.  All neurological testing was negative. 

Use the below case information to answer the next 4 questions  An 80 yo recreational tennis player presents to the clinic with an acute onset of right shoulder pain.  The pain is located anterior superior region and radiates laterally to the deltoid tubercle.  He reports that his shoulder was 100% fine until he was serving 2 days ago in a long tennis match when he felt something tear in his right shoulder. He notes immediate shoulder pain and an inability to raise his shoulder against gravity.  He now has pain at rest and with even gentle activity.  He presents for evaluation and treatment at your facility

The joint mobilization you provide this patient should include left TMJ mobilization with:

Which of the following conditions is NOT included in the differential diagnosis for a patient presenting with ulnar–sided wrist pain?

In order to rule out the influence of the upper thoracic hypomobility as a limiting factor in ROM deficits, which test should be completed: