Faculty Advisor(s)

Michael Fillyaw

Document Type

Course Paper

Publication Date

12-4-2014

Rights

© 2014 Oana Butnarasu

Abstract

Background & Purpose: Leg length discrepancy (LLD) is a frequent orthopedic problem that presents as either shortening or lengthening of one of the lower limbs. Patients with LLD often present with gait compensation pattern, scoliosis, back and/or lower extremity pain. The purpose of this case report is to describe the physical therapy management of a patient with LLD who experienced pain in the left lower extremity and a left anterior pelvic tilt. Case Description: MT was a 15 year old male who presented to outpatient PT clinic accompanied by his mother with the chief complaint of pain in his left hip. The patient reported the onset of pain in the left hip for one year with no recollection of trauma. The examination showed impairments in muscular strength. Procedural interventions included therapeutic exercises with the focus on strengthening of bilateral lower extremities and postural re education. Outcomes: MT’s Lower Extremity Functional Scale and lower extremity muscle strength showed major improvements. Additionally, his endurance and aerobic capacity improved as demonstrated by his ability to run on a treadmill for two miles with no pain presentation in his left hip. However, MT continued to have mild difficulty with running on uneven surfaces. Discussion: MT made improvements in muscle performance throughout his 8 week course of physical therapy. Positive factors of treatment included good family support and compliance with plan of care as well as following the home exercise program provided by the physical therapist.

Comments

The case report poster for this paper can be found here:

http://dune.une.edu/pt_studcrposter/24.

Files over 3MB may be slow to open. For best results, right-click and select "save as..."

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.