Date of Award

2010

Document Type

Scholarly Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Advisor

Schawnn Decker

Abstract

Background and Purpose: Total ankle arthroplasty is the least performed arthroplasty of the lower extremities and there is still much to learn about the need for and progression of rehabilitation for this population. The purpose of this case report is to describe the examination, evaluation, interventions, and outcomes for a patient receiving out-patient physical therapy for the first time at 10 weeks status post total ankle arthroplasty.

Case Description: The patient was a 75 year old male that presented to out-patient physical therapy 10 weeks s/p cemented right total ankle arthroplasty. The patient had received acute care physical therapy, but no therapy after he was discharged from the hospital.

Outcomes: Positive outcomes were observed in this case study with the interventions used. An increase in ROM and strength was measured in all planes of the operated ankle at time of discharge, along with increased in functional mobility.

Discussion: There is a definite gap in the research when it relates to rehabilitation following a total ankle arthroplasty. A theoretical framework for management of this patient's rehabilitation could not be found. This case report, others like it, and randomized controlled trials on this rehabilitation process will help in finding the best evidence based interventions for this patient population.

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