...A month after his surgery, a few more exercises were added to his treatment. Bilateral ankle range of motion (ROM) was performed, along with ankle stretches of DF and PF for ten reps holding 15 seconds. A restorator was added, which is a peddler he can do while seated in his wheelchair. He performed this for 15 minutes. He performed exercises with the rope and pulley for five minutes, premod and moist heat to both his hamstrings for 15 minutes was added, also. Within the last month a few more exercises were added. Thirty reps of short arc quadriceps were performed with a bolster and towels. Single knee extensions and abduction exercises of 30 reps each were added. The last exercise to be added was straight leg raises performing five reps holding ten seconds with moderate assistance.
On each visit not all of the therapeutic exercises were performed bye this patient due to tardiness, endurance, or cooperation. Some days were better than others were. His overall cooperation was good, with my experience. Three months later a reassessment was made on him. Established goals included increasing ROM, increasing strength, increasing endurance, and improving capacity in ADLs and education, which all improved. There was exceptionally goo progress with endurance. He was walking with his legs straighter and for 200 feet with moderate assistance of walker and PTA. He can now independently transfer. His active ROM of his knees increased on the left from -20 to -50 and right -10 to -40...

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