Category: Brain Injury; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development); Pain Rehabilitation
Design : Case study
Four year follow-up
Setting : outpatient physical therapy clinic
Participants (or Animals, Specimens, Cadavers) : 1 participant
Interventions : pool therapy, aquatic therapy
Main Outcome Measure(s) :
Results : Patient participated in pool therapy daily x 1 hour for five months including multidirectional walking after surgical wound healing.
Patient returned to work 6 weeks following surgical intervention with work restrictions.
Patient adapted work structure to include increased pool therapy with patients to limit fear of falling and decrease need to lift patients, thereby improving pain ratings.
Four year post follow-up: patient continues with adaptations for safety of self and others. With continued balance training, fall rates have decreased to pre-injury level. Pain impacts participation in daily work activities.
Conclusions : This is a case study of one incident of traumatic chiari malformation and it's impact on a practicing physical therapist ability to return to work and adaptations made to allow continued work.