Patient Information: Female, Age 95

Diagnosis: Knee Pain / Neuropathy

History: This woman, a long-term skilled nursing facility resident, was referred to physical therapy due to knee pain which affected her range of motion and ability to transfer with the nursing staff. Previously, she was able to transfer from the bed to chair with minimal (25%) assistance and attended facility activities.

Pre-Therapy Status:

• Knee Pain: Severe (9/10).
• Dynamic Sitting Balance: Poor plus.
• Functional Mobility: Maximal (>75%) assistance of 2 people for bed mobility and transfers.
• Ambulation: Unable to walk.

Therapy Information:

• Modality: OmniVersa® Multi-Modality Therapy System.
• Frequency: 5x per week.
• Protocol Specifics: Premodulated (PREMOD) sensory-motor and transcutaneous electrical nerve stimulation (TENS) sensory electrical stimulation to both knees for pain.
• Duration: Nine weeks.
• Other Therapy Services Provided: Bed mobility, therapeutic exercises, transfer training, balance exercise and gait training.

Outcome:

• Knee Pain: Moderate (4/10).
• Dynamic Sitting Balance: Good.
• Functional Mobility: Guiding/steadying assistance from the therapist during bed mobility; minimal (25%) assistance for transfers.
• Ambulation: 50 - 60 feet with a rolling walker and minimal (25%) assistance.

This woman and the nursing staff are so excited her transfers have improved and she is now able to walk using a rolling walker without severe knee pain.  She walks to and participates in facility activities again, including bingo every Thursday!