---
title: Resolving Fall-Related Trauma Pain and Improving Mobility with Biophysical Agents and Exercise
description: Resolving Fall-Related Trauma Pain and Improving Mobility with Biophysical Agents and Exercise
---

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# The Pulse

# Resolving Fall-Related Trauma Pain and Improving Mobility with Biophysical Agents and Exercise

Posted by [ACP](https://blog.acplus.com/author/acp) on Mar 5, 2019 7:05:11 PM

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**Patient Information:** Male, Age 66

**Diagnosis:** Fall-Related Trauma / Multiple Fractures

**History:** This gentleman was admitted to a skilled nursing facility for rehabilitation services after being hospitalized for two and a half months due to a fall at home while climbing a ladder, resulting in multiple fractures to the left side of his body. While in the hospital he suffered respiratory failure due to a pneumothorax (collapsed lung). Prior to his fall he was living at home, independent with all activities, and worked full-time in the field of construction.

**Pre-Therapy Status:**  
•Pain: Moderate in the shoulders, elbows, hands, and low back.  
•Functional Mobility: Moderate (50%) assistance for bed mobility; maximal (>75%) assistance  
for transfers.  
•Self-Feeding: Dependent (100% assistance).  
•Balance: Scored 3/28 on the Tinetti Balance and Gait Assessment, indicating severely  
impaired dynamic balance and a high risk of falling.  
•Gait: 5 feet with a front wheeled walker and maximal (>75%) assistance; unable to climb stairs.

**Therapy Information:**  
•Modality: OmniStim® FX2 Pro Patterned Electrical Neuromuscular Stimulation (PENS),  
Megapulse® II Shortwave Diathermy, OmniSound® 3000 Pro Therapeutic Ultrasound System,  
OmniCycle® Elite Motorized Therapeutic Exercise System.  
•Frequency: 5x per week.  
•Protocol Specifics: Upper extremity triphasic PENS to the left wrist flexors/extensors  
and lower extremity triphasic PENS to the quadriceps/hamstrings to improve coordination  
and strength. Alternated thermal diathermy and ultrasound to the low back, shoulders  
and hands to decrease pain. OmniCycle® upper and lower extremity neuro mode to improve  
arm and leg strength.  
•Duration: Fourteen weeks.  
•Other Therapy Services Provided: Gait training, manual therapy, therapeutic exercise,  
wheelchair management, neuromuscular re-education, and activities of daily living training.

**Outcome:**  
•Pain: Pain-free in the shoulders, elbows, hands, and low back.  
•Functional Mobility: Independent for bed mobility and transfers.  
•Self-Feeding: Independent.  
•Balance: Scored 20/28 on the Tinetti Balance and Gait Assessment, indicating markedly  
improved dynamic standing balance and lowered (moderate) risk of falling.  
•Gait: 225 feet with a front wheeled walker and supervision; able to climb four stairs with verbal  
reminders for safety.

*This gentleman and family are so excited about his progress in therapy and ability to return home!*

 Topics: [Fall Prevention & Balance](https://blog.acplus.com/tag/fall-prevention-balance), [Pain Management](https://blog.acplus.com/tag/pain-management), [Patient Success Story](https://blog.acplus.com/tag/patient-success-story)

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