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Static Balance Test (Single-Leg Stand): Lisa was unable to stand/balance on either leg with her eyes closed

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Objective (O):

Vitals:

Height: 5’4”

Weight: 103 lbs.

BMI: 17.72

Resting HR: 75

Resting BP: 144/92 mmHg

DEXA Scan:

Hips: 2.8 SD below young-adult

T-Score Lumbar Spine: 2.6 SD below young-adult

T-Score Lower Extremity Flexibility (measured with goniometer):

Hip Flexion: 80°

Hip Extension: 8°

Knee Flexion: 145°

Knee Extension: 0°

Ankle Dorsiflexion: 10°

Ankle Plantar Flexion: 47°

Static Balance Test (Single-Leg Stand): Lisa was unable to stand/balance on either leg with her eyes closed

4. Comment on Lisa’s stature and BMI? What is Lisa’s BMI Body-Weight Classification?

5. Based off the patient description and objective findings, how many risk factors for osteoporosis does Lisa have? Please specify which risk factors are inherited, and which are environmental.

6. Comment on Lisa’s lower extremity flexibility. Are Lisa’s joint range of motion measurements within normal ranges (look these up in reference charts)? If not, name the specific joint range of motion measurements that are abnormal, and describe which muscle groups need targeted stretching in the exercise plan to improve her flexibility and range of motion at the affected area(s).

7. Comment on Lisa’s balance. What neuromuscular training (i.e., balance and agility) could you incorporate into her exercise program to help prevent more falls from happening in the future? How often should this training be performed each week?

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