A 70-year-old female patient complained of sharp lower back pain. She reported strong pain radiating from her back down her leg into her right calf. The pain was constant, and daily activities such as standing for 10 minutes increased her pain levels. She was using prescription hydrocodone multiple times daily. She had an L4-L5 laminectomy one day ago and has been referred for physiotherapy.

Question 1 – What should the therapist include in her session initially?

A 70-year-old female patient complained of sharp lower back pain. She reported strong pain radiating from her back down her leg into her right calf. The pain was constant, and daily activities such as standing for 10 minutes increased her pain levels. She was using prescription hydrocodone multiple times daily. She had an L4-L5 laminectomy one day ago and has been referred for physiotherapy.

Question 2 – The 70-year-old female patient is one day post L4-L5 laminectomy. What is the disadvantage of a complete laminectomy?

A 70-year-old female patient complained of sharp lower back pain. She reported strong pain radiating from her back down her leg into her right calf. The pain was constant, and daily activities such as standing for 10 minutes increased her pain levels. She was using prescription hydrocodone multiple times daily. She had an L4-L5 laminectomy one day ago and has been referred for physiotherapy.

Question 3 – A physiotherapist is designing an exercise program for the patient. Which of the following muscle groups should be strengthened to work together to stabilize the lumbar spine?

A 70-year-old female patient complained of sharp lower back pain. She reported strong pain radiating from her back down her leg into her right calf. The pain was constant, and daily activities such as standing for 10 minutes increased her pain levels. She was using prescription hydrocodone multiple times daily. She had an L4-L5 laminectomy one day ago and has been referred for physiotherapy.

Question 4 – The physiotherapist notices that a colleague seems to treat all clients with laminectomy using the same regimen regardless of the client’s age or functional ability. What should the physiotherapist do?

A 15-year-old female with intermittent left anterior knee pain for over a year is a competitive cheerleader who practices over 15 hours per week and performs high dynamic landing activities. She initially began noticing a gradual increase in pain while participating in competitive cheerleading, which progressed to pain with other weight-bearing activities, specifically squatting or stair activities. Examination reveals a pronated foot and increased Q angle. The therapist suspects patellofemoral pain syndrome.

Question 1 – What may be the cause of an increased Q angle?

A 15-year-old female with intermittent left anterior knee pain for over a year is a competitive cheerleader who practices over 15 hours per week and performs high dynamic landing activities. She initially began noticing a gradual increase in pain while participating in competitive cheerleading, which progressed to pain with other weight-bearing activities, specifically squatting or stair activities. Examination reveals a pronated foot and increased Q angle. The therapist suspects patellofemoral pain syndrome.

Question 2 – Which of the following impairments would you NOT typically treat as a common impairment associated with patellofemoral pain syndrome?

A 15-year-old female with intermittent left anterior knee pain for over a year is a competitive cheerleader who practices over 15 hours per week and performs high dynamic landing activities. She initially began noticing a gradual increase in pain while participating in competitive cheerleading, which progressed to pain with other weight-bearing activities, specifically squatting or stair activities. Examination reveals a pronated foot and increased Q angle. The therapist suspects patellofemoral pain syndrome.

Question 3 – The therapist notices that one of his patients, Robert, repeatedly comments on another female patient’s dressing and has also made racially discriminatory remarks toward other patients, even after being warned multiple times about inappropriate behaviour. What can the therapist do in this situation?

A mother of a 3-month-old baby visits your clinic with the concern that when she puts her baby on the belly, he tries to lift himself up on his elbows but never turns to his back from this position. What will be your response to her?

A patient presents with weakness while performing precision grip activities. The therapist asks the patient to perform the movement shown in the image. What is being tested here?

Maria is a 66-year-old woman who visits the physiotherapy department for the first time due to back pain. During assessment, the physiotherapist learns that she lives alone and has a maid to help her with daily chores. Upon further evaluation, the physiotherapist determines that the patient is incapable of providing consent for some physiotherapy treatments, and there is no one immediately available to act as a Substitute Decision Maker. What should the physiotherapist do in this situation?