Table 4.
Objective Findings: | Initial Exam: (pre‐tx) | F/U day 2: | F/U day 9: | F/U 1 month: | F/U 3 months: |
---|---|---|---|---|---|
Deep Squat: | Pain limited during return to stand from full squat; weight shift to contralateral LE | Full symmetrical ROM, pain free through completion of movement | Full symmetrical ROM, pain free through completion of movement | Full symmetrical ROM, pain free through completion of movement | Full symmetrical ROM, pain free through completion of movement |
Single Leg Squat: | Unable to perform due to pain | Not tested | Pain free, WNL ROM, observed increased femoral IR, knee valgus | Symmetrical and pain free | Symmetrical and pain free |
Grand Plie: (see pictures 1 and 3) | Pain limited during return to stand; weight shift to contralateral LE | Mild pain with full symmetrical ROM | Full symmetrical ROM, pain free through completion of movement | Full symmetrical ROM, pain free through completion of movement | Full symmetrical ROM, pain free through completion of movement |
Manual Muscle Test: | 5/5 all bilateral knee/ankle, gastroc/soleus with mod “pulling sensation,” mild pain with popliteus | 5/5 and pain free all bilateral knee and ankle | 5/5 and pain free all bilateral knee and ankle | 5/5 and pain free all bilateral LE | 5/5 and pain free all bilateral LE |
Deep Palpation: | Severe TTP with MTPs proximal medial head of gastroc; severe to mod mid and distal popliteus, medial/lateral gastroc/soleus | Moderate TTP MTPs proximal to distal popliteus, gastroc/soleus, medial > lateral | No MTPs detected, pain free palpation | No MTPs detected, pain free palpation | No MTPs detected, pain free palpation |
KEY: f/u= follow up; gastroc= gastrocnemius muscle; LE= lower extremity(ies); mod= moderate; MTPs= myofascial trigger points; ROM= range of motion; TTP= tenderness to palpation; TX= treatment