Mythoracic Kyphosis Case Study

The patient has a sitting posture with a posterior pelvic tilt. He has an excessive thoracic kyphosis in sitting and no lumbar lordosis. He sits with his knee extended on the left side, and his ankles inverted with weight resting on the distal to the lateral malleolus on his right foot. On the left foot, his weight is distributed mainly on his calcaneus. The standing posture consisted of a forward head posture with an increased thoracic kyphosis. The patient spent most of his time on the right hip. The left shoulder is slightly elevated compared to his right shoulder, and his slightly more forward. He has an anterior pelvic tilt, with hyperextended knees. He walks with an AFO on his right foot, which is slightly pronated. The patient mental status was alert, aware, …show more content…
Left PROM lower extremity is limited in hip flexion 0-114, hip extension 5, hip abduction 35, and hip internal rotation 15, knee flexion 0-106, and hip external rotation 30. The lower extremity ankle dorsiflexion, ankle plantarflexion, ankle eversion, could not be assessed due to tone. Right lower extremity AROM was limited for hip extension 13, hip abduction 39, and ankle plantarflexion 62. Left lower extremity AROM was limited for hip flexion 0-110, hip extensions, hip abduction 26, hip internal rotation 10, knee flexion 0-115, and ankle planer flexion 20. The patient compensates a lot for active movements on his left affected side. Cervical and trunk muscle strength range from 3- to 3+ out of 5. Trunk rotation and trunk lateral flexion to the left showing 2/5. The strength on the left side of his body could not be assessed to high tone. During the cranial nerve testing, cranial nerve I showed impairment in the right nostril causing inability to smell. There was nystagmus during the H-test. Slight deviation of the tongue during the assessment of the hypoglossal nerve was also observed. Reflexes were normal on the right, but the left biceps triceps and brachioradialis showed exaggerated