Knee

Treatment Time minutes direct contact (timed) with patient.

Therapeutic Exercises - Therapeutic Procedure - 1+ Areas (97110) Hamstrings Stretching (level / stretch force) 1 supine/moderate Hip Extensors Strengthening (sets / reps / lbs) 3x15x0 Hip Abductors Strengthening (sets / reps / lbs) 3x10x3 Hip Abductors / Gluteus Medius Strengthening (level / sets / reps) 2 supine/3x10 Hip Flexor / Rectus Femoris Stretching (level / stretch force) 2 prone bed/moderate Knee flex/ext ROM supine (sets / reps / lbs) 3x15x0 Knee flex/ext ROM sit (sets / reps / lbs) 3x15x0 Knee isometrices Quad/VMO in supine (sets / reps / lbs) 3x15x0 Neuromuscular Reeducation (97112): -Proprioceptive Balance Trainer - emphasizing clockwise and counter-clockwise movements -Single Leg Standing / Proprioceptive Training (level) 2 eyes closed/arms crossed -Single Leg Standing / Balance Training - emphasizing supports and stable surfaces with visual cueing -Activity Training - focusing on household activities Sit to Stand Reeducation - focusing on coordinated thorax and pelvic stability with transitional movements -Lower Quarter Integration - lower extremity, pelvis and trunk movement integration facilitated using proprioceptive training

-Manual Therapy (97140): -Stretching Contract/Relax - manual stretching of the involved myofascia, including contract/relax procedures, at the beginning of tissue resistance -Hip and Thigh STM - soft tissue mobilization of restrictions in the tensor fascia lata/iliotibial band region -Thigh STM - soft tissue mobilization of restrictions in the hamstrings/popliteus/gastrocnemius myofascia

-Gait Training (97116): -Single Leg Standing / Proprioceptive Training (level) 2 eyes closed/arms crossed -Single Leg Standing / Balance Training - emphasizing supports and stable surfaces with visual cueing -Lower Quarter Integration - lower extremity, pelvis and trunk movement integration facilitated using coordination training -Gait Reeducation - focusing on walking gait-

Education materials were given to patient for the following home exercises Visual cues to facilitate improved coordination while performing the prescribed exercises.Verbal and manual cueing on proper performance of the prescribed exercises.Verbal and manual cueing to facilitate efficient motor performance of the intended movement. Education on movements and activities to avoid to limit the exacerbation of the.patient's current condition. Assessed ability to perform home exercise program safely and independently. visual cues to facilitate improveed coordiantion while performing the prescribed exercises manual cueingg to facilitate proper performance of the intended movement. Education on movements and activities to avoid to limit the exacerbation ofthe patient's condition.

(97010 ) Hot packs and cold packs applied direct to tender area.

(97530) Therapeutic Activities - Direct patient contact: balance, strength, and range of motion, which are designed to achieve improved functional performance.

Electrical Stimulation (Manual) Modality to +1 Areas ( 97032) E-stim provided to multiple tender areas on the knee to reduce pain and inflammation

Modification

Therapeutic Exercises - Therapeutic Procedure - 1+ Areas (97110) Hamstrings Stretching (level / stretch force) 1 supine/moderate Hip Extensors Strengthening (sets / reps / lbs) 3x15x2 Hip Abductors Strengthening (sets / reps / lbs) 3x15x3 Hip Abductors / Gluteus Medius Strengthening (level / sets / reps) 2 supine/3x15 Hip Flexor / Rectus Femoris Stretching (level / stretch force) 2 prone bed/moderate Knee flex/ext ROM supine (sets / reps / lbs) 3x15x3 Knee flex/ext ROM sit (sets / reps / lbs) 3x15x2 Knee isometrices Quad/VMO in supine (sets / reps / lbs) 3x10x3

2 Therapeutic Exercises - Therapeutic Procedure - 1+ Areas (97110) Hamstrings Stretching (level / stretch force) 1 supine/moderate Hip Extensors Strengthening (sets / reps / lbs) 3x20x4 Hip Abductors Strengthening (sets / reps / lbs) 3x15x4 Hip Abductors / Gluteus Medius Strengthening (level / sets / reps) 2 supine/3x10 Hip Flexor / Rectus Femoris Stretching (level / stretch force) 2 prone bed/moderate Knee flex/ext ROM supine (sets / reps / lbs) 3x20x4 Knee flex/ext ROM sit (sets / reps / lbs) 3x10x3 Knee isometrices Quad/VMO in supine (sets / reps / lbs) 3x10x3