Date: 29.03.19

Location: Plymouth Marjon University

Total amount of hours: 44

A female client aged 19 was treated for knee pain. The client leads an active lifestyle through outdoor activities such as kayaking and rock climbing, she also competes in lacrosse and water polo on a weekly basis. The client is also currently a student living in halls on the top floor, meaning that they have a number of steps to climb each day. The client also struggles to walk long distances and run for a long period of time before receiving pain within the right knee.

Upon observation, the client didn’t seem to have any swelling around the knee, however there was a slight knee valgus. The client didn’t feel any pain on palpation within the joint or the muscles. The right hamstring was slightly tighter than the left, the client felt that palpation was uncomfortable around the rectus femoris however was not painful. ROM was tested, and the client struggled to fully flex the right knee, claiming that it felt slightly painful to complete the action.

A knee assessment was carried out to test whether there were any issues with the knee joint which may be causing the client pain. A posterior and anterior draw tests were carried out to test the PCL and the ACL. The client didn’t feel any pain with these tests. However, when testing for any meniscal damage during the Thessally and joint line tenderness test, the client did feel some pain around the tibial plateau. This suggests a problem with the Meniscus in the right knee.  

ROM can be tested and measured before and after tests or treatment has been carried out, this will help to identify how the injury is improving or how far away the client is from full ROM.