Physical Therapy and Rehabilitation

Physical Therapy and Rehabilitation

ISSN 2055-2386
Case report

Differential diagnosis and clinical decision-making in physical therapy: Case report of a complex dizzy patient

Eric G. Johnson1*, Chethan Akkur Channe Gowda2 and Ahmad A. Alharbi2

*Correspondence: Eric G. Johnson

1. Professor, Loma Linda University, Department of Physical Therapy, Loma Linda, CA, USA.

Author Affiliations

2. Graduate Student, Loma Linda University, Department of Physical Therapy, Loma Linda, CA, USA.


Background: This case report describes the physical therapy differential diagnostic and clinical decisionmaking processes utilized in the management of a complex dizzy patient.

Case presentation: A 55 year-old female patient with a congenital eye defect was initially diagnosed with left horizontal cupulolithiasis that was converted to horizontal canalithiasis using a modified liberatory maneuver. After resolving the left horizontal canalithiasis, the patient was diagnosed with left unilateral vestibular hypofunction, which was successfully treated by the physical therapist.

Discussion: Over a period of 23 days and 5 physical therapy sessions, the patient management approach included examination (subjective and physical), evaluation of findings, physical therapy diagnosis, prognosis, plan of care, intervention, and evaluation of outcomes.

Conclusion: This case report demonstrates the need for physical therapists to incorporate a comprehensive patient management approach in order to efficiently maximize patient outcomes.

Keywords: Physical therapy, vestibular rehabilitation, clinical decision-making

ISSN 2055-2386
Volume 4
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