35 year old male presented to Hobbs Rehabilitation following a polytrauma from a road traffic accident. Injuries include right open tibia and fibula fractures, currently being managed long term in a ilizarov frame. Left tibial plateau and metatarsal fractures. C7 fracture and left parietal and occipital brain contusions. Left shoulder fracture dislocation, axillary artery damage and brachial plexus injury.
• Left upper limb weakness from brachial plexus injury
• Reduced ROM left upper limb and right lower limb
• Reduced mobility as a result of right ilizarov frame
• Cognitive and physical fatigue
• Transferring with a crutch and tip-toe, step to gait on right
• Using wheelchair for mobility around the house/long distances
• Unable to manage stairs at home
• Unable to use left upper limb to support with activities of daily living
• Poor sleep hygiene and lack of routine
• Outpatient Physiotherapy and Occupational Therapy
• 6 hours a week over 3 days
• Ongoing since April ‘23
• Mobilising with 1 x crutch 10-20 metres with improved heel contact
• Able to complete kitchen tasks in standing and involving left arm
• Able to independently go up and down stairs using a crutch or rail
• Working towards incorporating fatigue management techniques into routine
