39 year old female involved in a road traffic collision resulting in multiple injuries including a complex pelvic fracture affecting both left and right hip, left ankle tibia and fibula fracture, right clavicle fracture and right sided rib fracture. She was previously fit and well and active and enjoyed walking her dog daily. She was working as a finance manager and hoping to return to her job once she has recovered.
• Weakness in lower limbs bilaterally
• Pain and reduced range of movement in hips bilaterally
• Foot drop on the right
• Reduced range of movement and stiffness left ankle
• Reduced cardiovascular fitness
• Dependant on two elbow crutches for transfers
• Mobilising short distances with crutches only, using wheelchair for longer distances
• Unable to mobilise outdoors
• Unable to manage stairs
• Neurological physiotherapy input at Hobbs Rehabilitation Intensive Neurotherapy Centre in Bristol
• Intensive outpatient rehabilitation, 60 hour package
• Use of technology, plinth based exercises, gait re-education and balance exercises alongside a home exercise programme
• Independently going up and down stairs
• Mobilising indoors unaided
• Mobilising outdoors unaided/with one crutch and increasing distance
• Increased static and dynamic balance
• Increased cardiovascular fitness
• Increased range of movement in ankles bilaterally resulting in improvement in gait quality
