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Mrs Jones is a 65 year old white female patient, who medical history is unremarkable and present medical investigation is Joint Pain --L/Leg LOC PRIM Osteoart-L/Leg. Patient has expertise pain to left knee about one decades ago, received injection to left knee but didn't help with pain, but pain became worse. Mrs. Jones below went her 1st operation 09/17/2013 Mrs. Jones had been in a hospital for a few days and took part in home health physical therapy for 2 weeks but experienced no advancement. Initial physical treatment diagnosis is TKR. Mrs. Jones visited Selected physical treatment on October 17, 2013, chief whine of pain present severity 5/10, severity at worst 8/10 pt feel limits in action like walking, sitting, squat and not been in a position to take care of her grand daughter, location of pain knee vascular , length intermittent , pain nature stiff and aching. The PT did a practical test equilibrium on Mrs. Jones that was weak, gait/locomotion function to left knee WB standing was full weigth bearing, assistive device rooling walker, even cadence was moderate reduction and swing period was also reduction. Muscle testing to reduce extremity MMT. Hip Flexion Left 2/5 Correct +4/5,Knee Extension left 2/5, correct 5/5, Knee Flexion abandoned 3/5 straight 5/5. Range of motion extension left AROM +15, abandoned PROM none, Flexion left AROM 62, left PROM 66, Extension AROM 0, Flexion AROM 124. Pt present with moderate stiffness and weakness in her left knee after a TKR, Mrs. Jones would gain from therapy 3 times a week to aid with enhancing her operational activities and helping her to become separate with ADL's, skilled intervention necessary to reduce pain, improve function, increase variety of motion and increase strength, treatment emphasis to concentrate on pain rel...