PREFERRED PRACTICE PATTERN
As of June, 2014, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns are indicated.
A 60-year-old male patient with a history of type 2 diabetes, hypertension, and recent bilateral lower extremity weakness secondary to a motor vehicle accident, presents as increasingly withdrawn and without enthusiastic participation in his therapy. He is talking less and less, although he is complying with all instructions. When you address the changes observed, he states that his wife is unhappy with his sexual performance, complains that he does not find her attractive and he feels increasingly depressed. He loves his wife and finds her very sexy, but no matter how much he tries, he cannot always maintain an erection and at times is unable to get an erection at all.
Inability to perform sexually: Inability to form an erection
Loss of erection from arterial, venous, neurogenic, or psychological reasons
Physical therapists treat secondary problems: Weakness, gait abnormalities, limited aerobic endurance
May be acute, postoperative, chronic, or congenital/hereditary; related to medication or other pathology
Algorithm for the evaluation and management of patients with ED. PDE, phosphodiesterase. (From Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine. 18th ed. New York, NY: McGraw-Hill; 2012.)
Duplex ultrasonography and Doppler analysis of the arterial response to intracavernous papaverine ...