With internal focus ➡️ pt becomes self-conscious ➡️ decreases motor performance ➡️ feelings of failure decrease motor learning. My goals this week have included incorporation of #OPTIMAL theory motivation and attention factors.
Hooyman et al. 2014 showed autonomy support language result in higher efficacy and enhances motor performance and retention. Collaborate with your patients, don't dictate.
50 y.o. M w/ PFP demonstrates excessive anterior tibial translation w/ activities requiring eccentric loading of quads. Pt educated on ⬇️ PFJ compressive forces through utilization of hips.
Pt gratefully reports no pain w/ stairs or hiking downhill this week.
Working in a large OP ortho PT clinic, I’ve noticed that our first question is often focused on, “How is your pain?”
What we think about, we create.
Can we put a more positive spin on this question to utilize the power of the human mind?
32 y.o. female pt referred for postpartum b/l femoral neuropathy. Pt presents clinically with femoral nerve paralysis and hypersensitivity. ➡️6 wks following birth, with PT, she is now able to safely walk while carrying her baby.
New evaluation referred for "Carpal Tunnel."
Pt presents with b/l MCP, PIP, DIP joint pain, no n/t, (-) phalen's, (-) carpal compression with wrist flexion.
46 y.o. F, PMH of fibromyalgia, further increased my suspicion of RA. Pt referred to Rheumatologist.
As movement specialists, we can be uncomfortable with asymmetry. However this is the norm in shoulder pts, thus I always consider the degree of asymmetry along with task specific movement analysis and what tests/activities result in pain/symptom provocation to guide my tx.
Fibromyalgia has a 90% prevalence of sleep abnormalities (Chinn 2016).
Because pain results in:
⬆️ Sympathetic response
⬇️ Parasympathetic response
I find calming the nervous system can be more effective than chasing the pain. Always treat the patient as a whole!
My pt presented with:
1️⃣➕ULTT A
2️⃣➕Distraction test
3️⃣➕Spurling’s
4️⃣Ipsilateral cervical rotation <60 degrees
Wainner et. al. (2003) shows a 90% probability of cervical radiculopathy.
Completing my first HA eval.✅
➡️following reading “Headache” by Mathew et. al. in class = the best part of integrated semester, testing clinical applicability of research first hand.