Well> ~the rest of week 3 was fantastic. I'm sorry i havent got around to blogging much but i have written down all the interesting things i learnt last week
On one particular occasion; my supivisor asked me to assess a young patient who had been comming into the clinic for approximatly 3 weeks. He had been comming in because he dislocated his patella following a sports injury.
I was asked to perform a subjective and an objective examination. I 'am getting a bit more comfortable with performing these examinations; practice is helping i think!.
My supivisor said that my subjective examination was great- i just needed to be a bit more direct with my questioning- he said that often comes with practice. He said that my objective examination might need some work, though. He said i could have performed'
- Obers test ( assessing the length of ITB)
- He said i could have obersved the general position of the patella and its tilt and rotation.
- He said i could have observed the "bulk" of VMO.
- and also observed how the patella was being pulled as the quadriceps and the various other muscles tugged on the patella in knee extention.
- my supivisor also said that depending on the stage of rehab that someone like this patient is in ( ie. acute, or furthur down the track in the healing process) you assess different things. My supivisor said that right now in an acute stage he wouldn't be assessing the length of rec fem or gastroch, but later on down the track something like the thomas and thompson test may be useful for physiotherapy treatment. He told me its important to know your short term goals and treat what you want to improve imediatly. somthing like mlatracking of the patella and strength is important ATM as the young boy was falling over.
Again sorry for the lack of blogging but it was my brothers wedding last week and ive been incredibly busy!.
Sunday, November 2, 2008
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