Neuro
A blog a blog, I just used my best material in reply to Troy’s post! I guess the next best would be the running group at Neuro Outpatients Shenton Park.
My patient is not up to running as we are still working on the hyperextension of his knee in the stance phase, in writing that I have just remembered Steph’s hip positioning demonstration and have an idea for the next session. (By the way this pt is a result of a Cx vertebral manipulation gone wrong!)
I digress, others, bounded, skipped, high knee walked, jumped and ran around the gym. The end of the class is a race, my patient has to walk 5 laps and everyone else runs until my patient finishes. The positive for my patient is they all offer lots of encouragement for him to keep going and not to slow down!
The running styles vary so much, their normal gait is still abnormal however increase the speed and its pretty confronting. The ages range from 20’s to 50’s so of course they want to return to be able to run, play with their kids, cross the road in a hurry, run for the bus or just exercise.
I think I was so focused on the basic functional tasks I have seen in NOP this week that when a high level activity was introduced I was a little blown away. There is so much to consider and think about. What mechanisms are required for running, what does being able to run mean to these patients, why was I so taken aback by the severely abnormal gait patterns, what is the EBP behind introducing these activities at this level??
I am so impressed by these patients their commitment to their rehabilitation and tolerance of students!
Happy Clinic
1 comment:
I must admit surprise on hearing about the running group, and yet of course why not...it's just much more high level than has ever been mentioned to us. I don't have anything illuminating to say...just that I suppose all that movement analysis was for exactly this...helping someone be able to achieve their goals...and that we should always aim for the highest level of recovery and not presume otherwise!
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