Well, so that's that then! This musculo placement was fantastic. I only wish we had more time to sponge off our supervisor who was an absolute fountain of knowledge and who was able to make things so simplistic and easy to understand! While my experience with the vertebral column remains limited, I sure did see a range of post-surgical pts - some with fantastic results and some the result of surgery gone wrong or poor self-management.
An interesting pt for my final Ax - young boy #tib/fib and metatarsals 1-4. 3/12 later foot barely moving and resting in an extremely disfigured inverted position. Was managed by 3 diff medical teams. Has been told that is a "normal" resting posture for the foot. Somebody might want to clarify with that individual his understanding of normal foot posture. So this brought about a bit of noise with the rest of the physios in the area...... Do you a) slightly overlook the fact that the resting position of the left foot looks nothing like the right b) see how Rx goes for sometime to see if muscle activation and ROM can restore some normal positioning or c) tell the parents to go to a private hospital and try and have the foot reconfigured. Well, we went with b) but with the intention of suggesting c) after a bit of intensive Rx showing limited success. Anyone with any other suggestions?
Anyway, thought I would give a pt example as I hadn't done so in some time. All in all I do feel much more comfortable in Ax and Rx in these 3 domains now. I am able to realize much more now the areas I really do need to expand my knowledge base (and boy is it extensive!!....yikes) in some more and those areas I really am interested in expanding it to! I think that all three pracs have been so very useful in consolidating the knowledge we have acquired at Uni. And not just consolidating, I guess I mean fitting all the pieces together so that it actually makes sense - not just trying to memorize it verbatum for exams! I am also quite excited to get out there and get working and be able to take more courses that I am interested in! So, with that in mind, fingers crossed - PCR be gentle! Good luck all.
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