A patient presented with shoulder bursitis. She is a workers comp patient who had a lot of trouble with work accepting liability and keeping her on. She then got sick. It is now a month since she was last seen by a physio. At this stage she had a lot of guarding with her shoulder through her pec’s. I massaged this area and passively stretch it out as well as teaching her stretches to do at home against the wall. I also tested her AROM and PROM in all directions. So far with this pt because she has full PROM she was just guarding we are going to prescribe a exercise program and HEP to improve strength and control around the shoulder. I think I did well with this patient, I was sympathetic to her situation but made sure we kept our main goal in good sight.
I want to think of and research some interesting and exciting arm control and strength exercises to keep her interested in coming to the gym and maintain her rehab program. I think that it is very important to stay focused and want to go and do the exercises so they must be altered slightly if focus is being lost.
Thursday, November 13, 2008
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