Thursday, November 13, 2008

Week Five A

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.

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