Thoughts and feelings?
Enjoyed working with this pt as he was young bloke that had dislocated his patella and undergone surgery a few months ago. It gave me a chance to try and come up with some good exercises that could help speed up recovery and draw on my own past experiences with physio and rehab.
How do you think you performed with this pt?
I probably needed to get more out of my physical examination. I was able to get some info on what muscles needed to be strengthened but if I had have used my palpation better, I would have worked out that some muscles were tight and needed releasing. Once I knew that ITB was tight I was able to release TFL proximally and improve the pts ER ROM.
What changes would you make to your approach?
Make sure I cover all aspects of the objective assessment. Look at not only strength but also muscle length.
What are your overall thoughts and feelings?
Still need to work on my objective, work through it step by step and make sure I cover all aspects.
What strategies could I use?
Think along the lines that if their is a change in the biomechanics of the joint, it could be due to overactivity of one group of muscles or under activity of another. If I can start to recognise these patterns it will help guide my objective assessment.
I would like to ask my supervisor more about patella tendon transfers.
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