Final day of MDT B (C/S and T/S) and here are some additional highlights for you (not necessarily a review, just clinical pearls knowledge nuggets for you to chew on)
- When performing mobs or overpressure techniques put your hand in the best position that “RAC’s” the pt’s symptoms. Make it patient driven!
- reduces
- abolishes
- centralises
- C/S force progression review:
- RET is upper C/S traction, same benefits as a ‘suboccipital release’...make both of them sustained.
- typical mechanical HA: intermittent, usually specific time of day, sustained posture
- not all our typical
- overpressure (pt or PT) commonly needed to reduce HA
- HA progression:
- 1. RET, and if NB
- 2. then RET + Flex
- 3. then +OP
- what position do we adopt with stress? Flexed and Protracted! we often blame pain on the ‘stress’ when its a mechanical/ postural problem! Fix Posture= Fix Stress?!?
- acute stage education for WAD:
- education on healing process/ pain science
- posture correction--> poor posture is pulling the bandaid off. sit poorly=heal poorly
- 1-2 hourly ROM exercises
- RET
- then ROT (assisted/unloaded prn)
- then SB maybe
Thoracic Spine:
- upper is more like cervical and lower more like lumbar. inferior angle of scap to differentiate
- lots of stability at the expense of mobility, especially in the sagittal plane
- consider how the T/S is providing excessive stability when mobility is lost
- bring hands up for EIL for T/S; to ear level instead of shoulder level like you would for L/S
That's all from a busy week. I would definitely recommend this class for any PT out there (sorry to tired for a + and - critique)
