|If Hip Horizontal Extension is tested with the client seated, support the weight of the leg sufficiently.|
This way the client does not have to engage their hip flexors, hip abductors or adductors for that purpose Continue reading TIP 165 – ROM Hip Horizontal Extension Support
When observing the spine in flexion make sure you have a look from back, side and top! Continue reading TIP 145 – ROM Spine Flexion Observation
With the forearm in supination the client might on abduction of the right wrist rotate the arm laterally or might compensate with right rotation of the spine. Continue reading TIP 137 ROM Wrist Abduction – Avoid Shoulder Rotation
In a closed chain, that is with the feet planted firmly on the ground, the hip joint will go into extension when the spine is extending Continue reading TIP 142 ROM Spine Extension Iliopsoas
In spinal rotation the head is likely to rotate to the same side as the spine Continue reading TIP 112 ROM Spine Rotation Avoid Neck Rotation
Work your clients in different positions, reposition more often.
Remember they come to get results, not to lie for 30 minutes prone and 30 minutes supine.
Put them into a position where you can best access the treatment area.
If the client cannot sit long seated without having to support themselves with their hands on the table that might suggest that their hamstrings are short. Continue reading TIP 129 ROM Spine Flexion – Permit Support
- Many of the wrist flexors and extensors cross both the elbow and the wrist joint.
- By conducting the test with the elbow straight AND then with the elbow in 900 of flexion useful information about which muscles are involved can be gained.
- Look for an area on your wall which has sufficient space in front to provide room for you and your client.
To eliminate Biceps Brachii involvement in shoulder flexion ask the client to flex the elbow to 90o prior to testing. Continue reading TIP 108 – ROM Arm Forearm Flexion – Eliminate Biceps Brachii
Often business or other ideas come at the most inconvenient times. Continue reading TIP 052 – Write Good Ideas Down
To check for Leg Length Inequality (LLI), align the legs at the ankles. The therapist stands at the foot end of the table and grabs both ankles so that the therapist’s thumbs are distal to the medial malleoli.
Then through gentle pulling the legs can be equalized, preferably without disturbing the position of the pelvis. If there is LLI the pelvis might be drawn downwards on the side with the shorter leg. Check that the ASIS are on a line perpendicular to the side of the table.
The ankles are then brought together medially so the therapist can see on his thumbs which one is higher (towards client’s head not as in off the table), htis will reveal the shorter leg.
Check the levels of the ASISs in the horizontal plane. If one ASIS appears higher in the horizontal plane than the other (towards the client’s head and not off the table) this leg might be longer.
This test is not very exact. To get more accurate information on LLI an MRI has to be done.
We had a horrid time last August with him. Today he phoned and I instantly recognized his voice and rhetoric. He asked for back and thigh wax from our beautician.
He gave the name Barry McLeod and when asked for a phone number gave 022 032 0688. I have yet to try to phone back but will do after the weekend to see what name he gives then, or ifs the number is active.
I had previously told him he could not attend our clinic as we had all female staff and Pegasus had issued a warning! Truly I never thought he would try again!
- I like to freshen my breath while working throughout the day but have found mints, breath fresheners & chewing gum often contain aspartame which as we know, is so bad for us.
- I have taken to having a largish fresh mint plant in my room and chew on a few leaves through out the day.
- It’s very nice.