Describe a treatment/thberapeutic intervention you performed on or designed for a patient. Why did you select that and what was your intended outcome? How did you assess its effectiveness? How will that experience influence your future clinical decision making
When I was working with a soccer player who just had surgery on her LCL and was doing a lot of pool workouts, I came up with some exercises to do in the pool. I first just let her warm up by treading water in the pool. She normally does body squats and side lunges, but I came up with a few other exercises for her. When she comes to rehab, she never has the attitude in wanting to achieve anything to make herself better. Since she isn't able to play this season, she has been taking it slow on her rehab. So since it was my turn with her, I wanted her to have some fun while doing her rehab. So after she did he 20 minute treading water, I made her go to the swallow end and I wanted her to do the same concept as the body squats, but I tweaked it just a little. I made her squat down and then explode out up from the squat. These are called " I'ma star" and I made her say that once she exploded from her squat. Now at first she was hesitate with doing it, but after she just laughed and completed them. When she was jump, she was hesitate too but after a while she just relaxed and did the exercise very well while having some fun. Then after she did that I let her go back to doing the normal exercises. So she did 3 sets of 10 on side lunges, and I went to find a beach ball. After she was finished, I told her we were going to do something new. I explained to her that I was going to throw the beach ball and I wanted her to get her first under the ball and head it back to me. So we started off easy, and I would throw the ball not to far from her to let her get used to the new exercise. Then after she got the hang of it, I would move the ball farther from her make the run in the water making sure she was using her injured leg to get to the ball. After she started moving well to the ball, I made her turn around and I would smack the beach ball for her to turn around then throw it. I choose to do this drill because I wanted her to be confident in her cutting, and performing the drill she thought nothing of her knee because she was concentrating on heading the ball back tome.
My intended outcome for this drill was to make sure she was moving her in different directions without realizing it. When I had worked with her, she had been really hesitate on her side movement, so I wanted to show her she could do it without even realizing she was doing it. After her workout I explained why I choose that drill to her, and she didnt even realize how much she moved her knee. I also choose to do that drill because I wanted her to realize she can make rehab fun. I personally went through rehab, and its hard to get motivated when you know you won't come back for a season. So I wanted to show her that rehab can be fun and motivate her to work hard to get positive outcomes in rehab.
I think this will help me with my clinical decisions in the future because I am able to see each patient differently. I can treat patients differently on their emotional, mental, and physical status. By working with different patients I able to see who is motivated and who needs help. This will help me in choosing what kind of exercises to do with the patient, if I am able to push them more than what they are giving or they need some help to get through the processing. I also do think by me personally going through the process, I have an advantage in conducting rehab with patients.