04/06/2019 (Clinical Hours)

First patient of the day complained of pain in the plantar posterior-medial portion of the left foot. After conducting the Dynamic walking gait test and palpation onto the area, it was identified that the pain issues have been caused due to plantarfasciatis. High-load strength training, adaptation 1, through plantar heel raises were prescribed to reduce pain within the area. Additionally, resistance band exercises were also added to further strenghten the surrounding structres. Next time the patient comes to the clinic, pain and strength re-evaluations will be conducted to analyze their progress (Rathleff, 2014).

Second patient of the day came for his late stage of gastrocnemius Grade II tear rehab. His fucnctional tests, squats and lunges, were excellent. The progressive routine included single-leg heel raises off an elevated surface, weighted tow walks, jump rope and two leg small box depth-jump plyometrics. This patient is very consistent with his rehabd schedule and it is a treat to see how quickly his recovery has come to nearly full fruition (Peng, 2007).

A fellow therapist and volleyball teammate helped me with making a video focsuing on a core and rotator cuff strengthening routine meant to aid in the summer pre-season prep for the Marjon volleyball squad. Full sets, reps and references are accessible through the video content.

Last patient of the is follwing her steady rehab plan post lower limb paralysis. PROM on all hip and knee movements was applied at the start to prepare the lower limbs for the upcoming activites. Transference of weight-bearing responsibility was applied to eah foot for 5-10 sec ratios. Knee tucks were perfomed to engage the hip flexors agains the force of gravity. Backwards toe taps were performed to legthen and engage the hamstrings. All of these exercises were performed standing so that the patient can get used to transferring loads across her lower limbs as this is a process not yet fully touched upon. Pain and discomfort were used as a clinical marker and adequare rest, sitting down, was allowed between sets. The next time she comes back, more AROM will be introduced replacing some of the PROM at the start and further emphasis on proprioception and hip strengthening will be added (Decker, 2003) .

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