Today I had a follow-up appointment with a regular patient, who I have been treating for rotator cuff tendinopathy. The patients pain is very up and down and consequently he is struggling to stay motivated and positive about rehabilitation. As a result, I decided to use the SSMP to track his symptoms and provide an objective marker to monitor progress and symptoms. We also discussed the benefit of him using RPE and VAS to monitor daily differences and progress in HBE.
What I was thinking and feeling and what was good or bad:
It was useful to use objective markers for both of our benefits when tracking symptoms and progress. I was feeling positive about having an objective marker to use with this patient to keep him on track and positive.
What else I could have done/areas for improvement:
Use objective markers from the first appointment to allow progress to be tracked.
Print off and laminate the VAS and RPE scales and SSMP questionnaire to use in clinic to explain to clients how they work and their benefits. Get used to incorporating objective markers into sessions.
SSMP – Shoulder Symptom Modification Procedure
RPE – Rate of Perceived Excursion
VAS – Visual Analogue Scale