In the second half of the open clinic session I treated a client who had postural issues, therefore experiences achiness in and around the shoulder area.
In the subjective assessment of the form the client explained that they had a dull ache underneath the medial border and around the superior angle of the scapula. On the VAS pain scale, they scored the right side a 5 and the left a 3. The objective assessment is made up of 3 components. During observation I noticed the client had rounded shoulders and the head was tilted slightly forward which suggested they had poor posture. When I palpated the medial border more trigger points were present on the right side. I also palpated the inferior angles of the scapula and the right side was higher up. I finally tested range of movement (ROM) of the lumbar spine by using flexion (which was limited), extension and side flexion and the cervical spine by using side rotation. From this I decided to use soft tissue massage of the trapezius and rotator cuff muscles to increase blood flow, decreasing tension. I also used soft tissue release to separate fibres in order to lengthen the shorter ones.
Areas for further improvement
|In this session I believe I wasted time as I took too long to fill out the clinical consultation form. I need to improve this as it meant I did not have the time to k tape my clients back in order to adjust their posture. For next time I could save time by using more abbreviations on the form. I also could have advised the client on home exercises/stretches.
Things to remember