02/10/2020- 3 hours in clinic.
For my clinical reflections I have decided to use Borton’s (1970) development framework. I feel like this method will work well for me as it is based on the principle of three cue questions which will still give me the freedom to talk about my experiences in a more open way. For my first session in clinic we went through all the new measures put in place to make the Clinic COVID secure, luckily for me I found that the changes will not affect the way that I like to work to much as the main thing that I took away was to be vigilant with clients and find other ways to treat them as much as you can that is not face to face. I feel like this will be good for clients too, as many can often be too reliant on hands on treatment and can neglect the actual movement parts of the treatment plan that I and others would prescribe from clinic. We also went through a case study about a pathology which I found good to get a indication of what parts of the subjective and objective assessments that I am confident with and other parts that I will need to revisit.
09/10/2020- 3 hours in clinic.
Today in clinic I had my first online consultation. I found that before I saw the client I was nervous but luckily I had the opportunity to partner up with another student prior to seeing my client and record notes whilst they were in their own consultation, I found this useful as I was able to see how they worked and navigated the process whilst being able to note the things that I would do differently. My client was presenting with a shoulder pathology with the clinical impression of a grade 1 sprain of the ligaments surrounding the ACJ and muscle strains in the anterior deltoid, lateral deltoid and trapezius. The culmination of the meeting is that I will be seeing the client in clinic next week in order to go through some exercises. In preparation for this I will be looking over the best treatments for ACJ injury and looking to see if game ready, tens or ultrasound will be appropriate. I found the online consultation to be quite enjoyable and I am satisfied that my client got what they wanted out of the session. In reference to writing my notes I thought I did a good job for a first attempt and I’m sure with the supervisors input ill be writing high quality clinical notes first time soon.
16/10/2020- 5 hours in clinic.
Today in clinic I had two appointments, one online screening and one face to face as a follow-up from last week. Before my two appointments I helped a peer with one of their online consultations. I feel like the more experience I can get the better, and the more times I can go through the SOAP procedure the more it can help me become a more well-rounded practitioner. When it came to my online appointment, I already felt more confident than before. The appointment itself was tricky as the client was on a break from work so the depth of assessment, I could do was very limited. However, I was still able to get enough information for me to get an impression of a facet joint issue, as the client’s pain was aggravated through extension. The client was able to go away knowing that they are booked in next week to sort out the pain that had been annoying them for so long. I also had success with my face to face client. It was awkward at first with the PPE, but I was able to overcome it. It was the first time that I have worked with an injured client face to face and it was different. I was afraid to get something wrong, but I am sure with time and confidence this will pass. I am slowly starting to get the hang of writing notes, my presentation is sometimes off with the layout and order of the notes but overall, all the information is there it just needs tweaking. I am really enjoying clinic now; I was not sure if I was going to because of the pandemic but its really good that I have had such as positive start to my placement.
23/10/2020- 3.5 hours in clinic.
Today in clinic I treated two clients. The first was a lower back pathology that I suspected to be facet joint dysfunction. Prior to this client I was nervous as it was my first client face to face with a back pathology and the spine is not my strongest subject. Looking back at the session I feel like I did a very good thorough job. I went through all the procedures and gave good rationale as to why I was doing each part of the assessment. The conclusion of the appointment is that although the client is having a slight issue with his facet joint this could be through an anteriorly tilted pelvis and underactive glutes and hamstring tightness, this would be a reason as to why the client is struggling so much with their back. One thing I need to look over is the slump test, I know the principles as to why it performed but I forgot the order of the test itself. For my second client I was accessing the shoulder. The Clinical impression it was giving me was that of a reactive supraspinatus tendinopathy. This was drawn from the movements the gave the client pain and the negative speeds and yourgersons that ruled out biceps tendinopathy.
06/11/2020- 4 hours in clinic.
Today in clinic I treated one client which was a face to face session in the gym. Due to the new lockdown measures the gym was completely empty but due to clinical practices being able to stay open I was allowed access for my client. To begin the session I went through some movements with the client to see where he was at with Pain free motion upon completion of these movements we went into the gym and preformed a warm up with stretches followed by a session focusing on glute engagement and eccentrically loading the quads in order to try and rectify and anterior pelvic tilt. The session went well as the client managed to do all the movements without experiencing an onset of pain. Following the gym session, I reassessed movements and the client still complained of no pain. This gave me good confidence as I was able to plan a successful session putting load through the back that did not aggravate the facet dysfunction that the client is presenting with. Other than this I looked at an osteochondral lesion case study. I chose this case study because I had never heard of that pathology before. It was a good reminder that as a practitioner you always need to continue to develop your clinical knowledge and applications. I found this a good pathology to research as the rehab id very general and there are many ways that you can go about the phase 2 & 3 rehab.
13/11/2020- 5 hours in clinic.
Today in clinic I started off with an online triage call with a new client. The pathology appears to be a reactive achilies tendinopathy in the left leg. I felt confident about this diagnosis as the pain was onset with activity and the client was overtraining themselves in the gym. This led to me making the decision to see the client in the clinic next week. This is not only to reaffirm my clinical impression but also to be able to explain some rehab to the client by taking them through a gym session and to give some brief observations about the clients lifestyle that could help aid recovery. These observations can include volume of training, nutrition, hydration, and sleep. Helping clients to make informed choices in their daily lives can help to improve the body’s healing process. For example, getting higher quality sleep improves the amount of REM sleep you get which is when the body recovers and repairs the most. After this call I finalised the notes from the call and prepares the session for the following week. This is important for me to do as it means that I can programme it when the client is still fresh in my head and I can recall all the information needed to create an impressive individualised session. Following this before my other client I looked at a case study of concussion and the steps as a sports rehabilitator I should take to ensure players are safe to return to play following a concussion. For the rehab plan I based it from the RFU return to play regulations. Although the return to play is for rugby players it can be easily adjusted for all sports through the integration of sports specific drills. It is important for me as a practitioner to keep going over key pathologies so I can use the latest programmes designed to get clients back playing sport as quickly and safely as possible. For my final client I took him through a gym session for a facet joint dysfunction. While working with this client for the last three weeks I have seen great progress and pain go from being limiting in everyday life to non-existent. For this I have simply looked at exercise prescription and some lumbar mobility. The client has adhered very well to the plan and the progress is clear for both him and me to see. Going forward I am looking to use the gym aware kit to predict his 1rms in order to programme him a 6 week gym plan for after the second lockdown in order to continue to develop his stability in lower back, continue to improve his glute firing and ensure symmetry in his quads and hamstrings to prevent a pelvic tilt from developing.
20/11/2020- 3.5 hours in clinic.
Today in clinic I treated two clients. The first once was a face to face gym appointment with a client displaying a reactive Achilles tendinopathy. Prior to going into the gym, I performed an objective assessment. Upon completing the objective assessment my clinical impression remained the same, so I followed through with the planned gym session. The Session involved a lots of isometric calf work with the aim to put load through the tendon without much concentric movement which will mean the muscle will not be repeatedly put on and off stretch. (Mantovani, L., Maestroni, L., Bettariga, F., Gobbo, M., Lopomo, N. F., & McLean, S. (2020). Does isometric exercise improve leg stiffness and hop pain in subjects with Achilles tendinopathy? A feasibility study. Physical Therapy in Sport, 46, 234-242.). For the hour between my two clients I wrote up my notes from my first client and ensured that my plan for my 11oclock client. For my final client I was again in the gym. The client is recovering from a facet joint dysfunction so for the session I used RPE in a gym session to see if a heavier load affected the onset of pain. The session did not cause an onset of pain which is really good, especially considering the movements involved such as stiff legged deadlift. Going forward with this client I will be giving him a gym plan for when gyms reopen after lockdown for him to stick to and follow which should be loaded appropriately while working within RPE that will give him the best progress.
27/11/2020- 3 hours in clinic.
Today in clinic I treated just the one client. My client is one I have treated previously with a reactive Achilles tendinopathy. For the session I looked at AROM, PROM and resisted ROM in both ankles before going through a gym session. The gym session consisted of functional movements such as squats and calf raise with isometric holds. Comparing the client to the previous session the pathology appears to be easing which supports the subjective reassessment, the client seems to be progressing well and I feel like face to face appointments are not appropriate with the reopening of gyms, I could easily write this client a gym programme that he would adhere to in order to further strengthen the Achilles tendon and reduce the risk of reinjury. Throughout the session I felt very comfortable and confident with both my practice and use of physical therapy as a treatment modality. For the remainder of my time in clinic, after I had finished writing up my notes, we looked at CPD presentations about selected pathologies looking at special populations and gender differences. This was a good task as it allowed me to focus on one pathology and expand my knowledge. I found the other presentations very useful as it gave me an insight to other pathologies but the main reason why the session was good as it reinforced the need to take into considerations in gender differences.
04/12/2020- 3 hours in clinic.
Today in clinic I signed off my first client. This was a big deal for me as it reaffirmed my self-belief that I am a competent practitioner. Before seeing my client I finished off the gym plan that I’ve written for them. The programme follows a needs analysis for the clients wants for example the client is planning to join the marines, so I added cardio into the programme along with weight training to continue to strengthen up his core and back to stabilise his lower back and try and stop an onset of pain. I went through the programme with the client and got his thoughts and feelings on it which were all very positive. We did alter a few things but I would rather alter some things and the clients happy opposed to them not being entirely on board with the plan and me wasting my time. Additionally, we went through all the movements on the programme together to ensure he was moving correctly and there were a few tweaks that I made to his form on some exercises such as using the imaging of ‘screwing feet into the floor’ in order to prime the glutes before the lift.
11-04-2020- 3 hours.
In this online triage I really took the time to talk to the client about the history of her conditions. She has been struggling with pain for a long time and it was clearly having an impact on her mental health. This client reaffirmed to me why I wanted to get into the field of sports rehabilitation, to help people who are seeing things as hopeless and giving them hope for pain free activity and movement. We had a long chat about lifestyle and training and following the call I spent a long time developing a gym plan and suggesting changes to lifestyle that can help the client to have the best and quickest recovery possible.
CPD PowerPoint- 4 hours- attached below.
29/01/2021- 2 hours online triage
Today I had my first online triage of the semester. I was nervous as I thought I would be rusty. This was not the case. As soon as I got into the call I was confident in my questioning of the client and my overall diagnosis. I approached this triage differently as opposed to offering any treatment on the call I opted to develop a full treatment plan for the client post call and emailed it on the same day. This gave me more time to think through the rehab and I feel like it worked well for me as although I had a good idea of what I wanted to do for the rehab even on the call, it gave me an opportunity to better articulate and explain things as to not confuse the client. Ive inserted the treatment plan below.
Rehab plan-
To be completed every day if possible, working within RPE 13-16 – see BORG scale attached.
You may experience some swelling etc after conducting these exercises. I recommend that you Ice your ankle if you are experiencing discomfort after the exercises for 15-20 minutes.
| Exercise | Description | Sets and reps | Video link |
| Ankle ROMS | Take you ankle to the end range of movement for each exercise shown. End range is the point where you can’t move your ankle any further. Hold at end range for 6-10 seconds depending on tolerance. | 3 sets of 10 reps of all movements shown in the video.
6-10 second hold at end range. |
https://youtu.be/ViRsbvnL6uQ |
| Ankle ROMS with Towel | This exercise should help with dorsiflexion which you were saying you struggled with. Take the ankle to end range with the towel. Should see gradual increase in ROM throughout sets. | 10 sets of 3 reps.
6-10 second hold at end range. |
https://youtu.be/Zz30hjRKgqk |
| Marching/ Weight shifting | Weight transfers will help develop stability surrounding the ankle joint. | 3 sets of 10 weight transfers.
Once weight is transferred hold weight on foot for 5 seconds- increase time held depending on RPE tolerance. |
https://youtu.be/uvcJOSnivpw |
| Jockeys | One thing to take note of is foot and ankle placement at each stage. This will work on correct stance and movement in sit to stands . | 3 sets 10 reps
6 second hold at top of movement. |
https://youtu.be/NhZGW_zAPhc |
| Stork stands | This will really develop proprioception in your ankle and increase overall stability.
To begin with don’t worry if you cant come onto the ball of your foot but gradually incorporate this.
Make sure you’re working both legs |
5 sets of max time holds- relevant to RPE. | https://youtu.be/atDzc08CW54 |
05/02/2021- 2 hours in clinic.
Today I had another online triage. The patient had not made any prior notes so therefore I went into the triage not knowing anything about what I was going to be dealing with. This would have phased me before but now I feel so much more confident in my clinical skills I was unphased. I feel I handled the call well even with the client presenting with lower back pain. Even though it was online I still managed to go through some active ROMs in the Lumbar and thoracic spine just to aid with clinical impression. Although it is hard to be 100% certain about a diagnosis over the phone the AROM helped narrow my thoughts and findings. My impression was a disc compression in the lumbar spine. For this I prescribed some stretches that aim to relive pain such as the cobra and knee hugs. This is an aim to get the client moving more and I have scheduled a other appointment in a 2 weeks time to check on progress.
12/02/2021- 2 hours in clinic.
Today in clinic I had another online consultation. It was very challenging due to Wifi connection issues. It was a struggle to hear what the client was saying so I tried to direct the questions to be as easy as possible to reply to and for the client to also understand. With regards to the pathology, it was tricky to get a complete clinical impression due to the nature of the online consultation and not being able tom get hands on. However, I was able to use functional movements such as the stork stand, the sit to stand and repeated abduction. The onset of repeated movements seemed to aggravate the pathology. Following the appointment, I designed a flexibility, mobility and strengthening programme for the hip slowly factoring in walk-run for the client as they were training for a half marathon prior to injury. To improve this session next time I could go through all the some exercises with the client whilst o the call, to do this in will need to improve my knowledge of Hip mobility exercises that I would know off the top of my head.
26-02-2021- 2 hours
Today I had a follow-up appointment with the client id seen the previous week. It was the first follow-up appointment that id had in a while. It was good to be able to see the development that the client had experienced during the two weeks that we had not spoken. I was confident in the further advice I was able to give to the client in the aspect of adding extra sets to exercises and using an RPE scale in regard to walking to ensure that the client was not going to far too soon and increasing the risk of reinjury. Due to lockdown restrictions being eased I was able to book the client in to a F2F appointment in the next two weeks and this excites me as I will be able to go back to giving out proper exercise prescription in a clinical environment and this is where I feel I can really make the best progress with my clients.
12-03-2021- 3.5 hours in clinic
Today in clinic it was the first day back since lockdown restrictions were eased. I was nervous about going into clinic as I had not been hands on with a client since before Christmas. The client that I saw id been seeing online for the past few weeks but still I had not been able to perform a full assessment. After gathering some subjective information from the client it totally changed what I had planned. Instead of screening for a hip injury the client had an extremely tight lower back and hamstrings. It was a challenge to be able to think on my feet and for a second it took me aback. However, overall I feel like this was of more aid to the client than the original plan, and easing symptoms of pain allowing the client to trust me more if of more value to me during the first face to face session than knowing everything about their injury. Going forward I planned a lower body strengthening programme for them to work through with me in clinic as well as a home based flexibility programme.
19-03-2021- 3.5 hours in clinic
Today in clinic I inly had one client. Before the session I critically discussed with other students in clinic the best way to treat the pathology that the client was presenting. This made me more confident as my ideas for the treatment where the same as the others. For the appointment I had another student help through shadowing for me, this allowed me to focus on the conversation with the client instead of trying to note down everything that the client was saying. This enabled me to become closer with the client and understand their needs more while not having to write down notes as I went along. I felt at ease during the session, and I feel like my clinical skills have returned just fine post lockdown if anything I’m the most comfortable I’ve ever been in a clinical environment. Going forwards I need to be able to retain my repour with communicating with clients whilst being able to also record notes myself to further benefit myself in the future for when im working solo. However, in spite of this I massively feel like I am along the right lines and my rehab brought relief to the client which over the coming weeks I hope to build upon that base and when they leave clinic I want them to be in a stronger position than they were pre injury.
26-03-2021- 4 hours clinic
Due to Clinic staff having to self-isolate clinic was back online this week, this was annoying as I was enjoying clinic, it was a nice release from the normal academic pressures of uni. The first triage was at 9am, I found it weird being online again and I quickly remembered the limitations of online triage. With both my appointments the WIFI connection was so bad that the clients had to turn their cameras off, and I could only work with audio. This made it so much more difficult, but I feel like I adapted well. I felt confident with my subjective assessments with both my clients and was able to get a good picture of DDx from the subjective. I was able to complete a few movements with one client even though the camera was off which gave me even more of an idea surrounding the injury. I’m confident if I was able to perform a full objective assessment in clinic, I would have been able to conclude a better clinical impression. Luckily for the one client it was a knee issue which means that the rehab for increasing knee stability and strength isn’t too different for each pathology so I can begin the rehab and fine tune it following face to face appointments post easter.
14/04/2021- 2 hours
Today in clinic I saw a repeat client it was the first session back after the easter holidays and I was very excited to get going again. The session went very well, and I was able to talk to the client very easily and we were able to discuss the progress that the client has made over the period I’ve been treating them. Now that gyms are reopening, we’ve decided to try and get two sessions a week to introduce an upper/lower split to further their understanding of the gym and exercise. After a few weeks of the upper lower split will start to integrate slow walk to run routine.
16/04/2021- 7 hours clinic
Today in clinic I treated two clients. The first session was with a repeat client in the clinic but it was my first session with them. I didn’t realise that I would be treating the client until I got to clinic in the morning and the client was in half an hour later. With limited preparation I feel like the session was a massive success and the client seemed very satisfied with the session. Out of all the clients ive treated this client was probably the most regressed in terms of ability to move so this was a massive challenge for me. I feel I was bale to adapt exercises well and get in a good session. I’m excited to work with this client more as more of a team of therapists as opposed to just myself. My second client is a repeat client with a lower limb pathology, wanting more guidance on how to properly train upon reopening of gyms. We went through a push session, the session went really well and the client was excited to get back to the gym feeling more confident around gym equipment. In the future ill make sure to check my schedule the night before clinic so that I’m not caught of guard by clients. I spent the remainder of my time in clinic looking at THREADS and how this can affect injury In order to maximise my clinical skills.
23-04-2021- 2 hours
Today in clinic I just treated the one client. He is a repeat client of mine who I personally love working with, for me he epitomises everything I love about working within rehabilitation. He is an older guy who has very limited movement. Our main aim is to develop his strength enough to pick himself up when he has a fall. Weve been working towards backwards changing the sequence from getting up from a fall. This session we were going to try and do roll from supine to prone and visa versa. However, due to the unwillingness of the client to just do the normal and him always wanting to strive to excel we managed to do the whole backwards sequence, even though it was very assisted. This was a massive hurdle for the client as well as being a massive mental and physical challenge for both him and me. I’ve always said that client need to push themselves within rehab but this was taken to the next level. After the session I felt physically and mentally drained so I can only imagine how my client felt but we were both chuffed to bits at the progress that had been made. Going forwards I want to continue with the momentum that were at and ensure the client remains positive to do this I need to ensure I remain encouraging and keep the session as interactive and challenging as possible.
30/04/2021- 3 hours
Today in clinic I only had one online triage who was paediatric. This is the first paediatric client who I have treated in clinic. It was a strange triage as the parent was in the triage too meaning that I was getting two answers for the triage questions. This made it more difficult to assess the client and the Px he was experiencing as I felt that he was not giving me the full picture. Post triage I spent the remainder of my time in clinic writing up my notes and exploring objective assessments and considerations with paediatric clients. It was a nice change from dealing with middle aged to more older clients I feel that it will continue with my development as a practitioner as to be able to phrase sentences in a way that a young person has experienced. Going forwards I will continue to develop my knowledge of paediatric clients as well as looking into foot and ankle pathologies straying away from the main pathologies such as plantarfascitis to strengthen my clinical knowledge further.
Bucs Virtual Placement- 7 hours
To gain more experience working with a team I took an opportunity to be a ‘virtual therapist’ for a sports team .For this I did CPD for the RFU headcase as well as a needs analysis, a risk assessment for and periodised training plan for the sport. As it was for volleyball, I had to do a lot of reading around the sport to really understand the needs of the players and demands for the sport. I was working with two other junior therapists, so it was a good opportunity to consolidate my learning in order to explain things to the others. It was also a big learning curve for me in order to deliver sessions as it was all virtual, and previous I had l only delt 1-1 with clients virtually. All experience I am getting at the minute I feel is developing me as a practitioner. I feel more confident every time I talk to a client/ contribute to a team session and I feel like my leadership over a team of therapists has developed. Going forwards I can continue to refine my techniques and communication to larger groups to continue to develop myself for working within teams or running larger exercise based workshops.
7-04-2021- 6 hours
Today in clinic I had 4 clients, mixed within a lecture so it was a very busy day. Prior to clinic beginning I was already very anxious about clinic as I was worrying if I would get my hours marked or even be done with one client before the next one came in. The first online triage went really went and finished with plenty of time to prepare for my next client, I was able to prescribe the client some stretches to see if that would ease his LBP. I booked him in with another practitioner at an earlier date than what I would have been able to see him due to some of the comments that we made I felt like he would benefit much more through sooner F2F treatment. My second client is a repeat client that I split sessions with another practitioner, I had to alter the session that I had planned due to the back pain that the client was in. The session was a success and the client reported that he had a great time which is something that made me happy as I always try and make sessions as enjoyable as possible. From here I tried to get as many notes done as possible before my lecture. After my lecture I had another online triage that didn’t attend the appointment. This gave me more than enough time to catch up with my motes before my final f2f client which was a success as I managed to reduce the clients px to zero. This was a massive eureka moment for me and it massively boosted my confidence as a practitioner as I felt ontop of the world as I was able to restore this persons quality of life.
Today I had clinic and covered pitch side for a football game. In clinic I was meant to have 3 clients two triages separated by a face-to-face appointment. My first triage went well, I feel very confident now with the online triages. I was able to give my client a good base of HBE before they then came in for F2F for further assessment. I would not say that there is much more I can work on with my online triages apart from just trying to be consistent as possible with them and remaining unphased no matter what pathology it is that I’m faced with. My F2F client cancelled with illness so myself and some other revised pathologies from our live patient exam next week, in which we looked at hip and back pathologies and reaffirmed ourselves with the McKenzie approach to centralising pain. My final triage which was meant to be online turned up to clinic so we decided to triage them in clinic to save the hassle of having to then do another online triage. It was a difficult triage, the client had severe yellow flags such as anxiety that I had not encountered before in one of my clients and consequently they talked extremely quickly and made it difficult to interpret or even note anything down. I had to take the triage very slowly and I tried to be as reassuring as possible for the client. I think the main thing to take away from the session is that it is okay to ask the patient to elaborate more about some of their conditions as they are more likely to know more about some pathologies than me and that’s okay. When it came to the pitch side everything went smoothly, it was nice to be able to get back out on the pitch and enjoy sport again. Overall, as its coming closer to finishing my final exams I am feeling confident in my abilities both pitch side and in clinic and when I have to do this for myself, I feel id be able to cope with any situation.
26-05-2021- 2 hours
Today I felt very confident in clinic I came in especially for this one client. It was a very good session as the client and I have a very good working relationship, they are progressing very well and are really enjoying treatment so to come in for a one of session seemed worthwhile. We are able to discuss MDT with the client and use this to inform the intensity of sessions.
28-05-2021- 7 hours
Today in clinic I had Three clients and shadowed another two, I did gym work and was able to prescribe home based exercises for all the clients I saw and was able to provide good insight for the clients I was shadowing. I’m feeling very confident now as a therapist and now I am just adding to my toolbox with equipment such as the handheld Isometric dynamometer.
03-06-2021- 6 hours
Today in clinic I had 5 appointments, the first appeared to be an undiagnosed ACL rupture from 6 months ago, The pathology doesn’t seem to be causing masses of Px so we have talked about conservative strengthening and the client seems happy, the next stage is to go on the isometric dynamometer to assess the best ways to improve the strength. However, we still prescribed HBE for the short term to try and increase stability before the next session. Next I had a formative with a first year student, it was strange having to talk through the process but I felt like it was good for me to be able to consolidate my learning when explaining it to someone else. Next I had another appointment which went by easily before writing up my notes over lunch before another triage and F2F which again went without a hitch. I’m feeling less and less like a student and more like a college within the clinic and im super happy to be feeling like that.
04/06/2021- 7 hours
Today in clinic I had 5 clients, everything seemed to run smoothly and I felty confident and at ease throughout. I began with a triage which I feel I am starting to streamline the process to boost the efficiency of the initial subjective assessment. From there I had one of my return clients who is making good progress upon rehabilitating from his stroke. From there I observed as traction session at which I found a good opportunity to boost my communication skills when talking to clients. Finally, I had another triage before assessing a formative assessment which I found useful for consolidating my knowledge.
07/06/2021- 6 hours
Today in clinic I felt like I was able to provide all of my clients with some good advice for the management of their pathologies. There was no point where I felt unable to offer advice or good treatment for the level the client required them. I had two clients that were very inquisitive and asking lots of questions concerning anatomy and movements concerned with their pathology, it was good for me to them be able to explain pathologies in a different way to clients to help my understanding of the different Pathologies.
08/06/2021- 5 hours
Today in clinic I was supposed to be observing other with their clients but due to limited numbers of therapists now that some have completed their hours I was required to treat. This was just a further consolidation of confidence for me and everything seemed to go well. I feel like my notes are getting more and more preside and my supervisors are making less amendments to them. I feel like making my notes and concise as possible over the remaining weeks I am here will be good practice for me progressing through to being my own practitioner.
10/06/2021- 5 hours
Today in clinic I had clients as well as another formative assessment from a first year. I’m finding the formative sessions really good for my confidence in clinical reasoning and explaining why I’d do the treatments I would and how I’d go about getting that impression. Furthermore, the clients that I had were all able to get some relief through the sessions and I again felt confident throughout.
11/06/2021- 6 hours
Today in clinic I treated a range of clients all who were progressing well since the last time I saw them. I had one of the clients I’d worked with from halfway through their rehabilitation sign themselves off as fully pain free. It was a good feeling to be able to get them from a place where they were receiving treatment and not seeing progress to seeing lots of progress and being confident enough to self-manage.