In the context of reflecting about my journey of physiotherapy in the last 20 years and the recent
deep conversations I started having with people in the mining industry on my recent travel trips, I have pondered around the success and failures of owning Nextmove. One of the questions that is front of mind is what makes a session at Nextmove in a class, consult or with a team member really hum and feel that it was well worth being at work today? The answer I feel is in our PREVENTATIVE STRATEGY we have adopted and this personally excites me, engages the patient and educates our staff on how we are delivering our services in 2021 and beyond.
I have to acknowledge the team as I writes this blog too who have all contributed to my personal observations and thoughts on this topic. In short we have re-defined how to deliver Injury Prevention services and I thought I would share a story to explain Why Prevention is important and maybe help our patients and clients read deeper into where physiotherapy is heading (well at least in the Nextmove space).
In the video I share below, please see one of my patients progress in 1 treatment session (consent also given by his Mother to share this with you). Nic had a tumour removed from his right thigh bone weeks prior to this video, he was told to walk with crutches to take weight off his leg until he felt ok to gradually weight bear.
Traditionally the medical model uses a pain/tingling/ache/stiffness/swelling model as guidance of when a patient can or cannot progress. Also the traditional physiotherapy approach might be to rehabilitate by working on isolated muscle groups and providing a generic quad, hamstring and calf exercises to help stabilise the knee. After my first assessment with Nic, I went deeper into how I needed to treat Nic. Prior to surgery he had an an uneven gait, after surgery he remained in a leg extended and seated position for a few weeks, resulting in a significant loss of muscle tone. More remarkably Nic had begun to compensate with poor breathing patterns and accessory muscles when starting to ambulate on crutches.
In the video you will also see Nic had lost force production or torque in his right hip seen by excessive foot turn out and weight shift onto his left side. So in one session we reset his breathing with a 360 breathing model which increases diaphragm performance, we worked on motor control patterns to help organise the spine and leg posture and facilitated Nic with some neural treatment techniques to transfer his weight and increase his arm swing.
The results in the video below are just 10 minutes after the above video.
With children, I find we sometimes need to move away from pain and focus on where the issue might be felt and focus on ways to de-threaten the central nervous system. After all, we are one entire body system and not just a musculoskeletal unit. Nic is building confidence and now walks unaided at school and at home and I was told 1 week after this video he was running in the shallow pool at Craigie.
Nic thank you for letting me share your story and helping you on this journey. If we didn’t work on unwinding the complex movement pattern Nic had learnt post operatively, Nic would have struggled to restore movement into his normal activities and could have increased his likelihood of injuries in the future.
Now this story is not about application for patients who have just received surgery…in fact the truth is that we all have bio mechanical issues we can work on before they lead to injuries. At Nextmove we are establishing a movement assessment application in all of our strength and conditioning , physiotherapy and class sessions to ensure our patients understand what movement patterns they need to work on, supported by accurate exercise prescription and coaching to help.
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