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      • Sphinx Test
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      • Hawkins-Kennedy Impingement Sign
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      • Internal Rotation Lag Sign
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      • Ludington's Test
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      • Pronated Load Test
      • Resisted Supination External Rotation Test
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      • Posterior Apprehension
      • Sulcus Sign
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        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
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      • Chair Sign
      • Cozen's Test
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Making Time for Your Health

7/22/2015

1 Comment

 
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One of the frustrating things for new grads to learn after coming out of school is that we do not get 100% of our patients 100% better. Part of the reason is that with physical therapy moving towards direct access, not all patients have a true neuromuscular problem. Patients with other pathologies come into our clinics as well. Probably one of the biggest issues, however, is patient compliance.

We all know the home exercise program is an essential component of any patient's rehabilitation. We also know that patients more often than not fail to comply with the prescription. A patient's adherence to their HEP allows therapists to progress or adjust patients' treatment plans more accurately. That is why it is essential we educate our patients on the importance of following the instructions. For example, with a repeated motions HEP, the exercise is not only used for treatment, but also diagnosis. Based on how a patient responds, sometimes the motion has to be altered.

Even with all that being said, some patients will still not be compliant. They will come in after you gave them homework regarding exercises to do, necessary liftestyle changes and more, yet, still have significant pain. Upon questioning, you may discover the patient did follow the instructions, whether it be the required frequency or postural changes. Unfortunately, some people will not set completing their exercises as a higher priority. They are in pain, but still have trouble making time for the adjustments. It is frustrating as PT's, but we cannot lose hope. I recommend further education for the patient as a start. The key is making the "light switch on" for the patient. What I like to do is have the patient complete a painful activity, then perform their repeated motions to decrease their pain and then re-test the original activity. Sometimes it then clicks for the patient that they can manage their symptoms. Sometimes, the patient still will not make the necessary changes. We must do our best to help the patient make the commitment to the program.

-Chris


Like this post? For more advanced information, join the Insider Access Page now! Also, check out similar previous posts below:
Patient's Benefit From Direct Access
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The Importance of Reflecting Every Week
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1 Comment
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  • Home
  • About Us
  • TSPT Academy
  • Resources
    • Newsletter
    • Orthopedic Blog
    • Featured Articles
    • Research Articles
    • Residency Corner
  • Special Tests
    • Cervical Spine >
      • Alar Ligament Test
      • Bakody's Sign
      • Cervical Distraction Test
      • Cervical Rotation Lateral Flexion Test
      • Craniocervical Flexion Test (CCFT)
      • Deep Neck Flexor Endurance Test
      • Posterior-Anterior Segmental Mobility
      • Segmental Mobility
      • Sharp-Purser Test
      • Spurling's Maneuver
      • Transverse Ligament Test
      • ULNT - Median
      • ULNT - Radial
      • ULNT - Ulnar
      • Vertebral Artery Test
    • Thoracic Spine >
      • Adam's Forward Bend Test
      • Passive Neck Flexion Test
      • Thoracic Compression Test
      • Thoracic Distraction Test
      • Thoracic Foraminal Closure Test
    • Lumbar Spine/Sacroiliac Joint >
      • Active Sit-Up Test
      • Alternate Gillet Test
      • Crossed Straight Leg Raise Test
      • Extensor Endurance Test
      • FABER Test
      • Fortin's Sign
      • Gaenslen Test
      • Gillet Test
      • Gower's Sign
      • Lumbar Quadrant Test
      • POSH Test
      • Posteroanterior Mobility
      • Prone Knee Bend Test
      • Prone Instability Test
      • Resisted Abduction Test
      • Sacral Clearing Test
      • Seated Forward Flexion Test
      • SIJ Compression/Distraction Test
      • Slump Test
      • Sphinx Test
      • Spine Rotators & Multifidus Test
      • Squish Test
      • Standing Forward Flexion Test
      • Straight Leg Raise Test
      • Supine to Long Sit Test
    • Shoulder >
      • Active Compression Test
      • Anterior Apprehension
      • Biceps Load Test II
      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
      • Neer Test
      • Painful Arc Sign
      • Pronated Load Test
      • Resisted Supination External Rotation Test
      • Speed's Test
      • Posterior Apprehension
      • Sulcus Sign
      • Thoracic Outlet Tests >
        • Adson's Test
        • Costoclavicular Brace
        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
    • Elbow >
      • Biceps Squeeze Test
      • Chair Sign
      • Cozen's Test
      • Elbow Extension Test
      • Medial Epicondylalgia Test
      • Mill's Test
      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
    • Hip >
      • Craig's Test
      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
      • Hip Quadrant Test
      • Hop Test
      • Labral Anterior Impingement Test
      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test