The therapy session focused on correcting the posture of a mother who was 4 months pregnant and was experiencing low back pain because of excessive lordosis. The goal was to relieve the pain while walking and doing chores by making her aware of the muscle transverse abdominis and use it when doing her activities. Limb-loading while doing the activation of TrAs was used as a progression of the exercise. The reference used for determining the exercises and breakdown of actions appropriate for the patient’s population was from 6th edition of Physical Rehabilitation by O’Sullivan and Schmitz (2014).
The patient was guided all throughout the session. Since it was the first time the patient learns the exercise, the therapist first demonstrated some …show more content…
The patient did the shoulder flexion and lower-limb extremity on both left and right of the extremities for 8 repetitions and 2 sets on each limb. Rests were given in between sets.
9. Verbal and tactile feedbacks were given to correct the patient.
The good points for the therapist as evaluated were: the rationale was related and made relevant with the patient’s activities of daily living, the use of cues was maximized, verbal instructions were provided, the exercise room was prepared, the demonstration was strategically done, and the summary and home instructions were in context with the patient’s activities of daily living.
One of the commendable good points was the frequent use of immediate external tactile feedback while doing the drawing-in maneuver since it was hard to learn how to activate the transverse abdominis making it difficult for internal feedback. Immediate external feedback was also given during the limb-loading exercises.
The therapy would have run smoother if the therapist knew how to verbalize and make the patient imagine the contraction and relate it to functional activities like, “Imagine you are trying to wear a pair of super tight jeans. Activating this muscle is like sucking in all your of your guts to fit in to those pair of jeans” Another better way to have done it is to compare the contraction of the rectus abdominis with the transverse abdominis but with precaution because the patient is
The patient was guided all throughout the session. Since it was the first time the patient learns the exercise, the therapist first demonstrated some …show more content…
The patient did the shoulder flexion and lower-limb extremity on both left and right of the extremities for 8 repetitions and 2 sets on each limb. Rests were given in between sets.
9. Verbal and tactile feedbacks were given to correct the patient.
The good points for the therapist as evaluated were: the rationale was related and made relevant with the patient’s activities of daily living, the use of cues was maximized, verbal instructions were provided, the exercise room was prepared, the demonstration was strategically done, and the summary and home instructions were in context with the patient’s activities of daily living.
One of the commendable good points was the frequent use of immediate external tactile feedback while doing the drawing-in maneuver since it was hard to learn how to activate the transverse abdominis making it difficult for internal feedback. Immediate external feedback was also given during the limb-loading exercises.
The therapy would have run smoother if the therapist knew how to verbalize and make the patient imagine the contraction and relate it to functional activities like, “Imagine you are trying to wear a pair of super tight jeans. Activating this muscle is like sucking in all your of your guts to fit in to those pair of jeans” Another better way to have done it is to compare the contraction of the rectus abdominis with the transverse abdominis but with precaution because the patient is