Week 4.

Week 4
Well you already know I hate Monday’s. 
This week’s Lecture was about injuries to the groin and what causes them and the treatment etc. BORING.
PRACTICLE WAS EVEN WORSE!! 
We had to design a rehab programme for a shoulder dislocation. So we made it Sport specific with active assisted shoulder flexion and extension, pendular exercises and isometric contractions. At the end we made it cricket specific and added in almost a circular action with the ball like a bowl. 
Obviously we were wrong. Don’t add in that movement to the rehab programme too early. 
Placement was good. Treating a patient who was injured with stretching and palpation. 
Tuesday started with a much needed lie in. After the weekend which Chris I needed a catch up on sleep. A lecture on professional conduct and record keeping. 

Luckily that came in handy when I had a patient in clinic. We had to plan a rehab programme for their injury and take and write clinic notes which was fun. However that was the only patient we had all morning. 
I have never been so productive in an afternoon. 
I signed my tenancy agreement for my room next year, summarised 2 papers for clinic self directed study, summarised A progression paper for clinic placement, did another 200 words to my literature review due in next week, typed all my notes so far, and made tea!

Thursday was ok. 
Started with a lab practical with myself participating in the wingate test. Hard. Work. 
Next came the lecture about upper limb special tests
Shoulder special tests are:
Apprehension
Anterior and posterior glide
Load and shift
Lift off
Sulcus sign
Hawkins sign
Yergasons test
Empty can
Clunk test
O’Briens test 
Neer test and speeds test 

Elbow special tests include
Extensor Capri radialis brevis
Mills
Tinnel’s 
Valgus
Varus
Cozen’s
Milking manoeuvre 

Wrist special tests are
Phalen’s 
Reverse Phalan’s 
Valgus
Varus
Finklestiens
Tinnel’s 
Grip test
Tfcc load
All these tests are specifically used to differentiate between different diagnoses. 
Practical enabled us to practise these tests again. Which I definetly need to revise!!

Friday was good. 
A lecture about hamstrings and what can effect them and create injuries. 
Risk factors include hamstring to quad ratio (where the quads are too strong compared to the hamstrings), age which is highly contested in literature, fatigue which led us on to the practical. 
One person was the model who had to do Nordic curls. We had to video this and analyse the break angle on the participant. We also measured the electromyographic activity during these.  We fatigued them in a exercise protocol and proceed with more Nordic curls and EMG tests. We found that the biceps femoris is prominent early in before fatigue and then reduces and semitendinosus is prominent during the fatigued Nordic curls. 
Amazing!

Now for a weekend doing assignments and seeing my family :)

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