week 9

Week 9

It’s been a long week, again.

All I should do is mention Monday and you should know by now that I hate them. There is no point at all in the sessions, I hate the lecturer and I just can’t be bothered.

Tuesday there was no lecture, so I spent the day at my friends being productive and doing work and knitting.

I started my second rotation of clinic on Wednesday, I went through a whole subjective and objective assessment, along with a knee joint assessment without any guidance which I am proud of.

Thursday was a long day learning dermatomes and myotomes as well as reflexes.

A dermatome is an Altered sensory input of the peripheral nerves.

A myotome is an Altered motor impulses of the peripheral nerves.

Reflex changes of the deep tendon reflexes

Myotomes are tested with resisted movements.

You can test C1 by doing cervical flexion, C2 by cervical extension, C3 by Cervical side flexion, C4 shoulder elevation, C5 shoulder abduction/ lateral rotation, C6 elbow flexion/ wrist extension, C7 elbow extension/ wrist flexion, C8 thumb extension, T1 finger abduction and adduction.

L2 hip flexion, L3 knee extension, L4 dorsiflexion, L5 big toe extension, S1 eversion, S2 Knee Flexion.

Dermatome testing:

•      A therapist can use the following applications:

•      Light touch

•      Sharp/blunt

•      Warm/cold

•      Positive signs

•      Sensory loss

•      Altered skin sensation

•      Inability to differentiate between stimulus

Reflexes:

Bracioradialis (C6)

Biceps (C5)

Triceps (C7)

Knee jerk (L3)

Ankle Jerk (L5, S1, S2)

On Friday I was in the early session at 9 o clock which meant I finished at 1pm. In the practical we had to perform the Sath 90 protocol for football. Participants had to run based on specific demands on a tape wearing GPS monitoring gear on their C7 spine and on the gastric. This was to measure load. After 15 minutes we measured their blood lactate, Nordic break angle, y balance test and RPE. It was a great practical and the results were good.