This semester I have been placed with Melissa as my primary preceptor, and my group members are Colin and Laura. It has been a really awesome experience so far, and I can already tell we are going to learn so much together if we take advantage of the opportunities that are presented to us. Both Colin and Laura are very serious about their studies and how they perform, so that is a good common ground that we all have. Despite only having us all together once since classes started back, I can tell that we are going to have a good time together. We are all very light-hearted, but we also know when it is time to be serious. Laura and I work very well together to accomplish everything that needs to be completed while in the clinic together. In addition to accomplishing tasks, we also work together when trying to learn new things and when we are just studying in general. There was a particular instance when we were in the clinic and no athletes were in there, and we quizzed each other with BOC practice questions. We worked together to figure out the answers to various questions, and learned from the ones that we couldn’t figure out. Also, Laura and I worked together to diagnosis our first injury on our own. This was the instance that I mentioned in the last reflection concerning the athlete with a pelvic up-slip. Since this injury experience, we have had many conversations on the correct way to realign pelvic rotations. Today I believe there was a breakthrough in that understanding when I got to realign a patient’s hips on my own. I have not been able to work much with Colin due to our schedules; however, Colin and I work very well together in regards to our classes. We work well together when we are studying, and it is beneficial that we often times have different strengths. Both Colin and Laura have a natural curiosity for learning about the profession, so I am excited to see what we will be able to learn together as the semester progresses.
This week I have had eighteen attempts in the cervical spine and thoracic evaluation section of the clinical packet. All of the attempts have happened in Upper Evaluation with Brianne. They consisted of testing the integrity of the C4 -T1 spinal nerve roots and special tests.
This past week an athlete came into the clinic complaining of sharp back pain after a lifting session and a shuttle run. Laura and I were the students in the clinic and Melissa gave us the opportunity to perform the initial evaluation. Laura and I were both skeptically at first about doing this particularly evaluation because both of us felt a little uneasy about the lumbar spine. Soon into the evaluation, we saw that it was most likely a hip condition that was referring pain into his lower back. This suspicion would have been more evident in the beginning of the evaluation; however, the athlete left out a key event in the progression of his injury. He explained that the pain first presented during front squats in the gym, but then worsened during the shuttle run once he bent down to touch the line. Halfway into the objective portion of the evaluation, the athlete revealed that he also fell during the shuttle run which is what actually caused the onset of his sharp pain. This piece of the history then lead me to suspect an up-slip of his left pelvis. After further testing using the Long-sitting test, the standing flexion test, and Gillet's test, my suspicion was confirmed. His hips were then realigned with instructions from Melissa which alleviated much of his sharp pain leaving mostly soreness afterwards. We then applied STIM and ice to help with his pain, and instructed him to come back the next day.
This was an awesome moment to have, especially just coming back from break. It was encouraging to be able to put to use the information that I have learned, but have not been able to practice on an actual incident. During the moment it was tempting to run to Melissa when we were stumped, but I believe it was more beneficial for us to work it out on our own. When listening to how this athlete described his pain, I used my own personal experiences to relate to him. The pain he was describing sounded very similar to the pain I feel when my hips are out of alignment. Because I had experienced something similar to him, it was easy to be empathetic to what he was feeling and experiencing. This occurrence helped me work toward my goal of improving my evaluation skills. Unfortunately, I did not get to perform as many evaluations as I would have liked this semester, so it was great to be able to perform one so early in the semester. In the future, I will attempt to make it known to the athlete that every piece of the injury's history is important. This will hopefully save me and the athlete time and it will help avoid unnecessary special tests.
This week I have had eleven attempts in my clinical book. They consist of ROM and MMT of the cervical spine during upper and a variation of the McConnell tape on a basketball player.