12/2/2018 0 Comments Reflective Journal #14This past week I had the opportunity to start a freshman football player’s rehabilitation from a previous fibula fracture. The athlete had a contact injury that resulted in a fibula fracture, which then required two surgeries to fix the surgery. Unfortunately, his rehabilitation was scheduled to begin during Thanksgiving Break, so upon his return to school, he was already behind. I was somewhat unfamiliar with his case, so before we started rehab that day, we went over everything that had happened. I found out that over Thanksgiving Break, he had done small amounts of running. He has been cleared for activity, but is still experiencing mild discomfort while walking for long periods of time and complains of numbness on the top of his foot from the surgery.
The first rehab we did was very successful, and I was able to make many conclusions about his current state. He did not physically appear as if he had suffered from a lot of muscle atrophy, but the strength difference was extremely noticeable. This was highlighted during single leg squats to a box. His unaffected leg was so simple and effortless for him, while the affected leg was very difficult to perform the exercise on. Additionally, he complained of a lot of increased stiffness in the affected leg, which may have increased the difficulty of this particular exercise. I also had him perform some balance exercises to find a baseline of where he was ranged on proprioception. He was pretty impressive balance wise and worked very hard to perform well, specifically on balance exercises. After a few more exercises, we ended the session with a light jog because he really wanted to run some more since he had worked on that some over break. However, during the jog, he obviously favored his injured leg much more than the other. Through this rehab, I was able to keep the session very informal and lighthearted, while also being able to get a really good idea of where he was in the process. Something that I had not put much thought into previously was the level of insight that the athlete had to where he or she was in rehabilitation or their abilities to perform. After speaking a lot about level of insight in my abnormal psychology class, I have tried to incorporate that more into my clinical practice. This athlete in particular does not have very good insight into the depth of his condition; he believes that he is much farther along that he is, even though he is performing fairly well. In the future, I plan to look much more into how the athlete thinks he or she is doing, and base some of the rehabilitation techniques off of that answer.
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