STS scenario 2
Cards (6)
- Slow and effortful extension phase – not achieving full extension. Overuse of upper limbs during this phase can lead to injury
- Further tests/investigations you would like to do
- soleus and gastrocnemius strength/rom for plantarflexion
- hip and knee extensor strength/rom
- tibialis anterior strength/rom
- arc shape
- Slow and effortful extension phase – not achieving full extension. Overuse of upper limbs during this phase can lead to injury
- A suitable outcome measure
- soleus and gastrocnemius strength/rom
- hip ad knee extensor strength/rom
- tibialis anterior strength/rom
- timed up and go - see if theres an increase in speed
- range of extension achieved
- Slow and effortful extension phase – not achieving full extension. Overuse of upper limbs during this phase can lead to injury
- Justification for selection of treatment
- stand up from high elevation chair - reduced amount of extension required
- Higher seats require less range of motion and force produced and less translation of centre of mass
- strengthen soleus, gastrocnemius, hip extensors, knee extensors, tibialis anterior
- whole practice
- Slow and effortful extension phase – not achieving full extension. Overuse of upper limbs during this phase can lead to injury
- Potential progression
- lower height of seat - more extensor work
- start to limit use of upper limbs
- Slow and effortful extension phase – not achieving full extension. Overuse of upper limbs during this phase can lead to injury
- Justification of approaches to facilitated learning
- refer to STS scenario 1
- Slow and effortful extension phase – not achieving full extension. Overuse of upper limbs during this phase can lead to injury
- Main Analysis Findings:
- inefficient extension phase
- Soleus and gastrocnemius weakness - cant pull ankle into plantarflexion
- Hip and knee extensors weakness - cant lift body up
- Tibialis anterior weakness - works eccentrically acting as an antagonist to soleus and gastrocnemius