STS scenario 4
Cards (6)
- Foot placement too far forward during flexion momentum resulting in compensatory excessive forward lean and overuse of arms
- Further tests/investigations you would like to do
- lower limbs strength control
- back extensor strength - excess forward lean could also be due to poor back extensor control
- foot proprioception
- Foot placement too far forward during flexion momentum resulting in compensatory excessive forward lean and overuse of arms
- A suitable outcome measure
- muscle strength
- foot proprioception
- side view - heel 10cm behind knees, angle of tibia shaft and femur shaft
- timed up and go?
- Foot placement too far forward during flexion momentum resulting in compensatory excessive forward lean and overuse of arms
- Justification for selection of treatment
- Modified action part of individual through decreasing friction using roller skates to bring foot 10 cm behind knee
- closed environment to ensure pts safety
- part practice
- Foot placement too far forward during flexion momentum resulting in compensatory excessive forward lean and overuse of arms
- Justification of approaches to facilitated learning
- refer to sts scenario 1
- Foot placement too far forward during flexion momentum resulting in compensatory excessive forward lean and overuse of arms
- progression:
- progress to whole practice - start with safety bars on each side to allow for stabilisation, then remove safety bars to stop overuse of arm, but stand in front of patient of their safety
- remove roller skate
- Foot placement too far forward during flexion momentum resulting in compensatory excessive forward lean and overuse of arms
- Main Analysis Findings
- impairment in flexion momentum
- side view - heels are not 10cm behind knee (angle of tibia shaft and femur shaft is too large) so tibial shaft will not be able to move forward as much
- overuse of arms may also be due to lower limb muscle weakness
- excess forward lean could be due to poor back extensor control