Physical Therapy Volunteer 5/24/12

• Dh - shoulder and IT band massaged, rows, elbows bent or in close?
• After program - common with PTs? 
• De - IT band, aggressive treatments not possible with an elderly patient
• By - broken hip neck of femur snap? 
• Cn - achiles loss of ROM, sensitively in heel, inflamation 
• workman comp - system - people fake injuries ruin it for people in need
• doctor shuffle
• Popping sound in joints - CO2 release
• Pilates reformer - squat with board - heel sensitivity, helps with dorsiflexion 
• army eval - where/what muscle
• palpating upper trap, levitar scapula,
• stabilizers weak, strengthen stabilizers
• calm/treat pain symptoms
• strengthen 
• ACL possible tear?
• anterior drawer test
• How to use a goniometer?

Physical Therapy Volunteer 5/17/12

• Patient discretion
• Down time
• Cleaning tables, equipment, and machines
• Laundry
• Familiarize myself with Exercise terminology 
• REF = Reformer
• RIP = Run in Place
• TUB - Thumb up back
• Private clinic needs to emphasize productivity
• my role is not to get in the way of productivity, 
• if questions but PTs are busy, write down notes
• ? - Patient subjectivity 
• asking how a patient feels vs what the PT believes a patient is at
• motivating patients who feel they don't need to do their exercises anymore
• letting a patient know their limitations,
• test 
• ignore patient's subjective opinion 
• ? - Incline setting - how to choose incline setting for patients
• side ways squat jump form
• posture - spine and shins are parallel 
• sound - soft vs hard landing indicates eccentric muscular control (having the strength to lower yourself slowly
• simultaneous landing vs tap tap landing - indicates pressure of landing being shared by both feet
• MCL valgus injury
• adductors
• hamstrings
• quadriceps
• *treat multiple components of the injury
• ? - Q angle - quadriceps angle?
• ? - Massage techniques 
• purpose and techniques
• ? Popping noise in knee - ?
• ? Taichi research - effect on physical therapy and fitness
• New Eval
• athletes - pain tolerance different from other patients
• how running causes back pain (lack of foot plantar flexion)
• head aches - posture and back pain
• standing march - quiver in lumbar spine, weakness
• Ibuprofen and drug use - NSAIDs and Naproxen
• liability concern, a lot of people misuse drugs
• foam rolling alternatives for patients with shoulder pain
• use a rolling pin to manually roll
• Adhesive capsulitis - frozen shoulder 
• SITS - supraspinatus, infraspinatus, teres mminor, subscapularis 
• teres major
• rhomboid major and minor
• trapezius mid
• latissimus dorsi
• ? - Knee valgus - Christopher Powers

Retraining Happiness

Kaye linked me to this 12 minute video that really made me think and reconsider. I've been pretty stressed and depressed lately so it was a breath of fresh air to watch and listen to. The discussion of redefining happiness as a result of success really stroke an accord with me. All my life I've been pressured into succeeding that I actually don't appreciate my own successes, I don't even consider them successes, I'm always thinking about the next goal and while that is commendable to be ambitious, it isn't healthy when it becomes detrimental to your own self confidence. Where you're so focused on falling short of the next goal that you never really appreciate any of your previous successes and so you're never really satisfied or happy with yourself.

I want to try this journal/retraining happiness thing. I'm going to give it a try. We'll see how long it lasts....