hey all!
I'm currently doing my neuro prac in neurosurgery, which I'm finding really interesting! My supervisors have been really helpful in exposing us to a variety of high level and lower level pt's, with a mix of inpt and outpt load. I get really excited about working with the pt's and seeing the progress that they make within a couple of days of physio input - it really puts into perspective what we're doing and gives me hope that we can actually make a difference!
I guess one of the difficulties with neuro is getting the balance between quality of movement, and just getting movement. Its really important to have good handling skills so that you are able to effectively facilitate the movement that you want, yet at the same time you have to be aware that sometimes pre-existing factors, or co-existing factors may prevent the pt from ever getting 'perfect' movement and you have to be able to progress the pt functionally too.
Sometimes I feel like we've been working on the same thing for three sessions and the pt really isn't improving (eg: pelvic tilt) and I feel like we need to move on, but then this movement is vital to being able to STS and walk normally - which leaves me questioning do we keep working on this until the pt has it, or do we just move on??
Has anyone else experienced the same thing and have any suggestions on what they would do in this situation?
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I know what you mean! And you can just hear the patient thinking "how long are we going to do this for?". I guess the only thing you can really do is take it back a step, eg. back to crook lying for pelvic tilt. If you make it really basic then hopefully eventually they'll pick it up!! Enjoy china luv!! xoxox
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