Tuesday, September 2, 2008

assessment of voluntary movement

I am currently at the head injuries ward at Shenton Park and was asked last week to do an indepth SOAPIER on one of my patients. Within this SOAPIER you need to explain the patients movement patterns fo all limbs. This patient presented as a left hemi (LL>UL) and with some dyspraxia of all limbs. Due to the limited movement of this patient Gowland was not appropriate for assessment. My supervisor therefore showed me another way to assess voluntary movement in a 1, 2, or 3 joint control format in varying positions. This isnt a really easy way to assessment the movement but after some practice it seems the best way to explain exactly what the patient can do, in what range and what type of movement. I was suprised that we didnt actually learn how to do this form of assessment in uni. I know it is pretty specific to head injuries etc but itis also just a good way to get your head around exactly what needs to be worked on and what the impairments etc are. Has anyone come across this particular assessment or similar assessments that they thought we should have been taught. I found that I felt quite unequipped to perform an effective assessment on this patient with what I was taught at uni.

3 comments:

Anonymous said...

Sounds like the assessment you were taught by your supervisor is quite useful. Would you be able to put that up here? Or is it that complicated to post here? If not, I would love to have the information for my future career. Please? Thanks

Anonymous said...

I was also at that palcement in sem 1 P1. I too think it is a nice way to assess the head injury patient since Gowland has only been validated with stroke patients. I do remember Peter running through it briefly during 3rd year, but as you say it is one of those things that you learn on the job and yes I did also feel a little bit in the dark when shown this assessment at clinic. Enjoy the rest of the placement!

Kappa said...

yeah ive realised since ive been on clinic and working as a PTA elsewhere that at uni you only get taught the basics and continuing education and professional development is needed to improve your skills and knowledge