Sunday, May 27, 2007

Stuck for creativity!

Hey All,

I’m currently on my 3rd placement at CPA primarily working with school-aged children. In my first week the superviser went through CP, the assessments used, botox and its protocols. During the first 4 months post botox there is a rehab protocol that is used. First month – stretches, second month – agonist muscle strengthening, third month – antagonist muscle strengthening, and fourth month – combination. So the superviser told me to make a list of potential exercises for each month and report back to her, targeting the following muscles: hip flexors & extensors, abductors & adductors, quads & hamstrings, plantarflexors & dorsiflexors. Thinking the task was pretty straight forward, I managed to get down several stretches and strengthening exercises. But when I went through it with my superviser a lot of the strengthening exercises were inappropriate for school aged children who have physical and sometimes cognitive impairments. My ideas for strengthening exercises relied on the use of therabands, ankle weights and eccentric muscle strengthening, though appropriate, it didn’t suit the target age group. The supervisor emphasized the importance of combining exercises/treatment into games to increase childrens compliance. With a lot of prompting from the superviser I was able to come up some exercises incorporated into playground equipment/sandpit etc. But I was completely stuck on ideas, and considering I’m going to have to do this for another 4 weeks, I’m somewhat worried. Having focused too much on getting ideas from what we’ve learnt in musculo and neuro pracs, I’m having difficulty trying to think of exercises to accommodate for younger children.
So if anyone has any suggestions on activities/games that can be used during the treatment session, or know of any resources I can have a look at, help would be very appreciated!

Rev

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