Topic One (Intervention/communication)

S- approx. 55 yr old man had a TKR 3/52 ago, undergoing a rehab programme
T- I was asked to go through some exercises with him to improve his range of knee flexion. I had to give him feedback on his exercises that he had already been given and teach him a few progressions. I also needed to measure his knee flexion ROM before and after his exercises.
A- Exercises aimed and strengthening his quads/hams. strength and improving range and flexibility around knee. I observed his gait on the treadmill and encouraged him to concentrate on heel strike,etc and educated him about the correct posture during gait to optimise the his biomechanics especially at his knee.
R-The patient reported that his knee felt less stiff after the session and also said he felt a difference at his knee/in his legs when I corrected some of his exercise techniques. As a result he ended up working the correct muscles optimally and his exercises became more challenging. His knee ROM had improved.
E- strengths: constructive, clear feedback, gait analysis. weaknesses: I had some difficulty with adapting a few exercises when some caused discomfort and so probably could have given him more effective exercises
S- I went and asked the physio about some modifications to some exercises and looked up some more exercise ideas