Allied Health Internship: A Look Back at the Rehabilitation Module with Ex-Student Ambassador, Nathan.
by Bryanna Sweres, on 12/01/2021 12:01:22 PM
There are many different forms of rehabilitation including cardiovascular, metabolic, neurological, musculoskeletal and mental health.
Musculoskeletal injuries can be categorised into 3 main groups, chronic musculoskeletal, sports related and postural related injuries. When working with clients with musculoskeletal injuries it is important to follow the guidance of the allied health professional to ensure the clients individual needs and goals are met.
Within this population group it is important to monitor technique and most importantly pain levels to enhance program adherence, reduce the risk of re-injury and to ensure the program meets the clients rehab goals.
Ex-Student Ambassador, Nathan, reflects on his experiences during the 2019-20 Internship Rehab Module.
Classes: ACL Rehabilitation
Today the focus was around key muscles, movements and joints used in common exercises and the recovery pathways for certain injuries, looking specifically into ACL rehab and the Melbourne ACL rehab guide.
The practical aspect of the class involved the delivery of an exercise program for someone recovering from an injury.
I was completing a program for someone with shoulder subluxation. This injury is defined as a partial or incomplete dislocation that usually stems from changes in the mechanical integrity of the joint.
We also completed the return to sport tests from the ACL rehab guide.
The practical activities combined with the theory we completed in class today helped assist my understanding of how to implement exercise programs for people recovering from specific injuries and how these programs need to be tailored to specific populations.
The most enjoyable part about todays' session was taking part in the ACL rehab tests as they were really challenging, even for a young, healthy individual.
The content of what we learnt today is valuable to know because as a physio, as it's crucial to understand the physical pathways for each different type of injury and each client. This is because each person will have different goals in their recovery and have different timelines in their rehabilitation. For example, they have a specific date they must return to work by or they need to be ready to compete in a marathon that is taking place in 3 months' time. If we have a wider knowledge of how to best treat and prescribe rehabilitation exercises for our clients, we will be able to help them reach their goals faster.
Placements: Exercise and Rehabilitation Clinic
When a person gets injured, their primary goal is recovering from that injury and getting back to 100 percent as quickly as possible. For all serious injuries, rehabilitation is key to restoring strength, flexibility, and endurance.
In the clinic, we work one on one with clients and guide them through their personalised exercise programs that are designed by the ERA Accredited Exercise Physiologists.
The most beneficial thing about working in the clinic is the experience you get with real clients and the ability to learn how to cater to their individual goals.
This placement has really improved my ability to deliver exercise programs confidently and with better communication skills.
With today's client, Alba, we completed a variety of exercises to achieve one of her goals of increasing her overall body strength.
These exercises included arabesque for the glutes and hamstring strength, incline push ups for upper body strength, straight arm lat pull downs which target the shoulder and back. She also completed some hip flexion on a Swiss Ball for core strength and finally, some knee lifts on a Bosu ball which is to improve balance.
With all of these exercises, we wanted Alba to focus on control by completing slow repetitions.
Review: Rehabilitation Module
This module focused on injury rehabilitation and recovery. We looked at the different stages of rehab and how to prescribe exercise at these different stages.
We spent a lot of time down in the ERA gym, prescribing injuries to classmates and then treating them as if they came in to our workplace presenting with the injury.
If I didn't undertake these practical activities, I wouldn't feel confident in prescribing exercises to someone recovering from an injury.
The placement we completed for this module was held at ERA in the Exercise and Rehab Clinic. We had the opportunity to work with a variety of different clients. I've worked with a lot of people with different types of injuries or conditions such as shoulder problems, hip problems or high blood pressure. We have to be able to provide exercise programs for them that target these areas and hopefully reduce the negative symptoms associated with them.
This placement opportunity definitely taught me how to be adaptable. In situations where a client might be feeling pain, you need to regress an exercise quite quickly and come up with something more suitable on the spot.
Also, communication is something that has been improved throughout this placement, trying to demonstrate exercises in different ways, whether it be focusing on visual demonstrations or verbal cues, all clients respond differently.
The most enjoyable part of the module was the placement down in the ERA gym, meeting all sorts of people.
They are all here to exercise and improve their overall health but also here to have fun so it's good to help them out with that!
ERA's on-site Allied Health Educator, Ben Lennard, elaborates on the Rehabilitation module and it's importance as part of the 2019-20 course.
This is the first class that makes up the Rehabilitation module. Today students work in pairs to put together a tailored rehabilitation program. The students firstly watch a real physiotherapy assessment (online video) and take the important information from this consultation to put together a safe and effective exercise program, for their allocated client. The class also draws on their knowledge in common pathologies, and functional anatomy, to complete the task.
Once a suitable exercise plan has been put together, the students implement their programs on each other, allowing them to develop their skills in exercise delivery, within a rehabilitation setting.
We also touch on some nationally recognised exercise protocols, such as the Melbourne ACL rehabilitation guide, later in the evening.
Students will walk away with:
- An understanding of the stages and processes of rehabilitation
- Build upon their knowledge in functional anatomy (what muscles work within each exercise)
- An Extensive skillset in the programming for a rehab client
- Be able to facilitate a one-on-one exercise rehabilitation program safely and effectively
The skills developed within this module allow AHA graduates to run rehabilitative programs safely and effectively, under the guidance of an allied health professional, whether it is within a hospital or private clinic.