At 19:45 1/04/99 +1000, you wrote:
>>in my clinical situation (Private Practice) the cohort definitely needs
>specific instruction. A majority of my clients are fit, athletic and most
>have no particular strength problem. Telling them they have a "weakness"
>problem when I can't demonstrate any evidence of this to them has tended to
>get a few of them offside. Pandering to their egos, I refrain from
>labelling their quads as weak, therefore the instructions re "retuning" the
>components of their quads. Most of them are cluey enough and have enough
>body awareness to cotton on to the concept quickly once shown disparity
>with dual channel BF and rehab progresses well from there. (Although a few
>motor morons sneak through). So, I take your point about different patient
>groups needing slightly different emphasis in instructions. Strengthening
>can have different connotations depending on who you speak to.
>
>Matt
>
>--------------------------------------
Yes, I can see your point, there. In the older age group or even in a
younger chronic person, I am tending to find obvious evidence of VMO atrophy
compared to the other leg. Even so, in many older clients I don't ulimately
press a hypertrophy program but do find that progression of a program which
has aspects of activation, increasing forces, and functional retraining, is
needed. On further thought about some of my clients, it occurred to me that
perhaps the client who is more difficult to instruct is the person with a
lot of "knowledge" baggage. Mind you, we Physios are often accussed of not
being able to take on board a working knowledge from other paradigms, so I
guess that's a quirk of human thought processes.
>
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Owen Allen
Atherton Hospital
P.O. Box 183
Atherton 4883
Queensland, Australia.
Ph: 07 40910261
F: 07 40913502
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