Today i had a pt present with a previous left side stroke 4/12 ago. He had a extremely good recovery and had recovered almost all mvt except for weakness in his left hand. He had been referred to us for lower limb strengthening and balance exercises. Since of his high level function we used a modified BBS and a dynamic gait index Ax.
I took the pt through the Ax which i was happy to do and also a little apprehensive about as i hadn't conducted these Ax before or even seen them! I felt the Ax went well for a first time run through and the pt understood what to do from our instructions. He 17/20 in the dynamic gait index and and modified BBS.
I think i could have improved the Ax by reading it through thoroughly before hand and even doing a test run if time permitted. I also believe i could have been a little more clear with my instructions, but overall i was happy with the Ax and confident that the results that the pt achieved were reliable.
I felt that it is hard to communicate instructions to a pt that you aren't to sure about your self. I think that next time i perform these Ax i will be much more successful with my communication.
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