When teaching exercises to patients the priority is often the patient’s key dysfunctional areas. In other cases spinal alignment and inner unit activation are top priorities. Further we can all be guilty of giving too many extrinsic cues to patients and we may want to focus on just one area of cueing too avoid confusing our patients. As a result the type of grip or hand position is often not considered.
Nonetheless, how important is the hand position? Cogley et al (2005) found that a narrow base elicited greater triceps brachii activity compared to a wide base during the press up. But more specifically...
The clinical audit process is the process of applying a test or multiple tests with a patient. Then applying an intervention or combination of interventions and then re-assessing the original test or tests. This process can be conducted over a period of minutes or months.
It is an incredibly useful methodology giving you feedback on the effect of your treatment. Further, if a patient centred test is used the patient indicates the success of the intervention himself or herself and thus there is “buy-in”.
A clinical example is shown below. The case history is edited to only the...