If I've got a client that has passed all of the normalise screens bar the shoulder screens and sciatic nerve screen. Would it be the right this to do to prescribe anti-spasms AND antagonist exercises in the same routine or do I need to wait for the screens to be passed before prescribing those exercises and stick to anti-spasm exercises only??
On top of that, is he now ready to enter the stabilisation phase? I assumed he was as his pelvis has cleared all the screens bar the SLR.
1. Normalise for 6 wks: if after the 6 wks the normalise screens remain dysfunctional, look elsewhere I.e. shoulder correctional exercises (providing they failed shoulder screens) 2. Once your client has only a few normalise dysfunctions, at a minimal rate of dysfunction, then you need to begin stabilisation phase immediately. Remember; compensatory mechanisms tend to be apparent when the body needs to protect from incorrect loading. Therefore, once we have removed the dysfunctions and the body is loaded properly, we then need to stabilise the systems; work on recoding them to do the right task.
This is something i get a little confused with so it would be good to get full clarifaction on the matter. Previously i have always screened the client the whole way through normailse before moving onto stabilise. When i atteneded the module 2 course earlier this year i was advised its properly better to move to stabilise after pelvis functions and nerve are all clear. I was also informed that you should only do normalise phase 6 weeks, which does makes sense with the previous stuff i have learnt.
My question is:
Do you still move on from normalsie after 6 weeks, even if there are some normalise screens which you havent even be able to prescribe exercises for yet. Say a client got a positive for all pelvic function, nerve tension and musle spasm screens so after 6 weeks you had only managed to work on pelvic funcion and nerve tension but no chance to release the muscle spasm yet. Would you still move on?
2. Shoulder screns are not in normalise, complete al the screens that you know then only prescirbe normlaise exercises for the first period of time; pelvis, nerves, spine.
3. if no improvement tenmove to stabilise and functionlaise at the same time. functionlaise would be then to start working through the shoulder exercises (for the screens they fail) and then if that provides no benefit then move to the knee.
4. follow the msac principles. first anti-sapsm, then stretch (if necesary), then antagonist, then agonist.
5. when you get to 'stretch' you can combine with antagonist work, but not anti-sapsm and antagonist, we have found that to be less effective.
6. yes either 6 weeks or when they clear pelvic screens then they're onto stabilise (and functionalise if they fail any of those screens too).
Screen everything first, prescribe normalise exercises, after either 6 weeks or a clear pelvis move to stabilise and any functionalise dysfunctions. Correct?
I'm going to be in scotland for Xmas, on the top of a mountain with no phone or internet connection, so please forgive a slight dleay in replies over the xmas period.
