I have a new client who was in a car accident 4.5 years ago and has been in therapy and had operations ever since. She broke her legs, feet and neck.
She has been left with 1 leg 2cm longer than the other. She wears orthodics but not for the full 2cm as then when she walks barefoot she is a lot of pain because of the big difference. I prescribed her among others the wall glides because basically on the QL screen her lumbar back stayed completed vertical. She said this left her in pain in her hip (around psis) and she confirmed it was not discomfort. Obviously I want to tread carefully so this leaves me with a couple of questions. 1. As she has this leg length difference and her orthodic choice can I ever really get her normalised? and 2. Do you have any suggestions with regards to her QL as I don't want to leave her in pain?
she fails lld, downings, 4sign, pec minor, ql, spinal lat flextion, spinal rotation, upper traps and only on the left - gillets, median nerve, subscapularis, infraspinatus
OK, thats helpful, thanks. Main point, if the lumbar spine stays straight on the QL test, the test is not positve. the spine is merely stiff. its only positve if there is a hinge, so that should not be on her exercise list, which is why it probably hurts her.
