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Ryan O’Donnell

Senior Project Notes- Physical Therapy Internship

Day 1: 11/13/17 (2:30 PM-6:30 PM)


-Set goals for my internship (4 week, 8 week)
-Read over employee handbook
-Discussed the final product to be produced at the end of the internship (case study)
-All of the documentation is recorded online
-Helping the patient understand the injury is important
-Witnessed ultrasound done on injured area
-Observed different resistance exercises
-Personal training → side job?

Day 2: 11/14/17 (3:30 PM-6:30 PM)


-Electroconvulsive therapy on forearm (cold + nerve stimulation) followed by exercises
targeted at injured area
-Certain motions can affect certain muscles more because of the focused stress on that
muscle or muscles
-Muscles in recovery can still be used but with care and concern (sports continue to be
played...less running maybe?)
-Retesting for injuries is crucial to ensure of an injury. Once confirmed, find
motion/exercise that applies to injury for treatment (be mindful of exercises that could
hinder progress)

Day 3: 11/21/17 (3:00 PM-5:00 PM)


-Helping patient understand exercises themselves is important (what it is doing, how to
ensure it is working effectively)
1) Can encourage patient to work better/more often at home
-Provider should try to be as communicable as possible (not limited to injury...talk about
life as well!)
1) Patients become more comfortable
2) Inclines them to be communicable back and ask questions
-Haglund’s deformity → achilles tendonitis followed by constant rubbing and pressure
creates swelling
-Physical therapy many times is the treatment following long periods of immobilization
for healing purposes (how can you bring back normal conditions in area(s) that have not
seen regular usage in months?)
Day 4: 11/28/17 (2:30 PM-7:30 PM)
-Was able to spectate 2 private evaluation sessions with Jan
1) Jan has a remarkable ability to combine subjective (information from patient
verbally) and objective (information from patient physically) in order to properly
diagnose injuries
2) These sessions are always in private areas away from main treatment room to
ensure confidentiality and comfort for patient (I needed permission from patient
to observe)
3) Sessions are typically an hour which gives therapist time to get to know the
patient, their habits and how it could affect the treatment process and future
vulnerabilities

Day 5: 11/29/17 (2:30 PM-7:00 PM)


-PTs evaluate and treat, PTAs ​only​ treat
-OTs deal with fine motor skills (mostly hand movements- ex. writing) while PTs deal
with gross motor skills (ex. walking)
-Patient with brocitis in lower lumbar vertebrae- grade 2 pressure
1) Pressure applied to injured area- can allow more mobility, pain relief, and
allows PT to identify specific point(s) of problem (joints, tendons, etc)
2) Pressure measure in grades from 1-5 (1=least, 5=most)

Day 6: 12/5/17 (3:30 PM-6:15 PM)


-Infant patient (a twin)
1) PTs will be qualified to treat all ranges of age, including infants
2) Infants require extreme care and conversation with parent/guardian throughout
3) Patient has torticollis (infant version of rye neck)
4) Baby A (first child) in twin pairs tend to have more trouble with the head
-Carpal tunnel → vessels between wrist bones become pressured and inflamed
-Type of body dictates how muscles shape (mesomorphs=bodybuilders,
ectomorphs=runners, endomorphs=strongmen)
-A simple act like toe-walking as a baby can cause lifelong foot problems

Day 7: 12/8/17 (3:30 PM-5:30 PM) *Mystic office


-PT should document information that could be forgotten ASAP (subjective info,
measurements, anything not distinctly memorable)
-Patient (named Janet) has rotator cuff issues...avoided total shoulder replacement by
instead receiving an injection followed by her PT regiment → will be fully recovered!
-Learned about balance in balance room...I can fix my posture by stopping the arching of
my back
Day 8: 12/13/17 (3:00 PM-5:00 PM)
-Pool therapy can be used for patients that need resistance control or would benefit from
treatment in warm water
1) Great for older patients
2) Keeps variety in treatment
-Patient (in eval session): mandible pain/neck issues/calcified shoulder
1) Has scapular asymmetry
2) Has a shifted jaw
3) One shoulder leans lower than the other

Day 9: 12/19/17 (3:00 PM- 5:00 PM)


-Many different types of doctors can refer patients to PT (patient was referred by a
gastroenterologist)
-It is important to get a medical history from patient (in the form of records and
subjective) to understand how injuries came to be and understand vulnerabilities
-Asymmetries are a big part of understanding and diagnosing injuries (how does injury
compare to normal motion?)

Day 10: 1/9/18 (3:00 PM-6:30 PM)


-Although the training for it is quite brief, kinesio taping is a delicate process that can
seriously aid in the recovery process when a proper practitioner applies it
1) Jan is a certified kinesio taper

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