Thursday 13 March 2014

Third Week: Internal & External Moments


Do you increase your 'external moments' at the gym by adding more weight to the barbell? Good on you if you do! But I'm not talking about tickets to the gun show - not those sort of externally gratifying moments!  For the physiotherapist, external moments refer to rotational forces about joints. Increasing the dumbbell load on your biceps curls is a prime example of increasing your moment arm! (Pun intended).


Advice: when instructing patients from Portugal, be aware that the Portuguese word "puxe" sounds like the English word "push" but actually translates to "pull". Confusion is likely to occur when opening a door that says 'push to open' (they will likely be frustratingly trying to pull the door off its hinges).



Zombie Rehabilitation (post-zombie apocalypse): Zombies usually have a staggering gait with a wide base of support. The current theory suggests their brain has undergone degradation with oxygen exposure to neurotransmitters, such as dopamine, especially to that of the substantia nigra (of the basal ganglia). Treatment strategies include electrical stimulating implants or drug therapy - similar to Parkonson's Disease. An alternative diagnosis is the disruption to normal cerebellum function. The discriminating factor between patients with Parkonson's/cerebellar damage and Zombies lie in their appetite for human brains: as a precaution have your receptionist(s) check them in before treatment.

Vaccinations for various diseases continued this week with a vaccine for Hepatitis B. This will be followed up by another blood test to see if antibodies specific to Hepatitis B increase. In class we used our goniometer and drew with markers all over the bodies of our patients (class peers) as we measured joint range of motion and assessed each others posture and kinematics (movement). To finish the week off we had our sport medic exam!

Tip for surviving undergrad physio: create and participate in lab and year groups on social media! Also, I'm still learning names - even those of people I associate with most in class, such inconvenient lapses in memory! It will improve - give the neurons time to reorganise.

What good is a physio blog without pictures. I thought it was best to start taking pictures from the outside to begin with. The three images are from the same building - different perspectives. In this building we practice most of our hands-on physiotherapy skills. 

Enjoy the sunshine :)

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