I am going to be training a client with no legs, and I'm a little concerned about what to do and what not to do. Any advice?
Thanks for your question! I will assume your new client will be mobile via a wheelchair. Therefore, it will be critical to assess his/her overall stress volume. Example questions to ask include:
- How mobile is s/he?
- What core, upper extremity movements can s/he perform?
- Once you know what s/he can functionally perform, what does s/he perform on a daily basis?
- What are his/her immediate goals? Long term?
- What type of therapy has s/he gone through?
- What type of therapy is s/he going through if any?
- What did s/he like about therapy? What did s/he dislike?
These questions will give you a lot of information on your client's CURRENT functional status! Explore each open-ended question with your client while taking thorough notes. Follow this subjective question/answer period with a functional assessment. Your functional assessment is simply an assessment of current movement capabilities. What movements can your client perform to date? (Note: This was verbally answered in your question/answer period.) The difference in the functional assessment is you’re watching physically how s/he performs the daily activities (movements). Based on your observation and ability to observe quality of movement, you can design a program that will improve his/her specific function. Good luck!