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Senior Capstone Career Project - Product Work Log
Name: Seth Bristol
Product: ACL Injury Recovery Process with Scrapbook
Date, Time, & Location:
Georgia Physical Therapy
Activity: I went to Mr. Luth’s office in canton to spend some time with Logan as he does a day of physical therapy to recover his hurt knee.
Commentary: Logan starts off by riding the exercise bike for a total of ten minutes at a base incline of four. During the ride, every four minutes Logan will increase the incline from four to eight for 30 seconds. Next, Logan will stand on a sloped stool with his heels on the ground and his toes at the top of the stool. He will lean forward and push upward on his toes to stretch out his legs. After the first stretch, Logan will get in a warm pool that is four feet and six inches deep and about six by twelve feet around. In the center is a treadmill that spins to allow movement without progression through the water. The warm water relaxes the muscles affected by the injury and allows more movement with less pain. Logan stands on the treadmill and begins walking for a total of four minutes at two mph. The short walk is to relax his muscles and get them warmed up and ready for more strenuous activity. After the four minutes, Logan is sped up to five and a half mph for a total of ten minutes. This stage is to work out his knee so that he can continue to recover it and strengthen it. Next is a cool down session in which he is brought down to a speed of two mph for two minutes. After the cool down, he dries off and goes over to the stretching table. He sits on the end of the table and does a four-minute kick out. A kick out is holding the leg out horizontal to the ground while the uninjured leg stays at rest. The kick out is meant to strengthen the muscles in his knee and prepare them for extended movement. Mr. Luth comes over to the table and stretches Logan out by laying him flat on the table, and then raising his injured knee and pushing from the front of the knee to the chest, back down flat on the table, and then back onto his chest. Lastly, Logan is hooked up to a GameReady machine that wraps around his knee. The GameReady machine fills the wrap with ice cold water in order to induce numbness in the knee. This finalizes his routine for the day and his is sent on his way after a quick evaluation of how his knee has been feeling recently.
Time Spent: 1Hr 15Minutes
Total Time Thus Far: 1:15 Hours
Activity: I went to Mr. Luth’s office to assist Logan through his daily exercise.
Commentary: Logan repeats the exercise that he normally does when he firsts comes in. Logan rides his exercise bike for a total of ten minutes with a boost in incline every 4 minutes for 30 seconds at a time. Logan then does his calve stretch by putting his toes on the incline and pushing down on his heels. He then gets into a warm pool just like the last time and does the same workout for the same time period. After, Logan does the 4-minute kick out and Mr. Luth comes over to stretch his leg out by laying him flat on the table, and then raising his injured knee and pushing from the front of the knee to the chest, back down flat on the table, and then back onto his chest. Lastly, he is hooked up to the GameReady machine to numb his leg and allow healing to occur quicker and easier.
Time Spent: 1Hr 30Minutes
Total Time Thus Far: 2:45 Hours
Activity: Arrived at Mr. Luth’s office for the third day of spectating Logan during his recovery process.
Commentary: Just as the past few therapy sessions had gone, this one went about the same. Logan did his normal bike warmup along with his calve stretches on the elevated board. The pool proved to be the same tried and true method of a quick warmup walk, jog, and then cooldown walk. This is followed by drying off and then doing his 4-minute kick out, stretches with Mr. Luth, and use of the GameReady machine. Expecting closer sessions with Mr. Luth and Logan in the near future. This will help me to get an even more in depth understanding of what I would be dealing with if I were to recover a patient of the same standing.
Total Time Thus Far: 4:15 Hours
Activity: Continuing Logan’s Therapy before further progress.
Commentary: Talked with Logan about how his injury was coming along and how well he could perform strenuous physical activity. He seems to be improving very well and is able to jog around and do normal activity, but is not ready for full speed football. Continuation of workouts and exercises designed on moving up the ladder of recovery.
Time Spent: 1Hr 30 Minutes
Total Time Thus Far: 5:45 Hours
Commentary: Talked with Mr. Luth about what the next steps are in Logan’s recovery and what it entails. Logan is coming along nicely and gaining exponential strength in his knee. Positive training and committed stretches allow a healthy recovery. Followed through his normal recovery procedure and talked to him about how he was feeling and how long he feels that it will be before he is back on the football field in full health. I expect to go more in depth on his road to recovery and its challenges on the next visit.
Total Time Thus Far: 7:15 Hours
Activity: Continuing Logan’s recovery process and going through the daily motions of relaxing his muscles, and then pushing them to their new limits.
Commentary: Logan is moving into the last stage of his recovery in which he will start to do much more strenuous activities and push himself further. Logan starts off with a hose that forces water down onto his knee in order to loosen up the muscles that were affected by the injury. Next is the tried and true warm up running on the water treadmill. After a few minutes, Logan is pushed up to a higher speed to get his muscles completely relaxed before his vigorous (about 5.5mph). Today, Logan is going to be pushed up to his highest speed yet and be close to a full sprint on the treadmill. This has been his most challenging run yet and clearly.
Time Spent: 1Hr
Total Time Thus Far: 8:15
Activity: Logan has weighted training today. His body will be put under more weighted stress and less speed stress. Talking to Mr. Luth about his total recovery process and how an ACL injury affects the body.
Commentary: Logan starts off on the stretching table and warms up his leg with simple stretches, then does standing inclined stretches. After he does the stretches he rides the incline bike for ten minutes. I received protocols for ACL Repair today and will study along the weeks to make sure I understand each week and how they affect the body. Logan wears the weighted vest and does step ups onto a slightly elevated flat surface. He then stands on his hurt leg and throws a ball onto a rebound net and has to balance, which grows strength in his ACL.
Total Time Thus Far: 9:15
Activity: Logan continues his recovery process by advancing in his training.
Commentary: Logan continues the same routine that he has had the past few visits with slight changes. Logan is incredibly close to the end of his recovery process and has shown strides of improvement. Logan has become stronger and is able to perform almost every task a normal football player has to perform. On the next visit, there is supposed to be a crew for the water treadmill that will interview Logan and take videos of him on the machine. Logan has come to the end of recovery and is ready to do full intensity out on the football field with his teammates.
I will soon be shadowing Mr. Luth directly throughout the time period of some of a school day. This is to understand and see how a physical therapist performs their job among many patients throughout a day. This will give me a better understanding of how to do the job. This will also give me plenty of hours.
Time Spent: 1Hr 15 Minutes
Total Time Thus Far: 10:15
Commentary: Logan continues the same routine that he has had the past few visits with slight changes. Logan is incredibly close to the end of his recovery process and has shown strides of improvement. Logan has become stronger and is able to perform almost every task a normal football player has to perform. On the next visit, there is supposed to be a crew for the water treadmill that will interview Logan and take videos of him on the machine.
Activity: I came in to see another person with an ACL injury and see how they are doing in their recovery to get a separate perspective.
Commentary: A young man named Jared tore his ACL like Logan did. I talked to him about his injury and wanted to get his point of view on how he expected his recovery to go. I talked to a few other patients about their injuries and how they’ve been going about the rehabilitation.
Total Time Thus Far: 11:15
Activity: I am shadowing Mr. Luth today for a few hours so I can learn more about the profession of physical therapy and the daily work life of a physical therapist.
Commentary: The first portion of today dealt with learning about the requirements to become a physical therapist. Mr. Luth talked directly with me about what schooling I need in order to become a licensed PT. Firstly, you must have four college years of one certain science field such as psychology, biology, chemistry, psychology, and many others. After your undergraduate, you must continue your training with a three-year program that will specialize you in physical therapy. There are three stages to the program in which you learn all different parts of physical therapy. Mr. Luth is very busy in the early part of the morning and not as busy throughout the rest of the day until about 4pm. Student athletes come in very early in the morning and around four in the afternoon because it is right after school. Mr. Luth sees a variety of different injuries on a daily basis. He does not only see student athletes, but people of all different injuries and reasons to be there. I walk around with Mr. Luth and he tells me the different stories of the patients he is assisting and how they got their injuries. I am taught about a herniated disc in a tennis players hip that has caused extreme pain and numbness in his leg. When a disc herniates, it is deformed and pushed out a little to the point of touching the nerve that rests beside it. This connection causes numbness and pain because the nerve is incredibly sensitive and the disc grinding against it is causes discomfort. The whole process of rehabilitating someone revolves around how the patient feels and how freely they are able to move. Continued teaching of the stages of an ACL surgery recovery keeps my mind fresh and informed. There are about 4 total stages of an ACL injury. There are three stages of post operation recovery while there is only one stage pre-operation.
Time Spent: 4Hrs
Total Time Thus Far: 15:15
Activity: On this visit, I wrapped things up with my mentor and asked a lot of questions about how Logan should perform in sports throughout the next few months after his therapy is done.
Commentary: Logan is cleared to play sports at full speed. He is advised to wear an ACL brace while playing for a few more months. Logan is at the end of the third phase in his recovery and is incredibly happy to be back to the sport that he loves. Mr. Luth has done a wonderful job of teaching me all about the anatomy of the knee and how it functions in sports. He has shown me how the ligament could snap and how detrimental it is. The recovery process that a physical therapist provides brings hope to athletes just like Logan.
Total Time Thus Far: 16:45rides of improvement. Logan has become stronger and is able to perform almost every task a normal football player has to perform. On the next visit, there is supposed to be a crew for the water treadmill that will interview Logan and take videos of him on the machine.
Commentary: Logan is cleared to play sports at full speed. He is advised to wear an ACL brace while playing for a fe