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Patient Spotlight - Boiler Maker

Jun 23, 2022

In February 2022 a workers compensation patient was referred to us after sustaining a medial meniscus tear in her right knee while at her workplace. This patient is employed as a boilermaker welder for one the major mining companies here in WA. After sustaining the injury in January 2021, this patient continued to complete her 8/6 FIFO roster on modified duties, until finally succumbing to surgery in November 2021.

 

This patient advised she was a single woman, lived alone and enjoyed heading on solo camping trips on her week off from site. An activity she could no longer enjoy as a result of her injury. By the time this patient was referred to Absolute Balance, she was back at square one after a failed bout of conservative treatment, that had ultimately led to surgery. The patient admitted to being sceptical of exercise rehabilitation due to her previous failed attempt with conservative treatment, that was mostly based around Manuel therapy and dry needling techniques.

 

I first met this patient for one of eight sessions in early February of 2022 where I was quick to pick up on the external factors at play and the patient hesitance to engage in a structured exercise regime.

 

By identifying critical job demands and requirements for this patient’s role, I was able to develop a prescription-based exercise program aimed at strengthening the surrounding musculature of the knee joint as well as educating the patient on safe manual handling techniques that could be implemented at work to avoid moving her knee into compromised positions.

 

As much as the patient wanted to complete her job role pain free, the patient had a strong desire to re-engage with the outdoors which was something she was very passionate about. Identifying the patients love for the outdoors as a critical component to the patient’s mental health, I was able to supply the patient with self-managing equipment such as a Fitball and various tensile resistance bands, that could be utilised by the patient while on site but also while camping in the great outdoors.

 

By acknowledging the patient’s willingness to utilise self-managing equipment for her to participate in camping/recreational activities, the patience compliance and overall recovery was fast-tracked, leading to the patient being certified fit for full duties before the end of our 6th session, well inside expected recovery timeframes.

 This case is one of many examples of the amazing work the Exercise Physiologists at Absolute Balance do that impacts their patients’ lives, looking holistically at the patient and by understanding that someone's job can define them as a person.

This is how we save lives. We ensure that injuries that occur at work do not mean that an individual cannot engage in meaningful employment in the future or have to change their life goals to meet their new circumstances. Our vision of making exercise the answer for all health conditions resonates through our everyday treatment of patients with our team embodying this vision. I look forward to sharing more patient stories with you over the coming months as we continue to help more injured workers in 2022. 


  Jakeb Tartaglia

  Workers Compensation Specialist ‑ Team Leader South (AEP, ESSAM)

  Exercise Rehabilitation Services ‑ WA

     

By Alison Absolute Balance 24 Apr, 2024
The human body is designed to move in a three-dimensional plane divided into the following segments: Sagittal Plane: Cuts the body into left and right halves. Forward and backward movements. Frontal Plane: Cuts the body into front and back halves. Side to side movements. Transverse Plane: Cuts the body into top and bottom halves. Twisting/rotational movements. Too often we get caught training mostly in a sagittal plane, think running, squats, bicep curls etc. While these are all good exercises, in day-to-day life we don’t only move along a sagittal plane. What happens when you need to quickly get out of the way of the e-scooter flying towards you on the foot path or make a quick sidestep to avoid a pothole – these movements are along the frontal plane. While movements such as turning to check your blind spot while driving or turning to talk to the person next to us are in the transverse plane. When it comes to injury prevention and movement efficiency it is important to incorporate exercises from all planes of movement into training programs. Sagittal If a line ran down the middle of the body splitting it from left to right, movements parallel to this line are within the sagittal plane of movement. The sagittal plane is the most common plane of movement and is trained overwhelming more than the frontal and transverse planes of movement. Movements/exercises considered to be in the sagittal plane include running, squats, deadlifts and bicep curls. Now while all these exercises are good, with the way our lives having evolved into many desk sitting roles, driving from place to place etc, to then go to the gym and focus heavily on movements that are predominantly up – down, and forwards – backwards we can end up reinforcing these pathways and becoming somewhat robotic, heavily limiting our natural movements. Frontal If a line ran down the middle of the body splitting it into front and back, movements parallel to this line would be within the frontal plane of movement – essentially any movement that involves moving away from or towards the midline. Often neglected in strength programs, frontal plane exercises include Cossack squats, lateral lunges, and side raises. Transverse If a line split the body in half separating it into top and bottom with the pelvis being the point of division, any movement parallel to this line would be considered to be in the transverse plane of movement. Movement along/through a transverse plane is generally more rotational such as a Russian twist or trunk twist. By focussing largely on sagittal plane movements, we are risking developing muscle imbalances, limited mobility and uncoordinated movements in the neglected planes. Our body is designed to move on a 3-dimensional plane so make sure to train in a way that will allow it to move the way it’s supposed to. Katie McGrath Injury Prevention Specialist Injury Prevention Services
18 Apr, 2024
Stretching and mobility exercises are indispensable components of both injury prevention and recovery strategies. Incorporating dynamic stretches before physical activity can help prepare the body for movement by increasing blood flow to muscles and enhancing joint flexibility. This dynamic warm-up routine primes the muscles and connective tissues, reducing the risk of injury during subsequent activity. Furthermore, static stretches, performed after physical activity, helps alleviate muscle tension and improve flexibility, thereby minimizing the likelihood of strains and tears. In the realm of injury recovery, stretching and mobility exercises play a crucial role in rehabilitation protocols for individuals recuperating from various musculoskeletal injuries. Following an injury, muscles can become tight and weakened due to disuse or trauma. Gentle stretching exercises aid in maintaining or restoring flexibility, preventing muscle atrophy and contractures. Additionally, targeted mobility exercises assist in restoring range of motion and functional movement patterns, allowing individuals to gradually regain strength and flexibility while reducing the risk of re-injury. Moreover, stretching and mobility exercises promote tissue healing by improving circulation to the injured area. Increased blood flow delivers essential nutrients and oxygen to damaged tissues, facilitating the repair process and reducing inflammation. By incorporating a comprehensive stretching and mobility routine into their regimen, individuals not only safeguard themselves against future injuries but also expedite their recovery journey, enabling them to return to their activities with greater resilience and confidence. Mariah Adolphus Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
05 Apr, 2024
Hey, my name is Blake, and I am an Exercise Physiologist, Workers Compensation Specialist and Clinical Team Leader at Absolute Balance. I graduated from Edith Cowan University in 2015 after completed my Bachelor of Science (Exercise Science and Rehabilitation). I grew up on a farm Northeast of Perth past Gingin with my parents and two brothers, both of which are back working on the farm, which has been in our family for generations. My love for sport and interest in the human body initially prompted me to complete my Bachelors in Exercise and Sports Science, and my initial thoughts on a career were either Physiotherapy or Phys Ed Teacher. However, this quickly changed when I commenced my first Exercise Physiology unit in my Sports Science degree as it opened my eyes to exercise rehabilitation, and how important it was to individuals with injuries. Having experienced multiple injuries personally playing football (AFL), basketball and tennis, I can fully empathise with how much injuries can impact your life. Being an EP and being in a role where I can make a positive and meaningful impact on individual’s lives who have sustained an injury is extremely important to me. This doesn’t only extend to the patients I see, but also the team members I lead within Absolute Balance. I guide a team of five in the Northeast region at Absolute Balance, assisting them with their own patients and leading them to grow as Exercise Physiologists and individuals. Although it has its challenges, leadership is extremely rewarding and has helped me grow both personally and professionally. Whilst I am not at work, I am spending my time at the gym, at football training and games during February-September (or in the car travelling to and from comes with the gig of country football), spending time with my wife and our dog Otis. I spend the other half of my weekend manicuring my lawn and watching good shows and sports. Blake Cocking Workers Compensation Specialist ‑ Team Leader North East (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
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