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On adjusting PRI treatment according to patient population…I have a patient that is unable to get into 90-90 position. Actually, a lot of our elderly can’t but this particular patient has severe right piriformis syndrome and can’t lie on her right side. Can I use the Standing Un-Resisted Wall Reach in place of the 90-90 and use sitting Scissor Slides? Should I do the sitting Scissor Slides pulling the left hip back or do both sides for mobility? I will follow the protocol in the manual for right piriformis unless I hear otherwise, she hasn’t responded to anything else in the last 2 years including injections. I forgot to tell you that she can’t get into the test positions or relax enough to do most of the tests. When treating the geriatric population or someone with acute pain, we modify our testing and treatment all the time. You can take several of the sidelying activities and modify them to a seated position. When having them perform Scissor Slides, I would do both directions because chances are they have limited movement in both hips. As far as testing, you can gather a lot of their “objective” measurements by assessing their gait and posture. |
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