It was interesting today in that we saw our second TKR client who was completely different to our other TKR client. They both had their operations at a similar time, yet have very different outcomes. Client 1 stopped using his WZF after 2 weeks (because the wheel fell off and he didn’t want to bother fixing it!) and now has a lot of range in that knee. Client 2 however is still using her WZF nearly 5 weeks later and has barely any ROM in her knee. She also had added complications, such as leg ulcers and the fact her other knee is very sore. This shows how people recover in different times and that we need to treat each client as an individual.
We had some difficulty with our last client today and called our supervisor in to have a look (he had treated her after previous surgery so it helped that she already knew him and felt more comfortable). The client’s knee was so sore that we could barely move it – she left me move the patella around, but not bend the actual knee. This limited our ability to properly examine her. Our supervisor came in and helped us, but even he couldn’t get her to move her knee properly, everything caused her pain. He did push her harder than we did and didn't seem as worried as we were that she appeared to be in so much pain. It is going to be beneficial for her to start moving her knee, so maybe we should have pushed a little harder to get her to do it. It was certainly a learning experience as we have always practiced on normal people with no pain in our labs. This is the first time I’ve really come across a client where we couldn’t really do anything because of the pain. Our treatment pretty much consisted of pain relief (using IF) and we gave her some home exercises.
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