How can you monitor a patient's progress during functional training?

Muitas vezes é interessante colocar metas com diferentes prazos, desta maneira você consegue valorizar os pequenos avan?os e planejar o longo prazo mantendo o paciente engajado e ativo durante mais tempo.

As a dentist, setting SMART goals for a patient's oral health could be aimed at improving your oral hygiene. Let's set a SMART goal: - Brush and floss twice daily for two minutes each, reducing plaque buildup. - We'll assess progress during your next checkup in three months.

Outcome oriented goals are very specific, but bring the challenge that the outcome (i.e. walking without pain) is not entirely within our control. If we do not reach the goal, this can leave us demotivated. It can be a good alternative using behavior oriented goals, like: "I will perform my functional exercises 3x / week until the end of the month". Achieving it is within our own control and if we implement it as planned chances are good that we will also reach the connected outcome goal.

SMART goals serve as an excellent initial strategy. Many patients initially express broad aspirations, such as aiming to run the Boston Marathon. While we respect their overarching goal, healthcare professionals collaborate with clients to dissect these long-term aspirations into manageable SMART goals. For instance, we might initiate with a specific objective like running continuously for one hour within a 60-minute timeframe over the next eight weeks. These short-term SMART goals act as checkpoints, providing milestones while continually propelling the client toward their ultimate objective.

Progress monitoring must be inferred from the clinical targets set at the outset. This varies between patient categories/conditions, at times even with patients in the same category or afflicted with the same condition. With patient progression, regular clinical evaluations and investigations (lab and/or imaging) is vital to improve the documentation of progress.

I believe its the right way to prepare customise action plan as per the outcome because each patient response may vary from other. So, outcome and feedback decide further actions to be taken

As a dentist I can tell that to check how your teeth are doing we'll ask you questions. It's like making sure your mouth feels good and doing easy checks to see if things are getting better. We'll do this regularly to make sure everything is going well.

In my role as a physiotherapist, I rely on a variety of outcome measures tailored to specific areas of focus, like assessing patients' quality of life, activity levels, or managing low back pain. To gauge strength, I incorporate tools like Force Plates, a hand-held dynamometer, and assessments of range of motion. Additionally, I utilize performance metrics like gait speed and the number of sit-to-stands completed in 60 seconds as functional outcome measures, providing a comprehensive approach to evaluating and improving patients' physical well-being.

You can manage what you can measure. Even subjective subjects like sleep, stress, and emotions. By using assessment scales, performed before, during and reevaluated after the process is the way to have solid, in black-and-white measures of subjective issues.

There is an increasing need for patients to have public health access to regular (repeat) investigations during functional training in order to monitor progression or regression, which is a poorly understood need in the culture of traditional medicine. It is usually deemed (from a traditional medical point of view), that if the patient took, say, liver markers / blood sugar markers / inflammatory to review diabetes/fatty liver status, there is no need to repeat same labs before so many weeks. While this might be the case in traditional management, this is not the case when a functional medicine approach is being taken. In such a context, close monitoring is essential, as it is often the case that biomarkers will improve.

To track how you're doing, I'll watch how you do exercises and ask how you feel. I want to see if things are getting easier or if there are any issues. Your feedback helps us adjust and keep you motivated.

Según mi experiencia una buena forma es la retroalimentación de como se siente nuestro paciente. Mediante la observación de técnicas, podremos evaluar el progreso y mejoría. Visualizando rangos articulares y capacidad de cargar diferentes pesos. Tener un buen seguimiento de las repeticiones y series como de sus respetivas resistencias implementadas en cada ejercicio. Otras de las opciones, quizás más personalizado, tener medidas de diferentes segmentos, antropometría del paciente.

In my practice as a physiotherapist, meticulous documentation is paramount. A helpful strategy I advocate is maintaining a spreadsheet to systematically record clients' outcome measures, offering a visual representation of their progress. For instance, I diligently track sets, reps, and weights for each patient. By compiling this data into a monthly graph, clients find it gratifying to observe their advancements, fostering motivation throughout their rehabilitation journey.

As a younger athlete, I would track my training, but neglect to review it. Reviewing the data is where you find the gold nuggets. Putting that review in the calendar monthly is key. It takes 15 minutes. Renowned strength coach Dan John calls it "mining your journal". He says it's one of the most overlooked tools we have. stong.app is a great, simple tool for tracking training numbers. It does all the work for you.

In any training situation, patients are with their coach because they want to get better at something new. That's why we guide them every step of the way. You have to make sure to encourage them, even if they struggle to do the movement. And progressively add more challenging components. Don't be afraid of regressing them back if you have any concerns at all. You want to make sure they are safe! And as they get stronger, celebrate their milestones and personal best! Majority of my clients are virtual, so it's really important to ask them lots of questions on 'HOW' they are feeling & 'WHAT' they are feeling and make sure to watch them carefully.

Monitoring a patient's progress during functional training is a crucial part of the intervention. It can help to ensure that the functional training is safe, effective, and tailored to the patient's needs and goals. Start celebrating small wins and progress which keeps the motivation of your client high.