I’m going to be working with an older client who has a history of a lumbar spinal fusion. I am new to the PT world and CES, so I am looking through my references for contraindications/nuances with doing movement assessments/fitness assessments. He has been cleared by his MD to use elliptical, swim, bike, walk and is currently exercising 4-5 days per week. From those of you seasoned CPT/CES’s… any advice?
has he been cleared only for those modalities you stated? In that case you need to have him cleared for other exercise before you proceed.
In cases like that I always ask to have records from what he did in physical therapy to use as a starting point. As far as assessment are concerned, you should be able to do at least a standing assessment. I find that I can do a squat assessment with all clients as well, After all, everybody has to have the ability to sit down. Balance assessments should also be possible.
I often decide on what I do when I see the client. Just because somebody is older and has a spinal fusion does not mean that he is incapacitated or non-functioning.
Good luck with your client.