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?
I would check to make sure that he or she has a note from the surgeon clearing him or her from spinal precautions (BLT – bending, lifting, twisting). Assuming precautions are lifted I very much agree with Ms. Singleton in suggesting that you get a sense for what your client was working on in physical therapy prior to discharge. That would be a great starting point for an assessment and progression of training.