Saturday, April 25, 2020

Implicit Bias


What is implicit bias? In my own terms I think of it as your personal experiences/attitude about things that are unknowingly influenced on our own choices and comprehensiveness on different aspects of life. With knowing what it is, do you think you have any implicit biases? Well, I think that everyone does in their own way, not even knowing it because it is an unconscious act. Maybe after recognition and reflection you then would figure out that you do. Bias has such a negative connotation to it, but these biases don’t just mean race, gender, or political standpoints. They could mean the way you feel about a simple tattoo that someone has, or their lifestyle choices. So, why is it important for students and OT practitioners to learn about this? Well, if you know and have reflected on what implicit biases that you have, or even just acknowledge that you have some, you can then decide how you will act in a certain situation with a client if they do or think a certain way that you may feel differently about.   

Not only that, but human communication is the basis of humanity, and if we are not all trying to help one another, or for the very least communicating with one another then why are we here? What is our purpose? It is about making connections and feeding off what we already know but most importantly what we learn on top of that. Being a consistent life-long learner invites a sense of diversity and a respect for the ever evolving and shifting of cultures. During a podcast interview with Dr. Lancaster she spoke about putting our implicit biases aside and unconscious assumptions on populations because if we don’t do that it could impact a client clinically and the opportunity for them to get the best and most efficient care possible. Dr Lancaster also said something that stood out to me which was, “Inclusion is not a favor, it is just the right thing to do all of the time.” We in OT, it is our duty to always make an effort to include others and the many walks of life. This does not mean we have to accept in their part, but it does mean that we should try to understand them, and use our empathetic, therapeutic self. This also means to have more cultural humility which in turn makes for a more client centered approach.  The first step to understanding your client is with asking the right open-ended questions, but more importantly understanding the importance of actively being present with your client or anybody. I learned this from a brief article that I read by Debbie Hall called “The Power of Presence.” Even in the times that you don’t have all of the right words to say, the value of being there for someone speaks volumes and it might seem like you are not doing anything, but in actuality, sometimes people just need a listening ear and a shoulder to lean on.

How can we reduce the impact of our biases? How do we even recognize that we have them? Because we all do, whether you know it or not. Well, the first thing you could do is understand what implicit biases are and recognize that you may have some. Second, if you want to know what some of them are then you could go to a website called Project Implicit. There is a test you can take, it is free, and it gives you insight on what you may have implicit biases on with certain populations or groups. Lastly, once you have examined and reflected on those biases you could look up a 7-day implicit bias cleanse to help with personal reflection. This is also free. These are just a few things to help widen our lenses and broaden our minds. 

My biggest take away from all of this is the fact that I discovered I have my own implicit biases that I never knew about. I have always tried to make inclusion such an important thing because I know what it feels like to be left out or see the effects of someone being left out or not understood. I too am going to take the steps to reduce my own implicit biases so that I can in turn become an outstanding OT practitioner for the sake of my future clients.  

Friday, April 24, 2020

Scapulohumeral Rhythm


Joints are so interesting in how they can move and how different joints work together to create certain actions, and with injury to one of those joints how it affects that motion altogether. Take the shoulder, for example. A simple ball and socket joint called the glenohumeral joint, but in order for you to reach over head for something or for an activity like volleyball you also have to have a joint in conjunction with this one in order to reach full range of motion. This joint is called the scapulothoracic joint. When these joints are paired together, this is called scapulohumeral rhythm. They work in a 2:1 ratio, where the glenohumeral (GH) joint works in 2 degrees of motion, while the scapulothoracic (SC) joint works in 1 degree of motion. When these joints are working together synchronously, it protects the contents within the subacromial space. However, if the scapula is injured or not rotating upward properly, this can cause impingement to the subacromial space resulting in pain. Also, the humeral head must rotate laterally in order to complete full ROM, along with rolling and gliding in the glenoid fossa which is a decrease in shear forces. So, it is imperative that these joints stay in conjunction with each other in order to have full functioning capacity, so… stay healthy, stay strong, and stay educated!

Saturday, April 18, 2020

Questions about ROM and MMT

The importance for identifying bony landmarks and proper positioning for measuring ROM is because you need to know where to place the fulcrum or stationary arm of the goniometer and the body to get a proper measurement. You have to have proper alignment in order to get an accurate ROM measurement. When it comes to testing positions for MMT, it is important to be within mid flexion for that joint because then you get a more optimal muscle strength response. If you are extended it is more difficult to flex and get an accurate strength test. Lastly, the relevance for gravity eliminated positions is for clients who are unable to achieve full ROM in an against gravity position.

Tuesday, April 14, 2020

Activity Analysis for stretching


 I don’t know why but I always feel extra stiff in the morning, so in order to wake up and get my body ready for the day I stretch. I call it amateur yoga because I know nothing about yoga, but it is a must that I get loosened up for the day especially being a mom of one and a very young and recent stepmom of three. As my starting position, I sit up on the side of the bed in an upright position with my arms fully adducted by my side in anatomical position. I then raise my arms toward the ceiling. So, the plane of motion happening at the shoulder joint is in the frontal plane about the sagittal axis. The osteokinematics for the shoulder joint is adduction to abduction in an open kinematic chain. In terms of the arthrokinematics, the humerus (convex) is rolling superiorly and glides inferiorly on the glenoid fossa (concave). Lastly, the prime mover for abduction of the shoulders are the deltoids which performs a concentric action.

Thomas' Tourette's

I watched a Ted Talk about a guy named Thomas White who has Tourette's Syndrome. I highly recommend anyone to watch this video as he exp...