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Professional Portfolio
Adam Norman
Physiotherapist
Adam Norman – ProfessionalPortfolio
Physiotherapist
2
Table of Contents
Bond University Doctor of Physiotherapy
Supervised Clinical Practice Information…..………...………………… 3 - 21
1. Cardiorespiratory Physiotherapy Clinical Practice……....…………4
2. Musculoskeletal Physiotherapy I Clinical Practice………………….7
3. Neurological Physiotherapy Clinical Practice……………………….…9
4. Musculoskeletal Physiotherapy II Clinical Practice…………..…11
5. Chronic Disease and Disability Physiotherapy Clinical
Practice………………………………………………………………………………14
6. Diversity and Life Stage Physiotherapy Clinical Practice……..16
7. Clinical Internship………………………………………………………………18
Academic Awards…….……………………………………………………….22-25
Research Projects……………………………………………………….……………..26
Physiotherapy Professional Development……………………..………….27
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Physiotherapist
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Bond University Doctor of Physiotherapy
Supervised Clinical Practice Information
Name: Adam Norman
Student Identification Number: 13343730
Total Clinical Hours: 1, 482 hours
Total Clinical Credits: 80 credit points
Clinical Practice Average Grade: 83%
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1. Cardiorespiratory Physiotherapy Clinical Practice – Logan Hospital,
Loganlea, QLD, Australia
a) Wards: General Surgery, Respiratory, Maternity Wards
b) Patient Caseload: Average 7 patients/day
c) Hours: 212 hours
d) Patient Population: Adult, Geriatric, Maternity
Patient Presentations
 RespiratoryConditions:
o Post-operative atelectasis
o Exacerbationof ChronicObstructive PulmonaryDisease (COPD)
o Bronchiectasis
o Pneumothorax
o Pleural Effusion
o CommunityAcquiredPneumonia(CAP)
o PalliativeLungCancer
 Women’sHealth/Maternity:
o Hysterectomy
o Prolapse repair
o Perineal Tear
 Surgical Patients:
o Ileostomy
o Bowel Resection
o Appendectomy
o HerniaRepair
 OtherConditions:
o Cellulitis
o Drug inducedoverdose
o Alcohol dependence (ETOH)
Assessments
 Subjective assessmentanddocumentation:
o Personal details
o Interpretationof medications
o Pain/Numerical PainRatingScale (NPRS)
o Past Medical History(PMHx)
o Surgical History
o Social History
o SmokingHistory/Pack-Years
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o YelloworRedFlags
o Examinationof test/imagingresults:
 ChestX-Ray,Spirometry,Bloodtests,Electrocardiogram(ECG)
o PatientGoals
 Observation of attachments:
o SupplementaryOxygen
o Urinary Catheter
o PatientControlledAnalgesia(PCA)
o IntravenousLine (IV)
o Intercostal Catheter(ICC)
o PeripherallyInsertedCentral Catheter(PICC)
o NasogastricTube (NG)
 Respiratoryassessment:
o Spirometry
o Auscultation
o Coughassessment
o Sputumassessment/examination
o Palpation/Bi-basalexpansion
o Breathingpatternanalysis
 Monitoringof vital signs:
o BloodPressure (BP)
o OxygenSaturation(SpO²)
o Heart Rate (HR)
o RespiratoryRate (RR)
 Functional Assessments:
o Bedmobility
o Lyingto sitting
o Sitto stand
o Transfers
o Stairs
 Mobility/Balance Assessments:
o De Morton MobilityIndex (DEMMI)
o Six Minute WalkTest (6MWT)
o TimedUp and Go (TUG)
o BERG Balance Scale
o ModifiedClinical Testof SensoryInteractioninBalance (CTSIB-M)
 Manual Muscle Testing(MMT) / StrengthTesting
 SensationTesting
 DeepVeinThrombosis(DVT)andcirculationtesting
 Reviewof surgical proceduresandpost-operativeinstructionsforcare
 Woundand Dressingobservation
 Stomaobservation
Interventions
 DeepBreathingExercises
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o Incentive Spirometry/Tri-Flow
o Upper LimbDemandVentilation(ULDV)
o Active Cycle of Breathing Technique(ACBT)
 Airwayclearance techniques
o Manual suctioning
o Postural Drainage
o PercussionandVibrations
o Huff
o Supportive Cough
o AssistedCough
o Bubble Positive ExpiratoryPressure(PEP)
 Optimal bedandchair positioning
 Prescriptionof anti-embolismstockings(TED)
 Prescriptionof circulation bedexercises
 Prescriptionof seatedandstandingexercises
o Body-weightresistedexercises
o Isometricexercises
o Resistance exercises withThera-band
 Early mobilisation
 Prescriptionandprogressionof appropriate mobilityaids
 Gait retraining
 Prescriptionof hotandcoldpacks
 Pelvicfloortraining:
o Educationon anatomyimportance of pelvicfloorstrength
o Palpationof trans-abdominals(TA)
o Verbal cueing
 Bowel andBladderEducation
 Basic Nutritional Education
 Home Exercise Program(HEP) Prescription
 Educationon returnto Activitiesof DailyLiving(ADLs)
 Completionof referral foroutpatientfollow upappointments
 Attendance atdailymedical andmulti-disciplinaryteammeetings
 Discharge planning:
o Home
o AssistedLiving/Transitional Care
o AgedCare
o PalliativeCare
o Drug and ETOH recoverynetworks
Special Experiences
 Surgical observationof laparotomyforbowelresection
 AttendedpresentationonachievingandmaintainingaccreditationstandardsforQueensland
Health
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2. Musculoskeletal Physiotherapy I Clinical Practice – Princess
AlexandraHospital, Woolloongabba, QLD, Australia
a) Wards: Orthopaedic, ICU
b) Patient Caseload: Average 6 patients/day
c) Hours: 200 hours
d) Patient Population: Adult, Geriatric
Patient Presentations
 Motor vehicle accident(MVA) Multi-Trauma
o Femurfracture,Spinal crushfracture,RadiusandUlnar Fracture,Rib Fractures
 Total Knee Replacement
o Unilateral,Bilateraland Hemiarthroplasty
 Total HipReplacement
o AnteriorandPosterior-Lateral Approach
 WeberC fracture
o OpenReductionandInternal Fixation(ORIF)
 Pelvicfracture
o ORIF
 Fracturedneckof femur(#NOF)
o Total HipReplacement
o Femoral nail
 LaminectomyandRhizolysis
 AnteriorCervical DiscectomyandFusion(ACDF)
 Spinal CordInjury
 Metastatic Cancer
Assessments
 Reviewof surgical procedure andpost-operative instructions/precautions
 Subjective assessmentsasabove
 Analysisandinterpretationof pre andpost-operativex-rays
 Observationsof attachmentsasabove
 Respiratoryassessmentasindicated
 Monitoringof bloodwork
o Haemoglobinlevelspost-operatively
 Circulationassessmentasabove
 Functional assessmentsasabove
 Mobilityassessmentsasabove
 Ratingof PerceivedExertion(RPE)Assessment
o Borg RPE scale
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 Goniometry
o Active Range of Motion(AROM)
o Passive Range of Motion(PROM)
 Neurological Exam
o Dermatomes
o Myotomes
o Reflexes
 Basic swallowingassessment
 International StandardsforNeurological Classificationof Spinal CordInjury(ASIA)
assessment
 Monitoringof ECG results
 Observationof mechanical ventilationsettings
 Interpretationof medicationsusedinICUsetting
Interventions
 Regularcommunicationwithsurgeonsregardingpatientcare
 Early mobilityasabove
 Prescriptionandprogressionof mobilityaidsasabove
 Gait retrainingasabove
 Stairtrainingwith/withoutassistivedevices
 Educationon post-operative precautions
o ROM limitations
o Weightbearingstatus
 Prescriptionof Richard’ssplint
 Prescriptionof shouldersling
 Prescriptionof circulationexercisesasindicated
 Prescriptionof hospital basedexercisesasabove
 ADL training
 Prescriptionof home exercise programsasabove
 Sputumclearance techniquesasabove
o Manual hyperinflation
 Pressure areamaintenance
o Positioningschedule
o Observationof wounds
o Prescriptionof bracing/support
 Contracture management
o PROMstretchingtoupperlimbandlowerlimb
o Liaise withoccupational therapistregardingbracing
 Attendance atfamilymeetingregardinglongtermcare of spinal cordinjuredpatients
 RegularliaisonwithICUspecial nurse andmedical team
 Discharge planningasabove
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Special Experiences
 Half day orientationtoQueenslandSpinalCordInjuriesUnit
 Guestpresentationonthe role of the physiotherapist duringorgandonationand
transplantation
 Observationof Total HipReplacement(posteriorlateral approach)
 Deliveredstaff in-service onevidence basedphysiotherapyinterventionsforacute phasesof
spinal cordinjuries
3. Neurological Physiotherapy Clinical Practice – PindaraPrivate
Hospital, Benowa, QLD, Australia
a) Wards: Rehabilitation Ward
b) Patient Caseload: Average 12 patients/day
c) Hours: 200 hours
d) Patient Population: Adult, Geriatric
Patient Presentations
 BenignParoxysmal Positional Vertigo(BPPV)
 5th
Cranial Nerve Palsy
 TransientIschaemicAttack(TIA)
 Arteriovenous(AVM)
 Peroneal Nerve Palsy
 Total Knee Replacementsasabove
 Total HipReplacementsasabove
 Transtibial Amputation
 MetastaticLung Cancer
 Parkinson’sDisease
o WithDeepBrain Stimulation
 Alzheimer’sDisease
Assessments
 Subjective assessmentsasabove
 Observationof attachmentsasabove
 Respiratoryassessmentsasindicated
 Monitoringof vital signsasabove
 Functional assessmentsasabove
o Wheel chairtransfers
 Vestibularassessment
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o Observationof nystagmus
o Convergence/Divergence
o Visual tracking
o VestibularOcularReflex(VOR)
o Dix-Hallpike
 Cranial nerve assessment
 Neurological examasabove
 Circulation/DVTassessmentasabove
 Woundobservationasabove
o Amputationstumpobservation
 Proprioceptionassessment
o Upper limb
o Lowerlimb
 Tone and Spasticityassessment
o ModifiedAshworthScale
o TardieuScale
 Mobilityassessmentasabove
o Steptest
 DiscussionwithoccupationaltherapistregardingMini-Mental State Examination(MMSE)
results
Interventions
 Epleymanoeuvre
o Educationregardingpostmanoeuvre precautions
 Gait/ Mobilityretraining
o Supervisedexercisesinparallelbars
 Visual,sensoryandauditoryfeedback/cues
 Surface changes
 Directionchanges
o Obstacle courses
 + or – external perturbations
o Breakdownof individual gaitphases
 Heel strike
 Stance
 Toe-off
 Seatedbalance training
o + / - internal andexternal perturbations
 Prescriptionandprogressionof mobilityaidsasabove
 Liaisedwithoccupational therapistregardingeye patchingforenhancedvisual feedback
 Evidence based pacingstrategies forParkinson’sdisease
o Visual feedback
o Tactile feedback
o Verbal feedback
 AROMand PROMstretchingandexercises
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 Active AssistedROMexercises
 UL and LL strengtheningexercisesasabove
o Hospital based
o HEP
 Educationregardingamputationstumpcare/precautions
 Amputee transfertraining
 Discharge planningasabove
o Home visitswithoccupational therapisttoensure adequateenvironment
o Referral forassistive devicestodischarge home
 Referral fordayrehabilitationprogramasindication
Special Experiences
 Observationof ModifiedBariumSwallow withSpeechPathologist
 Observationof Electromyography(EMG) guidedBotox injectionfortreatmentof spasticity
 Orthotistpresentationforcommonlyusedsplintsandorthosisseenin variousneurological
conditions
4. Musculoskeletal Physiotherapy II Clinical Practice – RoyalBrisbane
and Women’sHospital, Herston, QLD, Australia
a) Wards: Outpatient Clinic, Women’s Health
b) Patient Caseload: Average 6 patients/day
c) Hours: 200 hours
d) Patient Population: Paediatric, Adult, Geriatric, Maternity
Patient Presentations
 Thoracic outletsyndrome (TOS)
 Cervical whiplashinjury
 DegenerativeDiscDisease
 Developmentaldysplasiaof the hip(DDH)
 AnteriorCruciate Ligament(ACL) rupture forconservative management
 Peroneal Tendinopathy
 TibialisPosteriorTendinopathy
 AchillesTendinopathy
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 Lateral Ankle Sprain(ATFL)
 PlantarFasciitis
 Chroniclowback pain
 Low back painduringmaternity
 SacroiliacJoint(SIJ) painduringmaternity
Assessments
 Subjective assessmentasabove
o Mechanismof injury
o Irritability/severity
o Bodyweight
 Palpationof structuresinvolvedininjury
 AROMand PROMexamination
o Goniometry
o Knee towall (KTW)
 Muscle lengthtesting
 Neural tensiontesting
 Strength/Powertestingasabove
 Oedemameasurements
 Passive Physiological Intervertebral Movements(PPIVM’s)
 Passive AccessoryIntervertebral Movements(PAIVM’s)
 Ligamentoustesting
o Knee
 Lachman’stest
 Medial Stresstest
 Lateral Stresstest
 Sag sign
o Ankle
 AnteriorDraw
 Talar Tilt
 Ankle syndesmosisstresstest
 Ottawaankle rules
 Achillessqueeze test
 Treatmentdirectedtestingforthe aforementionedinjuries
 Gait analysis
 Observationof footarch
 Functional assessment
o Walk/Run
 Change direction
o Double/Single Legsquat
o Double/Single Legjump
o Lunge
o Incline/Flatpushup
 SIJpain provocationtests
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o Distraction
o Compression
o Thighthrust
o Sacral thrust
Interventions
 Manual Therapy
o PPIVMS
 Grades1 to 4
o PAIVMS
 Grades1 to 4
o Jointmobilisations
 Grades1 to 4
o HighVelocityThrust(HVT)
o Mobilisationswithmovement(MWM)
o Softtissue massage
 Modalities
o Heat
o Cryotherapy
o TranscutaneousElectrical Nerve Stimulation(TENS)
 Postural correction
o Tactile feedback
o Postural taping
o Education
 Therapeutictaping
o ROM limitation
o Proprioceptionenhancement
 In clinicexercisetherapy
o Concentricexercises
o Eccentric exercises
o Isometricexercises
o Plyometricexercises
 Prescriptionof HEPas above
 Retrainingof recruitmentpatterns
o DeepNeckFlexors
o Vastusmedialisoblique (VMO)
o Pelvicfloor
 Prescriptionof lumbar/SIJsupportbelts
 Educationon riskfactorsfor painduringpregnancy
 Prescriptionandimplementationof hydrotherapy exerciseprograms
 Referral forfollow-upoutpatientappointments
Special Experiences
 Half day orientationtothe OrthopedicScreeningClinic
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 Half day orientationtoQueensland’sTraumaticBurnUnit
o OrientationtoPlasticSurgeryward
 Guestpresentationonthe impactof Motor NeuronDisease onindividualsfamilyandsocial
network
 Introduction tothe use of ultrasoundfor visual feedbackof pelvic flooractivation
5. Chronic Disease and Disability Clinical Practice – Aged CarePhysios,
Varsity Lakes, QLD, Australia
a) Facility Attended: The Terraces Aged Care Residence
b) Patient Caseload: Average 12 patients/day
c) Hours: 200 hours
d) Patient Population: Geriatric
Patient Presentations
 Lacunar infarct
 Increasedfallsrisk
 General deconditioning
 Parkinson’sDiseasevariouslevels
 Cerebral Palsy
 Muscular Dystrophy
 Multiple Sclerosis
 Fracturedpubicrami
 Fracturedneckof femur
 Communityacquiredpneumonia
 COPD
 BPPV
Assessments
 Subjective assessmentsasabove
 Respiratoryassessmentsasindicated
 Painmanagementassessment
o UsingAgedCare FundingInstrument(ACFI)
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 Conductionof andinterpretationof standardizedmobilityandfunctional testingasabove
 Ratingof perceivedexhaustionassessments
 Strengthassessmentasabove
 Oedemameasurementsasabove
 Interpretationof medicationsasabove
o Interpretationandtimingof treatmentinaccordance withmedications
 Neurological assessmentsasabove
 Tone and Spasticityassessmentsasabove
 Cranial nerve assessmentsasabove
 Interpretationof cognitive screeningresults
 Observationandinterpretationof surgical protocols
 Handoverof mobilityandtransferstatustonursingstaff andpersonal carers
 Observationof woundsanddressings
Interventions
 Prescriptionof mobilityaidsasabove
 Prescriptionandimplementationof 1on 1 exercise programsbasedonfunctional
maintenance
 Liaise withPhysiotherapyAssistant(PTA) regardingdailycare of patients
 Conductionof groupexercise classwithfocuson
o Strength
o Flexibility
o Balance/Coordination
o Maintenance of function
 AROM, AAROMand PROMstretching
 Seated/Standingbalance exercisesasabove
 Transferre-training
 Liaise withoccupational therapist(OT) regardinghandsplinting
 Referral tohandand upperlimbspecialist
 Implementationof strategiesforsafe mobilityof patientswithParkinson’sdisease
o Verbal,Tactile andVisual feedback
o Optimal environment
 Softtissue massage
 Applicationof TENS
 Deepbreathingexercisesasabove
 Airwayclearance techniquesasabove
 VORtraining/Gaze stabilityexercises
 EpleyManoeuvre asabove
 Hoistand transfertrainingforstaff and carers
 Pressure arearelief positioning
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Special Experiences
 Attendededucational workshoponsuccessfulmanagementof patientswithAlzheimer’s
Disease/ Dementia
 Attendededucational workshoponelderabuse inthe agedcare setting
 Prescriptionof laserguided4wheeledwalker(4WW) enhancingvisual feedbackforpatient
withParkinson’sdisease
6. Diversity and Life Stage Clinical Practice – AllamandaPrivateHospital
and PhysioSpinePrivate Practice
a) Facility Attended:
o Spinal Surgery Inpatient Ward – Allamanda Private Hospital, Southport, QLD, Australia
o Outpatient Musculoskeletal Private Practice – PhysioSpine, Southport, QLD, Australia
b) Patient Caseload: Average 7 patients/day
c) Hours: 200 hours
d) Patient Population: Adult
Patient Presentations
 ChronicLow Back Pain
 Intervertebral DiscDisease (IDD)
 Cervical Whiplashinjuries
 CervicogenicHeadache
 DegenerativeDiscDisease (DDD)
 Spondylosis
 Peripheral Neuropathy
 Surgical Procedures:
o AnteriorLumbarInterbodyFusion (ALIF)
o AnteriorCervical DiscectomyandFusion(ACDF)
o Total DiscReplacement(TDR)
o PosteriorLumbarInterbodyFusion(PLIF)
o PosteriorSpinal Fusion(PSF)
o Laminectomy
Assessments
 Reviewof patienthistory
 Subjective assessmentasabove
 Neurological assessmentasabove
 MacKenzie Assessment
o Classification
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o Directional Preference
 Work cover/Returnto workassessment
 Interpretationof imaging
o X-ray,MRI, CT, Ultrasound
 Pre-operative assessment
o Pre-operative Pain(NPRS)
o AROM, PROM
o Sensation
o Power
o Medications
 Post-operative assessment
o Observationof surgical protocols
o Observationof attachments
o Medications
o NPRS
o AROM, PROM
o Sensation
o Power
o Mobility andtransfers
Interventions
 Manual Therapyas above
 Applicationof heatpacksandcryotherapy
 Applicationof Electrical Modalities
o Ultrasound
o TENS
o Interferential Current(IFC)
 MacKenzie centralizations
 Pre-operative education regarding
o Surgical procedure
o Post-operative precautions
o Inpatientexpectations
o Returnto ADLs
o HEP and progressions
 Post-operative treatment
o Circulationexercisesasabove
o Deepbreathingexercisesasabove
o Prescription andprogression of mobilityaids
o Bed/standingstrengthandbalance exercisesasabove
o EducationregardingpaincausedbyBone MorphogeneticProtein(BMP)
 Prescriptionandprogressionof Clinical Pilatesbasedexercises
 Prescriptionandprogressionof HEP
 Prescriptionof seatedlumbarsupport
 Referral forhydrotherapybasedexercises
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 Liaisedwithworkerscompensationcase manager
 Completionof suitable dutiesprogramforappropriate returntowork
Special Experiences
 ParticipationinDMA Clinical PilatesforPhysiotherapythree hourworkshop
 IntroductiontoMacKenzie A and B theoryandframeworkbycertifiedMacKenzieA/B
physiotherapist
7. Clinical Internship– Gold Coast Titans, Gold Coast, QLD, Australia
a) Facility Attended: Gold Coast Titans (National Rugby League) – Gold Coast, QLD,
Australia
b) Patient Caseload: Average 10 patients/day
c) Hours: 270 hours
d) Patient Population: Elite/Professional Athletes
Patient Presentations
 Cervical WhiplashInjuries
 Lumbar DiscHerniation
 Dislocation
o Shoulder,Elbow,Patella
 ShoulderSubluxation
 Bankart Lesion/BonyBankartLesion
 SuperiorLabral Tear fromAnteriortoPosterior(SLAP)
 Ulnar Collateral LigamentRupture
 OsteitisPubis
o Conservative andSurgical management
 ACL rupture andrepair
 MCL rupture and repair
 Meniscal tear
 Syndesmosisstrain
 Ankle Sprain
o Lateral and Medial
 Medial gastrocnemiustear
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 Quadricepsstrain
 Hamstringstrain
 Impingement
o Shoulder,Ankle,Hip
 Contusions
 Concussion
Assessments
 Subjective assessmentasabove
o Sideline/Fieldassessment
 AROM, PROMas above
 Strength/Powerassessment
 Muscle Lengthassessments
o Pectoris
o Ober’s
o Faber’s
 Oedemameasurementsasabove
 Interpretationof imagingasabove
 Functional assessment
o Walk,Run,Jump,Squat,Lunge,Push-up(+/- incline)
 Interpretationof GPSdataduringtraining/competition
 Interpretationof WattBike data
 Returnto sport/trainingassessments
 Treatmentdirectedtesting
 Palpationof affectedstructures
 Neural tensiontesting
 Special Orthopaedictests
o Shoulder
 Load and shift
 Posteriorapprehension
 Anteriorapprehension
 Sulcussign
 Hawkin’sKennedy
 NeerandWalsh
 Painful Arc
 O’Brian’s
 Drop arm
 Lift-off
 Gerber’s
 Empty-can,Full-can
o Elbow
 Medial/Lateral stresstest
o Hip
 Quadranttest
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o Knee
 Medial/Lateral stresstest
 Lachman’stest
 Sag sign
 Anterior/PosteriorDraw
 McMurray’s
o Ankle
 Anteriordraw
 Talar Tilt
 Inversion/eversionstresstest
 Achilles squeeze test
 Syndesmosissqueeze test
 Observationof skin-foldtesting
 Interpretationof concussionscreeningresults
Interventions
 Rest,Ice,Compression,Elevationprinciples
o Prescriptionof compressiongarments
o Prescriptionof GameReady(cryotherapy,compressiontherapy) unit
o Educationregardinghealingtimelines/returntosport
 Prescriptionandprogressionof mobilityaidsasabove
 Manual therapyas above
o Muscle energytechniques
o Proprioceptive NeuromuscularFacilitation(PNFstretching)
 Prescriptionof exercise/rehabilitationprogramsandprogressions
 Liaise withteamsstrengthandconditioningcoachregardingexercise protocols
 Prescriptionof foamrolling/bodyspannerprotocols
 Prescriptionoff WattBike exercises
 Referral andobservationof dryneedling
 Prescriptionof slingsandbracesforADLsand sport
 Therapeutictapingasabove
o Kinesiotape
 Referral to clinical Pilates
 Referral toorthopaedicspecialist
 Liaise withteammedical staff regardingpatientcare
 Referral forremedial massage
 Referral forhydrotherapybasedexercises
 Referral toteampodiatristforfootorthotics
 Observationof educationregardingmedicationusage
Special Experiences
 Presentededucationalin-service regardingprevalenceof calf injuriesinolderelite athletes
 Observationof concussiontestingforreturntosport assessments
 Observationof recoverysessionsinstate of the artcryotherapychamber
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 ObservationandintroductiontoAnti-gravity (AlterG) treadmillsforrehabilitationof elite
athletes
 Introductiontoclinical Pilatesforconservative managementof elite athleteswithchronic
lowback pain
 Attendededucational in-service regardingnutritionandhydrationof elite athletes
 Observationof educationalin-service regardinglegal andillegalmedical substancesunder
AustralianSportAnti-DopingAgency (ASADA)
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Academic Awards
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Research Projects:
Bond University Tactical Research Unit
Research Supervisor: Dr. Rob Orr
Papers:
1) A Detailed Analysis of Serious Personal Injuries Suffered by Full
Time and Part Time Soldiers (Manuscript in Progress)
 Target Journal: BMC Journal of Musculoskeletal Disorders
2) A Narrative Review of the Nature of Musculoskeletal Injuries
Suffered by Army Personnel in Training and Operations
 Target Journal: Journal of Military and Veterans Health
University of Windsor: Faculty of Human Kinetics
Research Supervisor: Dr. Nancy McNevin
Paper:
1) The Effects of Internal and External Focus Instructions on
Motor Performance
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Physiotherapy Professional Development:
Australian Physiotherapy Association: Educational Student
Workshops
1) How to treat and beat common running injuries presented by
Brad Beer (Physiotherapist)
2) Physiotherapy Clinical Taping Techniques by Maria
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Clinical Portfolio - RecordingTemplate (2)

  • 2. Adam Norman – ProfessionalPortfolio Physiotherapist 2 Table of Contents Bond University Doctor of Physiotherapy Supervised Clinical Practice Information…..………...………………… 3 - 21 1. Cardiorespiratory Physiotherapy Clinical Practice……....…………4 2. Musculoskeletal Physiotherapy I Clinical Practice………………….7 3. Neurological Physiotherapy Clinical Practice……………………….…9 4. Musculoskeletal Physiotherapy II Clinical Practice…………..…11 5. Chronic Disease and Disability Physiotherapy Clinical Practice………………………………………………………………………………14 6. Diversity and Life Stage Physiotherapy Clinical Practice……..16 7. Clinical Internship………………………………………………………………18 Academic Awards…….……………………………………………………….22-25 Research Projects……………………………………………………….……………..26 Physiotherapy Professional Development……………………..………….27
  • 3. Adam Norman – ProfessionalPortfolio Physiotherapist 3 Bond University Doctor of Physiotherapy Supervised Clinical Practice Information Name: Adam Norman Student Identification Number: 13343730 Total Clinical Hours: 1, 482 hours Total Clinical Credits: 80 credit points Clinical Practice Average Grade: 83%
  • 4. Adam Norman – ProfessionalPortfolio Physiotherapist 4 1. Cardiorespiratory Physiotherapy Clinical Practice – Logan Hospital, Loganlea, QLD, Australia a) Wards: General Surgery, Respiratory, Maternity Wards b) Patient Caseload: Average 7 patients/day c) Hours: 212 hours d) Patient Population: Adult, Geriatric, Maternity Patient Presentations  RespiratoryConditions: o Post-operative atelectasis o Exacerbationof ChronicObstructive PulmonaryDisease (COPD) o Bronchiectasis o Pneumothorax o Pleural Effusion o CommunityAcquiredPneumonia(CAP) o PalliativeLungCancer  Women’sHealth/Maternity: o Hysterectomy o Prolapse repair o Perineal Tear  Surgical Patients: o Ileostomy o Bowel Resection o Appendectomy o HerniaRepair  OtherConditions: o Cellulitis o Drug inducedoverdose o Alcohol dependence (ETOH) Assessments  Subjective assessmentanddocumentation: o Personal details o Interpretationof medications o Pain/Numerical PainRatingScale (NPRS) o Past Medical History(PMHx) o Surgical History o Social History o SmokingHistory/Pack-Years
  • 5. Adam Norman – ProfessionalPortfolio Physiotherapist 5 o YelloworRedFlags o Examinationof test/imagingresults:  ChestX-Ray,Spirometry,Bloodtests,Electrocardiogram(ECG) o PatientGoals  Observation of attachments: o SupplementaryOxygen o Urinary Catheter o PatientControlledAnalgesia(PCA) o IntravenousLine (IV) o Intercostal Catheter(ICC) o PeripherallyInsertedCentral Catheter(PICC) o NasogastricTube (NG)  Respiratoryassessment: o Spirometry o Auscultation o Coughassessment o Sputumassessment/examination o Palpation/Bi-basalexpansion o Breathingpatternanalysis  Monitoringof vital signs: o BloodPressure (BP) o OxygenSaturation(SpO²) o Heart Rate (HR) o RespiratoryRate (RR)  Functional Assessments: o Bedmobility o Lyingto sitting o Sitto stand o Transfers o Stairs  Mobility/Balance Assessments: o De Morton MobilityIndex (DEMMI) o Six Minute WalkTest (6MWT) o TimedUp and Go (TUG) o BERG Balance Scale o ModifiedClinical Testof SensoryInteractioninBalance (CTSIB-M)  Manual Muscle Testing(MMT) / StrengthTesting  SensationTesting  DeepVeinThrombosis(DVT)andcirculationtesting  Reviewof surgical proceduresandpost-operativeinstructionsforcare  Woundand Dressingobservation  Stomaobservation Interventions  DeepBreathingExercises
  • 6. Adam Norman – ProfessionalPortfolio Physiotherapist 6 o Incentive Spirometry/Tri-Flow o Upper LimbDemandVentilation(ULDV) o Active Cycle of Breathing Technique(ACBT)  Airwayclearance techniques o Manual suctioning o Postural Drainage o PercussionandVibrations o Huff o Supportive Cough o AssistedCough o Bubble Positive ExpiratoryPressure(PEP)  Optimal bedandchair positioning  Prescriptionof anti-embolismstockings(TED)  Prescriptionof circulation bedexercises  Prescriptionof seatedandstandingexercises o Body-weightresistedexercises o Isometricexercises o Resistance exercises withThera-band  Early mobilisation  Prescriptionandprogressionof appropriate mobilityaids  Gait retraining  Prescriptionof hotandcoldpacks  Pelvicfloortraining: o Educationon anatomyimportance of pelvicfloorstrength o Palpationof trans-abdominals(TA) o Verbal cueing  Bowel andBladderEducation  Basic Nutritional Education  Home Exercise Program(HEP) Prescription  Educationon returnto Activitiesof DailyLiving(ADLs)  Completionof referral foroutpatientfollow upappointments  Attendance atdailymedical andmulti-disciplinaryteammeetings  Discharge planning: o Home o AssistedLiving/Transitional Care o AgedCare o PalliativeCare o Drug and ETOH recoverynetworks Special Experiences  Surgical observationof laparotomyforbowelresection  AttendedpresentationonachievingandmaintainingaccreditationstandardsforQueensland Health
  • 7. Adam Norman – ProfessionalPortfolio Physiotherapist 7 2. Musculoskeletal Physiotherapy I Clinical Practice – Princess AlexandraHospital, Woolloongabba, QLD, Australia a) Wards: Orthopaedic, ICU b) Patient Caseload: Average 6 patients/day c) Hours: 200 hours d) Patient Population: Adult, Geriatric Patient Presentations  Motor vehicle accident(MVA) Multi-Trauma o Femurfracture,Spinal crushfracture,RadiusandUlnar Fracture,Rib Fractures  Total Knee Replacement o Unilateral,Bilateraland Hemiarthroplasty  Total HipReplacement o AnteriorandPosterior-Lateral Approach  WeberC fracture o OpenReductionandInternal Fixation(ORIF)  Pelvicfracture o ORIF  Fracturedneckof femur(#NOF) o Total HipReplacement o Femoral nail  LaminectomyandRhizolysis  AnteriorCervical DiscectomyandFusion(ACDF)  Spinal CordInjury  Metastatic Cancer Assessments  Reviewof surgical procedure andpost-operative instructions/precautions  Subjective assessmentsasabove  Analysisandinterpretationof pre andpost-operativex-rays  Observationsof attachmentsasabove  Respiratoryassessmentasindicated  Monitoringof bloodwork o Haemoglobinlevelspost-operatively  Circulationassessmentasabove  Functional assessmentsasabove  Mobilityassessmentsasabove  Ratingof PerceivedExertion(RPE)Assessment o Borg RPE scale
  • 8. Adam Norman – ProfessionalPortfolio Physiotherapist 8  Goniometry o Active Range of Motion(AROM) o Passive Range of Motion(PROM)  Neurological Exam o Dermatomes o Myotomes o Reflexes  Basic swallowingassessment  International StandardsforNeurological Classificationof Spinal CordInjury(ASIA) assessment  Monitoringof ECG results  Observationof mechanical ventilationsettings  Interpretationof medicationsusedinICUsetting Interventions  Regularcommunicationwithsurgeonsregardingpatientcare  Early mobilityasabove  Prescriptionandprogressionof mobilityaidsasabove  Gait retrainingasabove  Stairtrainingwith/withoutassistivedevices  Educationon post-operative precautions o ROM limitations o Weightbearingstatus  Prescriptionof Richard’ssplint  Prescriptionof shouldersling  Prescriptionof circulationexercisesasindicated  Prescriptionof hospital basedexercisesasabove  ADL training  Prescriptionof home exercise programsasabove  Sputumclearance techniquesasabove o Manual hyperinflation  Pressure areamaintenance o Positioningschedule o Observationof wounds o Prescriptionof bracing/support  Contracture management o PROMstretchingtoupperlimbandlowerlimb o Liaise withoccupational therapistregardingbracing  Attendance atfamilymeetingregardinglongtermcare of spinal cordinjuredpatients  RegularliaisonwithICUspecial nurse andmedical team  Discharge planningasabove
  • 9. Adam Norman – ProfessionalPortfolio Physiotherapist 9 Special Experiences  Half day orientationtoQueenslandSpinalCordInjuriesUnit  Guestpresentationonthe role of the physiotherapist duringorgandonationand transplantation  Observationof Total HipReplacement(posteriorlateral approach)  Deliveredstaff in-service onevidence basedphysiotherapyinterventionsforacute phasesof spinal cordinjuries 3. Neurological Physiotherapy Clinical Practice – PindaraPrivate Hospital, Benowa, QLD, Australia a) Wards: Rehabilitation Ward b) Patient Caseload: Average 12 patients/day c) Hours: 200 hours d) Patient Population: Adult, Geriatric Patient Presentations  BenignParoxysmal Positional Vertigo(BPPV)  5th Cranial Nerve Palsy  TransientIschaemicAttack(TIA)  Arteriovenous(AVM)  Peroneal Nerve Palsy  Total Knee Replacementsasabove  Total HipReplacementsasabove  Transtibial Amputation  MetastaticLung Cancer  Parkinson’sDisease o WithDeepBrain Stimulation  Alzheimer’sDisease Assessments  Subjective assessmentsasabove  Observationof attachmentsasabove  Respiratoryassessmentsasindicated  Monitoringof vital signsasabove  Functional assessmentsasabove o Wheel chairtransfers  Vestibularassessment
  • 10. Adam Norman – ProfessionalPortfolio Physiotherapist 10 o Observationof nystagmus o Convergence/Divergence o Visual tracking o VestibularOcularReflex(VOR) o Dix-Hallpike  Cranial nerve assessment  Neurological examasabove  Circulation/DVTassessmentasabove  Woundobservationasabove o Amputationstumpobservation  Proprioceptionassessment o Upper limb o Lowerlimb  Tone and Spasticityassessment o ModifiedAshworthScale o TardieuScale  Mobilityassessmentasabove o Steptest  DiscussionwithoccupationaltherapistregardingMini-Mental State Examination(MMSE) results Interventions  Epleymanoeuvre o Educationregardingpostmanoeuvre precautions  Gait/ Mobilityretraining o Supervisedexercisesinparallelbars  Visual,sensoryandauditoryfeedback/cues  Surface changes  Directionchanges o Obstacle courses  + or – external perturbations o Breakdownof individual gaitphases  Heel strike  Stance  Toe-off  Seatedbalance training o + / - internal andexternal perturbations  Prescriptionandprogressionof mobilityaidsasabove  Liaisedwithoccupational therapistregardingeye patchingforenhancedvisual feedback  Evidence based pacingstrategies forParkinson’sdisease o Visual feedback o Tactile feedback o Verbal feedback  AROMand PROMstretchingandexercises
  • 11. Adam Norman – ProfessionalPortfolio Physiotherapist 11  Active AssistedROMexercises  UL and LL strengtheningexercisesasabove o Hospital based o HEP  Educationregardingamputationstumpcare/precautions  Amputee transfertraining  Discharge planningasabove o Home visitswithoccupational therapisttoensure adequateenvironment o Referral forassistive devicestodischarge home  Referral fordayrehabilitationprogramasindication Special Experiences  Observationof ModifiedBariumSwallow withSpeechPathologist  Observationof Electromyography(EMG) guidedBotox injectionfortreatmentof spasticity  Orthotistpresentationforcommonlyusedsplintsandorthosisseenin variousneurological conditions 4. Musculoskeletal Physiotherapy II Clinical Practice – RoyalBrisbane and Women’sHospital, Herston, QLD, Australia a) Wards: Outpatient Clinic, Women’s Health b) Patient Caseload: Average 6 patients/day c) Hours: 200 hours d) Patient Population: Paediatric, Adult, Geriatric, Maternity Patient Presentations  Thoracic outletsyndrome (TOS)  Cervical whiplashinjury  DegenerativeDiscDisease  Developmentaldysplasiaof the hip(DDH)  AnteriorCruciate Ligament(ACL) rupture forconservative management  Peroneal Tendinopathy  TibialisPosteriorTendinopathy  AchillesTendinopathy
  • 12. Adam Norman – ProfessionalPortfolio Physiotherapist 12  Lateral Ankle Sprain(ATFL)  PlantarFasciitis  Chroniclowback pain  Low back painduringmaternity  SacroiliacJoint(SIJ) painduringmaternity Assessments  Subjective assessmentasabove o Mechanismof injury o Irritability/severity o Bodyweight  Palpationof structuresinvolvedininjury  AROMand PROMexamination o Goniometry o Knee towall (KTW)  Muscle lengthtesting  Neural tensiontesting  Strength/Powertestingasabove  Oedemameasurements  Passive Physiological Intervertebral Movements(PPIVM’s)  Passive AccessoryIntervertebral Movements(PAIVM’s)  Ligamentoustesting o Knee  Lachman’stest  Medial Stresstest  Lateral Stresstest  Sag sign o Ankle  AnteriorDraw  Talar Tilt  Ankle syndesmosisstresstest  Ottawaankle rules  Achillessqueeze test  Treatmentdirectedtestingforthe aforementionedinjuries  Gait analysis  Observationof footarch  Functional assessment o Walk/Run  Change direction o Double/Single Legsquat o Double/Single Legjump o Lunge o Incline/Flatpushup  SIJpain provocationtests
  • 13. Adam Norman – ProfessionalPortfolio Physiotherapist 13 o Distraction o Compression o Thighthrust o Sacral thrust Interventions  Manual Therapy o PPIVMS  Grades1 to 4 o PAIVMS  Grades1 to 4 o Jointmobilisations  Grades1 to 4 o HighVelocityThrust(HVT) o Mobilisationswithmovement(MWM) o Softtissue massage  Modalities o Heat o Cryotherapy o TranscutaneousElectrical Nerve Stimulation(TENS)  Postural correction o Tactile feedback o Postural taping o Education  Therapeutictaping o ROM limitation o Proprioceptionenhancement  In clinicexercisetherapy o Concentricexercises o Eccentric exercises o Isometricexercises o Plyometricexercises  Prescriptionof HEPas above  Retrainingof recruitmentpatterns o DeepNeckFlexors o Vastusmedialisoblique (VMO) o Pelvicfloor  Prescriptionof lumbar/SIJsupportbelts  Educationon riskfactorsfor painduringpregnancy  Prescriptionandimplementationof hydrotherapy exerciseprograms  Referral forfollow-upoutpatientappointments Special Experiences  Half day orientationtothe OrthopedicScreeningClinic
  • 14. Adam Norman – ProfessionalPortfolio Physiotherapist 14  Half day orientationtoQueensland’sTraumaticBurnUnit o OrientationtoPlasticSurgeryward  Guestpresentationonthe impactof Motor NeuronDisease onindividualsfamilyandsocial network  Introduction tothe use of ultrasoundfor visual feedbackof pelvic flooractivation 5. Chronic Disease and Disability Clinical Practice – Aged CarePhysios, Varsity Lakes, QLD, Australia a) Facility Attended: The Terraces Aged Care Residence b) Patient Caseload: Average 12 patients/day c) Hours: 200 hours d) Patient Population: Geriatric Patient Presentations  Lacunar infarct  Increasedfallsrisk  General deconditioning  Parkinson’sDiseasevariouslevels  Cerebral Palsy  Muscular Dystrophy  Multiple Sclerosis  Fracturedpubicrami  Fracturedneckof femur  Communityacquiredpneumonia  COPD  BPPV Assessments  Subjective assessmentsasabove  Respiratoryassessmentsasindicated  Painmanagementassessment o UsingAgedCare FundingInstrument(ACFI)
  • 15. Adam Norman – ProfessionalPortfolio Physiotherapist 15  Conductionof andinterpretationof standardizedmobilityandfunctional testingasabove  Ratingof perceivedexhaustionassessments  Strengthassessmentasabove  Oedemameasurementsasabove  Interpretationof medicationsasabove o Interpretationandtimingof treatmentinaccordance withmedications  Neurological assessmentsasabove  Tone and Spasticityassessmentsasabove  Cranial nerve assessmentsasabove  Interpretationof cognitive screeningresults  Observationandinterpretationof surgical protocols  Handoverof mobilityandtransferstatustonursingstaff andpersonal carers  Observationof woundsanddressings Interventions  Prescriptionof mobilityaidsasabove  Prescriptionandimplementationof 1on 1 exercise programsbasedonfunctional maintenance  Liaise withPhysiotherapyAssistant(PTA) regardingdailycare of patients  Conductionof groupexercise classwithfocuson o Strength o Flexibility o Balance/Coordination o Maintenance of function  AROM, AAROMand PROMstretching  Seated/Standingbalance exercisesasabove  Transferre-training  Liaise withoccupational therapist(OT) regardinghandsplinting  Referral tohandand upperlimbspecialist  Implementationof strategiesforsafe mobilityof patientswithParkinson’sdisease o Verbal,Tactile andVisual feedback o Optimal environment  Softtissue massage  Applicationof TENS  Deepbreathingexercisesasabove  Airwayclearance techniquesasabove  VORtraining/Gaze stabilityexercises  EpleyManoeuvre asabove  Hoistand transfertrainingforstaff and carers  Pressure arearelief positioning
  • 16. Adam Norman – ProfessionalPortfolio Physiotherapist 16 Special Experiences  Attendededucational workshoponsuccessfulmanagementof patientswithAlzheimer’s Disease/ Dementia  Attendededucational workshoponelderabuse inthe agedcare setting  Prescriptionof laserguided4wheeledwalker(4WW) enhancingvisual feedbackforpatient withParkinson’sdisease 6. Diversity and Life Stage Clinical Practice – AllamandaPrivateHospital and PhysioSpinePrivate Practice a) Facility Attended: o Spinal Surgery Inpatient Ward – Allamanda Private Hospital, Southport, QLD, Australia o Outpatient Musculoskeletal Private Practice – PhysioSpine, Southport, QLD, Australia b) Patient Caseload: Average 7 patients/day c) Hours: 200 hours d) Patient Population: Adult Patient Presentations  ChronicLow Back Pain  Intervertebral DiscDisease (IDD)  Cervical Whiplashinjuries  CervicogenicHeadache  DegenerativeDiscDisease (DDD)  Spondylosis  Peripheral Neuropathy  Surgical Procedures: o AnteriorLumbarInterbodyFusion (ALIF) o AnteriorCervical DiscectomyandFusion(ACDF) o Total DiscReplacement(TDR) o PosteriorLumbarInterbodyFusion(PLIF) o PosteriorSpinal Fusion(PSF) o Laminectomy Assessments  Reviewof patienthistory  Subjective assessmentasabove  Neurological assessmentasabove  MacKenzie Assessment o Classification
  • 17. Adam Norman – ProfessionalPortfolio Physiotherapist 17 o Directional Preference  Work cover/Returnto workassessment  Interpretationof imaging o X-ray,MRI, CT, Ultrasound  Pre-operative assessment o Pre-operative Pain(NPRS) o AROM, PROM o Sensation o Power o Medications  Post-operative assessment o Observationof surgical protocols o Observationof attachments o Medications o NPRS o AROM, PROM o Sensation o Power o Mobility andtransfers Interventions  Manual Therapyas above  Applicationof heatpacksandcryotherapy  Applicationof Electrical Modalities o Ultrasound o TENS o Interferential Current(IFC)  MacKenzie centralizations  Pre-operative education regarding o Surgical procedure o Post-operative precautions o Inpatientexpectations o Returnto ADLs o HEP and progressions  Post-operative treatment o Circulationexercisesasabove o Deepbreathingexercisesasabove o Prescription andprogression of mobilityaids o Bed/standingstrengthandbalance exercisesasabove o EducationregardingpaincausedbyBone MorphogeneticProtein(BMP)  Prescriptionandprogressionof Clinical Pilatesbasedexercises  Prescriptionandprogressionof HEP  Prescriptionof seatedlumbarsupport  Referral forhydrotherapybasedexercises
  • 18. Adam Norman – ProfessionalPortfolio Physiotherapist 18  Liaisedwithworkerscompensationcase manager  Completionof suitable dutiesprogramforappropriate returntowork Special Experiences  ParticipationinDMA Clinical PilatesforPhysiotherapythree hourworkshop  IntroductiontoMacKenzie A and B theoryandframeworkbycertifiedMacKenzieA/B physiotherapist 7. Clinical Internship– Gold Coast Titans, Gold Coast, QLD, Australia a) Facility Attended: Gold Coast Titans (National Rugby League) – Gold Coast, QLD, Australia b) Patient Caseload: Average 10 patients/day c) Hours: 270 hours d) Patient Population: Elite/Professional Athletes Patient Presentations  Cervical WhiplashInjuries  Lumbar DiscHerniation  Dislocation o Shoulder,Elbow,Patella  ShoulderSubluxation  Bankart Lesion/BonyBankartLesion  SuperiorLabral Tear fromAnteriortoPosterior(SLAP)  Ulnar Collateral LigamentRupture  OsteitisPubis o Conservative andSurgical management  ACL rupture andrepair  MCL rupture and repair  Meniscal tear  Syndesmosisstrain  Ankle Sprain o Lateral and Medial  Medial gastrocnemiustear
  • 19. Adam Norman – ProfessionalPortfolio Physiotherapist 19  Quadricepsstrain  Hamstringstrain  Impingement o Shoulder,Ankle,Hip  Contusions  Concussion Assessments  Subjective assessmentasabove o Sideline/Fieldassessment  AROM, PROMas above  Strength/Powerassessment  Muscle Lengthassessments o Pectoris o Ober’s o Faber’s  Oedemameasurementsasabove  Interpretationof imagingasabove  Functional assessment o Walk,Run,Jump,Squat,Lunge,Push-up(+/- incline)  Interpretationof GPSdataduringtraining/competition  Interpretationof WattBike data  Returnto sport/trainingassessments  Treatmentdirectedtesting  Palpationof affectedstructures  Neural tensiontesting  Special Orthopaedictests o Shoulder  Load and shift  Posteriorapprehension  Anteriorapprehension  Sulcussign  Hawkin’sKennedy  NeerandWalsh  Painful Arc  O’Brian’s  Drop arm  Lift-off  Gerber’s  Empty-can,Full-can o Elbow  Medial/Lateral stresstest o Hip  Quadranttest
  • 20. Adam Norman – ProfessionalPortfolio Physiotherapist 20 o Knee  Medial/Lateral stresstest  Lachman’stest  Sag sign  Anterior/PosteriorDraw  McMurray’s o Ankle  Anteriordraw  Talar Tilt  Inversion/eversionstresstest  Achilles squeeze test  Syndesmosissqueeze test  Observationof skin-foldtesting  Interpretationof concussionscreeningresults Interventions  Rest,Ice,Compression,Elevationprinciples o Prescriptionof compressiongarments o Prescriptionof GameReady(cryotherapy,compressiontherapy) unit o Educationregardinghealingtimelines/returntosport  Prescriptionandprogressionof mobilityaidsasabove  Manual therapyas above o Muscle energytechniques o Proprioceptive NeuromuscularFacilitation(PNFstretching)  Prescriptionof exercise/rehabilitationprogramsandprogressions  Liaise withteamsstrengthandconditioningcoachregardingexercise protocols  Prescriptionof foamrolling/bodyspannerprotocols  Prescriptionoff WattBike exercises  Referral andobservationof dryneedling  Prescriptionof slingsandbracesforADLsand sport  Therapeutictapingasabove o Kinesiotape  Referral to clinical Pilates  Referral toorthopaedicspecialist  Liaise withteammedical staff regardingpatientcare  Referral forremedial massage  Referral forhydrotherapybasedexercises  Referral toteampodiatristforfootorthotics  Observationof educationregardingmedicationusage Special Experiences  Presentededucationalin-service regardingprevalenceof calf injuriesinolderelite athletes  Observationof concussiontestingforreturntosport assessments  Observationof recoverysessionsinstate of the artcryotherapychamber
  • 21. Adam Norman – ProfessionalPortfolio Physiotherapist 21  ObservationandintroductiontoAnti-gravity (AlterG) treadmillsforrehabilitationof elite athletes  Introductiontoclinical Pilatesforconservative managementof elite athleteswithchronic lowback pain  Attendededucational in-service regardingnutritionandhydrationof elite athletes  Observationof educationalin-service regardinglegal andillegalmedical substancesunder AustralianSportAnti-DopingAgency (ASADA)
  • 22. Adam Norman – ProfessionalPortfolio Physiotherapist 22 Academic Awards
  • 23. Adam Norman – ProfessionalPortfolio Physiotherapist 23
  • 24. Adam Norman – ProfessionalPortfolio Physiotherapist 24
  • 25. Adam Norman – ProfessionalPortfolio Physiotherapist 25
  • 26. Adam Norman – ProfessionalPortfolio Physiotherapist 26 Research Projects: Bond University Tactical Research Unit Research Supervisor: Dr. Rob Orr Papers: 1) A Detailed Analysis of Serious Personal Injuries Suffered by Full Time and Part Time Soldiers (Manuscript in Progress)  Target Journal: BMC Journal of Musculoskeletal Disorders 2) A Narrative Review of the Nature of Musculoskeletal Injuries Suffered by Army Personnel in Training and Operations  Target Journal: Journal of Military and Veterans Health University of Windsor: Faculty of Human Kinetics Research Supervisor: Dr. Nancy McNevin Paper: 1) The Effects of Internal and External Focus Instructions on Motor Performance
  • 27. Adam Norman – ProfessionalPortfolio Physiotherapist 27 Physiotherapy Professional Development: Australian Physiotherapy Association: Educational Student Workshops 1) How to treat and beat common running injuries presented by Brad Beer (Physiotherapist) 2) Physiotherapy Clinical Taping Techniques by Maria Constantinou (Physiotherapist) Rock Tape Australia (RockTape1 Certification)