Today's Q&A asks: When Do You Progress from the Frontal Plane to the Sagittal Plane in MDT?
A few of my more recent cases have talked about looking at SGIS for unilateral lower quarter Sx presentations, especially with WB intolerance. In short, you want to progress to sagittal plane movements when the Sx have either become central or bilateral and equal with no loss of movement or what MDT calls obstruction (like a self felt barrier) to the sidegliding in standing.
This may happen during the treatment, or at home. Make sure you give the patient specific instructions that the exercise SGIS (toward the involved side typically) is also a self screen. Once the Sx are equal or only central, AND the SGIS is pain free and has full and equal movement compared to the other side, they are to progress to either REIS or REIL.
If a patient is not able to lock in the improvements you made during the clinic make sure
- they are getting to end range
- they are performing the exercise correctly
- they are not forward bending during the SGIS or the REIS/REIL
When I get the chance, I'll film the MDT progression for the sagittal and frontal planes for the OMPT Channel subscribers soon!