Case Study (Implicit Bias): Jane Jones Ms. Jones presents to the clinic complaining of pain around both kneecaps. This pain is worse with prolonged sitting and with going up and down stairs. Ms. Jones is overweight and explains that she recently took up running to try to lose weight. Upon examination, the assessing clinician concludes that Ms. Jones has bilateral patellofemoral pain syndrome. They know that being overweight is a risk factor for this condition, and they tell Ms. Jones that she has knee pain because she is overweight. They end that evaluation early and instruct the client to stop running until she is thinner. Question How is this a case of implicit bias? Answer This case is an example of implicit bias because the clinician assumed that the client’s weight was the only factor causing this client’s injury and did not complete the evaluation to determine if other contributory factors were present. Conclusion Evaluating and treating runners with injuries requires some specific skills from clinicians, namely experience with video analysis of running mechanics, attentiveness to biomechanical issues, and knowledge about best practices for training. Sometimes the issue(s) identified by the examiner as contributing to injury onset are not addressable, including some structural issues like genu valgus and hip anteversion. Clinical decision-making can be challenging in terms of identifying which issues are relevant, whether they can be addressed in therapy, and whether effective compensatory strategies can be employed (for example, strengthening hip external rotators to control excess hip internal rotation). However, with skill development and experience, treating runners can be highly rewarding as they are often fit and motivated.
WORKS CITED https://qr2.mobi/RunningInjuries
THERAPY DIAGNOSIS & MANAGEMENT OF COMMON RUNNING INJURIES Self-Assessment Answers and Rationales 1. The correct answer is a.
3. The correct answer is c. Rationale: Thirty degrees of knee flexion correlates roughly with the knee position at foot strike.
Rationale: While running, both forefoot and rearfoot varus will lead to foot pronation in order to bring the medial aspect of the forefoot and rearfoot to the ground. 2. The correct answer is b. Rationale: Research shows that when dorsiflexion is limited to less than 11.5 degrees, the potential to develop Achilles tendinopathy increases 3-fold.
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