{"id":978,"date":"2018-08-01T09:00:13","date_gmt":"2018-07-31T23:00:13","guid":{"rendered":"http:\/\/blog.amt.org.au\/?p=978"},"modified":"2018-07-31T17:27:09","modified_gmt":"2018-07-31T07:27:09","slug":"case-study-injured-stuntpersons-dramatic-rehab","status":"publish","type":"post","link":"https:\/\/blog.amt.org.au\/index.php\/2018\/08\/01\/case-study-injured-stuntpersons-dramatic-rehab\/","title":{"rendered":"CASE STUDY: Injured Stuntperson\u2019s Dramatic Rehab"},"content":{"rendered":"

by Robert Libbey*<\/strong><\/h4>\n

In the previous article, I wrote about the history, supporting literature and research pertaining to Ligamentous Articular Strain Technique (LAST). I also discussed why manual therapy techniques that target areas of especially high concentrations of mechanoreceptors (tenoperiosteal and ligamentoperiosteal entheses) are important to incorporate into your practice.<\/p>\n

In this article, I present an example of how incorporating LAST into your treatments could have a dramatic transformation in your clients\u2019 rehabilitative process.<\/p>\n

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(image used with the permission of Rochelle Okoye)<\/p><\/div>\n

Rochelle\u2019s story<\/strong><\/h6>\n

Rochelle Okoye<\/a> is a Canadian stuntperson and actor. On top of this, Rochelle is an elite athlete (mixed martial arts and boxing), trained with the British Olympic Gymnastics team and is expert in more martial arts than I can name.<\/p>\n

The Injury<\/strong><\/h6>\n

When I first met Rochelle, she was eight weeks post second degree right ankle inversion sprain\/strain. She was non-weight-bearing, on crutches and her right ankle was heavily wrapped in a tensor (compression) bandage.<\/p>\n

Eight weeks prior to our initial introduction, Rochelle was on a TV set in Vancouver. The scene was set for her to be running in four-inch heels, linked arm-in-arm with two other stunt professionals, all jumping off a dock, free falling 14 feet and landing on a squishy landing mat. Being in the four-inch heels, her feet were locked into full plantar flexion. Her right ankle immediately dislocated upon contact with the mat. She heard a \u201cPOP\u201d sound and collapsed in pain. That was the last time she had put weight on that leg and foot.<\/p>\n

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(image used with the permission of Rochelle Okoye)<\/p><\/div>\n

For the next eight weeks she received conservative treatment from another medical professional consisting of only TENS, ultrasound and acupuncture. At this point she was still in an extreme amount of discomfort and pain, she was unable to weight bear, and had minimal active and passive ranges of motion in her right ankle. She questioned if she would ever return to the career and lifestyle she loved.<\/p>\n

Rochelle eats, sleeps and breathes stunts and acting. The concept of having to alter her life direction was weighing heavily on her. This injury was severely affecting her social life and her psychological outlook. She was no longer hanging out with her friends from the stunt community. She had to decline a contract for an upcoming X-Men movie and other contracts that she had been looking forward to. She was losing hope and confidence that she would ever be able to return to the life she had known and loved. Although Rochelle is a happy and positive person, she was now severely depressed and at one of the lowest points in her life.<\/p>\n

Observation and Assessment<\/strong><\/h6>\n