We have noticed quite some interest from personal trainers (PTs) in myScoreIt. That leads us to wonder about the ways PTs might use PROMs with their clients.
Personal trainers are in a unique position to help patients navigate injury or pain whilst maintaining a healthy exercise habit.
PTs have regular contact with their client, are trusted and have creative ideas about exercising around obstacles such as stiff knees. Exercise prescription is a crucial element in treating some conditions, such as tendinopathy and osteoarthritis (OA). PTs can help their clients with these conditions by suggesting suitable exercises to improve strength, balance and flexibly in addition to improving mood (a key factor in the experience of pain and chronic conditions).
We won’t attempt to cover specifics of exercise prescription in this blog but we use the example of knee OA and how PTs can use PROMs to guide training programs.
Knee injury and Osteoarthritis Outcome Score (KOOS) can track clients with knee OA.
Check out the KOOS. It contains sub scales regarding different aspects of a person’s knee problem such as OA. You can track overall progress periodically to monitor the success of your strengthening or weight loss program.
You can also dig deeper into the individual sub scales or questions to see what activities your clients are really having trouble with. Difficulty with stairs or getting out of a chair (P6, A1, A2, A3) would direct you to progressive knee strengthening, whilst difficulty running and pivoting (SP2, SP4) might cause you to pull back from these activities for a while then gradually reintroduce them to get a feel for the client’s tolerance or capacity for them. Inability to bend the knee fully (S5, P4, SP1) would flag caution about exercises such as deep squats or leg press, even rowing machine work might be tricky.
In addition to patient reported outcomes using surveys, there are some simple physical performance tests to monitor baseline function and progress in relatively inactive clients with knee OA commencing a training program – 6 minute walk test, 30 second chair test and a stair climb test among them.
Try out our free KOOS survey and keep in touch – we would love to hear from you about the ways you have found PROMs useful to improve your client experience.