How do you balance success and failure during specific tasks during the treatment session?
Answer
That will come down to a combination of a few things. Number one, I am going to take a look at the degenerative disease, the condition that we are dealing with so I can understand. Is fatigue playing a role here? Should I continue to work on this challenging balance exercise or am I taking this person a little too far? I want to keep that in mind because that is going to be a medical maker for me. Number two, I am going to take a look at how frequently are we currently being successful in the practice of this task. I am going to shoot for about a 70% success rate and a 30% failure rate. When I say 30% failure, it means that there is a correction necessary clearly and need for a balance adjustment at a very subtle level. That would be indicated and I want that to happen. I am going to make an adjustment off of that 70% success rate that I am seeing with these clients based on a third factor, and that is going to come down to personality. How much success, how much challenge, and if you want to categorize it as such, how much failure is this client willing to allow themselves to endure. Personalities are going to influence that equation. I am going to let an individual push the envelope of that 70% success ratio if they are willing to be challenged, fail, and willing to try and err. If I have a client that is very self-defeating and depressed by the diagnosis they have been given, I am going to give them a little greater incidence of success and gradually integrate more challenge.
Dr. Studer, a Physical Therapist (PT) since 1991 and a Board-Certified Clinical Specialist in Neurologic Physical Therapy since 1995, co-founded and co-owns Spark Rehabilitation and Wellness in Bend, Oregon. Additionally, he serves as an adjunct professor at Touro University and is an instructor at UNLV. Actively engaged as a practicing clinician, researcher, author, and presenter in DPT programs and continuing education, Mike was honored as the 2011 Clinician of the Year in the Neurologic Academy and, in 2014, in the Geriatric Academy of the APTA.
Dr. Studer has presented invited lectures in all 50 states and 12 countries across four continents. In 2020, he received the highest honor in PT, being distinguished as a Catherine Worthingham Fellow of the APTA. Over his 33-year career, Mike has authored over 35 articles and six book chapters and is a consultant to Major League Baseball.
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