Week 3 - tuesday

I have been treating a patient that is NWB on one leg and one arm. Yesterday i decided that using foot pedals would be an excellent exercise to address the patients CR fitness and decreased ROM LL. It is difficult to treat these problems because the patient cannot stand and is restricted with his UL function. I think it is important to address the patients CV fitness because he is a smoker and overweight. The patient was told that no weight was to be put through his left leg and that the pedals were to be pushed with R only. No resistance was set to the pedalling. The patient was very complaint and the exercise seemed to work well passively moving his left leg while working the right. I was surprised to find out today the patient reported pain in the right hip which must have been aggravated by the pedalling.
On reflection i still think that pedals would be a beneficial exercise but was ineffective because the intensity of the exercise was to high and the patient must have not adhered to the WB restrictions. I would like to trial the exercise one more time and encourage the importance of using the good leg only to pedal.
In future i would be more cautious with prescribing exercise to patients with pain++ because you donot want to halt progess/therapy.