25.11.19 – Helping out in Sports Therapy Clinic – a case of Jumper’s Knee

Date: 25.11.19

Duration: 2 hours from 1500 – 1600

Venue: Marjon Sports Therapy Clinic

Reflective Summary:

I was asked to help out in the Sports Therapy Clinic because a third-year student was unable to cover an appointment due to illness.

The client is a female competitive basketball player.  She had spent the previous weekend playing in a basketball tournament and had petellar pain – tendonitis.  Also referred to as ‘Jumper’s Knee’ and very common in basketball players. She also underwent a bleep test.  A clinic supervisor conducted the consultation with the client and I recorded the subjective assessment data.

The client was in good health but is currently under investigation for epilepsy after a seizure.  She had a CT Scan on 11.10.19 for the condition and has been prescribed 500 mg of Keppra to be taken twice daily.

The client had a history of a ruptured lateral ligament on both ankles.

The client’s weekly training schedule involved 5k runs 2-3 times per week, 1 interval session and 2 basketball sessions.

The clinic supervisor recommended a programme of exercises to build up the quads which would ease the patellar tendonitis.

A programme of exercises with high load and low volume was devised. The clinic supervisor recommended that the client perform the exercises when time permitted as the client had manage a young family, a busy job and her basketball training schedule.  He recommended that she add the exercises on the end of a training session and if time permitted try to complete the exercises twice per week.

2-3 sets of 8 repetitions of the following exercises were prescribed:

Split squats to be performed slowly

Lunges with dumb bells to be performed slowly

Single leg squats slowly

Double leg squats slowly

Knee extension – 60-75% of maximum loading

Leg press – 60-75% of maximum loading

I performed a sports massage on the client’s left quad.  This was the leg that the client experienced patellar tendonitis. I applied effleurage, petrissage, tapotement and NMT.  There were 3 trigger points long the vastus lateralus and a couple in the rectus femoris.

I massaged both left and right calf muscles.  There was a trigger point on the lateral side of the gastrocnemius which I worked out with NMT.  I also applied STR on both left and right calves.

The client gave me very good feedback after the massage.  She felt that it really helped

Areas for further improvement plus action plan

Review knee anatomy and pathologies.  Look at the connection with Diabetes and the deteriorati0n of the patellar tendon

 

Returning to reflections at a later date

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