11/06/2019 (Clinical Hours)

First patient of the day was an amateur long-distance runner (half-marathons) in his late 40s. He requested for a massage on his Hamstrings and Calves. After applying soft tissue massage for the first two-thirds of the session, the last 15 minutes were spent focusing on his glute activation and foot planting when running to see if any obstructions in his biomechanics or muscle strength could be causing the issues (Wilkinson 2010). Dynamic stretches were prescribed to icrease his ankle mobility and gluteal exercise, fire hydrants and were added . This routine is part of the Runnenr’s core-3 (Jeon et al 2013).

Second patient of the day was  a female swimmer complaining of tight upper trapezius muscles and tight neck muscles (sternocleidomastoids). She purely requested for a sports massage. The subsequent treatment was gentle alternating and single-hand reinforced effleurage, NMTs on latent trigger point in the right upper trapezius, ending with 3x15sec PNFs for her trapezius as well as sternocleidomastoids (Johnson et al 2012). Within the last 10 minutes of the session I showed her low intensity resistance exercise that she could perform on a daily basis to stabilise and strengthen her Rotator cuff quadrant plus her Serratus Anterior (Cavaliere 2017).

Third patient of the day was an amateur rower in his late 50s. His issues revolved around LROM in the left shoulder, left subscapularis weakness during internal rotation and poor core stability. He has had these issues since last summer and they have apparantly worsened in the last four months. The exercise intervention I prescribed to him two weeks ago has helped with increasing his ROM and now he is able to put on a jacket with no pain symptoms being elicited. Along with increasing his shoulder ROM, we’re looking to strengthen his core as it limiting and casuing him to perform rowing with poor technique. Functional exercises such as Cable squat and rows with a resistance band under the knees were prescirbed for core stabilisation, strengthening and gluteal activisation (Wilk et al 2015).

Fourth pateint of the day complained of low back pain and pain around his left gluteal muscles. Only from entering the clinic, it was noticable that his biomechanics were out of order and that he was favouring his right leg to weight-bear (Barlett et al 2010). His physiotherapist diagnosed him for piriformis syndrome three weeks ago. The patient’s job revolves around sitting for prolonged hours as he is a driver and that further aggravates his condition. Passive STRs were performed on both piriformis muscles to increase range of motion and provide temporary pain relief (Mulligan et al 2014). The following prescribed exercises were Clamshells, Single-leg gluteal bridges, and RDLs. They aim at strengthening his gluteal medius as well as aid in his core stability (Harrelson et al 2015).

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