11/03/2020 2 hours

This session took place in the Sports Therapy and Rehabilitation clinic.

In this session, I gave one player a lower back massage and a soft tissue release on their glutes to help decrease their pain whilst they continue to strengthen their glute maximus and glute medius. It is a real confidence boost to see some big improvements in this player. In the next session, I gave another player mobilisations on their spine for their ongoing back pain whilst under supervision by the clinic supervisor. This time, the supervisor didn’t have to show me what to do first, I felt confident going ahead straight away. This time, I was still using my thumbs instead of the side of my hands, but the clinic supervisor said that this will come with time.

11/03/2020 2.5 hours

This session took place court side to the Plymouth Raiders practise session. The final hour took place at their strength and conditioning session.

To begin, I conducted the warm-up. Following this, one player explained that their hamstrings still felt tight, so, pitch side, I stretched them before the player went onto the court. At the end of practise, one player asked me to get them some ice for their knees, and said he was going to discuss his problems with the head sports therapist. In the final hour in strength and conditioning, I helped deliver the session through demonstrating exercises and giving coaching tips. As well as this, I also observed the assessment the head sports therapist carried out with the player who had knee pain. I always find it useful to watch the head sports therapist conduct assessments and treatments, as he always offered the newest way of doing things/the newest information due to the fact he always stays on top of the literature.

10/03/2020 1 hour

This session took place in the Sports Therapy and Rehabilitation clinic.

In this session, I was treating the player who I had recently given glute rehabilitation to alleviate some pain he is experiencing in his back (that is occurring due to him using his back instead of his glutes, because his glutes are in pain). So, I gave the player a soft tissue massage to his lower back. Following this, I did soft tissue release on his glutes to again, relieve some pain. As I have been working with this client quite consistently, we have built up quite a rapport and I feel very comfortable working with him. This player is very interested in why certain pain has occurred, as he keeps getting referred pain, he is very confused. So, during this session I was able to explain to him what exactly was happening, explaining what referred pain is referencing the kinetic chain. This seemed to calm his anxiety about his injuries. This session taught me that especially in non-linear injuries, like this one, it is best to keep the client knowledgeable of what is going on their body, rather than just giving them their rehabilitation and giving them treatment. If you don’t give the players the knowledge, this could cause the player to loose confident in your abilities as a therapist, as you keep changing where and how you treat the player.

10/03/2020 1 hour

This session took place in the Sports Therapy and Rehabilitation clinic.

Within this session I was treating one of the Raider’s for their tight neck muscles. So, I performed a soft tissue massage to their upper fibres of trapezius. Following this, I performed soft tissue release again, on their upper fibres of trapezius. I ensured I got all angles of this through slighting moving the head forward/backward when in side flexion. Following this session, I got some very positive feedback from the player, who said that I was the best student the head therapist had taken on. This made me feel very confident, as I feel as though this could increase my chance of getting a placement with the Raiders next year.

10/03/2020 2.5 hours

This session took place court side to the Plymouth Raiders practise session. In the last hour, this took place at their strength and conditioning session.

To begin, I conducted the warm-up whilst being observed by the head sports therapist. He explained that following my formative assessment feedback I had become more assertive which was a predominant aim of mine. Following this, a player came in late to practise, so I observed the head sports therapist deliver a quick but effective warm up to this player. I found this extremely useful and will be using this whenever a player comes in late. Following their mini warm up, the player was complaining of tightness in their hip flexor, so I observed the head sports therapist release this. To begin, he did some eccentric lengthening of the players hip flexor using a muscular energy technique. After this, he made it more dynamic, making the player do slow and controlled banded ‘a skips’. Following this, he made the player do explosive ‘a skips’. I found this extremely useful as there is a player in the Marjon basketball team who has trouble with their hip flexor, so before practises/games I can go through this process with him. During practise, the head therapist went through the difference between strength and hypertrophy training to help me with my new module, and to aid my knowledge when writing rehabilitation plans. Following this in the strength and conditioning session, it was only the head sports therapist and I running this. Due to this, I was able to get more involved in running the session. I demonstrated some of the exercises, as well as giving coaching tips throughout, encouraging progressions and regressions depending on the player. At the end of the strength and conditioning session, one player came forth complaining of neck pain. The head therapist allowed me to asses this player under his supervision, to which I came to the conclusion that the issue was tight muscles. So, the head therapist invited me to treat this player in the clinic following this session, whilst under supervision by himself.

09/03/2020 1 hour

This session took place in the Sports Therapy and Rehabilitation clinic.

Within this session, I gave a player a rehabilitation programme I had written (that had been verified by the head sports therapist). Considering this was the second time giving someone rehabilitation, this time round I felt a lot more confident delivering the exercises. I feel as though the delivery ran a lot smoother and I was more articulate in my description. Considering the player had trouble remembering the exercises last time, this time, upon delivery, we came up with new names for every exercise so the player would remember them.

06/03/2020 1 hour

This session took place in the Sports Therapy and Rehabilitation Clinic.

Within this session, I assessed the player who came to me at practise complaining of glute/back pain. To begin, I did a neurological assessment, which this time round I feel a lot more confident doing since we have now begun the spinal module. The player wasn’t experiencing any neurological symptoms, however upon assessment it was decided that the issue was muscular. It seemed that the player had an overactive piriformis and had a weak glute maximus and glute medius. I took this information to the head sports therapist to ask if it was ok for me to write a rehabilitation plan for this player (but would get this reviewed before giving this to the player).

06/03/2020 1 hour

This session took place court side to the Plymouth Raiders practise session.

To begin, I brought the ultrasound down to the court and set it up ready to ultrasound the player with the Achilles tendon tenderness at the end of practise. Following this, I conducted the warm-up. This time, using the new command drill that myself, the head sports therapist and the other students came up with to avoid the players getting bored of the warm-up. This command drill is one they had done a couple of times in the pre-season, so coaching this was nice and simple. The players were very engaged and seemed to enjoy the change. At the end of practise, the player who a while ago came to me complaining of glute and back pain came back over and complained of the same kind of pain. So, I asked him to meet me in the clinic once I had given ultrasound to the player with the Achilles problem. When giving the player ultrasound, the process went a lot better which restored my confidence. However, I still do feel intimidated treating one of the most valuable players on the team.

05/03/2020 1 hour

This session took place in the Sports Therapy and Rehabilitation Clinic.

The athlete came complaining of lower back pain. Upon the objective assessment, due to the pain being during palpation of the L3/4 vertebrae, and the pain getting worse during flexion, the clinic supervisor suggested that it is a facet joint problem. So, I was observed whilst performing mobilisations to this player. Considering I have had limited practise in this area considering out spinal module only started in January, I was quite nervous to perform these. The clinic supervisor showed me first to refresh my memory and ensured I was performing the correct technique to avoid further injury. I currently feel more comfortable performing mobilisations with my thumbs, despite the fact it makes them ache quite early on in the treatment. So, I aim is to become comfortable enough to use the corner of my hand (underneath the base of the first metacarpal), as the clinic supervisor explained that performing the treatment this way avoids your hands aching so quickly.

05/03/2020 1.5 hours

This session took place court side to the Plymouth Raiders practise session.

To begin, I brought an ultrasound machine down from the clinic and set it up court side ready for a player to have ultrasound treatment post practise on their Achilles following excessive load they had exposed it to. Following this, I conducted the warm-up ensuring I was enthusiastic and attentive to the players. At the end of practise, I called the player over who needed their ultrasound, set up the machine and went ahead. I was quite nervous treating this player, as he is one of the most valuable on the team. When giving the ultrasound, the machine kept beeping (meaning the head wasn’t touching the skin). However, I realised this is because the width of the Achilles was smaller than the width of the ultrasound head when going over a certain area. At first, it made me feel quite embarrassed due to the fact other players were stood around near me. I ensured that player who I was treating that it was ok and why this was happening. Once I realised why it was happening, I was able to make the beeping stop. Considering it went slightly wrong, I am quite nervous for when I have to do this at the next practise.

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