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.

03/03/2020 1 hour

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

In this session, to begin I remembered that before this player left for 2 months, we were currently in the middle of sorting out his back/glute pain. So, I asked how this was and he stated that it has been fine ever since. Within the rest of this session, I ran through a couple of the exercises the player had just been given by my self for his ankle, as he said he had forgotten them. We then came up with ‘suggestive’ names for the exercises so that he wouldn’t forget. Following this, I performed ultrasound on his ankle as instructed by the head sports therapist, and supervised by the clinic supervisor.

27/02/2020 1 hour

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

In this session, after showing the head sports therapist and getting confirmation that the programme was acceptable, I was able to give the player with the lateral ankle sprain his rehab plan. During this, I emailed him the excel file, took him through every exercise (including reps and sets) and showed him his progressions and regressions. When giving him these exercises, I gave him adaptations where necessary if any exercises were too hard/too easy. This is something I really enjoyed as I felt as though it was a real insight to the type of therapist I want to be when I graduate; a rehabilitation therapist. I found this both useful and challenging, however I enjoyed it thoroughly.

26/02/2020 1 hour

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

A player who had gone home for 2 months following some family problems had returned, but had injured his ankle at home, around 6 weeks ago. Since then, he had had it x-rayed to ensure nothing was fractured, but had not undertaken any treatment. So, I took him into clinic and did a clinical assessment on his ankle, to which I found that he had a lateral ankle sprain. During this assessment, I didn’t have to look at my notes for any of the assessment, which is something I am really proud of. I took this information to the head sports therapist to ask if I was allowed to write his rehabilitation plan.

26/02/2020 2.5 hours

This session took place court side to the Plymouth Raiders practise session. In the final hour, it took place at the strength and conditioning session.

To begin I conducted the warm-up with another student therapist. During this session, I observed the player who had recently experienced a thumb injury go through his progression on his rehabilitation. I found this very useful and interesting and was actually able to answer some questions for him. He was concerned that he had a ‘bump’ in one of his thumbs, to which I was able to explain that it was nothing bad and allowed him to feel my thumb to compare (as I had this too). He didn’t have any pain over this area, so, I was able to confidently tell him that there is nothing to worry about regarding this. Following this, I went to the strength and conditioning session. In this hour, I went through a players rehabiliation for his patella tendinopathy.

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