|Date||Location||Total Amount of Hours||Overview of Session|
|23/11/18||Marjon sport and health clinic||2||1 hour massage on lower limb & 1 hour anatomy revision of anatomy lower limb (quadriceps muscles and lower limb bony points).
|Reflective Summary||Areas for further Improvement plus action plan|
|Client came to clinic complaining of tight quadriceps and aches following a gym session 3 days before. On palpation I could clearly feel tightness in the centre of the rectus femoris spreading across to the vastus medialis. A few trigger points were present, and the muscle was tight with the client having problems relaxing. Tested ROM and client said that appeared lower than usual.
I performed massage to warm up the tissues and relax the muscles and then went into NMT to reduce trigger points and restore muscle tone. I was not fully clear on where the quadriceps originated, so I did not perform the treatment along the full length of the rectus femoris, which may mean the treatment was not as effective as it could have been.
I spent the second hour in the clinic revising the lower limb anatomy, so that I was clear on where the quadriceps, hamstring and calf muscles originate and insert, to insure during my treatment I work on the entire muscle.
|Continue learning and practising origins and insertions of muscle groups, to ensure I know what I am treating to allow me to be more effective with my action plans.
Next time I will use stretching techniques such as PIR and RI to lengthen the muscle fibers and increase ROM as it can be more effective in a shorter space of time than massage and it relies on the client putting in their own effort, opposed to just the therapist.
|Returning to reflections at a later date|
|I now feel a lot more confident on the origins and insertions of the calf, hamstring and quadricep muscles. I feel this has had a positive impact on my technique as I am not treating the entire length of the muscle opposed to just a section. Since this, I have noticed a significant improvement in ROM on the client which I have treated. I have also noticed that the use of stretching techniques such as PIR, achieve a result (such as increased ROM) in a much shorter time frame than massage alone, allowing for a quicker and more effective treatment.|