|Date||Location||Total Amount of Hours||Overview of Session|
|25/2/19||Open clinic||2 hours||Client complaining of back pain on and off for 2 years following a golf injury.
|Reflective Summary||Areas for further Improvement plus action plan|
|Client complaining of pain along their left medial border of scapula and down their mid back into their lower back following a golfing injury where the player hit the ground during the swing. On palpation there was tightness along the medial aspect of lower back and PoP.
I began with effleurage and petrissage of the scapula and the trapezius and then continued down into the lower back. Following the STM the client reported no improvement in symptoms, so I asked the supervisor for advice. Client used to be a regular golfer but has stopped playing since the injury, therefore the supervisor advised that I test the client’s ROM in IR and ER of the hip. On doing so I noticed the client had good ROM on ER but significantly reduced IR, which is common in golfers and research has found it is linked to LBP (Murray, Birley, Twycross-Lewis, & Morrissey, 2009).
For the rest of the session, I performed MET PIR to increase ROM of ER of the hip. I will continue this over the next few sessions and monitor the client’s ROM and LBP level to see if the treatment is effective.
Second client: Tight calves following a long run for the first time since having a baby. Check contraindications, ROM and get informed consent. STM to relax muscles, NMT to deactivate TP in centre of gastrocnemius and then PIR to lengthen muscle fibers.
|Read more into golfing and specific sport related injuries as well as some more into LBP in golfers. Practice measuring ROM, as I struggle using the goniometer which reduces the accuracy of the measurement.
|Returning to reflections at a later date|
|I feel a lot more aware of sport specific injuries now and will continue to research this to develop my knowledge.|