Within these three hours, I participated in a face to face running workshop which included the common injuries in this population, clinical assessment and rehabilitation.

Reflective Summary

Some of the exercise included leg pain pathologies which were presented to us, I had not heard of before. This included exertion compartment syndrome and biomechanical overload syndrome. Chronic exertional compartment syndrome is caused by increased intracompartmental pressure within a fascial space that most commonly occurs in young adult recreational runners, elite athletes and military recruits (Tucker, 2010). Although, the mechanism of why pain occurs is unknown. If the client continues with exercise, compartment pressure will incrementally increase. Other symptoms include lower leg pain, sensory abnormalities, muscle weakness and sometimes cessation of the activity (Diebal, Gregory, Alitz & Gerber, 2012). If the exertion compartment syndrome is biomechanical the condition is know as biomechanical overload syndrome (Franklyn-Miller, Roberts, Hulse, D & Foster, 2014).

The table below portrays what we should focus on within a clinical assessment for running population groups:

Area​	Focus​	Ax​	Rx?​
Calf (gastrocnemius & Soleus)​ ​	Strength / Endurance​ ROM​ ​	Calf raise(bent/straight knee) & toe taps​ Knee to wall​	Loading ​ Increase range ​ Decrease joint stiffness – mobs​
Hip Flexors​ ​	Strength /  Endurance​ ROM​	Resisted movements  Modified Thomas​ test	Isometrics​ Eccentrics​
Glute Med​ ​	Strength​	Side lying abduction	​
Glute Max​ ​	Strength​	Strength:endurance/power​	​
Core (lumbopelvic)​	Strength / Endurance​ Pelvic control​	Pelvic tilts ​	Pelvic control exercise​
Single leg stability​	Stability​ Stiffness​	Single leg knee bend​ Landing biomechanics (land & stick)​	Single-leg knee bend, hop​

What Went Well

I participated within the session by answering questions and providing ideas of interest. I also felt pleased to have be able to develop my knowledge further; I now feel a lot more confident to conduct a gait analysis with a client.

Areas for Improvement	Action Plan
Try using the Hudl app to analyse a client’s gait.	Next time I have a client who requires a gait analysis use this app as a way of showing them their technique.
Review the common running injuries that were presented to us.	Revise these injuries for my final clinical exam.

Closing the Loop

Since writing this reflection, I have conducted a gait analysis with a client so understand how Hudl works. As part of my revision, I am learning about and revising as many pathologies as possible.

References

Diebal, A. R., Gregory, R., Alitz, C., & Gerber, J. P. (2012). Forefoot running improves pain and disability associated with chronic exertional compartment syndrome. The American journal of sports medicine, 40(5), 1060-1067.

Franklyn-Miller, A., Roberts, A., Hulse, D., & Foster, J. (2014). Biomechanical overload syndrome: defining a new diagnosis. British journal of sports medicine, 48(6), 415-416.

Tucker, A. K. (2010). Chronic exertional compartment syndrome of the leg. Current reviews in musculoskeletal medicine, 3(1-4), 32-37.