3rd Year STYHO2 Clinical Reflection 2 Total Hours 5

1 hour remote consultation with advice on how to reduce the pain in their hamstrings.

1 hour writing up notes on the session on Cliniko.

For this session we used Cliniko to have a remote consultation with the client. I believe I could improve when doing this by speaking more clearly as there was some issues with the mic on the call.

For the subjective I clearly used OLDCAERTS to find out specific information of the injury. This is a useful tool to use as I can find out the key details such as Onset and Location etc. From this the client described a sudden impact on their right hamstring near the lateral border. I also found that the client showed no red flags.

For the objective assessment I made the client do active movements for the Hip, Knee and Lumbar Spine. Due to this being a remote consultation we couldn’t test passive and resisted movements as well palpate the clients hamstring. These were all noted to perform in the face to face interview.

After the assessment I gave the client some eccentric exercises for their hamstring strain as this is has been widely used in the rehab on acute hamstring strains (Heiderscheit, Sherry, Silder, Chumanov & Thelen, 2010).

However, I believe I could improve as I needed help from the clinical supervisor to prescribe the ‘’L’’ Protocol Extender Hamstring’’ and I believe I could improve by studying this protocol to help with my knowledge of rehab exercises.

• Study the ‘’L’’ Protocol and apply this within clinic to patients with acute hamstring injuries. I will learn this and test myself with my other students.

• Learned the ‘’L’’ Protocol exercises such as the extender, diver and glider as exercises to use for acute hamstring strains (Askling, Tengvar & Thorstensson, 2013)