Clinical Reflection 5 CPD 4 Hours Total Hours: 21

Date Location Total Amount of Hours Overview of Session
17/11/2020 MARJON Sports Therapy Clinic 4 (CPD) CPD hours exploring an army injury given to us by the supervisors as CPD.

My injury was Illio-tibial Band Syndrome (ITBS)

Reflective Summary Areas for Further Improvement and Action Plan
For this presentation we had to explore the effects of a certain pathology. My pathology was ITBS and this was good as I haven’t researched ITBS. We broke down the presentation into notes to perform in front of clinic at the start of the 19/11/2020 clinic session.

 

Some of the notes I found was that ITBS was that from a study looking at injuries in the British Army New Recruits ITBS was the most common injury accumulating about 6.2% of the total injuries out of a total incidence of 48.6% in the study (Sharma, Greeves, Byers, Bennett & Spears, 2015). As well as risk factors and symptoms such as excessive walking incline and decline and this does relate to army.

 

This presentation was useful as it gave us the opportunity to learn about a different pathology as well as learn from others in our clinic group.

 

In preparation, I made a notes sheets to help with the presentation such as notes on incidence rate and exercises to treat ITBS.

·        One way I could improve is further explore other army injuries as this could be a potential job in the future.

·        A way I could do this is break down different injuries by upper and lower body then do some research on each one.

Return to Reflections at a Later Date
·        The presentation went well as the class understood and I was able to respond to questions relating to exercise prescription and treatment.

·        Research amputations, such as the different types. and this could help with a STYHO1 study which looks at training a disabled athlete.

 

 

 

References

  1. Sharma, J., Greeves. J. P., Byers. M., Bennett. A. N., Spears. I. R. (2015)., Musculoskeletal injuries in British Army recruits: a prospective study of diagnosis-specific incidence and rehabilitation times. BMC Musculoskeletal Disorders., Vol 16, Pages 1-7

 

ITS Syndrome Notes

 

What is ITS?

Iliotibial Band syndrome is a condition in which there is repetitive friction of the iliotibial band sliding over the lateral femoral epicondyle, moving anterior to the epicondyle as the knee extends and posterior as the knee flexes, and remaining tense in both positions. Treatment for ITBS can vary but can take around 4-8 weeks to fully heal.

IT Band Attaches at the gluteal tuberosity and it passively resists hip adduction and internal rotation (Louw & Deary, 2014).

Prevalence

From a study looking at injuries in the British Army New Recruits ITBS was the most common injury accumulating about 6.2% of the total injuries out of a total incidence of 48.6% in the study (Sharma, Greeves, Byers, Bennett & Spears, 2015).

Symptoms

  1. Lateral Knee Pain.
  2. Knee Swelling- Due to the thickening or inflammation of the iliotibial band.
  3. Popping Sensation- When the knee bends the IT Band flicks over the lateral epicondyle.
  4. Insidious Onset

Causes

  1. Excessive running or walking (Incline and Decline)- Link this to the Army such as long walks.
  2. Rapid Increase in training load can cause a risk of IT Band syndrome.
  3. Weakness in leg muscles and the IT Band can cause friction on the ITB.
  4. Weakness in the glutes can put more strain on your ITB.
  5. Altered Foot Mechanics- Such as patients with flat feet are more prone to ITB.

Treatment

  1. One way to treat ITB is to have an appropriate level of rest for your ITB to heal effectively.
  2. Apply ice to the reduce the inflammation on the lateral side caused from ITBS.
  3. Muscle Stretching and Strengthening Exercises.
  4. Footwear

Exercises to Treat ITBS

  1. Step Downs- Help strengthen the glutes which if weak can cause ITBS.
  2. Single Legged Squats- Helps strengthens your Quads and Glutes to keep your hip level this will out less stress on the IT Band.
  3. Reverse Lunges
  4. Seated Spinal Twist
  5. Side Leg Raise
  6. Lateral Leg Swings

 

 

 

 

 

 

 

Reference List

  1. Louw, M., Deary. C. (2014)., The biomechanical variables involved in the aetiology of iliotibial band syndrome in distance runners e A systematic review of the literature. Physical Therapy in Sport., Vol 15, Pages 64-75.
  2. Sharma, J., Greeves. J. P., Byers. M., Bennett. A. N., Spears. I. R. (2015)., Musculoskeletal injuries in British Army recruits: a prospective study of diagnosis-specific incidence and rehabilitation times. BMC Musculoskeletal Disorders., Vol 16, Pages 1-7
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