Today in clinic I treated one client which was a face to face session in the gym. Due to the new lockdown measures the gym was completely empty but due to clinical practices being able to stay open I was allowed access for my client. To begin the session I went through some movements with the client to see where he was at with Pain free motion upon completion of these movements we went into the gym and preformed a warm up with stretches followed by a session focusing on glute engagement and eccentrically loading the quads in order to try and rectify and anterior pelvic tilt. The session went well as the client managed to do all the movements without experiencing an onset of pain. Following the gym session, I reassessed movements and the client still complained of no pain. This gave me good confidence as I was able to plan a successful session putting load through the back that did not aggravate the facet dysfunction that the client is presenting with. Other than this I looked at an osteochondral lesion case study. I chose this case study because I had never heard of that pathology before. It was a good reminder that as a practitioner you always need to continue to develop your clinical knowledge and applications. I found this a good pathology to research as the rehab id very general and there are many ways that you can go about the phase 2 & 3 rehab.

Today in clinic I treated two clients. The first was a lower back pathology that I suspected to be facet joint dysfunction. Prior to this client I was nervous as it was my first client face to face with a back pathology and the spine is not my strongest subject. Looking back at the session I feel like I did a very good thorough job. I went through all the procedures and gave good rationale as to why I was doing each part of the assessment. The conclusion of the appointment is that although the client is having a slight issue with his facet joint this could be through an anteriorly tilted pelvis and underactive glutes and hamstring tightness, this would be a reason as to why the client is struggling so much with their back. One thing I need to look over is the slump test, I know the principles as to why it performed but I forgot the order of the test itself. For my second client I was accessing the shoulder. The Clinical impression it was giving me was that of a reactive supraspinatus tendinopathy. This was drawn from the movements the gave the client pain and the negative speeds and yourgersons that ruled out biceps tendinopathy.

Today in clinic I had two appointments, one online screening and one face to face as a follow-up from last week. Before my two appointments I helped a peer with one of their online consultations. I feel like the more experience I can get the better, and the more times I can go through the SOAP procedure the more it can help me become a more well-rounded practitioner. When it came to my online appointment, I already felt more confident than before. The appointment itself was tricky as the client was on a break from work so the depth of assessment, I could do was very limited. However, I was still able to get enough information for me to get an impression of a facet joint issue, as the client’s pain was aggravated through extension. The client was able to go away knowing that they are booked in next week to sort out the pain that had been annoying them for so long. I also had success with my face to face client. It was awkward at first with the PPE, but I was able to overcome it. It was the first time that I have worked with an injured client face to face and it was different. I was afraid to get something wrong, but I am sure with time and confidence this will pass. I am slowly starting to get the hang of writing notes, my presentation is sometimes off with the layout and order of the notes but overall, all the information is there it just needs tweaking. I am really enjoying clinic now; I was not sure if I was going to because of the pandemic but its really good that I have had such as positive start to my placement.

Today in clinic I had my first online consultation. I found that before I saw the client I was nervous but luckily I had the opportunity to partner up with another student prior to seeing my client and record notes whilst they were in their own consultation, I found this useful as I was able to see how they worked and navigated the process whilst being able to note the things that I would do differently. My client was presenting with a shoulder pathology with the clinical impression of a grade 1 sprain of the ligaments surrounding the ACJ and muscle strains in the anterior deltoid, lateral deltoid and trapezius. The culmination of the meeting is that I will be seeing the client in clinic next week in order to go through some exercises. In preparation for this I will be looking over the best treatments for ACJ injury and looking to see if game ready, tens or ultrasound will be appropriate. I found the online consultation to be quite enjoyable and I am satisfied that my client got what they wanted out of the session. In reference to writing my notes I thought I did a good job for a first attempt and I’m sure with the supervisors input ill be writing high quality clinical notes first time soon.

For my clinical reflections I have decided to use Borton’s (1970) development framework. I feel like this method will work well for me as it is based on the principle of three cue questions which will still give me the freedom to talk about my experiences in a more open way. For my first session in clinic we went through all the new measures put in place to make the Clinic COVID secure, luckily for me I found that the changes will not affect the way that I like to work to much as the main thing that I took away was to be vigilant with clients and find other ways to treat them as much as you can that is not face to face. I feel like this will be good for clients too, as many can often be too reliant on hands on treatment and can neglect the actual movement parts of the treatment plan that I and others would prescribe from clinic. We also went through a case study about a pathology which I found good to get a indication of what parts of the subjective and objective assessments that I am confident with and other parts that I will need to revisit.

 

Reflective essay

 

For my placement module I worked with Marjon sport and health clinic working with university sports teams as their pitch side therapist. The purpose of this placement was to continue to develop my confidence as a pitch side therapist. Additionally, the purpose of the placement is to enhance my fundamental clinical skills. The main service that this placement offer is to student sports teams in giving them more support to be professional and achieve on the field. Due to there being many sports teams at university there are many times where you have to make a crucial decision about a player, this aids in my development as it allows me to increase my confidence when pitch side, this is then supplemented by supervisors which are very approachable and always on hand if you did need them both in an emergency or to just get an opinion on something. The status of the placement provider is a private entity from the University as it is run under the sports centre. However, the sport and health clinic are one of the primary tools used by the Sports Rehabilitation and therapy degree programmes in order to develop their students. Aside from the pitch side portion of the programme the sport and health clinic offer various opportunities to work with clients prescribed by the National Health Service (NHS) such as a back pain clinic in order to develop further confidence within the students when talking to strangers and having to coach them through exercise.

The aims and objectives of the placement were to develop my understanding around the sports and the teams that I was working with (the Tennis and Men’s Futsal clubs). The reason for this aim is as these are not sports that I have actively played much or surrounded myself with before. I feel like to be an effective member of any team as a pitch side therapist it is important to learn about the different schemas that people need for certain skills. This is so you can identify the most common injuries for the sport and start to formulate action plans for injuries that are more likely to happen, so you are more prepared for when they happen. The next objective of my placement was to improve my communication in an unfamiliar environment. This requires me to come across as an open, welcoming, honest and professional person. This is needed as being a rehabilitator or therapist is a very important role. The leadership team and individual players need to be able to trust you as you will ultimately be making the decisions about player welfare and whether people who have injuries play some games. The final aim of my placement is to develop my clinical skills. A placement is good not just only to help the sports teams, but they can also really help develop my own skills as a practitioner. Placements enable you to fine tune skills and develop personal ways of doing things. My roles and responsibilities on placement varied as I was the primary therapist for these teams. This meant I was responsible for the safety of the players while I was there and ensure that any injuries they develop are treated in the correct way before they return to play. Another responsibility that I had on placement was to aid in the delivery of strength and conditioning sessions and work with a small group or one to one with specific players who were not at full fitness.

During my placements this year I feel like I have been able to make massive progress in an aspect of both personal growth and key fundamentals associated with my course. I feel like I have been able to improve the overall health, performance and knowledge of all the clients that I have worked with over the time I have worked with them. I have constantly conducted myself with the upmost professionalism and ensured that I have put in additional work in outside of the placement to continue to develop my personal understanding of injuries, the sports I’m working with and the best ways to gain and maintain the trust of the players.

I have been able to meet all my placement aims and objectives to a high standard as I have learnt a huge amount about the sports of Tennis and Futsal. This has aided my development as it has affirmed the need for a strong understanding of the sports that I’m working with not only as a way to develop my own enjoyment of the placement but a strong knowledge of the sport allows me as a practitioner to learn common injuries surrounding the sport, an in depth understanding of how these common injuries are occur, and the most effective exercises which can be used to reduce the risk of injury as well as increase the functionality, effectiveness and all round performance of athletes. One time where I was able to demonstrate this was through my treatment of tennis elbow. Tennis elbow is one of the most well-known and common injuries associated with racket sports (Lalli, 2019). The best treatments for tennis elbow revolve around performing the massage technique frictions on the affected area and loading the tendon through isometric and eccentric movements. When I first started to treat my performers for tennis elbow using dumbbells to get the isometric movements (Stasinopoulos, 2017). When speaking to my supervisor about what I use to treat he recommended trying using tennis rackets and resistance bands to get the same effect as using a dumbbell. When utilising this with my team I found them to be much more engaged with the rehab itself. This has lead me to making all of my rehab as sports specific as possible as I find athletes are much more adherent as they can relate the movements to their sport instead of thinking they are doing meaningless gym exercises that is never going to benefit them in the long term (Goddard, 2020). This is perhaps the most important clinical skill that I have been able to develop whilst on placement as it has made me a much more effective practitioner towards people and players who are not as inclined to adhere to what you are asking them to do in the gym. By making it more sport specific you are highlighting the importance of training certain muscles for each sport and you can make athletes see how rehab is important to reach their maximum potential when competing.

 

Another placement aim that I feel I have achieved to a high standard is my professionalism. To be professional as a Sports Rehabilitator you always need to uphold an openness with all your clients. You need to be realistic when your clients are injured and clearly outline the risks that they pose to themselves with their injury, you also need to reassure them throughout their recovery that set backs are to be expected and there is no set time for their full return to play. This is of paramount importance because a players mental health and wellbeing can be affected massively by a setback in their rehab (Lichtenstein, 2019). Another major reason as to why professionalism is important as a practitioner is because you must be able to put your ego aside and do what is best for the clients. This may entail the acceptance that a player is unfit to continue regardless of your best efforts pitch side, or it may entail looking to other specialists for better advice. I can proudly say that on a few occasions I have had to talk to a supervisor to get their opinion on a potential pathology and it has helped with my personal development. A prime example of this is during my placement with the tennis team. A player was presenting with a long-term pain in the front of their hip. I assessed the client for the first time and the pathology that I was drawn to was hip tightness or potentially a grade 1 strain of the iliopsoas hip flexor even though there were some irregularities that the client was showing none of them were severe enough for me to believe it was anything more severe than something that stretching would clear up. The client reported back at a later date saying how the stretches, although reducing pain when doing them, were ineffective as the pain would come back more severe to begin with before returning to normal. Upon a reassessment before I gave the player any more exercise prescription I spoke to my peers in my lectures and got their opinions on what the pathology maybe. Due to their decisions being inconclusive I spoke to my placement supervisor and we had arranged to get the player into the sports clinic to ultrasound (Slayton, 2017) the area for potential labral tears until the outbreak of COVID-19 prevented this from happening. Due to the outbreak I had to contact the player and advise rest as the best temporary solution until the global pandemic is controlled enough that the sports centre can reopen, and the sports clinic is able to treat clients again.

The final aim that I had when starting my placements was to improve my communication skills in an unfamiliar environment (Marken, 2017). This includes being able to explain quite complex clinical terms in a way that someone with less knowledge and experience working with anatomy might have (Yarkoni, 2017). This is a fundamental skill that any practitioner should have. This is because I have found when you explain the physiology of an athletes pain/ injury to them they are more likely to not only to put aside time in their day to perform rehabilitation exercises but they are also more likely to trust you and come to you when they are in discomfort in the future meaning that I can potentially prehab a potential pathology before it gets too serious. One time where this can be demonstrated in my placement is through my placement with the futsal team. A new player to the team asked me to take assess his knees as he has been struggling with pain long before he joined the team, I feel like one if the reasons why such a new player approached me was because I have developed a trust among the existing playing group and when he mentioned he was struggling during the session the others recommended that he come speak to me. I was unable to pin his symptoms to one pathology as the player was testing negative for increased pain in any of the special tests: such as the ligament laxity tests and the meniscus tests (Griffin, 2018). I was again planning on bringing the player into the sports clinic before the COVID-19 outbreak prevented me from doing so.

A key part of experiencing placement is how you reflect on your time and how this helps you grow as a practitioner in your perspective field (Coward, 2019). The documents that we have been given are to be completed after every day at placement is finished. I have made this a priority throughout my placement as I find it useful to go back over my records and find what injuries I must commonly treat so I can then look at ways of potentially reducing the risk of that specific injury. Additionally, reflecting on placement using theories such as Gibbs 1998 reflective practice (Husebø, 368-375) is very useful as it requires you to think about how you would handle situations differently in the future. An example of when I have used this was during my time pitch side with the men’s football team, a player went down with a suspected peroneal injury. The treatment that I prescribed at the time although effective would not be the treatment that I would now give for similar or the same injury going forward. This is as upon reflection I found that holding off on some treatment may give me a more holistic picture of the injury after the initial shock had worn off from the client (Mirkin, 2016). I personally used my reflections to find all the positives of myself as a practitioner (Lopez, 2018). This is as I would always try and find the good things that I did on my placements and use them for my progression. Things like having confidence were something I found myself saying I had a lot of. I see this as a massive strength as if I have confidence in situations that I am not necessarily 100% sure about a demeanour of confidence can go along way into reassuring a client that everything is okay and under control (Fransen, 2017).

As I have previously stated I feel like my placements over the course of the year have been able to progress me massively as a pitch side therapist and they have undoubtably put me in a good position going into my third year where I will work with members of the public in the sports clinic as well as continuing my pitch side placements. I feel like the only negatives of my placements this year were beyond my control. Primarily the COVID-19 pandemic which has meant that I have been unable to fulfil my diagnosis and rehab with certain players due to the unavailability of face to face contact and equipment such as an ultrasound to perform diagnosis and treatment with (Prem, 2020). Personally I see the current climate as an important time to strengthen my psychological understanding of how people react when they are injured as especially with operations being postponed by the NHS and the complete impossibility of first hand assessments due to the nationwide lockdown athletes who are currently injured maybe more subjectable to a deterioration to their mental health which will only impede their recovery from an injury due to the primary factor of decreased adherence to rehab programmes and the lack of motivation when it comes to optimal nutrition which is required to make a strong fast recovery (Vahk, 2018).

 

 

 

 

 

 

References

Coward, M. (2019). Importance of reflection in revalidation. Nursing Management,, 26.

Fransen, K. M. (2017). “Yes, we can!” review on team confidence in sports. Current opinion in psychology,, 98-103.

Goddard, K. R.-D. (2020). Psychological factors involved in adherence to sport injury rehabilitation: a systematic review. International Review of Sport and Exercise Psychology, 1-23.

Griffin, J. T. (2018). A Case Report: Outpatient Physical Therapy Treatment of a Patient with Unilateral Medial and Posterior Knee Pain and Osteoarthritis. University of North Dakota scholarly commons, 7.

Husebø, S. E. ( 368-375). Reflective practice and its role in simulation. Clinical Simulation in Nursing.

Lalli, D. A. (2019). Taming Tennis Elbow. Sports Medicine.

Lichtenstein, M. B. (2019). Do exercisers with musculoskeletal injuries report symptoms of depression and stress? Journal of sport rehabilitation, 46-51.

Lopez, S. J. (2018). Positive psychology: The scientific and practical explorations of human strengths. London: Sage Publications.

Mirkin, G. (2016). “Why Ice Delays Recovery.” . K-active.

Prem, K. L. (2020). The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study. The Lancet Public Health.

Slayton, M. H. (2017). U.S. Patent Application No. 540.

Stasinopoulos, D. &. (2017). Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. Journal of Hand Therapy, 13-19.

Vahk, A. B. (2018). Effects of Recovery Nutrition on Body Composition and Session RPE in Collegiate Tennis Players . International Journal of Exercise Science: Conference Proceedings , 81.

Yarkoni, T. &. (2017). Choosing prediction over explanation in psychology: Lessons from machine learning. Perspectives on Psychological Science, 1100-1122

 

 

 

 

video link- https://youtu.be/qi3zdWKaQo0

Blog post- Ankle Sprain.

Ankle Sprains are a very common sporting injury (Liu, 2017). In both professional and amateur sport, it is very common to know of an athlete with ankle issues (Henry, 2016); especially those sports such as American Football (Magill, 2017) with a high contact or quick directional changes like in Lacrosse (Khodaee, 2020). Furthermore, sports such as Football, Rugby union and Netball have lots of occasions where a quick change of direction is required to beat a player and this is where it is important to have sufficient ankle stability because if stability is a weakness then Ankle Sprains are much more prominent in a non-contact situation (Herzog, 2019). In terms of prescribing ankle prehab, you must take into consideration the characteristics of each client and how a plan will best suit them. When designing a plan, you could just focus on the ankle itself with focused isolation exercises or you could take a broader look into the kinetic chain and develop areas such as vastus medialis (VMO) with a horizontal lunge and glutes with one legged hip thrust (Brand, 2018).

When trying to reduce the percentage of a certain injury type such as an Ankle Sprain it is important to know the risk factors as you are then able to prescribe exercise that combats the risks. One risk factor associated with Ankle Sprain is previous injury (Tyler, 2006). Previous injury is one of the primary factors associated with an Ankle Sprain. This is because after an injury the tendons, ligaments and muscles will already have previous trauma and if they were not rehabbed to an adequate level then the ligaments will be more lax and the muscles will be weaker, which means when changing direction there is an increased risk of injury than in a normal athlete who has no previous injury. As stated, there are some sports in which participating athletes will be more prone to an Ankle Sprain such as Netball, due to the characteristics of the sport and how many times players plant on their toes and try to change direction. Another risk factor that could contribute to an Ankle Sprain is a high foot arch (Beynnon, 2002). This is a risk factor for Ankle Sprains as with a high foot arch it is easier for the ankle to go into eversion, putting strain on the Peroneal Longus and Brevis which are both responsible for eversion, which will lead to the Ankle Sprain (Williams Iii, 2001). Another two risk factors that can lead to Ankle Sprain are weak muscles and poor proprioception. These factors can lead to Ankle Sprain as with weak muscles it will be harder for the body to resist the overextension or the joint, which will lead to an Ankle Sprain. Moreover, when a player has a poor proprioception it means that they are not as balanced as they should be, this can lead to an increased risk of Ankle Sprain as in sporting situations, such as in Netball when you catch a ball while standing on one foot if you have poor proprioception you may then lose your balance and fall over giving the athlete an Ankle Sprain at the same time (Ergen, 2008).

When looking at different training techniques for reducing the risk of proprioception the needs of the injury need to be considered. There are training plans that can be developed which are focused on the prevention of an injury, but these programmes may not also be adept at also improving other areas. For example, a full 5-day gym plan based around Ankle Sprain could fail to keep agility work in the programme, which could decrease the ability of a performer on the field. Another technique that can be used for training to prevent injury is workout add-ons. Workout add-ons are effective as they mean that you can still train the components of fitness that the athlete needs too. For example, power and speed can still be done through the general programme that the athlete will be following, the additional exercise for the prevention of Ankle Sprain can be done as workout add-ons one-three times a week or be done on different days. This allows athletes to continue to learn the correct schema for the sport for example the sidestep in rugby, the refining of these skills will also reduce the risk of injury as athletes will be using better technique when they do movements which is the safest way to perform them and therefore the threat of injury will be reduced (Bahr, 1997). For prevention of pathology the primary things that can be done is the strengthening of muscles and the strengthening the ligaments that support. Strengthening the muscles can be achieved through either isometric or isokinetic movements in order to create overload to lead to muscular hypertrophy (Panzer, 2019). In order to strengthen the ligaments, the same techniques can be used. As well as this balance exercises can be used to make the body more reactive to change of contact area with the ground and different forces acting upon the body.

Overall, in order to develop a good injury prevention, plan the client and the trainer need to sit down and identify the scale of which the athlete wants the plan to be weather add-ons to existing workouts or a full session plan can be based around preventing a pathology.

 

 

References

Bahr, R. L. (1997). A twofold reduction in the incidence of acute Ankle Sprains in volleyball after the introduction of an injury prevention program: a prospective cohort study. Scandinavian journal of medicine & science in sports, 172-177.

Beynnon, B. D. (2002). Predictive factors for lateral Ankle Sprains: a literature review. Journal of athletic training, 376.

Brand, J. H. (2018). Kinetic Chain Injuries and Their Relationship to Subsequent ACL Tears. Sport Journal.

Ergen, E. &. (2008). Proprioception and ankle injuries in soccer. Clinics in sports medicine, 195-217.

Henry, T. E. (2016). Risk factors for noncontact ankle injuries in amateur male soccer players: a prospective cohort study. Clinical Journal of Sport Medicine, 251-258.

Herzog, M. M. (2019). Epidemiology of Ankle Sprains and chronic ankle instability. Journal of athletic training, 603-610.

Khodaee, M. K. (2020). Epidemiology of lacrosse injuries treated at the United States emergency departments between 1997 and 2015. Research in sports medicine, 1-11.

Liu, Q. L. (2017). Shapes of distal tibiofibular syndesmosis are associated with risk of recurrent lateral Ankle Sprains. Scientific reports, 1-7.

Magill, M. E. (2017). American Football 45. Foot and Ankle Sports Orthopaedics, 413.

Marandino, R. (2003). Strength training for power. NSCA’s Performance training journal, 15-20.

1. (n.d.).

Panzer, J. D. (2019). Echocardiography during submaximal isometric exercise in children with repaired coarctation of the aorta compared with controls. Open heart.

Tyler, T. F. (2006). Risk factors for noncontact Ankle Sprains in high school football players: the role of previous Ankle Sprains and body mass index. The American journal of sports medicine, 471-475.

van den Tillaar, R. L. (2019). Comparison of three types of warm-up upon sprint ability in experienced soccer players. Journal of Sport and Health Science, 574-578.

Van Hooren, B. &. (2018). Do we need a cool-down after exercise? A narrative review of the psychophysiological effects and the effects on performance, injuries and the long-term adaptive response. Sports Medicine, 1575-1595.

Williams Iii, D. S. (2001). Arch structure and injury patterns in runners. Clinical biomechanics, 341-347.

 

video links

part 1- https://drive.google.com/file/d/1RQ3En3xGmcroXlsRbwuPQ4wTrMt3pOTG/view

part 2- https://drive.google.com/file/d/1dE4uYUz9PJgSfTN9qfoRjD_S9UQRj8jJ/view

DAILY RECORD OF VISIT TO THE PLACEMENT

 

 

Date:	10-03-2020
Group or individual with whom I worked:	Marjon Mens’ Futsal Society

 

BEFORE my placement …

What am I aiming to achieve from my placement today? What do I need to be mindful of? What issues/questions need to be addressed to ensure I achieve my aim? Do I need to be aware of particular theories, or have particular skills? Have I thought about all of the ‘what ifs’?

Today from placement I want to develop my understanding and importance of Prehab being integrated into a team’s yearlong sessions. This is as certain sports such as Futsal you are more likely to be subjected to more injuries such as ACL injuries due to the amount you plant and twist in Futsal to get the ball. Meaning that ACL prehab I very important for Futsal players.

 

DURING my placement …

What did I notice happening around me today? What was I thinking and feeling? How was I involved? Did I do anything to intervene and change the situation that I found myself in e.g. how I conveyed a point or whether I decided not to do something I had planned to do? Did my reflections at the time change the session I had planned or my actions?

Today I was thinking about additional ACL prehab exercises that could be used instead of the ones we were doing in the session such as VMO dips and Nordic curls to strengthen the areas. Everything went well and everything went according to plan, it is still important for the team leading the session to have backups for when situations and group size is different to normal.

 

 

AFTER my placement … (based on the Gibbs (1988) Reflective Cycle)

Describe the activities you undertook whilst on placement today. Set the context, what you did and what happened.

Today at placement I was responsible for aiding in running a strength and conditioning session for the team that was based in agility. The main thing that I was responsible for was the spotting of players when they were doing exercises.

Document how you felt through-out your placement today. Were you anxious, confident, pleased or disappointed?

Today at placement I was pleased with how it went and this lead to me being more confident as I continue to strengthen my skills as a therapist.

 

DAILY RECORD OF VISIT TO THE PLACEMENT

 

 

Date:	15-03-2020
Group or individual with whom I worked:	Marjon Men’s Futsal game

 

BEFORE my placement …

What am I aiming to achieve from my placement today? What do I need to be mindful of? What issues/questions need to be addressed to ensure I achieve my aim? Do I need to be aware of particular theories, or have particular skills? Have I thought about all of the ‘what ifs’?

Today from placement I want to further my pitch side experience as the team I work with are playing their first friendly game. I need to be mindful of how nervous some of the players maybe and how this will affect their reaction to potential injuries.

 

DURING my placement …

What did I notice happening around me today? What was I thinking and feeling? How was I involved? Did I do anything to intervene and change the situation that I found myself in e.g. how I conveyed a point or whether I decided not to do something I had planned to do? Did my reflections at the time change the session I had planned or my actions?

Today at placement I saw how everyone was very nervous as this was a new experience for them. For me I found it less nerve racking because of my previous experience in pitch side with football and tennis teams. This means that I can be a calmer voice over all of people involved and ensure that everything goes to plan.

 

 

AFTER my placement … (based on the Gibbs (1988) Reflective Cycle)

Describe the activities you undertook whilst on placement today. Set the context, what you did and what happened.

Today at placement I did some pre-game strapping massage and stretching on individual players before I lead a warmup for the entire group which included a pulse raiser, stretching specific muscle groups and finally sport specific drills. Through the game I had to strap a few ankles, but no injury required the player to sit out for the rest of the game. Finally, after the game I did a cooldown to aid with the removal of lactic acid.

Document how you felt through-out your placement today. Were you anxious, confident, pleased or disappointed?

Today at placement I felt confident in the fact that I could deal with any situation that arises with an injury and throughout the entire session I was pleased with how I conducted myself.