Client care and hygiene page 6


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Client care and hygiene page 6

  1. 1. SCHEME OF WORK APPLICATION FORM For each ITEC qualification, the lecturer/centre must complete a Scheme of Work indicating how the lecturer is planning to cover the ITEC syllabus throughout the course. Set out the planned sessions in terms of Learning Outcomes to be achieved. These should match those stated within the ITEC syllabus for each unit. Include all units of each course offered. Hours should meet the minimum guided learning hours listed within the syllabus. Qualification Title: Sports Massage Lecturer(s) responsible: Total contact tuition hours proposed: 100 Learning Objective Lecture Content Suggested Resources Approximate Hours Introductory session College rules and regulations Lecture College mission statement Q&A ITEC rules and regulations Using all the documents Health & Safety listed to ensure the Timetable students understand the Dates – holidays etc. college expectations and Syllabus their commitment to the Recommended books course Uniform Muscular System Understand and explain the ♦ Aerobic system OHP/Whiteboard 10 changes that occur during • Longer than 3 minutes to fatigue Lecture exercise to the muscular • Depletion of muscle glycogen and Q&A system sugar • Insufficient oxygen delivery Handout: • VO2 maximum 1. Aerobic/Anaerobic/ ♦ Anaerobic glycolysis Creatine systems 2. Blank picture of the • High intensity • Short duration activities body for drawing all the • 1-3 minutes to fatigue • Lactic acid muscles on build up causing rapid fatigue Homework ♦ Creatine phosphate system Test: • Breakdown of glucose • High intensity 1. Aerobic/Anaerobic/ • Short duration activities • Less than 10 Creatine systems seconds to fatigue • Define Adenosine 2. Position, Origin, Triphosphate (ATP) production • Define Insertion and Action of all Adenosine Diphosphate (ADP) the muscles production • Define Lactic Acid Understand and explain the • Cardiac • Smooth • Skeletal • Muscle physiology of a muscle cell fibre type – Fast and Slow twitch • Myofibrils – Actin and Myosin • Sarcomeres • Sliding filament theory – Actinmyosin cross bridges • Mitochondria Understand and explain (with ♦ Muscles of the Back and Neck the aid of diagrams) the • Erector Spinae • Scalenes • Trapezius origin, insertion and action of • Latissimus Dorsi • Teres Major each of the following muscles • Sternocleidomastoid • Levator Scapulae • Splenius Capitis • Coracobrachialis • Rhomboids Major and Minor • Serratus Anterior • Deltoid • Rotator Cuff Muscles – Infraspinatus,
  2. 2. Supraspinatus, Teres Minor, Subscapularis ♦ Muscles of the Arm, Wrist and Hand • Biceps • Triceps • Supinator • Pronator Teres • Brachialis • Brachioradialis • Aconeus • Flexor Carpi Radialis • Flexor Carpi Ulnaris • Extensor Carpi Radialis Brevis • Extensor Carpi Radialis Longus • Extensor Carpi Ulnaris • Flexor Carpi Radialis • Flexor Digitorum • Extensor Digitorum • Palmaris Longus ♦ Muscles of the Hip, Leg, Ankle and Foot • Gluteus Maximus • Gluteus Medius • Gluteus Minimus • Iliacus • Psoas Major • Iliopsoas • Piriformis • Tensor Fascia Lata • Iliotibial Tract • Sartorius • Gracilis • Quadriceps: Rectus Femoris, Vastus Lateralis, Vastus Intermedius, Vastus Medialis • Adductors: Brevis, Longus and Magnus • Hamstrings: Biceps Femoris, Semitendinosis, Semimembranosis • Popliteus • Pectineus • Tibialis Anterior • Tibialis Posterior • Peroneus Longus • Peroneus Brevis • Gastrocnemius • Soleus • Achilles Tendon • Flexor Digitorum Longus • Extensor Digitorum Longus ♦ Muscles of Respiration and Abdominals • Pectoralis Major • Pectoralis Minor • Intercostals • Rectus Abdominus • Internal Obliques • External Obliques • Quadratus Lumborum • Transversus Abdominus Understand and explain the To include ‘Fear, Fight and Flight’ effects of stress on muscles • Adrenal cortex and medulla stimulated during sport to secrete adrenaline • Increase blood to the muscles • Liver stimulates secretion of glucose for anaerobic energy production • Salivary glands vasoconstrict • Pupils dilate • Digestive system slows down preventing energy wastage • ‘Butterflies’ Neurological System Understand and explain the • Change in motor units – Stimulation OHP/Whiteboard 3 changes that occur during dependant on number of motor units Lecture exercise to the neurological contracting • ‘Fear, Fight and Flight’ Q&A system • Hypothalamus stimulates the Homework Sympathetic Nervous System and the Test: Endocrine System – Adrenaline Changes in the • Cardiorespiratory System speeds up neurological system • Blood is diverted to the muscles during exercise • Digestive system slows down preventing energy wastage • Liver secretes glucose for anaerobic energy production • Salivary glands vasoconstrict • Pupils dilate
  3. 3. • ‘Butterflies’ Skeletal System Describe in detail joint • Synovial joints • Cartilage – Articular OHP/Whiteboard 4 structures (Hyaline) • Ligaments • Synovial Lecture membrane • Bursa Q&A Handout: Understand and explain the • Inflexibility • Lifting techniques Homework possible stresses and strains • Postural techniques • Stress Test: put on the spine and other • Environment • Injury Skeletal system joints in sporting activities • Atlanto-occipital • Atlanto-axial Understand and explain in • Shoulder • Sternoclavicular • Elbow detail (with the aid of diagrams) the joint supporting • Wrist • Hand • Hip • Sacro-iliac • Knee systems • Ankle • Foot Disorders and Diseases Understand and explain the • Osteo Arthritis • Rheumatoid Arthritis OHP/Whiteboard 3 possible causes and effects • ‘Shin splints’ • Stress fractures • Facet Lecture of the following diseases and joint pain • Carpal Tunnel Syndrome Q&A disorders and their effect on • Rotator cuff injuries • Chondromalacia Handout: specific sports patellae • Calcaneal bursitis • Periostitis Causes and effects of • Concussion • Cramp • Stitch • Chronic disorders and diseases Homework muscle fatigue • Sprain • Strain • Lateral Test: epicondylitis • Medial epicondylitis Causes and effects of • Adhesive capsulitis • Dislocation disorders and diseases • Fractures • Ruptured muscles and their effect on specific • Jogger’s nipple • Torn cartilage sports • Fibrositis • Fibrosis • Impingement • Muscle soreness • Atony • Atrophy • Fasciitis • Myositis • Tendinitis • Spasm • Soft Tissue Injuries • Exercise induced Asthma • Diabetes • Hay Fever • Hyperventilation • Osteoporosis • Low Back Pain • Heartburn • Irritable Bowel Syndrome • Haemorrhoids • Hernias • Amenorrhoea • Heat stroke • Heat exhaustion • Kidney stones • Dehydration • Torticollis • Myalgia • Myotonia • Black toe nails • Runner’s knee • Plantar fasciitis • Osgood Schlatters • Compartment syndrome Principles of Training Understand and explain the • Frequency • Intensity • Duration OHP/Whiteboard 2 principles of training • Overload • Specificity – sport and Lecture individual • Reversibility Q&A Handout: Understand and explain over ♦ Define over training Homework training • Persistent muscle soreness • Loss of Test: co-ordination • Prolonged fatigue Principles of training/Overtraining/Forc • Dizziness • Performance inconsistency e and motion • Elevated resting heart rate • Tightness in the chest • Heat stress Understand the principles of ♦ Motive and Resistive forces force and motion • Concentric • Eccentric • Isometric contractions
  4. 4. Injury Prevention Understand and explain the ♦ Components of fitness OHP/Whiteboard 3 principles of injury prevention • Stamina • Suppleness • Strength Lecture and management • Speed • Skill • Specificity Q&A • Psychological aspects • Define Warm Handout: up/Cool down Principles of injury ♦ Intrinsic/Personal prevention and • Age • Sex • Somatotype management Homework • Biomechanics Test: ♦ Fitness Principles of injury • Muscle balance • Physical symmetry prevention and • Joint integrity • Motor skills management • Psychological factors ♦ Extrinsic/Environmental • Organisation and Management • Type of sport • Training errors • Environment • Equipment Healing Process Understand and explain the • Acute/inflammatory phase • Repair OHP/Whiteboard 2 stages of the healing process phase • Remodelling phase Lecture and the possible treatments Q&A available Homework Understand and explain the • Define inflammation to include : signs and symptoms of • Increased temperature • Redness inflammation • Swelling • Pain • Loss of function Understand and explain scar • Define Scar tissue • Define Adhesions tissue and adhesions Skin Damage Understand and explain the • Blisters • Grazes • Sores • Open OHP/Whiteboard 2 possible damage to the skin wounds e.g. Lacerations • Puncture Lecture as a result of sporting wounds • Abrasions • Gravel burns Q&A activities on different types of • Sun burns • Wind burns • Bruising Handout: surfaces, with regard to Surfaces include: Skin damage clothing, shoes, exposure to • Grass • Gravel • Astroturf • Stone Homework the sun, wind and other • Wood Test: elements Q&A Skin damage Consultation Understand, explain and An example of a consultation form can OHP/Whiteboard 3 demonstrate methods of be found at Lecture consultation • Private comfortable area • Positive Q&A body language • Positioning of the client Homework (no barriers between themselves and client) • Good communication skills (asking open and/or closed questions where appropriate) • Trust • Professionalism, confidence and enthusiasm • Confidentiality • Any contraindications to treatment • Client profile • Importance of planning a treatment programme bearing in mind the client’s religious, moral and social beliefs • Determining the nature and extent of the client’s needs • Agreement to the course of action • Ascertain the client’s consent to the treatment (where the client is not in a position themselves ascertain from the appropriate companion’s agreement to the treatment) • Explanation of any possible
  5. 5. side effects to the treatment • Explanation how the programme will be evaluated and the review process • Where applicable clarify with the client information, which may be available to other, e.g. relevant health care workers • Obtain the client’s signature (or of the companion) ♦ Physical examination including: • Head • Shoulders • Back • Pelvis • Legs • Feet • Body alignment/ posture • Range of motion/ joint function • Comparison of strength of the muscles on each side of the body • Muscle definition • Active, Passive and Resisted movement • Palpation Understand, explain and demonstrate how to record • Any contraindications • Area treated information and store in a • Type of injury • Treatment given • Any safe place and secure reactions • Any exercises given • Home manner care treatment Contraindications Understand and recognise ♦ Never treat unless the injury has OHP/Whiteboard 3 contraindications to sports been diagnosed and treatment has Lecture massage with reasons why been recommended by a medical Q&A and when to refer to other practitioner Handout: health professionals • Pregnancy • Cardiovascular conditions Contraindications (thrombosis, phlebitis, hypertension, Homework hypotension, heart conditions) Test: • Haemophilia • Any condition already Contraindications being treated by a GP or another health professional, e.g. Physiotherapist, Osteopath, Chiropractor, Coach • Medical oedema • Osteoporosis • Arthritis • Nervous/Psychotic conditions • Epilepsy • Recent operations • Diabetes • Asthma • Any dysfunction of the nervous system (e.g. Multiple Sclerosis, Parkinson’s Disease, Motor Neurone Disease) • Bells Palsy • Trapped/Pinched nerve (e.g. sciatica) • Inflamed nerve • Cancer • Postural deformities • Spastic conditions • Kidney infections • Whiplash • Slipped disc • Undiagnosed pain • When taking prescribed medication • Acute rheumatism ♦ Contraindications that restrict treatment • Fever • Contagious or infectious diseases • Under the influence of recreational drugs or alcohol • Diarrhoea and vomiting • Skin diseases • Undiagnosed lumps and bumps • Localised swelling • Inflammation • Varicose veins • Pregnancy (abdomen) • Cuts • Bruises • Abrasions • Scar tissues (2 years for major operation and 6 months for a small
  6. 6. scar) • Sunburn • Hormonal implants • Abdomen (first few days of menstruation depending how the client feels) • Haematoma • Hernia • Recent fractures (minimum 3 months) • Cervical spondylitis • Gastric ulcers • After a heavy meal Client Care and Hygiene Understand, explain and • Checking consultation and OHP/Whiteboard 3 ensure appropriate client contraindications • Explaining the Lecture care, client modesty and the treatment to the client • Helping the Q&A correct use of towels at all client onto the couch/seat protecting the Practical times client’s modesty at all times • Ensure Homework that all parts of the client are covered except the area being massaged • Sanitise the feet before and after treatment • Wash own hands • Keep ensuring that the client is comfortable • Remove the massage medium at the end of the treatment if appropriate • Help the client off the couch/ seat protecting their modesty at all times Understand, explain and ♦ Describe the most efficient form of demonstrate correct hygiene sterilisation: procedures • In the sports clinic • In situ at a sports event ♦ Describe the best form of waste removal (particularly when contaminated): • In the sports clinic • In situ at a sports event • Reasons for good personal hygiene • Wash own hands • Wipe the client’s feet • Use clean towels for each client • Put couch roll on top of towels • Wear clean white professional work wear • Socks/tights and full flat shoes • Remove all jewellery (except wedding band) from self and client • No nail enamel • Clean short nails • Hair tied back off collar and face Treatment Understand, explain and • Manual Lymphatic Drainage • Neuro- OHP/Whiteboard 48 demonstrate sports massage Muscular Technique (NMT) • Muscle Lecture techniques according to the Energy Technique (MET) • Soft Tissue Q&A client’s condition and needs Release (STR) • Connective Tissue Handout: Massage (CTM) • Proprioceptive Practical Neuromuscular Facilitation (PNF) Homework Understand and explain the Test use of stretching massage • Connective Tissue Massage (CTM) movements • After injury • Muscle reflexes preventing stretching overload Understand, explain and demonstrate the ability to • Use appropriate supports e.g. under ensure client is in a suitable the ankles, chest and forehead, knees, position of comfort and head, or wherever a support is support for different appropriate for the sports massage techniques applied to different movement parts of the body and range of conditions
  7. 7. Understand, explain and • Passive, active and restricted demonstrate the skills of movement • Range of movement palpation and physical • Degree of swelling • Variations in examination compared with tissue temperature • Muscle tone and pre-massage states to bulk • Adhesions • Previous injury to the measure the following area • Fatty nodules • Ensure the massage medium is Understand, explain and removed at the end of the treatment if demonstrate the application required • Do not let the client walk and removal of the medium if required, appropriately and around in bare feet • Ensure all surfaces professionally are lined with couch roll • Wipe couch and trolley with surgical spirit or similar at the end of each day Understand and explain the • Speeds up healing of damaged tissues effects of massage on muscle and muscles • Increases fitness and other soft tissue capabilities • Increases performance potential • Prevents future injury • Helps clear out waste and toxins • Breaks up adhesions • Enables faster healing • Improves flexibility • Enables peak performance to be achieved more rapidly Understand, explain and • Effleurage • Petrissage • Frictions demonstrate the classical • Tapotement • Vibrations • Specific massage movements where Sports Massage Techniques appropriate • Movements should be performed correctly and on areas appropriate for the injury and the client’s needs Understand and explain the • Effleurage • Petrissage • Frictions reasons for selecting the •Tapotement • Vibrations • Specific appropriate type of massage sports massage techniques movement according to the client’s conditions and needs • Treatment of injury • Pre-event Understand and explain specific sports massage • During/between event • Post event techniques for the following • Corrective • Preventative • Conditioning massages Understand, explain and ♦ At the end of each treatment the provide feedback and client’s feelings and any skin or other reassurance to the client reactions should be recorded The following areas should be monitored: • Outcomes achieved • Effectiveness of the treatment • Any change in demands • Whether the treatment met the needs of the client • Longer term needs of the client • Encourage clients to express their feelings/requirement during the treatment • Note client’s reactions and make appropriate adjustments Sports Injuries Understand, explain in detail • ‘Shin Splints’ • Ilio tibial band release OHP/Whiteboard 3 and demonstrate the common (Runner’s knee) • Muscle fatigue Lecture sports injuries that can be • Lateral epicondylitis • Medial Q&A treated after medical approval epicondylitis • Soft tissue injuries Practical Handout:
  8. 8. • Sprains • Rotator cuff injuries • Strains Sports injuries • Muscle soreness • Cramp • Myositis Homework • Spasm • Stitch • Fibrositis • Fibrosis Test: • Atony • Atrophy • Hyperventilation Sports injuries • Low back pain • Carpal tunnel syndrome • Calcaneal bursitis • Chondromalacia patellae • Adhesive capsulitis • Torticollis • Tendinitis of any muscle including: • Achilles • Flexor • Biceps • Supraspinatis • Subscapularis • Tibialis Anterior • Superficial skin wounds including: • Blisters • Grazes • Sores • Open wounds e.g. Lacerations • Puncture wounds • Abrasions • Gravel burns • Sun burn • Wind burn Cryo- and Thermo- Therapy Understand, explain and • The use of alternating hot and cold test OHP/Whiteboard 3 demonstrate the heat tubes on the appropriate part of the body Lecture sensitivity test Q&A ♦ Define thermotherapy to include the Practical Understand, demonstrate and use of: Handout: explain the techniques of • Heat Pad • Hot Compress for pain Cryo and Thermo Therapy thermotherapy and relief • Increased elasticity of collagen Homework cryotherapy(ICER) and the fibres Test: rationale for choice ♦ Define cryotherapy to include the use Cryo and Thermo Therapy of: • Ice for relief of pain • Constriction of blood vessels • Reduction of swelling • Reduction of metabolism • Reasons for contrast bathing Understand, explain and advise on the use, application • Thermotherapy • Cryotherapy and benefits of self treatment Rehabilitative Training Understand the preventative • Passive • Active • Resistive forms of OHP/Whiteboard 3 and rehabilitative training to exercise and the frequency and duration Lecture reinforce massage treatments of each • Intensity • Use of Free Weights Q&A and/or Resistive bands where Practical appropriate • Importance of Warm up Handout: /Cool down Rehabilitative training Homework Understand the effects and • Mental relaxation • Muscular relaxation Test: benefits of stretching • Increased flexibility • Improved posture Rehabilitative training • Prevention of lower back pain • Improved fitness • Relief of muscle soreness • Relief of cramp • Improved motor skills • Prevention of injury Case Studies • Consultation including thorough 5 clients must be treated 3 3 medical history and general lifestyle times each to make a total • Client profile (to include any current of 15 treatments issues in their life) • Rationale for the choice of treatment • Details of how the therapist conducted the treatment • Details of how the client felt during and after the treatment • Details of home care advice given ♦ The following should also be
  9. 9. documented for treatments 2 and 3 : • The consultation should be checked and any changes noted • Rationale for the choice of treatment • Details of how the therapist conducted the treatment • Details of how the client felt during and after the treatment • Details of home care advice given • An overall conclusion of the case should be recorded• Reflective practice after each treatment • Signed by client Mock Practical To demonstrate full understanding of all Mock theory paper 1 aspects of the syllabus Mock Theory To cover all aspects of the syllabus 1