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Unit 18:                                    Sports Injuries
Unit code:                                  R/502/5746
QCF Level 3:                                BTEC National
Credit value:                               10
Guided learning hours: 60

    Aim and purpose

The aim of this unit is to provide learners with an overview of injury prevention, identification and basic
treatment. The unit also explores differing rehabilitatory interventions for common sports injuries.


    Unit introduction

Injuries are often a common occurrence for those participating in sport. It is therefore important that those
involved in sport gain an appreciation of the main factors that can cause injuries, as well as those that can play
a part in preventing them, and how effective treatment and rehabilitation can reduce the amount of time
spent out of normal participation.
Some risk factors are integral to participation and cannot be removed, so learners need to appreciate both the
physiological and psychological mechanisms of injury, in terms of its occurrence, treatment and subsequent
rehabilitation.
Whilst this unit is not designed to make learners into accomplished therapists, it does provide a basic
understanding of how injury occurs, and what can be done to help promote recovery.
The first part of this unit concentrates on the importance of injury prevention, and looks at the main factors
that can lead to injuries occurring, or to a performer being predisposed to suffering an injury. Having identified
these risk factors, learners will then look at the different methods used to minimise risk.
Learners who enter the sports industry will undoubtedly encounter the issue of sports injuries in some
capacity, from maintaining safety within a sporting environment to suffering some form of injury themselves.
The second part of this unit will help provide learners with a greater understanding of the problems associated
with injury prevention, and build on existing knowledge of how to recognise the onset of injury.


    Learning outcomes
On completion of this unit a learner should:
1      Know how common sports injuries can be prevented by the correct identification of risk factors
2      Know about a range of sports injuries and their symptoms
3      Know how to apply methods of treating sports injuries
4      Be able to plan and construct treatment and rehabilitation programmes for two common sports injuries.




 Edexcel BTEC Level 3 Nationals specification in Sport
 – Issue 1 – January 2010 © Edexcel Limited 2009
                                                                                                              1
Unit content

1 Know how common sports injuries can be prevented by the correct identification of
  risk factors
   Extrinsic risk factors: coaching, eg poor coaching/leadership, communication, ensuring adherence to rules
   and governing body guidelines; incorrect technique, eg lifting and handling equipment; environmental
   factors, eg weather effects on surfaces; clothing and footwear, eg protective, sport-specific, specific to
   surface; safety hazards, eg the importance of safety checks, environment safety checks, equipment safety
   checks, misuse of equipment, first-aid provision, safety checklists, risk assessments
   Intrinsic risk factors: training effects, eg muscle imbalance, poor preparation, level of fitness, overuse;
   individual variables, eg age, fitness level, growth development, previous injury history, flexibility, nutrition,
   sleep; postural defects, eg lordosis, kyphosis, scoliosis, overuse
   Preventative measures: role of the coach, eg up-to-date knowledge of sport/performer, qualifications,
   adapt coaching style to performers ability/age/fitness level, communication; equipment and environment,
   eg checking equipment, risk assessments, protective equipment, appropriate usage


2 Know about a range of sports injuries and their symptoms
   Physiological responses: damaged tissue, eg primary damage response, healing response, the clotting
   mechanism; the importance of scar tissue control in the re-modelling process; specific to injury, eg sprain/
   strain (signs and symptoms of first, second and third degree), haematomas (inter/intra)
   Psychological responses: response to injury, eg anger, anxiety, depression, frustration, isolated from team
   mates; response to treatment and rehabilitation, eg anxiety, frustration, need for motivation, use of goal
   setting


3 Know how to apply methods of treating sports injuries
   Types of sports injury: hard tissue damage, eg fracture, dislocation, stress fracture, shin splints; soft tissue
   damage, eg haematoma, abrasion, sprain, strain, concussion, tendonitis (achilles, shoulder), tendon
   rupture, blister, cramp, tennis elbow, back pain, cartilage damage, friction burns
   First aid: emergency/immediate treatment, eg priorities, resuscitation, shock, bleeding, unconscious
   casualty, fractures, prevention of infection, summon qualified assistance, accident report forms
   Common treatments: eg PRICED – protect, rest, ice, compression, elevation, diagnosis by professional,
   SALTAPS – (stop, ask, look, touch, active, passive strength), taping, bandaging, tubigrip, splints, hot/cold
   treatments, pain sprays limb supports, electrotherapy; medical referrals for specialist help as appropriate




                                                                       Edexcel BTEC Level 3 Nationals specification in Sport
  2                                                                       – Issue 1 – January 2010 © Edexcel Limited 2009
4 Be able to plan and construct treatment and rehabilitation programmes for two
  common sports injuries
   Treatment: based on accurate diagnosis, eg immediate and long term, use of specialist help and advice
   Rehabilitation: identification of stages of rehabilitation, eg stages 1-5, acute stage to re-establishing
   functional activity, strengthening exercises, on-going treatments, gradual increase in activity
   Programme: methods to improve the lost range of motion, eg flexibility stretching (passive, active,
   proprioceptive neuromuscular facilitation – PNF); strengthening and co-ordination exercises; psychological
   considerations during rehabilitation, eg goal setting (short-term, long-term); the need for a careful
   structured approach to rehabilitation, eg motivation and anxiety within the rehabilitation programme;
   recording documentation and tracking of treatment, eg medical conditions, allergies, injury history, up-to-
   date and accurate information, appropriate forms, timescales and review dates, measurable objectives




Edexcel BTEC Level 3 Nationals specification in Sport
– Issue 1 – January 2010 © Edexcel Limited 2009
                                                                                                               3
Assessment and grading criteria
In order to pass this unit, the evidence that the learner presents for assessment needs to demonstrate that
they can meet all the learning outcomes for the unit. The assessment criteria for a pass grade describe the
level of achievement required to pass this unit.

 Assessment and grading criteria
 To achieve a pass grade the            To achieve a merit grade the             To achieve a distinction grade
 evidence must show that the            evidence must show that, in              the evidence must show that,
 learner is able to:                    addition to the pass criteria,           in addition to the pass and
                                        the learner is able to:                  merit criteria, the learner is
                                                                                 able to:
 P1    describe extrinsic and intrinsic M1 explain how risk factors can
       risk factors in relation to         be minimised by utilisation of
       sports injuries                     preventative measures
 P2    describe preventative
       measures that can be taken
       in order to prevent sports
       injuries occurring
 P3    describe the physiological       M2 explain the physiological             D1      analyse the physiological
       responses common to most            and psychological responses                   and psychological responses
       sports injuries                     common to most sports                         common to most sports
                                           injuries                                      injuries
 P4    describe the psychological
       responses common to sports
       injuries
 P5    describe first aid and
       common treatments used for
       four different types of sports
       injury
 P6    design a safe and appropriate M3 independently design a safe  D2                  evaluate the treatment and
       treatment and rehabilitation     and appropriate treatment                        rehabilitation programme
       programme for two common         and rehabilitation programme                     designed, justifying the
       sports injuries, with tutor      for two common sports                            choices and suggesting
       support.                         injuries.                                        alternatives where
       [IE1, IE2, IE4, TW1, TW4,                                                         appropriate.
       EP4, RL5]


PLTS: This summary references where applicable, in the square brackets, the elements of the personal,
learning and thinking skills applicable in the pass criteria. It identifies opportunities for learners to demonstrate
effective application of the referenced elements of the skills.


 Key           IE – independent enquirers         RL – reflective learners            SM – self-managers
               CT – creative thinkers             TW – team workers                   EP – effective participators




                                                                        Edexcel BTEC Level 3 Nationals specification in Sport
   4                                                                       – Issue 1 – January 2010 © Edexcel Limited 2009
Essential guidance for tutors

Delivery
Tutors delivering this unit should use as wide a range of techniques as possible, such as lectures, discussions,
seminar presentations, practical workshops, video/live practical sessions/performances, external visits and
visiting speakers. Delivery should stimulate, motivate, educate and enthuse learners. Whichever delivery
methods are used, it is essential that tutors stress the importance of injury prevention being the first and
foremost priority and that treatment and subsequent rehabilitation programmes are ultimately a necessity
for those injuries that are not preventable by nature. It should be emphasised that learners will not become
qualified sports injury specialists or qualified first-aiders without additional study outside of, and in addition, to
this unit.
Risk assessment is vital to any sports environment and ultimately to any person involved within the sports
industry. This should be reinforced throughout the delivery of this unit, as it is envisaged that learners
undertaking this qualification will be involved in some capacity with sport already, and are considering
progressing further within the industry. Tutors should consider timing the delivery of this unit with related units
within this and/or other qualifications. As the content of the unit shows, there is scope for good contextualised
linkage to other areas such as anatomy, physiology, coaching, equipment and facilities, health and safety,
instructing, leadership/leading, organising, practical sport, psychology, work experience, biomechanics, training
and fitness and sports massage. The Unit content areas on the relationship between identification of risk
factors and prevention of sports injuries are closely linked. Delivery techniques should look to incorporate
theory with practice as much as possible. Learners should have the opportunity to undertake risk assessments
of sports facilities/environments, and watch coaching sessions or competitive performances in order to identify
issues relating to both learning outcomes. It is expected that formal lectures, discussions and presentations by
learners will form part of the delivery of the unit.
The content covering the treatment of injury will require formal delivery and, wherever possible, learners
should be encouraged to put theory into practice, using role play and practical workshops. Although it is not
a requirement for this unit, it is possible that treatment of injury may be covered by undertaking a recognised
first aid qualification. The Unit content covering the planning and construction of treatment and rehabilitation
programmes aims to build upon the knowledge gained in the three previous outcomes and to look further
into injury management and recovery to full fitness. Much of the delivery should take place via formal lectures,
and would enable learners to research into the advancement of treatment and rehabilitation techniques, via
primary sources wherever possible. The use of visiting speakers such as sports therapists, physiotherapists,
sports coaches and performers who have experienced injury should highlight the importance of the Unit
content in relation to the ‘real world’ of sport, and help bring the unit to a rounded conclusion.
Visits to appropriate environments (a sports injury clinic based in the NHS, local sports facilities or professional
sports grounds) could also support the unit. Tutors should guide learners to select two different injuries as the
focus for the treatment and rehabilitation programmes, in order to maximise their potential to achieve the
higher grading criteria.




 Edexcel BTEC Level 3 Nationals specification in Sport
 – Issue 1 – January 2010 © Edexcel Limited 2009
                                                                                                                  5
Outline learning plan
The outline learning plan has been included in this unit as guidance and can be used in conjunction with the
programme of suggested assignments.
The outline learning plan demonstrates one way in planning the delivery and assessment of this unit.

 Topic and suggested assignments/activities and/assessment
 Introduction and overview of the unit.
 Assignment 1: Prevention of Sports Injuries (P1, P2, M1). Tutor introduces the assignment brief.
 Identification of the different types of risk factors and their associated preventative measures using formal input
 combined with practical activities to possibly include risk assessment, role plays, etc.
 Assignment 2: Common Sports Injuries – Symptoms and Treatment (P3, P4, P5, M2, D1). Tutor
 introduces the assignment brief.
 Physiological response to injury: tissue response in general and related to common sports injuries – using group
 discussion, film footage in conjunction with formal input.
 Identification of common injury treatment for physiological responses: emergency first aid and basic first aid
 techniques to help with the physiological response to injury – learner practical activities, techniques, and role
 play.
 Psychological response to injury: participants’ response to treatment and rehabilitation of sustained injury
 – consideration of a range of techniques to help participants deal with these issues.
 Identification of techniques when dealing with common psychological responses to injury treatment and
 rehabilitation – group discussion and individual research.
 Assignment 3: Injury Rehabilitation Programmes (P6, M3, D2). Tutor introduces the assignment brief.
 Treatment and rehabilitation: identification of acknowledged procedures with opportunities for learners to engage
 in practical activities to increase range of movement.
 Recording injury and treatment through to full recovery: group discussion as to importance and methods of how
 to manage successfully.
 Treatment and rehabilitation programmes: opportunity for formal input, group work and individual research
 providing learners with sufficient information to develop two different programmes.
 Review of reflective practice of unit and assessment.




                                                                         Edexcel BTEC Level 3 Nationals specification in Sport
   6                                                                        – Issue 1 – January 2010 © Edexcel Limited 2009
Assessment
For P1, learners will be expected to be able to describe extrinsic and intrinsic risk factors as listed in the Unit
content. For P2, learners will be expected to correctly describe sports injury prevention methods as identified
in the Unit content. It is possible that criteria P1 and P2 could be assessed via a booklet produced by learners
describing risk factors and the related preventative methods for them. The depth of information given in the
booklet would indicate whether or not learners had sufficient coverage to meet grading criterion M1, which
requires explanation of how risk factors can be minimised by adopting preventative measures. The content
would need to explain the relationship rather than purely describe the issues related to criteria P1 and P2.
Criteria P3 and P4 aim to address the issue of occurrence of sports injuries and the resulting symptoms,
both physiologically and psychologically, as identified within the related content of the unit. If an explanation
of both issues is detailed and contextualised sufficiently to the concept of sports injury then it is possible that
grading criterion M2 and D1 (analysis) may also be achieved. It may be possible to assess this via the booklet
mentioned previously, or for learners to give a presentation on the issues, supported by a tutor witness
statement/observation record to confirm achievement.
For P5, learners must describe first aid and common treatments used for four different types of sports
injury. For P6, learners must select two specific sports injuries and plan safe and appropriate treatment
and rehabilitation programmes accordingly, with tutor support. Tutors may provide advice and guidance
on selection of injuries to be covered by learners. The injuries selected should be done so with care and
reasoned thought, as appropriate selection will provide scope for learners to cover the range of criteria
P6, M3 and D2. A poor selection, for example a simple bruise, which needs little treatment and hardly
any rehabilitation, limits the research available to learners. However, a fracture of the tibia and fibula or the
rupture of the anterior cruciate ligament allows for depth of evidence and the use of primary sources.
The treatment and rehabilitation programme designed can be presented in any format. However, as specified
in the Unit content, it should clearly state the treatment and rehabilitation, methods to improve the lost
range of motion, strengthening and coordination exercises, psychological considerations, the need for a
carefully structured approach to rehabilitation and relevant documentation and tracking of the treatment and
rehabilitation programme.




 Edexcel BTEC Level 3 Nationals specification in Sport
 – Issue 1 – January 2010 © Edexcel Limited 2009
                                                                                                               7
Programme of suggested assignments
The table below shows a programme of suggested assignments that cover the pass, merit and distinction
criteria in the assessment and grading grid. This is for guidance and it is recommended that centres either
write their own assignments or adapt any Edexcel assignments to meet local needs and resources.

 Criteria covered     Assignment title          Scenario                             Assessment method
 P1, P2, M1           Prevention of Sports      Having gained a work                 Presentation and witness
                      Injuries                  placement with a sports              statement, or booklet.
                                                physiotherapist, you identify
                                                risk factors relating to sports
                                                performance and their
                                                associated preventative
                                                measures.
 P3, P4, P5, M2, D1 Common Sports               Research common sports               Practical observations and
                    Injuries – Symptoms         injuries with practical              assessment.
                    and Treatment               exploration of basic sports
                                                                                     Observation record.
                                                injury treatment.
                                                                                     Written report.
 P6, M3, D2           Injury Rehabilitation     You have had opportunity       Written report.
                      Programmes                to observe a number of
                                                treatments and rehabilitation
                                                programmes in progress. Plan
                                                a rehabilitation programme for
                                                two different types of common
                                                sports injuries.




                                                                      Edexcel BTEC Level 3 Nationals specification in Sport
  8                                                                      – Issue 1 – January 2010 © Edexcel Limited 2009
Links to National Occupational Standards, other BTEC units, other BTEC
qualifications and other relevant units and qualifications
This unit forms part of the BTEC Sport sector suite and the BTEC Sport and Exercise Sciences sector suite.
This unit has particular links with the following unit titles in the BTEC Sport suite and the BTEC Sport and
Exercise Sciences suite:

 Level 2 Sport                                   Level 3 Sport                        Level 3 Sport and Exercise
                                                                                      Sciences
 Anatomy and Physiology for Sport                Principles of Anatomy and            Anatomy for Sport and Exercise
                                                 Physiology in Sport
 Effects of Exercise on the Body                 The Physiology of Fitness            Sport and Exercise Physiology
 Systems
 Planning and Leading Sports                     Fitness Testing for Sport and        Fitness Testing for Sport and
 Activities                                      Exercise                             Exercise
 Practical Sport                                 Assessing Risk in Sport              Fitness Training and Programming
 Outdoor and Adventurous                         Fitness Training and Programming     Instructing Physical Activity and
 Activities                                                                           Exercise
 Exercise and Fitness Instruction                Sports Coaching                      Sports Injuries
 Sport and Leisure Facility                      Outdoor and Adventurous Activities Sports Coaching
 Operations
 Leading Outdoor and Adventurous                 Instructing Physical Activity and    Outdoor and Adventurous Activities
 Activities                                      Exercise
 Expedition Experience                           Exercise for Specific Groups         Exercise for Specific Groups
 Work Experience in the Sports                   Sports Injuries                      Work Experience in Sport
 Industry
                                                 Organising Sports Events             Sport and Exercise Massage
                                                 Equipment and Facilities for
                                                 Outdoor and Adventurous Activities
                                                 Skills for Land-based Outdoor and
                                                 Adventurous Activities
                                                 Skills for Water-based Outdoor and
                                                 Adventurous Activities
                                                 Work Experience in Sport
                                                 Sport and Exercise Massage


This unit links with the National Occupational Standards (NOS) for:
●      Achieving Excellence in Sports Performance at Level 3
●      Coaching, Teaching and Instructing at Level 3
●      Instructing Physical Activity and Exercise at Level 3.




    Edexcel BTEC Level 3 Nationals specification in Sport
    – Issue 1 – January 2010 © Edexcel Limited 2009
                                                                                                                          9
Essential resources
Learners will need access to information on current sports injury research and issues, including treatment and
rehabilitation strategies.

Employer engagement and vocational contexts
This unit focuses on the practical aspects of sports injury prevention, identification and rehabilitation and will
give learners the background knowledge and some important skills needed to work in a sports environment.
Centres are encouraged to develop links with sports therapists, physiotherapists and coaches. This could be
via talks, first aid courses, practical treatment workshops, or visits to sports facilities to look at risk assessment
and preventative measures.

Indicative reading for learners
Textbooks
Anderson M K – Fundamentals of Sports Injury Management (Lippincott Williams and Wilkins, 2003)
ISBN 9780781732727
Dalgleish J et al – The Health and Fitness Handbook (Longman, 2001) ISBN 9780582418790
Flegel M J – Sport First Aid (Human Kinetics Europe Ltd, 2008) ISBN 9780736076012
Gill W – Practical Guide to Sports First Aid (Lotus Publishing, 2004) ISBN 9780954318864
Shamus E – Sport Injury Prevention and Rehabilitation (McGraw-Hill Education, 2001) ISBN 9780071354752
Journals
American College of Sport Medicine’s Health and Fitness Journal
British Journal of Sports Medicine
British Medical Journal
Exercise and Sport Sciences Reviews
International Journal of Sports Science and Coaching
Journal of Athletic Training
Medicine and Science in Sports and Exercise
Peak Performance
Research Quarterly for Exercise and Sport
Sports Injury Bulletin




                                                                        Edexcel BTEC Level 3 Nationals specification in Sport
  10                                                                       – Issue 1 – January 2010 © Edexcel Limited 2009
Websites
Coachwise                                                www.1st4sport.com
E-Podiatry                                               www.epodiatry.com
Peak Performance                                         www.pponline.co.uk
Sports Coach UK                                          www.sportscoachuk.org
Sports Coach                                             www.brianmac.co.uk
Sports Injury Clinic                                     www.sportsinjuryclinic.net
Sports Medicine                                          sportsmedicine.about.com
Top End Sports                                           www.topendsports.com




 Edexcel BTEC Level 3 Nationals specification in Sport
 – Issue 1 – January 2010 © Edexcel Limited 2009
                                                                                      11
Delivery of personal, learning and thinking skills
The table below identifies the opportunities for personal, learning and thinking skills (PLTS) that have been
included within the pass assessment criteria of this unit.

 Skill                         When learners are …
 Independent enquirers         designing a safe and appropriate treatment and rehabilitation programme for two
                               common sports injuries, with tutor support
 Reflective learners           designing a safe and appropriate treatment and rehabilitation programme for two
                               common sports injuries, with tutor support
 Team workers                  designing a safe and appropriate treatment and rehabilitation programme for two
                               common sports injuries, with tutor support
 Effective participators       designing a safe and appropriate treatment and rehabilitation programme for two
                               common sports injuries, with tutor support.


Although PLTS are identified within this unit as an inherent part of the assessment criteria, there are further
opportunities to develop a range of PLTS through various approaches to teaching and learning.

 Skill                         When learners are …
 Independent enquirers         researching different risk factors and preventative measures
                               researching physiological and psychological responses to injury
                               researching common types of injury and methods of treatment
                               researching rehabilitation techniques and programmes
 Creative thinkers             presenting research findings relating to injury prevention
                               producing two rehabilitation programmes
 Reflective learners           evaluating the rehabilitation programmes devised
                               analysing the responses to common injuries
 Team workers                  discussing the treatment of sports injuries via role play
 Effective participators       discussing the treatment of sports injuries via role play.




                                                                        Edexcel BTEC Level 3 Nationals specification in Sport
 12                                                                        – Issue 1 – January 2010 © Edexcel Limited 2009
Functional Skills – Level 2

Skill                                                   When learners are …
ICT – Use ICT systems
Select, interact with and use ICT systems               researching preventative measures, common sports injuries
independently for a complex task to meet a              and their associated responses, rehabilitation programmes and
variety of needs                                        techniques and identifying appropriate treatment for common
                                                        injuries
Use ICT to effectively plan work and                    planning a presentation on the prevention of sports injuries
evaluate the effectiveness of the ICT system
                                                        planning two programmes for differing sports injuries
they have used
ICT – Find and select information
Select and use a variety of sources of       researching preventative measures, common sports injuries
information independently for a complex task and their associated responses, rehabilitation programmes and
                                             techniques and identifying appropriate treatment for common
                                             injuries
ICT – Develop, present and
communicate information
Enter, develop and format information                   planning a presentation on the prevention of sports injuries
independently to suit its meaning and
                                                        planning two programmes for differing sports injuries
purpose including:
●   text and tables
●   images
●   numbers
●   records
Present information in ways that are fit for            designing an appropriate presentation method for presenting
purpose and audience                                    research findings on the prevention of injury
English
Speaking and listening – make a range of                assessing a casualty and giving appropriate instruction during
contributions to discussions and make                   treatment of injury
effective presentations in a wide range of
                                                        presenting findings on prevention of sports injuries
contexts
Reading – compare, select, read and                     researching preventative measures, common sports injuries
understand texts and use them to gather                 and their associated responses, rehabilitation programmes and
information, ideas, arguments and opinions              techniques and identifying appropriate treatment for common
                                                        injuries
Writing – write documents, including                    preparing a presentation on sports prevention
extended writing pieces, communicating
                                                        producing a report on responses to injury and two rehabilitation
information, ideas and opinions, effectively
                                                        programmes.
and persuasively




Edexcel BTEC Level 3 Nationals specification in Sport
– Issue 1 – January 2010 © Edexcel Limited 2009
                                                                                                                         13

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Sports Injuries Guide

  • 1. Unit 18: Sports Injuries Unit code: R/502/5746 QCF Level 3: BTEC National Credit value: 10 Guided learning hours: 60 Aim and purpose The aim of this unit is to provide learners with an overview of injury prevention, identification and basic treatment. The unit also explores differing rehabilitatory interventions for common sports injuries. Unit introduction Injuries are often a common occurrence for those participating in sport. It is therefore important that those involved in sport gain an appreciation of the main factors that can cause injuries, as well as those that can play a part in preventing them, and how effective treatment and rehabilitation can reduce the amount of time spent out of normal participation. Some risk factors are integral to participation and cannot be removed, so learners need to appreciate both the physiological and psychological mechanisms of injury, in terms of its occurrence, treatment and subsequent rehabilitation. Whilst this unit is not designed to make learners into accomplished therapists, it does provide a basic understanding of how injury occurs, and what can be done to help promote recovery. The first part of this unit concentrates on the importance of injury prevention, and looks at the main factors that can lead to injuries occurring, or to a performer being predisposed to suffering an injury. Having identified these risk factors, learners will then look at the different methods used to minimise risk. Learners who enter the sports industry will undoubtedly encounter the issue of sports injuries in some capacity, from maintaining safety within a sporting environment to suffering some form of injury themselves. The second part of this unit will help provide learners with a greater understanding of the problems associated with injury prevention, and build on existing knowledge of how to recognise the onset of injury. Learning outcomes On completion of this unit a learner should: 1 Know how common sports injuries can be prevented by the correct identification of risk factors 2 Know about a range of sports injuries and their symptoms 3 Know how to apply methods of treating sports injuries 4 Be able to plan and construct treatment and rehabilitation programmes for two common sports injuries. Edexcel BTEC Level 3 Nationals specification in Sport – Issue 1 – January 2010 © Edexcel Limited 2009 1
  • 2. Unit content 1 Know how common sports injuries can be prevented by the correct identification of risk factors Extrinsic risk factors: coaching, eg poor coaching/leadership, communication, ensuring adherence to rules and governing body guidelines; incorrect technique, eg lifting and handling equipment; environmental factors, eg weather effects on surfaces; clothing and footwear, eg protective, sport-specific, specific to surface; safety hazards, eg the importance of safety checks, environment safety checks, equipment safety checks, misuse of equipment, first-aid provision, safety checklists, risk assessments Intrinsic risk factors: training effects, eg muscle imbalance, poor preparation, level of fitness, overuse; individual variables, eg age, fitness level, growth development, previous injury history, flexibility, nutrition, sleep; postural defects, eg lordosis, kyphosis, scoliosis, overuse Preventative measures: role of the coach, eg up-to-date knowledge of sport/performer, qualifications, adapt coaching style to performers ability/age/fitness level, communication; equipment and environment, eg checking equipment, risk assessments, protective equipment, appropriate usage 2 Know about a range of sports injuries and their symptoms Physiological responses: damaged tissue, eg primary damage response, healing response, the clotting mechanism; the importance of scar tissue control in the re-modelling process; specific to injury, eg sprain/ strain (signs and symptoms of first, second and third degree), haematomas (inter/intra) Psychological responses: response to injury, eg anger, anxiety, depression, frustration, isolated from team mates; response to treatment and rehabilitation, eg anxiety, frustration, need for motivation, use of goal setting 3 Know how to apply methods of treating sports injuries Types of sports injury: hard tissue damage, eg fracture, dislocation, stress fracture, shin splints; soft tissue damage, eg haematoma, abrasion, sprain, strain, concussion, tendonitis (achilles, shoulder), tendon rupture, blister, cramp, tennis elbow, back pain, cartilage damage, friction burns First aid: emergency/immediate treatment, eg priorities, resuscitation, shock, bleeding, unconscious casualty, fractures, prevention of infection, summon qualified assistance, accident report forms Common treatments: eg PRICED – protect, rest, ice, compression, elevation, diagnosis by professional, SALTAPS – (stop, ask, look, touch, active, passive strength), taping, bandaging, tubigrip, splints, hot/cold treatments, pain sprays limb supports, electrotherapy; medical referrals for specialist help as appropriate Edexcel BTEC Level 3 Nationals specification in Sport 2 – Issue 1 – January 2010 © Edexcel Limited 2009
  • 3. 4 Be able to plan and construct treatment and rehabilitation programmes for two common sports injuries Treatment: based on accurate diagnosis, eg immediate and long term, use of specialist help and advice Rehabilitation: identification of stages of rehabilitation, eg stages 1-5, acute stage to re-establishing functional activity, strengthening exercises, on-going treatments, gradual increase in activity Programme: methods to improve the lost range of motion, eg flexibility stretching (passive, active, proprioceptive neuromuscular facilitation – PNF); strengthening and co-ordination exercises; psychological considerations during rehabilitation, eg goal setting (short-term, long-term); the need for a careful structured approach to rehabilitation, eg motivation and anxiety within the rehabilitation programme; recording documentation and tracking of treatment, eg medical conditions, allergies, injury history, up-to- date and accurate information, appropriate forms, timescales and review dates, measurable objectives Edexcel BTEC Level 3 Nationals specification in Sport – Issue 1 – January 2010 © Edexcel Limited 2009 3
  • 4. Assessment and grading criteria In order to pass this unit, the evidence that the learner presents for assessment needs to demonstrate that they can meet all the learning outcomes for the unit. The assessment criteria for a pass grade describe the level of achievement required to pass this unit. Assessment and grading criteria To achieve a pass grade the To achieve a merit grade the To achieve a distinction grade evidence must show that the evidence must show that, in the evidence must show that, learner is able to: addition to the pass criteria, in addition to the pass and the learner is able to: merit criteria, the learner is able to: P1 describe extrinsic and intrinsic M1 explain how risk factors can risk factors in relation to be minimised by utilisation of sports injuries preventative measures P2 describe preventative measures that can be taken in order to prevent sports injuries occurring P3 describe the physiological M2 explain the physiological D1 analyse the physiological responses common to most and psychological responses and psychological responses sports injuries common to most sports common to most sports injuries injuries P4 describe the psychological responses common to sports injuries P5 describe first aid and common treatments used for four different types of sports injury P6 design a safe and appropriate M3 independently design a safe D2 evaluate the treatment and treatment and rehabilitation and appropriate treatment rehabilitation programme programme for two common and rehabilitation programme designed, justifying the sports injuries, with tutor for two common sports choices and suggesting support. injuries. alternatives where [IE1, IE2, IE4, TW1, TW4, appropriate. EP4, RL5] PLTS: This summary references where applicable, in the square brackets, the elements of the personal, learning and thinking skills applicable in the pass criteria. It identifies opportunities for learners to demonstrate effective application of the referenced elements of the skills. Key IE – independent enquirers RL – reflective learners SM – self-managers CT – creative thinkers TW – team workers EP – effective participators Edexcel BTEC Level 3 Nationals specification in Sport 4 – Issue 1 – January 2010 © Edexcel Limited 2009
  • 5. Essential guidance for tutors Delivery Tutors delivering this unit should use as wide a range of techniques as possible, such as lectures, discussions, seminar presentations, practical workshops, video/live practical sessions/performances, external visits and visiting speakers. Delivery should stimulate, motivate, educate and enthuse learners. Whichever delivery methods are used, it is essential that tutors stress the importance of injury prevention being the first and foremost priority and that treatment and subsequent rehabilitation programmes are ultimately a necessity for those injuries that are not preventable by nature. It should be emphasised that learners will not become qualified sports injury specialists or qualified first-aiders without additional study outside of, and in addition, to this unit. Risk assessment is vital to any sports environment and ultimately to any person involved within the sports industry. This should be reinforced throughout the delivery of this unit, as it is envisaged that learners undertaking this qualification will be involved in some capacity with sport already, and are considering progressing further within the industry. Tutors should consider timing the delivery of this unit with related units within this and/or other qualifications. As the content of the unit shows, there is scope for good contextualised linkage to other areas such as anatomy, physiology, coaching, equipment and facilities, health and safety, instructing, leadership/leading, organising, practical sport, psychology, work experience, biomechanics, training and fitness and sports massage. The Unit content areas on the relationship between identification of risk factors and prevention of sports injuries are closely linked. Delivery techniques should look to incorporate theory with practice as much as possible. Learners should have the opportunity to undertake risk assessments of sports facilities/environments, and watch coaching sessions or competitive performances in order to identify issues relating to both learning outcomes. It is expected that formal lectures, discussions and presentations by learners will form part of the delivery of the unit. The content covering the treatment of injury will require formal delivery and, wherever possible, learners should be encouraged to put theory into practice, using role play and practical workshops. Although it is not a requirement for this unit, it is possible that treatment of injury may be covered by undertaking a recognised first aid qualification. The Unit content covering the planning and construction of treatment and rehabilitation programmes aims to build upon the knowledge gained in the three previous outcomes and to look further into injury management and recovery to full fitness. Much of the delivery should take place via formal lectures, and would enable learners to research into the advancement of treatment and rehabilitation techniques, via primary sources wherever possible. The use of visiting speakers such as sports therapists, physiotherapists, sports coaches and performers who have experienced injury should highlight the importance of the Unit content in relation to the ‘real world’ of sport, and help bring the unit to a rounded conclusion. Visits to appropriate environments (a sports injury clinic based in the NHS, local sports facilities or professional sports grounds) could also support the unit. Tutors should guide learners to select two different injuries as the focus for the treatment and rehabilitation programmes, in order to maximise their potential to achieve the higher grading criteria. Edexcel BTEC Level 3 Nationals specification in Sport – Issue 1 – January 2010 © Edexcel Limited 2009 5
  • 6. Outline learning plan The outline learning plan has been included in this unit as guidance and can be used in conjunction with the programme of suggested assignments. The outline learning plan demonstrates one way in planning the delivery and assessment of this unit. Topic and suggested assignments/activities and/assessment Introduction and overview of the unit. Assignment 1: Prevention of Sports Injuries (P1, P2, M1). Tutor introduces the assignment brief. Identification of the different types of risk factors and their associated preventative measures using formal input combined with practical activities to possibly include risk assessment, role plays, etc. Assignment 2: Common Sports Injuries – Symptoms and Treatment (P3, P4, P5, M2, D1). Tutor introduces the assignment brief. Physiological response to injury: tissue response in general and related to common sports injuries – using group discussion, film footage in conjunction with formal input. Identification of common injury treatment for physiological responses: emergency first aid and basic first aid techniques to help with the physiological response to injury – learner practical activities, techniques, and role play. Psychological response to injury: participants’ response to treatment and rehabilitation of sustained injury – consideration of a range of techniques to help participants deal with these issues. Identification of techniques when dealing with common psychological responses to injury treatment and rehabilitation – group discussion and individual research. Assignment 3: Injury Rehabilitation Programmes (P6, M3, D2). Tutor introduces the assignment brief. Treatment and rehabilitation: identification of acknowledged procedures with opportunities for learners to engage in practical activities to increase range of movement. Recording injury and treatment through to full recovery: group discussion as to importance and methods of how to manage successfully. Treatment and rehabilitation programmes: opportunity for formal input, group work and individual research providing learners with sufficient information to develop two different programmes. Review of reflective practice of unit and assessment. Edexcel BTEC Level 3 Nationals specification in Sport 6 – Issue 1 – January 2010 © Edexcel Limited 2009
  • 7. Assessment For P1, learners will be expected to be able to describe extrinsic and intrinsic risk factors as listed in the Unit content. For P2, learners will be expected to correctly describe sports injury prevention methods as identified in the Unit content. It is possible that criteria P1 and P2 could be assessed via a booklet produced by learners describing risk factors and the related preventative methods for them. The depth of information given in the booklet would indicate whether or not learners had sufficient coverage to meet grading criterion M1, which requires explanation of how risk factors can be minimised by adopting preventative measures. The content would need to explain the relationship rather than purely describe the issues related to criteria P1 and P2. Criteria P3 and P4 aim to address the issue of occurrence of sports injuries and the resulting symptoms, both physiologically and psychologically, as identified within the related content of the unit. If an explanation of both issues is detailed and contextualised sufficiently to the concept of sports injury then it is possible that grading criterion M2 and D1 (analysis) may also be achieved. It may be possible to assess this via the booklet mentioned previously, or for learners to give a presentation on the issues, supported by a tutor witness statement/observation record to confirm achievement. For P5, learners must describe first aid and common treatments used for four different types of sports injury. For P6, learners must select two specific sports injuries and plan safe and appropriate treatment and rehabilitation programmes accordingly, with tutor support. Tutors may provide advice and guidance on selection of injuries to be covered by learners. The injuries selected should be done so with care and reasoned thought, as appropriate selection will provide scope for learners to cover the range of criteria P6, M3 and D2. A poor selection, for example a simple bruise, which needs little treatment and hardly any rehabilitation, limits the research available to learners. However, a fracture of the tibia and fibula or the rupture of the anterior cruciate ligament allows for depth of evidence and the use of primary sources. The treatment and rehabilitation programme designed can be presented in any format. However, as specified in the Unit content, it should clearly state the treatment and rehabilitation, methods to improve the lost range of motion, strengthening and coordination exercises, psychological considerations, the need for a carefully structured approach to rehabilitation and relevant documentation and tracking of the treatment and rehabilitation programme. Edexcel BTEC Level 3 Nationals specification in Sport – Issue 1 – January 2010 © Edexcel Limited 2009 7
  • 8. Programme of suggested assignments The table below shows a programme of suggested assignments that cover the pass, merit and distinction criteria in the assessment and grading grid. This is for guidance and it is recommended that centres either write their own assignments or adapt any Edexcel assignments to meet local needs and resources. Criteria covered Assignment title Scenario Assessment method P1, P2, M1 Prevention of Sports Having gained a work Presentation and witness Injuries placement with a sports statement, or booklet. physiotherapist, you identify risk factors relating to sports performance and their associated preventative measures. P3, P4, P5, M2, D1 Common Sports Research common sports Practical observations and Injuries – Symptoms injuries with practical assessment. and Treatment exploration of basic sports Observation record. injury treatment. Written report. P6, M3, D2 Injury Rehabilitation You have had opportunity Written report. Programmes to observe a number of treatments and rehabilitation programmes in progress. Plan a rehabilitation programme for two different types of common sports injuries. Edexcel BTEC Level 3 Nationals specification in Sport 8 – Issue 1 – January 2010 © Edexcel Limited 2009
  • 9. Links to National Occupational Standards, other BTEC units, other BTEC qualifications and other relevant units and qualifications This unit forms part of the BTEC Sport sector suite and the BTEC Sport and Exercise Sciences sector suite. This unit has particular links with the following unit titles in the BTEC Sport suite and the BTEC Sport and Exercise Sciences suite: Level 2 Sport Level 3 Sport Level 3 Sport and Exercise Sciences Anatomy and Physiology for Sport Principles of Anatomy and Anatomy for Sport and Exercise Physiology in Sport Effects of Exercise on the Body The Physiology of Fitness Sport and Exercise Physiology Systems Planning and Leading Sports Fitness Testing for Sport and Fitness Testing for Sport and Activities Exercise Exercise Practical Sport Assessing Risk in Sport Fitness Training and Programming Outdoor and Adventurous Fitness Training and Programming Instructing Physical Activity and Activities Exercise Exercise and Fitness Instruction Sports Coaching Sports Injuries Sport and Leisure Facility Outdoor and Adventurous Activities Sports Coaching Operations Leading Outdoor and Adventurous Instructing Physical Activity and Outdoor and Adventurous Activities Activities Exercise Expedition Experience Exercise for Specific Groups Exercise for Specific Groups Work Experience in the Sports Sports Injuries Work Experience in Sport Industry Organising Sports Events Sport and Exercise Massage Equipment and Facilities for Outdoor and Adventurous Activities Skills for Land-based Outdoor and Adventurous Activities Skills for Water-based Outdoor and Adventurous Activities Work Experience in Sport Sport and Exercise Massage This unit links with the National Occupational Standards (NOS) for: ● Achieving Excellence in Sports Performance at Level 3 ● Coaching, Teaching and Instructing at Level 3 ● Instructing Physical Activity and Exercise at Level 3. Edexcel BTEC Level 3 Nationals specification in Sport – Issue 1 – January 2010 © Edexcel Limited 2009 9
  • 10. Essential resources Learners will need access to information on current sports injury research and issues, including treatment and rehabilitation strategies. Employer engagement and vocational contexts This unit focuses on the practical aspects of sports injury prevention, identification and rehabilitation and will give learners the background knowledge and some important skills needed to work in a sports environment. Centres are encouraged to develop links with sports therapists, physiotherapists and coaches. This could be via talks, first aid courses, practical treatment workshops, or visits to sports facilities to look at risk assessment and preventative measures. Indicative reading for learners Textbooks Anderson M K – Fundamentals of Sports Injury Management (Lippincott Williams and Wilkins, 2003) ISBN 9780781732727 Dalgleish J et al – The Health and Fitness Handbook (Longman, 2001) ISBN 9780582418790 Flegel M J – Sport First Aid (Human Kinetics Europe Ltd, 2008) ISBN 9780736076012 Gill W – Practical Guide to Sports First Aid (Lotus Publishing, 2004) ISBN 9780954318864 Shamus E – Sport Injury Prevention and Rehabilitation (McGraw-Hill Education, 2001) ISBN 9780071354752 Journals American College of Sport Medicine’s Health and Fitness Journal British Journal of Sports Medicine British Medical Journal Exercise and Sport Sciences Reviews International Journal of Sports Science and Coaching Journal of Athletic Training Medicine and Science in Sports and Exercise Peak Performance Research Quarterly for Exercise and Sport Sports Injury Bulletin Edexcel BTEC Level 3 Nationals specification in Sport 10 – Issue 1 – January 2010 © Edexcel Limited 2009
  • 11. Websites Coachwise www.1st4sport.com E-Podiatry www.epodiatry.com Peak Performance www.pponline.co.uk Sports Coach UK www.sportscoachuk.org Sports Coach www.brianmac.co.uk Sports Injury Clinic www.sportsinjuryclinic.net Sports Medicine sportsmedicine.about.com Top End Sports www.topendsports.com Edexcel BTEC Level 3 Nationals specification in Sport – Issue 1 – January 2010 © Edexcel Limited 2009 11
  • 12. Delivery of personal, learning and thinking skills The table below identifies the opportunities for personal, learning and thinking skills (PLTS) that have been included within the pass assessment criteria of this unit. Skill When learners are … Independent enquirers designing a safe and appropriate treatment and rehabilitation programme for two common sports injuries, with tutor support Reflective learners designing a safe and appropriate treatment and rehabilitation programme for two common sports injuries, with tutor support Team workers designing a safe and appropriate treatment and rehabilitation programme for two common sports injuries, with tutor support Effective participators designing a safe and appropriate treatment and rehabilitation programme for two common sports injuries, with tutor support. Although PLTS are identified within this unit as an inherent part of the assessment criteria, there are further opportunities to develop a range of PLTS through various approaches to teaching and learning. Skill When learners are … Independent enquirers researching different risk factors and preventative measures researching physiological and psychological responses to injury researching common types of injury and methods of treatment researching rehabilitation techniques and programmes Creative thinkers presenting research findings relating to injury prevention producing two rehabilitation programmes Reflective learners evaluating the rehabilitation programmes devised analysing the responses to common injuries Team workers discussing the treatment of sports injuries via role play Effective participators discussing the treatment of sports injuries via role play. Edexcel BTEC Level 3 Nationals specification in Sport 12 – Issue 1 – January 2010 © Edexcel Limited 2009
  • 13. Functional Skills – Level 2 Skill When learners are … ICT – Use ICT systems Select, interact with and use ICT systems researching preventative measures, common sports injuries independently for a complex task to meet a and their associated responses, rehabilitation programmes and variety of needs techniques and identifying appropriate treatment for common injuries Use ICT to effectively plan work and planning a presentation on the prevention of sports injuries evaluate the effectiveness of the ICT system planning two programmes for differing sports injuries they have used ICT – Find and select information Select and use a variety of sources of researching preventative measures, common sports injuries information independently for a complex task and their associated responses, rehabilitation programmes and techniques and identifying appropriate treatment for common injuries ICT – Develop, present and communicate information Enter, develop and format information planning a presentation on the prevention of sports injuries independently to suit its meaning and planning two programmes for differing sports injuries purpose including: ● text and tables ● images ● numbers ● records Present information in ways that are fit for designing an appropriate presentation method for presenting purpose and audience research findings on the prevention of injury English Speaking and listening – make a range of assessing a casualty and giving appropriate instruction during contributions to discussions and make treatment of injury effective presentations in a wide range of presenting findings on prevention of sports injuries contexts Reading – compare, select, read and researching preventative measures, common sports injuries understand texts and use them to gather and their associated responses, rehabilitation programmes and information, ideas, arguments and opinions techniques and identifying appropriate treatment for common injuries Writing – write documents, including preparing a presentation on sports prevention extended writing pieces, communicating producing a report on responses to injury and two rehabilitation information, ideas and opinions, effectively programmes. and persuasively Edexcel BTEC Level 3 Nationals specification in Sport – Issue 1 – January 2010 © Edexcel Limited 2009 13