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Health Care Assignment: Designing A Rehabilitation Session For An Athlete

Task: Case Scenario Table 1; Patient Details Gender Female Age (years) 20 Body mass (kg) 58 Height (cm) 166.7 BMI 20.8 Sport sprint athlete (100m & 200m) Dominant leg Left The History: The patient presented with left posterior ankle pain. She competes at a national (level 1) level and in B.U.C.S. competitions. She reported that her symptoms have been gradually getting worse over the past 8 weeks. Initially she had been able to ‘warm it up’, but now feels as though she is unable to do this. The patient reports that she is now unable to train to her full capacity and has noticed a significant decrease in performance. She has big season ahead and is very worried that she will not be able to compete. The patient reported that she had a similar issue six months previously, which settled with rest. The initial physical assessment revealed: Pain on active heel raises, single and double legged. Reduced muscle length of the calf muscle group (reduced active dorsiflexion/ knee to wall test) bilaterally. A strength deficit in resisted hip extension, knee flexion and ankle plantarflexion. Decreased neuromuscular control of the hip and lumbo-pelvic region. The athlete was then diagnosed with an Achilles tendon, mid-portion tendinopathy and treated conservatively. After completing the phase 1 and 2 rehabilitation exercise programmes: She has pain free full range heel lifts. Lumbo-pelvic and hip control has improved, in non-functional tasks. Calf strength (work capacity) has improved, although still reduced. Subsequent assessment revealed: Table 2; Functional Outcome Measures Outcome Measure (Test) Result Single leg heel lift No. of reps: Right: 27 Left: 20 Isokinetic strength test Endurance (20 reps max effort- Total Work Done): Right 1490 Nm Left 1213 Nm Peak Torque (90º/s): Knee Flex Right 56 Nm Left 42 Nm Full knee ext Right 52 Nm Left 40 Nm Single leg hop CMJ: Right 11.46 cm Left 11.18 cm EUR: 0.88 Drop jump (30cm box) RSI: 1.5 Triple hop test Right: 450cm Left: 300cm Speed/ acceleration (10/20/30m) sprint 10m; 2.3s 20m; 3.5s 30m; 4s Tampa Scale of Kinesiophobia Score: 39 Based on the data provided in tables 1 and 2 you must select appropriate rehabilitation strategies (exercises) and prescribe with appropriate training variables (complete the session plan template) to address the highlighted deficits in the context of the injury. Once you have completed the plan you will justify the approaches taken in the plan, e.g. exercise strategy, training variables. Use the assignment remit and report template to present your work. Additionally, the psychological assessment of the athlete revealed: Kinesiophobia; Tampa Scale of Kinesiophobia score; 39 Developed anxiety and depression as a result of decreased performance Lastly the athlete’s psychological state needs to be addressed with appropriate optimistic strategies to help her return to full training and competition. Health Care Assignment Task: You are required to design a rehabilitation session for an athlete with an Achilles tendon injury and to justify return to sport criteria. Using the provided case scenario; female sprinter with Achilles tendinopathy, you must: Using the Brukner & Khan model of rehabilitation, present an overall specific aim and goals for phase 3 and phase 4. These should be based on the interpretation of the data provided in the case scenario. Select appropriate example exercises and training variables to achieve the goals for each phase. Provide an evidence based justification of the exercise strategies. Identify and justify appropriate return to play criteria, with cut-off values based on normative data. Explain how the design of return to play rehabilitation, addresses the psychological state of the athlete.

Subject Name: Health Care

Level: Undergraduate

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