ATTR 205 Mastery Sheets Table of Contents Modality Usage ... › mbmoore › Notes › Spring 2011 › ATTR 205... · top and bottom of the foot. 3. Apply prewrap covering the entire

ATTR 205 mastery skills

ATTR 205 Mastery Sheets

Table of Contents

Taping Taping Evaluation Rubric ...................... 1 Wrapping Evaluation Rubric.................. 2 Turf Toe ................................................. 3 Achilles Tendon ..................................... 4 Ankle ..................................................... 5 Arch ....................................................... 6 Finger (Buddy taping) ......................... 7 Finger (collateral ligament).................... 8 Thumb ................................................... 9 Wrist .................................................... 10 Wrist and Hand ................................... 11 Elbow hyperextension ......................... 12 Quad .................................................... 13 Groin .................................................... 14 Shoulder spica .................................... 15 Padding/Splinting Applying doughnut pad ....................... 16 Finger splint (PIP) ............................... 17 Straight leg splint ................................. 18 Ankle brace ......................................... 19 Knee brace .......................................... 20 Bony prominence pad ......................... 21 Acute Wound Care Apply and Remove gloves ............... 22 Control bleeding .................................. 23 Clean/debride wound .......................... 24 Apply superficial skin closures ............ 25 Fitting/ Using crutches ......................... 26 Fitting/ Using cane .............................. 27 Emergency Procedures Head injury assessment (basic) .......... 28 Vacuum splints .................................... 29 Manual conveyance .......................... 30

Modality Usage Make/ Apply Ice Bag ........................... 31 Ice Massage ........................................ 32 Apply I.C.E. ......................................... 33 Apply moist heat pack ......................... 34 Whirlpool ............................................. 35 Ultrasound ........................................... 36 IFC treatment ...................................... 37 Muscle protocol treatment .................. 38 Physical Examination Skills Height / Weight ................................... 39 Blood Pressure ................................... 40 Respiration .......................................... 41 Pulse ................................................... 42 Temperature ....................................... 43 Snellen eye chart ................................ 44 Chem-stick .................................... none Body Movements Body motion 1 ..................................... 45 Body motion 2 ..................................... 46 Stretching/Exercise Static stretching/leg............................. 47 Static stretching/ shoulder .................. 48 PNF stretching .................................... 49 Theraband ankle exercises ................. 50 Theraband shoulder ex 1 .................... 51 Theraband shoulder ex 2 .................... 52 SLR 1 .................................................. 53 SLR 2 .................................................. 54 Checks in italics and BOLD will be done in class

ATTR 205 mastery skills Rev S11 1

Rubric Used to Assess All taping skills In order to achieve mastery: Students must score a minimum or a “2” on identified skills Students must get a total score of “11” or better

0 1 2 3

Preparation

forgot spray and/or body position incorrect

xxxxx spray and body position acceptable

Spray and body position ideal for the tape job

Application

tape applied in the wrong area

Tape applied in an acceptable but not optimal area

Tape in an acceptable area

Tape in the ideal area

Tightness

Tightness cuts off circulation or loose and ineffective

tightness too tight/ loose

tightness appropriate

XXXX

Wrinkles/ Quality

Many severe wrinkles or gaps, prewrap rolls etc. Sloppy overall appearance

Many wrinkles/ none severe, small gaps, None in identified “bad” areas. Overall appearance sloppy (not clean)

1 – 2 small wrinkles (none severe), no gaps, None in identified “bad” areas. overall appearance clean

no wrinkles, no gaps, overall appearance smooth

Taping effectiveness

The tape job is non-functional.

Movement limitation minimal

Movement limitation acceptable but non-uniform tightness

Appropriate movement limitation.


Rubric Used to Assess All wrapping skills In order to achieve mastery: Students must score a minimum or a “2” on identified skills Students must get a total score of “11” or better

0 1 2 3

Preparation

forgot spray and/or body position incorrect

xxxxx spray and body position acceptable

Spray and body position ideal

Application

wrap applied in the wrong area

Wrap applied in an acceptable but not optimal area

Wrap in an acceptable area

Wrap in the ideal area

Tightness

Tightness cuts off circulation or loose and ineffective

tightness too tight/ loose

tightness appropriate

XXXX

Wrinkles/ Quality

The wrap has severe wrinkles/folds or gaps and presents a sloppy overall appearance

XXXX 1 – 2 small wrinkles/folds no gaps. overall appearance clean

no wrinkles, no gaps, overall appearance smooth

Cover Taping

Tape is applied too tightly and makes the wrap nonfunctional

Tape fails to cover the ends of the wrap, there is some gapping in the tape, tightness is appropriate

The tape covers the ends of the wrap, there is some small gapping, tightness is appropriate

The covers the end of the wrap, no gapping, tightness appropriate


Student Mastery Checklist for: Domain: Risk Management and injury

prevention Teaching Objective #:

9

Specific Outcome:

1k Skill: Turf Toe Taping

Skill steps: Peer Review/date

Senior Review/date

ACI Review/ Date

1. Have the sitting on the table with their foot over the edge, ankle dorsiflexed, great toe in a neutral position

2. Spray the toe, and side of the foot with tape adherent

3. Apply an anchor to the great toe and around the arch of the foot. 1 ½ ” tape

4. Apply strips along the plantar aspect of the foot to prevent hyperextension of the toe. 1” tape

5. Apply strips along the dorsal surface of the toe to prevent hyperflexion of the toe. 1” tape

6. Reapply anchors. 1 ½ ” tape

Evaluators signature/date:

Special Notes: In order to master this skill you must: Limit toe extension Complete the task in under 2 minutes Get at least an 8 out of 10 on the taping rubric, with a minimum of a “2” on the

“wrinkle/quality” and “taping effectiveness” score.

Prep _____ application _____ tightness _____ wrinkles ____ Effectiveness ____ Prep _____ application _____ tightness _____ wrinkles ____ Effectiveness ____ Prep _____ application _____ tightness _____ wrinkles ____ Effectiveness ____




9

Specific Outcome:

1k Skill: Achilles tendon taping


Senior Review/date

ACI Review/ Date

1. Have the athlete prone on the table with their foot hanging off the edge, foot slightly plantar flexed.

2. Spray the anchor areas with tape adherent and apply a heel-and-lace pad to the back of the achilles tendon

3. Apply prewrap to the area around the lower leg

4. Place two anchors immediately distal to the gastroc-achilles tendon junction.

5. Place two anchors around the ball of the foot

6. Place three strips of tape in an “X” fashion to limit dorsiflexion of the ankle

7. Apply proximal and distal anchors to the foot.

8. Wrap the entire tape job with a 3” or 4” wrap or stretchy tape

9. Indicate that you would supplement the procedure with a heel lift cut out of felt for the shoe


Special Notes: In order to master this skill you must: Keep the athletes foot slightly plantar flexed at all times Limit dorsiflexion Complete the task in under 2.5 minutes





9

Specific Outcome:

1j Skill: Taping of ankle


Senior Review/date

ACI Review/ Date

1. Have the athlete sit on the table with the foot completely dorsiflexed.

2. Spray the ankle with tape adherent and apply a heel-and-lace pad to the top and bottom of the foot.

3. Apply prewrap covering the entire ankle

4. Place two anchors immediately distal to the gastroc-achilles tendon junction.

5. Apply three stirrups from medial to lateral and anchor with “horseshoe” strips.

6. Completely enclose the leg with horizontal strips.

7. Complete a medial heel lock

8. Complete a lateral heel lock

9. Complete a double heel lock

10. Complete a figure 8

11. Cover any holes in the tape job. Tape down.


Special Notes: In order to master this skill you must: Keep the athletes foot dorsiflexed at all times Keep the stirrups on the heel pad of the calcaneus Leave no holes in areas that would cause a blister. Limit ankle inversion Complete the task in under 3 minutes





9

Specific Outcome:

1k Skill: Arch taping


Senior Review/date

ACI Review/ Date

1. Have the sitting on the table with their foot over the edge, ankle dorsiflexed

2. Spray the bottom of the foot with tape adherent (or indicate that you would do so)

3. Apply an anchor across the bottom of the ball of the foot. (1 ½” tape)

4. Apply tape from the base of the great toe, around the heel and back to the starting point. (1” tape)

5. Apply strips from the medial to the lateral surface of the foot’s plantar surface 2x (1” tape)

6. Apply tape from the base of the little toe, around the heel and back to the starting point. (1” tape)

7. Apply strips from the lateral to the medial surface of the foot’s plantar surface 2x (1” tape)

8. Apply strips to support the arch pulling lateral-medial from heal to met heads (where the original anchor.) (1 ½” tape)


Special Notes: In order to master this skill you must: Keep the athletes foot slightly dorsiflexed at all times Apply the tape job with no wrinkles on the bottom of the foot, following the

contours of the skin Keep the arch strips on the back of the calcaneous not on the Achilles tendon Complete the tape job in under 2.5 minutes



Student Mastery Checklist for: Domain: Risk Management and Injury

Prevention Teaching Objective #:

9

Specific Outcome:

1e Skill: Finger (buddy tape job)


Senior Review/date

ACI Review/ Date

1. Have the athlete face you with their hand and fingers relaxed

2. Determine which finger needs support and “buddy it” to a bigger finger

3. Apply tape adherent to the fingers

4. Apply on strip of tape proximal to the PIP joint



Special Notes: In order to achieve mastery you must: Complete the tape job in under 1 minute End the tape on the top of the fingers





9

Specific Outcome:

1e Skill: Finger collateral ligament


Senior Review/date

ACI Review/ Date

1. Have the athlete face you with their hand and fingers relaxed

2. Determine which finger needs support

3. Apply tape adherent to the finger


5. Apply on strip of tape proximal to the DIP joint

6. Create an “X” over the collateral ligament of the finger with three strips of tape

7. Secure with proximal and distal anchors


Special Notes: In order to achieve mastery you must: Have appropriate tension on the tape Complete the tape job in under 1.5 minutes





9

Specific Outcome:

1e Skill: Taping a thumb


Senior Review/date

ACI Review/ Date

1. Have the athlete face you with their hand thumb side up

2. Prewrap the wrist and the thumb

3. Apply 3-4 strips of tape from distal to proximal portion of the wrist

4. Apply a figure eight to the 1st MTP joint to limit abduction

5. Repeat the figure eights two more times (overlap each time)

6. Finish with an anchor around the wrist

To provide more support

7. Place an anchor around the hand from ulna to ulna

8. Secure the thumb with cross strips over the outside of the thumb

9. Add additional figure eights as needed

10. Finish with an anchor around the wrist and hand


Special Notes: In order to achieve mastery you must: Keep the athlete’s fingers spread at all times Limit thumb flexion or extension Avoid pinching the web space of the thumb Complete the tape job in under 2.5 minutes





9

Specific Outcome:

1d Skill: Taping a wrist (basic)


Senior Review/date

ACI Review/ Date

1. Determine whether you need to prevent wrist flexion, extension or both

2. Have the athlete face you with their hand spread. You may have them push into your stomach for support

3. Prewrap the wrist

4. Apply 3-4 strips of tape from distal to proximal

5. Assess whether flexion or extension was limited and add tape as needed and modify taping accordingly


Special Notes: In order to achieve mastery you must: Keep the athletes fingers spread at all times Limit wrist flexion or extension Complete the tape job in under 1 minute





9

Specific Outcome:

1d Skill: Taping a wrist and hand


Senior Review/date

ACI Review/ Date

1. Determine whether you need to prevent wrist flexion, extension or both

2. Have the athlete face you with their hand spread. You may have them push into your stomach for support

3. Prewrap the wrist and the hand

4. Apply 3-4 strips of tape from distal to proximal portion of the wrist

5. Place an anchor around the hand

6. To limit hyperflexion, place three strips in an “X” fashion over the dorsum of the hand

7. To limit hyperextension, place three strips in an “X” fashion over the palmar aspect of the hand

8. Complete 2 figure 8’s around the wrist and the hand

9. Place final anchors around the wrist and the hand

10. Assess whether flexion or extension was limited and add tape as needed


Special Notes: In order to achieve mastery you must: Keep the athletes fingers spread at all times Have appropriate tension on the tape Limit wrist flexion or extension Complete the tape job in under 2.5 minutes





9

Specific Outcome:

1h Skill: Elbow hyperextension taping


Senior Review/date

ACI Review/ Date

1. Have the athlete seated in front of you with their elbow slightly bent

2. Spray the elbow with tape adherent where the anchors will go (or indicate you would do so)

3. Using white tape, place an anchor over the mid bicep and the mid forearm*

4. With elasticon, run a vertical strip down the anterior elbow from one anchor to the other

5. Run a second vertical strip down the anterior elbow

6. Secure the elasticon strips with white tape anchors.

7. Wrap the entire tape job with a 3” or 4” inch elastic bandage.


Special Notes: In order to achieve mastery you must: Limit elbow extension Complete the tape job in under 3 minutes * white tape anchors should be snug but not restrictive. Have the athlete make a muscle when applying the white tape.





9

Specific Outcome:

1i Skill: Quad wrapping


Senior Review/date

ACI Review/ Date

1. Have the athlete standing in front of you in a normal stance; Have them flex the quad.

2. Spray the leg with tape adherent (or indicate you would do so)

3. Using a 6” ace wrap, apply the wrap in a circular pattern around the leg.

4. The wrap should begin distal and continue proximal

5. Secure the wrap with white tape anchors*


Special Notes: In order to achieve mastery you must: Apply wrap with few wrinkles Leave no exposed wrap ends Complete the tape job in under 1.5 minutes * white tape anchors should be snug but not restrictive. Have the athlete make a muscle when applying the white tape.

Prep _____ application _____ tightness _____ wrinkles ____ cover taping ____ Prep _____ application _____ tightness _____ wrinkles ____ cover taping ____ Prep _____ application _____ tightness _____ wrinkles ____ cover taping ____




9

Specific Outcome:

1i Skill: Groin wrapping


Senior Review/date

ACI Review/ Date

1. Have the athlete standing in front of you with the thigh in internal rotation and flex the quad

2. Spray the leg with tape adherent (or indicate you would do so)

3. Using a double 4” or 6” wrap, begin at the thigh pull wrap medial to lateral, and work toward the hip

4. When the height of the wrap is just below the hip, go around the body and pull down and in when you get to the groin.

5. Continue around the leg, around the body until the wrap ends

6. End the wrap around the leg

7. Secure the wrap with white tape anchors*

8. The key is to pull down and in with your wrap.


Special Notes: In order to achieve mastery you must: Have appropriate tension on the wrap Leave NO exposed wrap ends Complete the wrap in under 1.5 minutes * white tape anchors should be snug but not restrictive. Have the athlete make a muscle when applying the white tape.





9

Specific Outcome:

1b Skill: Shoulder spica


Senior Review/date

ACI Review/ Date

1. Have the athlete seated or standing in front of you

2. Spray the shoulder with tape adherent if applicable

3. Using a double 4” wrap, begin at the middle bicep, and work toward the shoulder

4. When the height of the wrap is at the height of the shoulder, go around the body and under the opposite arm

5. Continue around the arm, around the body until the wrap ends

6. End the wrap around the arm.

7. Secure the wrap with white tape anchors or clips*


Special Notes: In order to achieve mastery you must: Have appropriate tension on the wrap Leave NO exposed wrap ends Complete the wrap in under 1.5 minutes * white tape anchors should be snug but not restrictive. Have the athlete make a muscle when applying the white tape.





8

Specific Outcome:

1e Skill: Applying a doughnut pad (blister)


Senior Review/date

ACI Review/ Date

1. Apply gloves

2. Indicate that if the blister is filled with fluid, pierce the blister with a sterile needle, or scalpel. DO NOT remove the skin

3. Determine size of pad

4. Choose padding material (typically 1//2 “ foam)

5. Cut out the pad so that it overlaps injury by approximately ¼ inch on all sides

6. Cut out a hole in the middle so no padding touches the injury

7. Using a cotton tipped applicator dipped in tape adherent. Apply adherent to skin where pad is to be placed.

8. Place the pad around the injured area.

9. Pre wrap the pad in place

10. Cover with stretchy tape

11. Fix stretchy tape with regular tape


Special Notes: In order to achieve mastery you must: Have an appropriately sized and placed doughnut pad Complete the task in under 4 minutes


Student Mastery Checklist for: Domain: Risk Management and Prevention Teaching

Objective #:

9

Specific Outcome:

1e Skill: Apply a finger splint (PIP joint)


Senior Review/date

ACI Review/ Date

1. Determine which finger is injured

2. Obtain an aluminum finger splint and cut it so that it is the size of the finger and hand.

3. Round the ends of the splint and cover them with tape or moleskin for comfort

4. Bend the splint so that the finger rests in the neutral position.

5. Secure the splint with tape around the finger and the hand

6. Check distal neurovascular status


Special Notes: In order to achieve mastery you must: Apply the splint securely Cut the splint to the appropriate length Complete the task in under 3 minutes


Student Mastery Checklist for: Domain: Risk Management and Prevention Teaching

Objective #:

9

Specific Outcome:

1e Skill: Apply a straight leg splint


Senior Review/date

ACI Review/ Date

1. Determine which limb that is injured

2. Have the athlete lay on the table, tell the athlete to relax.

3. Obtain a knee splint that is appropriate for the size of the athlete.

4. Having someone help you ask your partner to gently lift the knee.

5. Slide the splint under the knee lining up the patellar circle with the athletes patella

6. Secure the splint with the velcro straps

7. Check distal neurovascular status


Special Notes: In order to achieve mastery you must: Apply the splint securely Get an appropriately sized splint Complete the task in under 2 minutes




4

Specific Outcome:

1F Skill: Select and Fit a prophylactic ankle brace


Senior Review/date

ACI Review/ Date

1. Ask the athlete their shoe size and choose a brace that should fit the athlete

2. Examine the brace to make sure that it and the laces are in good condition.

3. Instruct the athlete to place the brace on their foot and tighten the laces to an appropriate tightness.

4. Check the sides of the brace and indicate that you are looking to see that the brace is sufficiently fitted to the ankle (no gaps)

5. Check the top of the brace and indicate that you are looking to see if the brace is too tight or too loose.

6. Check the part of the brace around the foot and indicate that you are looking to see if the brace is too tight or too loose.

7. Ask the athlete to stand and then walk with the brace on and ask them if the brace is comfortable and if it is pinching anywhere

8. Instruct the athlete not to alter the brace in any way, and to return if the brace begins to rub or otherwise irritate the athlete.


Special Notes: In order to achieve mastery students must:

Appropriate fit the ankle brace Complete the task in under 3 minutes




4

Specific Outcome:

1G Skill: Select and fit a prophylactic knee brace


Senior Review/date

ACI Review/ Date

1. Choose a brace that should fit the athlete.

2. Examine the brace to make sure that it and all the straps are in good condition.

3. Place the hinge next to the joint line and parallel to the collateral ligament.

4. Instruct the athlete to place the brace on the side of their knee and tighten the straps to an appropriate tightness.

5. Check the sides of the brace and indicate that you are looking to see that the brace is sufficiently fitted to the knee (no gaps)

6. Check the top of the brace and indicate that you are looking to see if the brace is too tight or too loose.

7. Check the bottom of the brace and indicate that you are looking to see if the brace is too tight or too loose.

8. Ask the athlete to stand and then walk with the brace on and ask them if the brace is comfortable and if it is pinching anywhere

9. Instruct the athlete not to alter the brace in any way, and to return if the brace begins to rub or otherwise irritate the athlete.


Special Notes: In order to achieve mastery students must:

Appropriate fit the brace Complete the task in under 3 minutes




8

Specific Outcome:

1a Skill: Bony Prominence pad


Senior Review/date

ACI Review/ Date

1. Determine the area to be treated

2. Cut a piece of high density foam large enough to cover the area to be protected

3. Cover the pad with tape to protect it and allow it to be used repeatedly

4. Secure the pad to the athlete with an appropriate elastic wrap or appropriate taping products

5. Instruct the athlete to move the body part and ask them if the pad is comfortable and if it is pinching anywhere

6. Instruct the athlete not to alter the pad in any way, and to return if it begins to rub or otherwise irritate the athlete.


Special Notes: In order to achieve mastery you must: Select an appropriate size pad and secure it appropriately Complete the task in under 5 minutes.


Student Mastery Checklist for: Domain: Acute Care of Injury and Illness Teaching

Objective #:

2

Specific Outcome:

1e Skill: Apply and remove gloves


Senior Review/date

ACI Review/ Date

Apply Gloves

1. Choose a pair of gloves that fits your hand size

2. Put the gloves on before making contact with the athlete

Remove Gloves

3. With the dominant hand grasp the opposite glove just distal to the wrist band

4. Pull the glove off over the fingers (glove will be inside out) and grasp it in the gloved hand

5. Place the index finger of the ungloved hand UNDER the wrist of the soiled glove and remove inside out over fingers

6. Throw the soiled gloves in the appropriate biohazard waste container (or indicate that you would do so)

7. Indicate that you would wash your hands with soap and water.


Special Notes: In order to achieve mastery you must: Remove gloves with NO contamination to self or environment Properly dispose of gloves and other biohazardous material Complete the task in under 1 minute



Objective #:

2

Specific Outcome:

1b Skill: Controlling bleeding of an open wound


Senior Review/date

ACI Review/ Date



3. Apply sterile gauze pad to the injured area and apply direct pressure

4. If bleeding goes through the gauze add more gauze. Indicate that you would NEVER remove blood soaked dressing

5. Elevate the body part. Indicate that you would do this only if no fracture is suspected

6. If bleeding fails to stop, apply pressure to brachial artery in the arm or femoral artery in the leg.

7. Properly dispose of gloves


You must master applying and removing gloves before completing this skill. Special Notes: In order to achieve mastery you must: Remove gloves with NO contamination to self or environment Properly dispose of gloves and other biohazardous material Complete the task in under 1 minute



Objective #:

2

Specific Outcome:

1 Skill: Clean, debride and protect an open wound


Senior Review/date

ACI Review/ Date



3. Use a sterile gauze pad to apply ½ solution of peroxide and saline solution to the wound**

4. Clean the wound in a circular fashion moving from the middle of the wound to the outside of the wound.

5. Apply antibiotic ointment using a cotton tipped applicator

6. Apply a sterile occlussive dressing over the wound (ie: second skin)

7. Secure dressing in place with bandaid, or prewrap and tape

8. Properly dispose of gloves


You must master applying and removing gloves and controlling bleeding before mastering this task Special Notes: In order to achieve mastery you must: Contain contamination to small area Properly dispose of gloves and other biohazardous material Complete the task in under 2 minutes * Betadine solution may also be used.



Objective #:

2

Specific Outcome:

1d, f Skill: Apply superficial skin closures


Senior Review/date

ACI Review/ Date

1. Apply gloves

2. Indicate that you would clean the debride the wound

3. Use a cotton tipped applicator to apply adhesive spray around the wound

Butterfly closures

4. Remove the non adhesive paper from one side of the butterfly strip and place it on one side of the wound so that that thin strip will cover the wound

5. Tugging gently, pull the butterfly strip (by the non-adhesive side) across the wound and secure to the body by removing the non adhesive side.

6. Indicate that you would put additional strips as needed to secure the wound

Steristrips

7. Cut the steristrips to the needed length

8. Remove the non-adhesive side of the back paper of ½ of the steristrip paper

9. Starting at the edge of the wound, Using tweezers, remove the steristrip and secure to the athlete above and below the wound pulling in one direction

10. Repeat the procedure for two more times, pulling the wound together.

11. Indicate that you would repeat the procedure until the wound was secured

Disposing of waste

12. Dispose of all biohazardous material in the proper container

13. Remove gloves correctly and dispose properly


Special Notes: In order to achieve mastery you must: Contain contamination to small area Properly dispose of gloves and other biohazardous material Secure the strips to the body with appropriate tension on the wound


Student Mastery Checklist for: Domain: Acute Care of Injuries and Illness Teaching

Objective #:

6

Specific Outcome:

1c Skill: Fitting/ Using Crutches


Senior Review/date

ACI Review/ Date

Fitting Crutches

1. Indicate that you would examine the crutch pads to make sure that they were in good condition and were appropriate to the weather conditions

2. Ask the athlete how tall they are

3. Ask the athlete to stand erect in flat shoes

4. Place the crutch tip 2” in front and 6” to the side of the front toe of the leg

5. Adjust the height of the crutch so that the axillary pad is 11/2 to 2” (2-3 fingers) below axilla

6. Adjust the hand grip so the elbow is bent to a 30 degree angle.

Crutch use

1. Tell the athlete to keep their involved leg up at all times and that it should stay with the crutches

2. Instruct the athlete to keep their body weight on their hands and not on the axillary area

3. Instruct the athlete to move the crutches approx. 12” in front of them and to step through the crutches as if taking a normal step

Going up stairs

4. Instruct the athlete to place the uninvolved leg on the step, followed by the crutch and involved leg.

Going down stairs

5. Instruct the athlete to move the crutches with the involved foot forward followed by the crutches and the uninvolved foot


Special Notes: In order to achieve mastery you must: Have crutch height and arm angle correct Complete the task in under 2 minutes



Objective #:

6

Specific Outcome:

1a Skill: Fitting/ using cane


Senior Review/date

ACI Review/ Date

Fitting the cane

1. Instruct the athlete to stand as erect as possible and let their arms fall to their sides naturally

2. Measure from the carpals to the floor and adjust the cane to that height

Walking with a cane

3. Instruct the athlete to use the cane on the side opposite their injury

4. Instruct the athlete to put weight on their unaffected leg and move the cane and affected leg forward a comfortable distance

5. Instruct the athlete to shift their weight to the cane and move their unaffected leg forward


Special Notes: This task must be completed in 2 minutes


Student Mastery Checklist for: Domain: Teaching

Objective #:

Specific Outcome:

Skill: Head injury assessment (basic)

Skill steps: Peer

Review/date

Senior

Review/date

ACI Review/ Date

1. Indicate that you would ask the athlete what happened

2. Indicate that you would ask the athlete if they heard or hear unusual sound or have unusual sensations (ie: dizziness)

3. Indicate that you would ask the athlete if they have a headache

4. Indicate that you would ask the athlete if they are having any trouble with their vision (ie: double vision, blurred vision etc)

5. Indicate that you would ask the athlete questions to determine their alertness to surroundings (eg: score of the game, who they are playing, where they are, what day it is)

6. Indicate that you would check the ears and nose for any fluid or blood. Fluid or blood would mean a severe head injury

7. Using a penlight, check for pupillary response to light

8. Indicate that normal pupils constrict when light is presented. Not restricting or unequal constricting would indicate a serious head injury

9. Ask the athlete to stand with their feet together and close their eyes. Indicate that you are looking for inability to stand erect

10. Indicate that if anything in your exam suggested a serious head injury that you would refer the athlete to a certified athletic trainer and/or a doctor immediately


Special Notes: In order to achieve mastery you must: Perform all testing bilaterally (e.g.: pupillary response, inspection) Complete the task in 2 minutes



Objective #:

3

Specific Outcome:

1a Skill: Vacuum Splints

Skill steps: Peer Review/date Senior

Review/date

Clinical

Instructor

Review/ Date

Applying the splint

1. Get out the appropriate splint, lay it on the ground next to the patient and evenly distribute the inside material

2. Have a partner lift the patient’s leg or arm as you slide the splint under the body part. Indicate that you would take care not to disturb the position of the body part

3. Strap the splint on as securely as possible

4. Making sure the pump cable is plugged into the “apply side” and attach the pump cable to the splint

5. Draw all the air out of the splint

6. Check distal neurovascular status of the patients distal extremity

Removing the splint

7. plug the pump cable into the “remove side of the pump” and attach it to the splint

8. Pump until the splint is loose

9. Unstrap the splint and remove from under the patient (use a partner if necessary)


Special Notes: In order to achieve mastery you must: Apply the splint securely Check neurovascular status Complete the task in under 4 minutes



Objective #:

6

Specific Outcome:

1C Skill: Move injured athlete (manual conveyance)


Review/date

ACI Review/

Date

The following assumes a lower extremity injury and that severe injury has been ruled out

1. Ask the athlete to sit up and bend their uninvolved leg so their foot is flat on the ground

2. You and your partner should kneel next to the athlete and put their arm around your shoulders

3. Instruct the athlete to put all their weight on their good leg

4. Instruct the athlete that on the count of three you are going to stand up and want them to stand up with you

5. Count to 3 and stand up, allow the athlete to get their weight centered on their good leg

6. Instruct the athlete to lean on you and swing their good leg about 10 – 12” in front of them


Special Notes: Students must complete the task in under 2 minutes


Student Mastery Checklist for: Domain: Therapeutic Modalities Teaching

Objective #:

1

Specific Outcome:

Cryotherapy, 1c Skill: Making and Applying ice bag


Senior Review/date

ACI Review/ Date

1. Ask the athlete whether they suffer from cold allergies, Raynaud’s phenomenon, high blood pressure, circulatory impairment or numbness over the skin area. Indicate that if the answer to any of these was yes, an ice bag would be contraindicated

2. Fill the bag with enough ice to cover the body part to be treated.

3. Remove all air from the ice bag

4. Tie the ice bag with a high knot to allow the ice to conform to the body (if appropriate)

5. Explain to the athlete that they will feel cold, burning/stinging, aching and numbness. (must be in order)

6. Place the ice bag on the athlete

7. Secure the ice bag with an ace wrap or flexiwrap. Indicate you would not do this if the bag was over the lateral lower leg or the medial elbow, due to the location of superficial nerves.

8. Indicate that typical treatment time for an ice bag is 10 – 20 minutes


Special Notes: In order to master this skill you must:

Get all of the air out of the ice bag

Make an appropriately sized iced bag to the part being treated

Complete the task in under 2 minutes



Objective #:

2

Specific Outcome:

1f Skill: Ice massage


Senior Review/date

ACI Review/ Date

1. Ask the athlete whether they suffer from cold allergies, Raynaud’s phenomenon, high blood pressure, circulatory impairment or numbness over the skin area. Indicate that a yes answer to any of the above would be a contrainidcation to ice usage

2. Determine the area to be iced and then drape the rest of the body with a towel

3. Obtain an ice cup

4. Inform the athlete that they will feel four sensations: cold, burning/ stinging, aching and numbness (in order)

5. Apply the ice cup in slow overlapping strokes or circles with slight pressure.

6. Indicate that the treatment area should be no greater than three times the size of the ice cup

7. Periodically remove the paper from the end of the cup to prevent irritation.

8. When finished, indicate that you would check the skin for any signs of irritation

9. Indicate that typical treatment time for an ice cup is 7 – 10 minutes


Special Notes: In order to achieve mastery you must: Apply the ice with appropriate pressure Appropriately drape the patient Complete the task in under 1 minute



Objective #:

2

Specific Outcome:

1h Skill: Apply I.C.E.


Senior Review/date

ACI Review/ Date

1. Determine the body part that is injured

2. Fix and apply an ice bag to the injured area

3. Secure the ice bag in place with an elastic wrap or flexi-wrap

If a LE injury

1. Have the athlete lie down

2. Elevate the leg 10-12” using a pillow or other device

If a UE injury

1. Elevate the limb as required to keep it above the heart


You must mastery applying an ice bag before attempting this skill

Special Notes: In order to achieve mastery you must: Complete the task in under 2 minutes



Objective #:

2

Specific Outcome:

Thermotherapy, 1a Skill: Applying a moist heat pack


Senior Review/date

ACI Review/ Date

1. Ask the athlete if they suffer from poor circulation, impaired thermal regulation, or malignancy. Indicate that a yes to any of the above would be a contraindication to heat pack usage

2. Determine whether there is acute inflammatory response in the area by feeling for heat. Indicate that acute inflammation would be a contraindication to heat pack usage

3. Obtain a hydrocollator pad for the injured area and place in the appropriate fabric cover

4. Place the pack on the body part to be treated.

5. Inform the athlete to let you know if the pack gets too hot.

6. If the pack gets too hot, add additional layer of towels.

7. Following treatment check the skin for any signs of irritation.

8. Indicate that typical treatment time is 10 – 20 minutes


Special Notes: In order to achieve mastery you must:

This task must be completed in under 2 minutes


Student Mastery Checklist for: Domain: Therapeutic modalities Teaching

Objective #:

2

Specific Outcome:

Cryotherapy, 1a Thermotherapy, 1d

Skill: Performing a whirlpool treatment


Senior Review/date

ACI Review/ Date

1. Determine whether the athlete suffers from any acute skin conditions that are contagious in nature. Indicate that if an athlete did then this would be a contraindication for whirlpool usage

2. Ensure that the water level of the whirlpool over the turbine intake valve

3. Make sure the water temperature is at the desired temperature and adjust as needed.

4. Put providone-iodine or 5% bleach solution in the water

5. Turn on the motor

6. Assist the athlete into the water if necessary.

7. Adjust water flow intensity, height and direction as indicated for the treatment.

8. Instruct the patient to move the body part throughout the ROM if indicated

9. Remove the patient from the water and dry the treated area..

10. Turn off the turbine

11. Indicate that typical treatment time is 10 – 30 minutes



Ensure that the turbine must be on before the patient enters the water, and the patient must be out of the water before the turbine is off

Complete this skill in under 2 minutes



Objective #:

N/A

Specific Outcome:

Psychomotor domain 4,5,7,8 Skill: Apply an US treatment


Senior Review/date

ACI Review/ Date

1. Ask the athlete if they are pregnant (if applicable), have malignancies, areas of decreased sensation or circulation

2. Set the machine parameters as instructed by an ATC

3. Determine the area to be treated

4. Appropriately drape the person

5. Apply adequate US medium to the skin

6. Place transducer in contact with the body

7. Increase intensity to desired w/cm2

8. Start the treatment

9. Perform treatment with appropriate speed and pressure

10. If patient reports too high an intensity, turn off machine and then move transducer

11. Wipe off the patient checking for any irritation caused by the ultrasound


Special Notes: In order to achieve mastery you must: Correctly set all parameters Perform the treatment with the proper speed and pressure Complete the task in under 3 minutes



Objective #:

2

Specific Outcome:

Electrotherapy, 1a, 2d, Skill: Apply an IFC treatment


Senior Review/date

ACI Review/ Date

1. Choose the channel for treatment by using the up or down arrows. Pick either channel 1, or channel 3.

2. Hit IFC and ensure that the scan mode is correct. If incorrect, adjust.

3. Determine the area to be treated and the location of the electrodes.

4. Wipe the area with alcohol and a gauze pad.

5. Apply the electrodes to the skin, in a crossing pattern. Make sure the “third current” is appropriate.

6. Ensure that electrodes are making good contact with the skin.

7. Tell the patient: “I am going to start turning up the intensity now, tell me when you first feel it”, and turn up appropriately

8. Tell the patient: “Now tell me when the intensity is just below uncomfortable”, and turn up intensity appropriately

9. Press start.

10. After approximately 5 minutes turn up intensity if needed

11. Remove the electrodes, and check for any skin irritation.


Special Notes: In order to achieve mastery you must: Apply the electrodes appropriately Have appropriate skill sequencing




Objective #:

2

Specific Outcome:

Electrotherapy, 1a, 2d, Skill: Muscle protocol treatment


Senior Review/date

ACI Review/ Date

The ACI will appropriately position the electrodes and instruct you on which motor response is required.

Russian/ VMS

1. Ensure that electrodes are making good contact with the skin.

2. Set the parameters of the treatment as instructed by the ACI.

3. Tell the patient: “I am going to start turning up the intensity now, tell me when you first feel it”, and turn up appropriately

4. Tell the patient: “Now I am going to turn this up until we get a strong muscle contraction, when you feel the muscle contraction concentrate on your muscle and make the contraction as strong as possible”

If the correct muscle contraction results

5. Press the start button

6. After approximately 5 minutes turn up intensity if needed

7. Remove the electrodes, and check for any skin irritation.

If the incorrect muscle contraction results

8. Inform the ACI that the electrodes need to be repositioned

If no muscle contraction results (and the intensity is too high for the patient)

9. Turn off the treatment

10. Indicate that you would get the ACI to modify the treatment parameters or reposition the electrodes


In order to achieve mastery you must: Have appropriate skill sequencing and make the appropriate decision on

treatment start Complete the task in under 4 minutes


Student Mastery Checklist for: Domain: Prevention Recognition and

Evaluation Teaching Objective #:

1

Specific Outcome:

1A Skill: Measuring Height/ Weight


Senior Review/date

ACI Review/ Date

Height

1. Instruct the athlete to remove their shoes.

2. Ask the athlete to place their back to the wall where the tape measure is located (or where the height measure is located on the scale)

3. Ask the athlete to stand tall.

4. Hold something level above their head to get an accurate measurement.

5. Ask the athlete to step away.

6. Indicate that you would record the results in inches.

Weight

1. Ask the athlete their approximate weight.

2. Move the lower knob to the approximate amount.

3. Move the upper knob to the right or left to center the balance.

4. Ask the athlete to step off of the scale.

5. Indicate the results



Read the height correctly and convert it to feet and inches correctly

Complete the task in under 1 minute


Student Mastery Checklist for: Domain: General Medical Conditions Teaching

Objective #:

NA

Specific Outcome:

3a Skill: Measuring Blood Pressure


Senior Review/date

ACI Review/ Date

1. Have the athlete in a comfortable seated position with arms to their side.

2. Apply the cuff snugly around the arm, just above the elbow.

3. Place the stethoscope over the brachial artery.

4. Inflate the cuff until the pressure gauge registers about 200mm Hg.

5. Slowly deflate the cuff and listen for the first beat (systolic pressure).

6. Listen for the last beat that is relatively strong and in sequence (diastolic pressure).

7. Indicate that you would record the results

8. Indicate that normal systolic BP is 120, and normal diastolic BP is 70.


Special Notes: In order to achieve mastery you must: Results must be within 4 of the systolic and 4 of diastolic to receive mastery ACI will use dual head stethoscope during testing. Complete the task in 2 minutes



Objective #:

Specific Outcome:

3c Skill: Measuring respiration


Senior Review/date

ACI Review/ Date

1. Ask the athlete to sit down and relax

2. Indicate that the quality of the breathing may indicate various conditions (very shallow = shock, heat exhaustion, cardiac injury), (gasping = respiratory dysfunction, heart attach), (extremely fast = hyperventilation)

3. Determine the amount of respirations for 30 seconds and multiply the result by 2

4. Indicate that you would record the results.

5. Indicate that normal respiration is 12 per minute


Special Notes: In order to achieve mastery you must: Get a Result within 2 of the ACI Complete the task in under 2 minutes



Objective #:

Specific Outcome:

3b Skill: Measuring pulse radial artery


Senior Review/date

ACI Review/ Date

1. Before palpating the pulse ask the athlete if they have recently been physical active. Indicate that this may affect the results

2. Ask the athlete to hold out one of their arms with the palm up. There arm should be relaxed.

3. Place your two middle fingers over their radial artery (thumb side).

4. Take count of their pulse for 30 seconds and multiply the result by 2

5. Indicate the results.

6. Indicate that normal pulse rate is 60 bpm


Special Notes: In order to achieve mastery you must: Achieve results within 4 of the ACI, who will be feeling the other wrist. Complete the task in 1 minute



Objective #:

Specific Outcome:

2 a, c Skill: Assessing Temperature


Senior Review/date

ACI Review/ Date

Oral temperature

1. Obtain a thermometer, place a sterile cover on it

2. Place the thermometer in the athlete’s mouth (in the back of the underside of the tongue) and keep it there until it beeps.

3. Remove the thermometer and dispose of the cover (use a glove or gauze pad)

4. Read the temperature

Tympanic temperature

1. Have the athlete sit or stand and pull the top of their ear up and back

2. Make sure the thermometer is on and Place the thermometer in the athlete’s ear and push the scan button

3. Read the temperature


Special Notes: In order to achieve mastery the student must:


Must read the temperature accurately




1

Specific Outcome:

1g Skill: Assessing vision using Snellen eye chart


Senior Review/date

ACI Review/ Date

1. Ask the athlete if they wear contacts or glasses. If so, Have them do the test with and their glasses or contacts and note that they did so on the paperwork.

2. Have the athlete stand 20 feet away from the Snellen Eye Chart.

3. Instruct the athlete to cover one eye with a card or a cupped hand. Instruct the athlete not to put pressure on their eye

4. Ask them if they are able to read the line above the red mark (20/20) from right to left.

5. If not, ask them one line up until they get all but two right

6. Look to left of line and indicate the reading

7. Repeat with the other eye



Identify the correct eye reading

Complete the task in under 1 minute



Objective #:

Specific Outcome:

Skill: Identifying body motions (UE)

Skill steps: Peer

Review/date

Senior

Review/date

ACI Review/ Date

As the ACI reads the following movements to you perform the movements:

1. Anatomic position

2. Shoulder flexion

3. Shoulder extension (hyperextension)

4. Shoulder abduction

5. Shoulder external rotation (arm abducted)

6. Shoulder internal rotation (arm adducted)

7. Shoulder horizontal abduction

8. Shoulder horizontal adduction

9. Elbow flexion

10. Elbow extension

11. Wrist flexion

12. Wrist extension

13. Wrist ulnar deviation

14. Wrist radial deviation

15. Forearm supination

16. Forearm pronation

17. Finger flexion

18. Finger extension

19. Finger abduction

20. Finger adduction

21. Thumb flexion

22. Thumb extension

23. Thumb abduction

24. Thumb opposition


Special Notes: In order to achieve mastery you must: Get 23 out of 24 correct Complete the task in 2 minutes



Objective #:

Specific Outcome:

Skill: Identifying body motions (trunk/ LE)


Senior Review/date

ACI Review/ Date

As the ACI reads the following movements to you perform the movements:

1. Anatomic position

2. Neck flexion

3. Neck extension (hyperextension)

4. Neck lateral flexion

5. Neck rotation

6. Trunk flexion

7. Trunk extension (hyperextension)

8. Trunk lateral flexion

9. Trunk rotation

10. Hip flexion

11. Hip extension

12. Hip abduction

13. Hip external rotation (knee straight)

14. Hip internal rotation (knee straight)

15. Knee extension

16. Knee flexion

17. Ankle dorsiflexion

18. Ankle plantarflexion

19. Ankle inversion

20. Ankle eversion


Special Notes: In order to achieve mastery you must: Get 19 out of 20 correct Complete the task in 2 minutes




6

Specific Outcome:

1a-k Skill: Static stretching techniques (leg)


Senior Review/date

ACI Review/ Date

Hamstring

1. Have the athlete lying supine on the table

2. Place one hand just superior to the anterior knee and one hand over the achilles tendon

3. Raise the athlete’s leg and instruct them to tell you when they feel the stretch

4. Hold the pressure 10 – 30 seconds

5. Repeat the stretch 2x

Quadriceps 1

6. Have the athlete lying prone on the table with their knee maximally bent

7. Place one hand on the lower portion of the athlete’s back just superior to the gluteus maximus and the other hand on the anterior portion of the distal thigh

8. Raise the athlete’s leg off the table and instruct them to tell you when they feel the stretch


10. Repeat the strech 2x

Quadriceps Stretch 2

11. Have the athlete laying supine on the table with their legs hanging off the edge

12. Instruct the athlete to raise one knee to their chest and hold it with their hands

13. Place on hand over the athletes ASIS and the other over the distal femur

14. Push down on the distal femur and instruct the athlete to tell you when they feel the stretch

15. Hold the stretch for 10 – 30 seconds



Special Notes: In order to master this skill you must: Appropriately stabilize the body Apply adequate pressure to elicit a good stretch Complete the task in 4 minutes




6

Specific Outcome:

1a-k Skill: Static stretching techniques (shldr)


Senior Review/date

ACI Review/ Date

Shoulder internal rotators/ anterior capsule


2. Place one hand just on the posterior portion of the distal humerus and one hand over the anterior distal forearm

3. Externally rotate the shoulder and instruct the athlete to tell you when they feel the stretch



Shoulder external rotators/ anterior capsule


7. Place one hand just on the posterior portion of the distal humerus and one hand over the posterior distal forearm

8. Internally rotate the shoulder and instruct the athlete to tell you when they feel the stretch



Shoulder posterior capsule

1. Have the athlete sitting on the edge of the table with their arm in horizontal abduction

2. Stand in front of the athlete and place one hand on the posterior distal humerus and the other hand on the posterior portion of the opposite shoulder

3. Push the athletes arm toward their body and instruct them to tell you when they feel the stretch

4. Hold the stretch for 10 – 30 seconds



Special Notes: In order to master this skill you must: Appropriately stabilize the body Apply adequate pressure to elicit a good stretch Complete the task in 4 minutes




6

Specific Outcome:

1a-k Skill: PNF stretching (hamstring)


Review/date

Clinical

Instructor

Review/ Date

1. Have the athlete lie supine on the table

2. Raise the leg until a good stretch is felt in hamstring (have the athlete tell you)

3. Hold a passive stretch for 6 seconds

4. Have the athlete perform an isometric contraction of the hamstring muscle for 6 seconds (instruct the athlete to try to push their leg to the table)

5. Tell the athlete to relax

6. Instruct the athlete to contract the quadriceps muscle and pull the leg into a further stretch

7. Repeat 2 x


Special Notes: In order to master this skill you must: Appropriately stabilize the body Apply adequate pressure to elicit a good stretch Appropriately resist the contraction so no joint movement occurs


Student Mastery Checklist for: Domain: Therapeutic Exercise Teaching

Objective #:

1

Specific Outcome:

2a Skill: Theraband ankle exercises

Skill steps: Peer

Review/date

Senior

Review/date

ACI Review/ Date

1. Have the athlete seated on a table with their

ankles hanging off the edge

2. Apply the theraband around the ball of the foot.

Dorsiflexion

3. Place tension on the theraband by standing in

front of the athlete

4. Beginning in plantar flexion, have the athlete

bring the foot into complete dorsiflexion.

5. Have athlete repeat specified number of reps

controlling the movement both up and down.

Plantarflexion

6. Place tension on the theraband by having the

athlete pull on the theraband

7. Beginning in full dorsiflexion, have the athlete

bring the foot into complete plantarflexion.


controlling the movement both up and down.

Inversion

9. Place tension on the theraband by standing to the

outside of the foot

10. Beginning in full eversion, have the athlete bring

the foot into complete inversion.

11. Ensure that the athlete is not compensating by

doing hip internal rotation.


controlling the movement both in and out

Eversion

13. Place tension on the theraband by standing to the

inside of the foot

14. Beginning in full inversion, have the athlete bring

the foot into complete inversion.

15. Ensure that the athlete is not compensating by

doing hip external rotation.


controlling the movement both in and out


Special Notes: In order to master this skill: The athlete must control the movement up and down throughout the full range of motion The theraband must be appropriately secured. The task must be completed in 1 minute



Objective #:

1

Specific Outcome:

2b Skill: Theraband shoulder exercises


Senior Review/date

ACI Review/ Date

Flexion

1. Have the athlete standing next to the theraband wall holder with their back facing the wall

2. Place the theraband at the height of the ankle

3. Place tension on the theraband by having the athlete step away from the wall

4. Instruct the athlete to raise their arm to no more than 90 degrees

5. Beginning in slight extension, have the athlete flex their shoulder

6. Ensure that the athlete is not compensating by doing trunk extension

7. Have athlete repeat specified number of reps controlling the movement both up and down.

Extension

8. Place the theraband at the height of the ankle


10. Beginning in slight flexion, have the athlete extend their shoulder

11. Ensure that the athlete is not compensating by doing trunk flexion



Special Notes: In order to master this skill: The athlete must control the movement throughout the full ROM The theraband must be appropriately secured. Trunk extension must be eliminated The task must be completed in 1 minute



Objective #:

1

Specific Outcome:

2b Skill: Theraband shoulder exercises (ER/ IR)


Senior Review/date

ACI Review/ Date

1. Have the athlete standing next to the theraband wall holder, with the arm to be worked away from the wall

2. Place the theraband at the height of the elbow


4. Instruct the athlete to keep their elbow at their side at all times.

External Rotation

5. Beginning in full internal rotation have the athlete pull the arm into external rotation

6. Ensure that the athlete is not compensating by doing trunk rotation


Internal Rotation

8. Beginning in full external rotation have the athlete pull the arm into internal rotation

9. Ensure that the athlete is not compensating by doing trunk rotation



Special Notes: In order to master this skill: The athlete must control the movement throughout the full range of motion The theraband must be appropriately secured. Trunk rotation must be eliminated The task must be completed in 1 minute



Objective #:

2

Specific Outcome:

1a Skill: Straight leg raise (flexion)


Senior Review/date

ACI Review/ Date

1. Apply the weight cuff around the ankle snugly putting velcro up**

Flexion

2. Have the athlete lie supine flat, with opposite knee bent to 90 degrees (foot on table)

3. Have the athlete raise the injured leg to level of bent knee


Extension

5. Have the athlete lay prone on the table face down with their feet hanging off the edge.


7. Instruct the athlete to raise their injured leg approximately 10 inches off the table

8. Ensure that the athlete’s hips remain securely on the table ( the athlete should not rotate)



Special Notes: In order to master this skill: The athlete must control the movement up and down throughout the ROM The weight cuff must be appropriately secured. The task must be performed in 1 minute ** if the athlete is post ACL-surgery the weight cuff must go above the knee.



Objective #:

1

Specific Outcome:

2a Skill: Straight leg raise (ab/adduction)


Senior Review/date

ACI Review/ Date

Abduction

1. Have the athlete lay on the table on the side opposite that which is being worked.



4. Ensure that the athlete’s body does not rotate forward or backward to compensate for the movement


Adduction

6. Have the athlete lay on the table on the side that is being worked, with the opposite leg crossed in front of the working leg. The athlete should rest on their elbow.



9. Ensure that the athlete’s body does not rotate forward or backward to compensate for the movement



Special Notes: In order to master this skill: The athlete must control the movement throughout the ROM The weight cuff must be appropriately secured. The athlete must not rotate the body to perform the movement. The task must be completed in 1 minute ** if the athlete is post ACL-surgery the weight cuff must go above the knee.


Wrinkles/ Graps Identified “bad areas” Ankle

Arch

Achilles

Turf Toe

Thumb

Elbow

Wrist/ hand

Documents

ATTR 205 Mastery Sheets Table of Contents Modality Usage ... › mbmoore › Notes › Spring 2011 › ATTR 205... · top and bottom of the foot. 3. Apply prewrap covering the entire