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1

LEARN - INSPIRE - SUCCEED

Level 3 Diploma in Sports Massage Therapy

Student Portfolio

2

3

Contents

Contents

Student progress record ………………………………………….. 4

Assessment plan ………………………………………….. 5

Class based massage checklist ………………………………………….. 7

Home based massage checklist ………………………………………….. 9

Subjective questionnaire ………………………………………….. 11

Principles of exercise worksheet ………………………………………….. 15

Professional practice worksheet ………………………………………….. 17

Home massage evaluation forms (1-3) ………………………………………….. 21

Observed assessment 1 ………………………………………….. 27

Anatomy & Physiology worksheets ………………………………………….. 31

Home massage evaluation forms (4-7) ………………………………………….. 55

Observed assessment 2 ………………………………………….. 63

Observed assessment 3 ………………………………………….. 67

Soft tissue dysfunction worksheet ………………………………………….. 71

Sports massage treatments worksheet ………………………………………….. 75

Home massage evaluation forms (8-12) ………………………………………….. 77

Summary of achievement ………………………………………….. 87

Student Progress Record

Portfolio work to be completed after first weekend:

• Principles of Exercise worksheet• Professional Practice worksheet• 3 Sports Massages, documented on ‘home-based’ checklist and evaluated.

Portfolio work to be completed during second weekend:

• 1st observed assessment, with assessor feedback

Portfolio work to be completed after second weekend:

• Anatomy & Physiology workbook• 4 Sports Massages, documented on ‘home-based’ checklist and evaluated.

Portfolio work to be completed during third weekend:

• 2nd and 3rd observed assessment, with assessor feedback• Combined unit paper (not in this portfolio - given separately)

Portfolio work to be completed after third weekend:

• Soft Tissue Dysfunction worksheet• Sports Massage Treatments worksheet• 5 Sports Massages, documented on ‘home-based’ checklist and evaluated.

4

Student Progress Record

Name

Anatomy and Physiology

Combined Unit Paper

Learner Assessment Record3 Observed

Massage Assessments

& Evaluations

Complete Portfolio

Workbook Theory Paper Exam

Principles of Exercise Worksheet

Professional Practice in

SMT Worksheet

Sports Massage

Treatments Worksheet

Assessment plan

Learners name: Learners signature:

Assessors name: Assessors signature:

IQAs name: IQAs signature:

Unit title Element no Evidence/assessment method

Date, time and place

Any reasonable adjustments

Anatomy & physiology for sports massage J/506/7220

1 2

• Assessment workbook• Multiple choice exam

Principles of health and fitness R/506/7222

3 4

• Worksheet• Section A of combined

unit paper

Professional practice in sports massage D/506/7224

5 6

• Worksheet• Section B of combined

unit paper

Understand the principles of soft tissue dysfunction Y/506/7223

7 • Worksheet

Sports massage treatments T/506/7228

8 9 10

• Worksheet• Section C of combined

unit paper• 3 x observed massage

treatments

5

Assessment planLevel 3 Diploma in Sports Massage Therapy

6

7

Class based sports massage checklistLevel 3 Diploma in Sports Massage Therapy

Student Name: Tutors name:

Course Start Date:

*Highlight area massaged and type of massage:Sign off each massage by both tutor and student

Anterior Posterior

8

9

Home based sports massage checklistLevel 3 Diploma in Sports Massage Therapy

Student Name: Tutors name:

Course Start Date:

*Highlight area massaged and type of massage:Sign off each massage by both tutor and student

Anterior Posterior

10

Details/notes:

11

Subjective QuestionnaireLevel 3 Diploma in Sports Massage Therapy

Client Details

(Mr/Mrs/Miss/Ms) Surname: First Name:

D.O.B: Height: Weight:

Address:

Tel no: Email:

In case of emergency contact:

Name: Tel no: Relationship:

Client Lifestyle Details

Occupation: Hours per week:

Hobbies/Interests/ Activities:

Physically related work activities:

GP Details

Name: Tel no: Surgery:

Medical History

Do you have, or have you had in the past 6 months, any of the following symptoms/conditions?

Observable contraindications y/n GP contraindications y/n Precautionary conditions y/n

•Skin disorders•Myositis•Recent operations•Inflammation•Sprains and strains•Cuts and bruises•Fractures•Phlebitis•Bursitis•Varicose veins•Burns•Airborne infections•General fever•Glandular fever•Undiagnosed lumps•Unstable pregnancy

•Cancer•Cardiovascular disease•Diabetes •Epilepsy•Disorders of the nervous system•Disorders of the lymphatic system•Auto immune disorders•HIV and AIDS•Severe hypertension/hypotension•Thrombosis (DVT)•Neural disorders•Pneumonia•Substance abuse

•Medically weak skin, bone or tissues•Haemophilia•Pregnancy•Undiagnosed musculo- skeletal disorders•Menstruation•Diabetes (controlled)•Severe hypertension/ hypotension (controlled)•Asthma•Allergies•Headaches•Sinusitis

If required, has permission been given by the GP/Consultant to carry out the treatment? (Please attach letter) y/n

Have you visited your GP in the last 6 months? y n Details

Are you on any prescribed medication? y n Details

Are you receiving treatment from anotherhealthcare professional? y n Details

Do you suffer from any allergies, especially nut? y n Details

I hereby confirm that the information stated in this form is accurate to the best of my ability. I further fully understand that thorough and honest responses to these questions are essential to my safety. I undertake to inform my therapist of any changes to the above information.

Signed: Print:

Date:

I understand that an assessment needs to take place in order to establish a treatment plan. All assessment and treatment procedures have been thoroughly explained and I am happy to proceed.

Signed: Date:

Therapist Signature: Date:

12

Examination

General observation:

Ranges of Movement

Therapist Signature: Date:

Joint Movement Active Pain Passive Pain Resisted Pain

Special Tests Positive Negative Comments

13

Soft Tissue Symptoms

Treatments

Therapist Signature: Date:

Symptom Action Symptom Action

14

Learners name:

1. Describe 2 short-term and 2 long-term effects that exercise has on the body.

Short-term effects A)

B)

Long-term effects A)

B)

2. Describe what could happen if a participant stops exercising suddenly.

3. Give 2 likely causes of delayed onset muscle soreness (DOMS)

15

Principles of health and fitnessWorksheet

(R/506/7222)

A) B)

Worksheet

Final result Pass Refer

Learners name: Learners signature:

Assessors name: Assessors signature:

IQAs name: IQAs signature:

4. Describe what is meant by each of the following training principles:

Specificity

Overload

Progression

Reversibility

5. Describe 4 signs/symptons that may indicate overtraining.

A)

B)

C)

D)

16

Learners name:

1. Describe each of the following:

Duty of care

Data protection act

Health and safety at work act

2. Explain the importance of the following:

Having a chaperone present when working with children and vulnerable adults

Obtaining and working within boundaries of informed consent

Complying with legislation and professional standards

17

Professional practice in sports massageWorksheet

(D/506/7224)

Worksheet

18

3. Outline 2 pieces of information which the client needs before they can provide their informed consent.

A) B)

4. Describe 3 localised cautions/contraindications to sports massage.

Localised cautions/contraindications (conditions)

Action to be taken by therapist upon presentation

Possible consequences of incorrect action

A)

B)

C)

5. Describe 3 systemic cautions/contraindications to sports massage

Systemic cautions/contraindications (conditions)

Action to be taken by therapist upon presentation

Possible consequences of incorrect action

A)

B)

C)

Final result Pass Refer

Learners name: Learners signature:

Assessors name: Assessors signature:

IQAs name: IQAs signature:

19

6. Outline a typical referral procedure when working with other professionals

7. Describe 2 ways by which the therapist can ensure they communicate with others in a professional manner.

A) B)

20

21

Worksheet

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

Sports Massage Treatmentand Evaluation

Massage 1

22

Professional practice in sports massage

(D/506/7224)Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

23

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

Sports Massage Treatmentand Evaluation

Massage 2

Final result Pass Refer

Learners name: Learners signature:

Assessors name: Assessors signature:

IQAs name: IQAs signature:

24

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

25

Sports Massage Treatmentand Evaluation

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

Sports Massage Treatmentand Evaluation

Massage 3

26

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

Clients name:

Purpose: Environment: Sport:

Key: √ = Pass C = Pass with comment R = ReferThe learner requires a √ or C against each criterion in order to pass

The learner Outcome

Initial assessment

Re- assessment

P1 Prepared treatment area, equipment and self for sports massage

P2 Carried out subjective assessment of client

P3 Obtained informed consent before carrying out physical assessment

P4 Carried out objective assessment of client using one or more of the following:

• Observations• Comfortable movement patterns• Palpation

P5 Presented proposed massage strategy to client, based upon collated information

P6 Obtained informed consent from client for proposed massage strategy

P7 Prepared and positioned client for comfort, dignity and maximal effectiveness of proposed treatment

M1 Carried out massage methods that meet the presentation and needs of the client using a range of sports massage techniques

M2 Adapted own posture and position throughout application to ensure safe and effective application

M3 Motivated visual and oral feedback and adopted treatment strategy by varying

• Speed• Pressure• Depth

27

Sports Massage Treatments

(T/506/7228)

Sports massage treatments checklist - Observed practical assessment 1 of 3

Final result Pass Refer

Learners name: Learners signature:

Assessors name: Assessors signature:

IQAs name: IQAs signature:

M4 Maintained interaction with client throughout the massage

M5 Removed massage medium when necessary

A1 Carried out post-massage assessments of client

A2 Obtained feedback from client

A3 Applied and maintained professional standards throughout treatment

A4 Evaluated treatment and identified areas and opportunities for improvement

A5 Presented aftercare advice to client, providing opportunities for questions

A6 Recorded massage sessions as legally required

A7 Restored working environment to safe and hygienic condition

28

Assessor Feedback Form

Learners name:………………………………………………………. Date:…………………………………

Assessor’s name:……………………………………………………..

Criteria no

Feedback

29

Practical assessment feedback form

30

31

Anatomy & Physiology Worksheets

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

Summary of achievement - Learning outcomes 3, 4 and 5

54

55

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

Sports Massage Treatmentand Evaluation

Massage 4

56

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

57

Sports Massage Treatmentand Evaluation

Massage 5

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

58

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

59

Sports Massage Treatmentand Evaluation

Massage 6

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

60

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

61

Sports Massage Treatmentand Evaluation

Massage 7

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

62

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

Clients name:

Purpose: Environment: Sport:

Key: √ = Pass C = Pass with comment R = ReferThe learner requires a √ or C against each criterion in order to pass

The learner Outcome

Initial assessment

Re- assessment

P1 Prepared treatment area, equipment and self for sports massage

P2 Carried out subjective assessment of client

P3 Obtained informed consent before carrying out physical assessment

P4 Carried out objective assessment of client using one or more of the following:

• Observations• Comfortable movement patterns• Palpation

P5 Presented proposed massage strategy to client, based upon collated information

P6 Obtained informed consent from client for proposed massage strategy

P7 Prepared and positioned client for comfort, dignity and maximal effectiveness of proposed treatment

M1 Carried out massage methods that meet the presentation and needs of the client using a range of sports massage techniques

M2 Adapted own posture and position throughout application to ensure safe and effective application

M3 Motivated visual and oral feedback and adopted treatment strategy by varying

• Speed• Pressure• Depth

63

Sports Massage Treatments

(T/506/7228)

Sports massage treatments checklist - Observed practical assessment 2 of 3

Final result Pass Refer

Learners name: Learners signature:

Assessors name: Assessors signature:

IQAs name: IQAs signature:

M4 Maintained interaction with client throughout the massage

M5 Removed massage medium when necessary

A1 Carried out post-massage assessments of client

A2 Obtained feedback from client

A3 Applied and maintained professional standards throughout treatment

A4 Evaluated treatment and identified areas and opportunities for improvement

A5 Presented aftercare advice to client, providing opportunities for questions

A6 Recorded massage sessions as legally required

A7 Restored working environment to safe and hygienic condition

64

Assessor Feedback Form

Learners name:………………………………………………………. Date:…………………………………

Assessor’s name:……………………………………………………..

Criteria no

Feedback

65

Practical assessment feedback form

66

Clients name:

Purpose: Environment: Sport:

Key: √ = Pass C = Pass with comment R = ReferThe learner requires a √ or C against each criterion in order to pass

The learner Outcome

Initial assessment

Re- assessment

P1 Prepared treatment area, equipment and self for sports massage

P2 Carried out subjective assessment of client

P3 Obtained informed consent before carrying out physical assessment

P4 Carried out objective assessment of client using one or more of the following:

• Observations• Comfortable movement patterns• Palpation

P5 Presented proposed massage strategy to client, based upon collated information

P6 Obtained informed consent from client for proposed massage strategy

P7 Prepared and positioned client for comfort, dignity and maximal effectiveness of proposed treatment

M1 Carried out massage methods that meet the presentation and needs of the client using a range of sports massage techniques

M2 Adapted own posture and position throughout application to ensure safe and effective application

M3 Motivated visual and oral feedback and adopted treatment strategy by varying

• Speed• Pressure• Depth

67

Sports Massage Treatments

(T/506/7228)

Sports massage treatments checklist - Observed practical assessment 3 of 3

Final result Pass Refer

Learners name: Learners signature:

Assessors name: Assessors signature:

IQAs name: IQAs signature:

M4 Maintained interaction with client throughout the massage

M5 Removed massage medium when necessary

A1 Carried out post-massage assessments of client

A2 Obtained feedback from client

A3 Applied and maintained professional standards throughout treatment

A4 Evaluated treatment and identified areas and opportunities for improvement

A5 Presented aftercare advice to client, providing opportunities for questions

A6 Recorded massage sessions as legally required

A7 Restored working environment to safe and hygienic condition

68

Assessor Feedback Form

Learners name:………………………………………………………. Date:…………………………………

Assessor’s name:…………………………………………………….

Criteria no

Feedback

69

Practical assessment feedback form

70

71

Understand the principles of soft tissue dysfunction

Worksheet Y/506/7223

72

73

74

75

Sports massage treatments Worksheet T/506/7228

76

77

Sports Massage Treatmentand Evaluation

Massage 8

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

78

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

79

Sports Massage Treatmentand Evaluation

Massage 9

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

80

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

81

Sports Massage Treatmentand Evaluation

Massage 10

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

82

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

83

Sports Massage Treatmentand Evaluation

Massage 11

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

84

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

85

Sports Massage Treatmentand Evaluation

Massage 12

Therapist: Date:

Client:

Treatment Objectives/ Notes

Planned Specific Assessment (Inc. Special tests, specific tests, 360 jobs testing, specific to injury)

Post Treatment Evaluation

86

Clients Feedback

The client found the following aspects of the Sports Massage Treatment effective:

The client found the following aspects of the Sports Massage Treatment ineffective:

The client enjoyed the following:

The client didn’t enjoy the following:

Based on the information received from the client during this session, I will change or adapt the following for future treatments:

Subjective Questioning delivery:

Transition to treatment set up and delivery:

Ending of the massage session and post treatment care advice given:

Client’ signature: …………………………………………… Date: …………………………

Learner’s signature: ……………………………………….. Date: …………………………

87

Sum

mar

y of

ach

ieve

men

t

88

89

90

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