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LEARN - INSPIRE - SUCCEED
Level 3 Diploma in Sports Massage Therapy
Student Portfolio
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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.
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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
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Assessment planLevel 3 Diploma in Sports Massage Therapy
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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
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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
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Details/notes:
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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:
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Examination
General observation:
Ranges of Movement
Therapist Signature: Date:
Joint Movement Active Pain Passive Pain Resisted Pain
Special Tests Positive Negative Comments
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Soft Tissue Symptoms
Treatments
Therapist Signature: Date:
Symptom Action Symptom Action
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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)
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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)
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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
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Professional practice in sports massageWorksheet
(D/506/7224)
Worksheet
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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:
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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)
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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
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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: …………………………
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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:
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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: …………………………
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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
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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
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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
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Assessor Feedback Form
Learners name:………………………………………………………. Date:…………………………………
Assessor’s name:……………………………………………………..
Criteria no
Feedback
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Practical assessment feedback form
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Anatomy & Physiology Worksheets
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Summary of achievement - Learning outcomes 3, 4 and 5
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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
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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: …………………………
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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
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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:
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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: …………………………
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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
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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
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Assessor Feedback Form
Learners name:………………………………………………………. Date:…………………………………
Assessor’s name:……………………………………………………..
Criteria no
Feedback
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Practical assessment feedback form
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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
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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
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Assessor Feedback Form
Learners name:………………………………………………………. Date:…………………………………
Assessor’s name:…………………………………………………….
Criteria no
Feedback
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Practical assessment feedback form
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Understand the principles of soft tissue dysfunction
Worksheet Y/506/7223
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Sports massage treatments Worksheet T/506/7228
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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
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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: …………………………
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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: …………………………
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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: …………………………
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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: …………………………
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Sum
mar
y of
ach
ieve
men
t
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89
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