sport instructions assignment



The task related to this assessment is broken down into a number of sections:

Section 1: Identifying factors associated with Michael’s injury

Section 2: Modifying the load on the affected tissue

Section 3: How does Michael increase the capacity of the affected and non-affected tissues to withstand the load of running?

Section 4: Bringing it all together. How does Michael monitor and progress his training load as he prepares for the marathon in 2018?

Section 5: Psychosocial factors associated with injury and rehabilitation



The table below highlights tasks to be completed for each section of the assignment. Remember to scrutinise the assessment rubric to learn what is expected of you.

Section 1

Review Michael’s subjective and objective information, including the

biomechanical findings (in the folder at the beginning of this assessment)

and Michael’s running diary. Analyse this information and propose factors

that might be associated with his injury. When compiling your answer

calculate the percentage increase in overall running volume from one

week to the next, and Michael’s Acute:Chronic Load Ratio, beginning at

week 4 of his program. Decide if Michael’s running volume might be

associated with increased risk of injury.

Section 2

To manage Michael’s injury, he needs to modify the load on the affected

tissue and strike a balance between considering the risk of injury, or exacerbating

his symptoms, versus achieving his goal of running a marathon. Can you recommend

methods to help Michael manage the load on the affected tissue? In your answer

consider the following issues:

•   Training modifications

•   Orthomechanical treatments

•   Monitoring pain levels during exercise

Section 3

The biomechanical examination revealed deficits in muscle strength

(particularly of gastrocnemius, soleus and tibialis posterior) and reduced

ankle and first MTPJ range of motion.

Construct a broad muscle strength program, using resistance training

principles, to increase the capacity of these muscles to withstand the load

of running. In your answer, recommend a specific exercise dosage

(type, sets, repetitions, frequency) and how the exercise is progressed

(i.e. manipulation of the exercise dosage relating to the resistance,

type of exercise, number of sets and repetitions, rest period between

sets and frequency) to achieve a higher level of muscular strength.

In addition, use similar principles of dosage and progression to influence joint range of motion.

Section 4

Using a table, similar to Michael’s training diary, construct a

week by week plan, for a period of four weeks, that incorporates

your strategies to modify the load, and increase the capacity of

the affected tissue. Consider how you will evaluate Michael’s symptoms,

and how he can monitor his training load to reduce the risk of injury.

Section 5

Psychosocial factors are important in the experience of pain and level

of function in people with musculoskeletal pain. Discuss the potential

association between Michael’s beliefs, thoughts and fear about his

injury and how this might influence his rehabilitation. Explain how

you might reduce Michael’s fear about his injury.




To help support your responses to each section, consider the following readings:

Section 1

1. Gabbett (2016). The training injury paradox – should athletes be training smarter and harder? BJSM

Section 2

1. Cook and Purdham (2013). The challenge of managing tendinopathy in competing athletes 

2. Kulig (2010). Effect of Eccentric Exercise Program for Early Tibialis Posterior Tendinopathy (in key articles folder)

3. Balancing training load and tissue capacity:

Sections 3

1. Cook and Purdham (2013). The challenge of managing tendinopathy in competing athletes 

2. American College of Sports Medicine – guidelines for resistance training

3. P. Brukner & K. Khan (Eds.), Brukner and Khan’s Clinical Sports Medicine (5th ed., pp. 139-151 [Training programming and prescription]; 277-284 [Principles of sports injury rehabilitation). Sydney: McGraw Hill Education.

An older version (Edition 4) is freely available through the LTU library. Refer to Chapter 15 on the Principles of Rehabilitation.

Section 4

1. Gabbett (2016). The training injury paradox – should athletes be training smarter and harder? BJSM

2. How to monitor your athlete’s workloads

Section 5

1. Lentz (2010). Pain-Related Fear Contributes to Self-Reported Disability in patients with ankle and foot pain (in key articles folder)

2. Booth (2017). Exercise for chronic musculoskeletal pain: A biopsychosocial approach

3. Training error and load management. Are we missing something key?







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