section three you will hear two sports physiotherapy students called John and Kath preparing a joint presentation on foot injuries in sports players first you have some time to look at questions 21 to 26 on page four e now listen carefully and answer questions 21 to 26 I've had a look at your draft presentation plan and compared it with mine Cath and we seem to have the same basic structure we've both included the same three main sections that's the anatomy of the foot the injuries and the treatment and we've organized our presentations in the same way
but the types of sports we've chosen to illustrate the possible injuries aren't the same I'll deal with the anatomy bit I've got notes and a handout on that from Professor Gilligan's lecture oh I was hoping to do that I've downloaded some useful stuff I do think we should limit this section though we don't want to spend much time on Anatomy when the main focus is on the treatment that's true but in the last section maybe the two of us could show how some of these therapies actually work I could be the patient and you could
do the treatment H good idea because it's hard to find pictures as injuries are mostly internal it would be good to hear some firstand accounts from injured athletes too yeah but we don't have time no should we then discuss different types of heel injury it's worth pointing out that these vary enormously in how bad they are it might be just a pulled muscle or a bone injury which needs surgery sometimes only an expert can tell the difference excellent I'll do the slides on that leave that one to me now what about causes of heal injuries
well it's easy enough to list them overuse improper Footwear yes um incorrect running style they're all relevant but for Simplicity let's just pick one cause say stuff about changing your training habit suddenly you mean like suddenly doing a lot of Mountain training yes that's a good idea and there was research on that in the latest edition of physio Journal wasn't there Professor Gilligan recommended it to us great uh you can leave the bit on stretching techniques to me I really like all that stuff so what's going to be your approach there well I'll summarize all
the various techniques with visual support and then I'll make the point that the stretching should be carefully managed obviously you have to be careful not to overstretch and to stretch only when your muscles are warmed up otherwise you could do yourself more harm than good it's also important that on a supervised program stretching is later on combined with balance exercises which stretch and also strengthen the muscles okay then before you hear the rest of the discussion you have some time to look at questions 27 to 30 on page five now listen and answer questions 27
to 30 it's always useful to have some information on case study at the end in case we're short of material did you manage to find anything yes a female runner in her 30s talking about her treatment for a swollen heel initially she rested the injury this did help to reduce the swelling although it was still a little bit uncomfortable then she applied an ice pack to the injury twice a day did that work well she persisted with this treatment for the first month but decided it wasn't helping after this period she was shown how to
use deep tissue massage techniques and was surprised at how much freedom of movement this created in her foot wasn't she having ultrasound treatment yes she was having sessions at the hospital but she remained unconvinced about its value she felt the same about the balancing exercises she was prescribed okay that's interesting I looked at the after CARE program of a male Sprinter who was allowed to do some sports activity as part of his rehabilitation after four months of treatment he did some light running on grass wearing shoes that gave plenty of support to his injured heel
so it didn't hurt well he found the heel was sore afterwards and the same happened with some jumping exercises he was asked to try did he go to the gym and use weights yes after a few weeks and if he used light weights he could train without pain he also tried cycling and found this beneficial as his foot was not making contact with the ground he expected a similar result with swimming but found the repetitive kicking motion was actually aggravating the injury well both these case studies have value that is the end of section three
you now have half a minute to check your answers now turn to section four on Page Six e e e
