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The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit	The individual being assessed must provide evidence of specified essential knowledge as well as skills Observation of performance in the workplace or a simulated workplace defined as a supervised clinic Consistency of performance should be demonstrated over the required range of situations relevant to the workplace Where for reasons of safety space or access to equipment and resources assessment takes place away from the workplace the assessment environment should represent workplace conditions as closely as possible Assessment may contain both theoretical and practical components and examples covering a range of clinical situations Assessment of sole practitioners must include a range of clinical situations and different client groups covering at minimum age culture and gender Assessment of sole practitioners must consider their unique workplace context including interaction with others in the broader professional community as part of the sole practitioners workplace scope of practice as detailed in the qualification and component competency units holisticintegrated assessment including working within the practice framework performing a health assessment assessing the client planning treatment providing treatment

Context of and specific resources for assessment	Access to athleteclient Massage therapy facilities in a massage therapy setting or competitionactivity setting Massage therapy equipment

Method of assessment	Observation in the workplace Written assignmentsprojects or questioning should be used to assess knowledge Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting If successful a second assessment is to be conducted during workplace application under direct supervision

Access and equity considerations	All workers in the health industry should be aware of access and equity issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities

Related units	This unit should be assessed after or in conjunction with the following related units HLTAPB Analyse health information HLTAP501B Analyse health information HLTREMC Provide remedial massage treatment HLTREM502C Provide remedial massage treatment HLTREMC Plan the remedial massage treatment strategy HLTREM503C Plan the remedial massage treatment strategy HLTREMC Apply remedial massage assessment framework HLTREM504C Apply remedial massage assessment framework HLTREMC Perform remedial massage health assessment HLTREM505C Perform remedial massage health assessment HLTREMB Provide specialised massage treatment HLTREM510B Provide specialised massage treatment

Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Clientsmay include:	Athletes who: are usually committed and self-motivated to return to optimal function and/or improve performance can be so motivated that unnecessary pain is tolerated in mistaken belief that 'no pain, no gain' can be talented with various levels of motivation and commitment may be beginner through to high performance level competitors can be female or male with or without a disability or special needs with or without social disadvantage and/or from minority ethnic and cultural groups

Common musculoskeletal injuries may include but are not limited to:	Sporting injuries that may be divided into acute injuries and overuse injuries which include: bones acute fracture periosteal contusion overuse stress fracture 'bone strain', 'stress reaction' osteitis/periostitis apophysitis articular cartilage acute osteochondral/chondral fractures minor osteochondral injury chondropathy, eg, softening, fibrillation, fissuring, chondromalacia acute dislocation subluxation overuse synovitis osteoarthritis continued ...

Common musculoskeletal injuries (contd):	Ligament injuries: acute sprain/tear (grades I - III) overuse Muscle injuries:(and associated extrinsic and intrinsic fascia) strain/tear (grades I - III) contusion cramp acute compartment syndrome overuse chronic compartment syndrome delayed onset muscle soreness focal tissue thickening/fibrosis Tendon injuries: acute tear (complete or partial) overuse tendinitis paratendinitis/tenosynovitis tendinosis tendinopathy Bursa injury: acute traumatic bursitis overuse bursitis Nerve injury: acute neuropraxia minor nerve injury/irritation overuse entrapment increased neural tension altered adverse neurodynamics Skin injury: acute laceration abrasion puncture wound overuse

Contraindications for massage may include:	Massage therapists are not expected to diagnose any conditions but must be able to recognise the indications and contraindications of conditions Massage is contraindicated in all infectious diseases suggested by fever, nausea and lethargy until a diagnosis is received and recommended by a medical practitioner Always refer for diagnosis when symptoms do not have a logical explanation Indications for referral include pain,local, sharp, dull, achy, deep, surface fatigue inflammation lumps and tissue changes rashes and changes in the skin edema mood alterations, eg, depression, anxiety infection changes in habits such as appetite elimination or sleep bleeding and bruising nausea, vomiting or diarrhoea temperature - hot or cold Endangerment sites are areas where nerves and blood vessels lie close to the skin and are not well protected anterior triangle of the neck posterior triangle of the neck axillary area medial epicondyle lateral epicondyle area of the sternal notch and anterior throat umbilicus area twelfth rib dorsal body sciatic notch inguinal triangle popliteal fossa

Cryotherapy includes:	Application of fundamental forms of cryotherapy refers to conduction, eg, cold packs, ice massage and immersion baths convection, eg, cooling devices Possible adverse reactions to topical applications of cryotherapy refers to skin irritations neural irritations muscle cramps Indications for cryotherapy refers to acute injury inflammation Contraindications and precautions for cryotherapy refers to any contraindication for massage in particular skin disorders open wounds Correct duration for cryotherapy refers to adequate time to achieve cryotherapy goals without adverse reactions, eg, Huntington's response usually 10 minutes

Industry standard massage therapy principles may include:	Relevant national, state/territory or local massage therapy organisations' and/or associations' Code of Ethics or Code of Conduct documents/policies, regulations and guidelines Relevant national, state/territory or local government regulations and guidelines Accepted preventative practices adopted by self or peers to minimise safety hazards and risks in the same or similar situations Current and past good practice demonstrated by self or peers in the same or similar situation

Integration of various techniques may include:	The integration of trigger point techniques Proprioceptive Neuromuscular Facilitation stretching deep transverse friction techniques myofascial tension techniques corrective exercise stretching including static/dynamic and contract-relax protocols

Massage therapy setting refers to:	Any genuine work environment where massage therapy is provided clinics change rooms open or enclosed areas at sporting events accommodation venues in transit, ie, on buses, planes

Other health professionals may include:	Practitioners who can competently make assessments regarding conditions that may potentially be complicated by the application of massage techniques Medical practitioners Physiotherapists Chiropractors Osteopaths Other massage therapists with current competencies in modalities outside the scope of the practitioner, eg, specialising in oriental modalities Naturopaths/homeopath therapists Podiatrists Yoga/relaxation/tai chi instructors Dentists Exercise therapists Acupuncturists

Pre-event massage may include:	Integration of treatment techniques to assist the athlete/client with Physiological warm-up Psychological preparation including where appropriate, stress release, ie, relaxation where appropriate, to raise pre-event arousal levels

Post-event massage may include:	Integration of treatment techniques to assist the athlete/client with physiological cool-down, ie, return to homeostasis physiological recovery, ie, removal of lactic acid where appropriate, psychological recovery, ie, emotional stress release identify potential injuries and commence appropriate treatment the restoration of range of motion/flexibility

Maintenance massage may include:	A package of massage therapy techniques designed to assist injury prevention, physiological recovery, tissue extensibility, muscle tone, ie, reduction of micro-tears in myofibrils

Self-management program may include	Assisting the client in areas such as activities or tasks to avoid warm-ups and cool downs simple temperature therapy techniques self-massage techniques

Self massage techniques may include:	Using athlete/client's own hands/forearms/knuckles to perform massage techniques Using massage equipment and other appropriate self treatment aids to perform techniques such as ice for ice massage tennis ball for digital ischaemic pressure and trigger point work

Technique may include:	A singular massage therapy application, eg, gliding or digital ischemic pressure

Thermotherapy (or heat therapy) may include:	Application of fundamental forms thermotherapy refers to: conduction, eg, heat packs and immersion baths radiation, eg, ray lamps friction topical applications Indications for thermotherapy refers to: myofascial hypertonicity, ie, stiffness fascial adherence Contraindications and precautions for thermotherapy refers to: any contraindication for massage pain,local, sharp, dull, achy, deep, surface fatigue inflammation lumps and tissue changes rashes and changes in the skin edema mood alterations, eg, depression, anxiety infection changes in habits such as appetite elimination or sleep bleeding and bruising nausea, vomiting or diarrhoea temperature - hot or cold Continued

Thermotherapy (or heat therapy) (contd):	In particular: skin disorders open wound acute injury acute inflammation vascular disorders Correct angle and distance for indirect application of thermotherapy refers to: safe and effective placement of the heat lamp usually 10-20 minutes in accord with manufacturer's instructions and directions heat source perpendicular to area to be treated minimum distance of 30cm from area to be heated appropriate duration for thermotherapy is described adequate time to achieve heat therapy goals without adverse reactions Possible adverse reactions to topical applications of thermotherapy refers to: burning skin irritations re-initiate internal bleeding

Treatment package/s may include:	The combination of the assessment process, techniques, modalities and attitudes to achieve prescribed outcomes Incorporates the application of the principles of relaxation massage, and/or principles of remedial massage therapy Can incorporate other modalities depending the current competencies of the therapist

Treatment plan/s may include:	Agreed duration, dependent on the performance parameters and within the scope of the therapists current competencies Individualisation to the athlete/client's requirements Referral of the athlete/client to an appropriate health practitioner in relation to areas/aspects in which the therapist is not currently competent Sequence of events incorporating the application of advanced treatment packages negotiated between the therapist and the athlete/client leading to a desired outcome Steps designed to return the athlete/client to optimal function

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HLTREM513C - Provide remedial massage treatment to athletes

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement