SISFFIT525A
Advise on injury prevention and management

This unit describes the performance outcomes, skills and knowledge required to provide information to fitness clients about exercise related injuries, their prevention and management.No licensing, legislative, regulatory or certification requirements apply to this unit at the time of endorsement.

Application

This unit applies to those working in a sport, fitness and recreation environment. It applies to specialised exercise trainers who are responsible for providing fitness training programs for general populations, including older adults, with the ability to customise fitness training programs to meet the specific individualised needs of different client groups.


Prerequisites

Nil


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Undertake injury surveillance.

1.1. Source and analyse data on common injuries for specific fitness activities.

1.2. Monitor occurrence of injury and analyse injury patterns for specific fitness activities.

1.3. Identify risk factors that may lead to injury for specific fitness activities according to relevant legislation and organisational policies and procedures.

1.4. Identify preventative measures in consultation with medical or allied health professionals.

2. Develop injury prevention strategies.

2.1. Analyse various exercises, exercise technique and fitness activities to formulate effectiveinjury prevention strategies according to relevant legislation and organisational policies and procedures.

2.2. Develop injury prevention strategies in consultation with medical or allied health professionals.

2.3. Communicate recommendations about injury prevention strategies to relevant stakeholders according to organisational policies and procedures.

3. Implement injury prevention strategies.

3.1. Assess facilities and equipment for safe participation and advise relevant personnel of problems according to organisational policies and procedures.

3.2. Promote preventative strategies to clients to minimise the likelihood of injury according to best practice guidelines.

3.3. Implement strategies for the management of common exercise-related musculoskeletal injuries according to relevant legislation and organisational policies and procedures.

4. Monitor injury management.

4.1. Monitor client progress and encourage reassessment of injury by a medical or allied health professional as required.

4.2. Adjust preventative measures and interventions in response to ongoing injury surveillance.

4.3. Conduct ongoing monitoring of injury trends in consultation with medical or allied health professionals as required.

4.4. Evaluate own performance and identify potential improvements for future implementation of injury prevention strategies.

5. Conduct postural appraisals tests to evaluate the clients mobility, stability, muscle strength and endurance.

5.1. Observe the client's static posture using a valid and reliable postural screening method to identify common postural variances and observe the degree of deviation.

5.2. Conduct standardised tests to evaluate joint mobility and observe joint specific functional range of movement of the major joints to identify restrictions and right and or left differences in range.

5.3. Conduct standardised postural appraisal tests to evaluate muscle strength and muscular endurance in order to identify functional ability.

5.4. Apply knowledge of the functional anatomy of the joints and the location of relevant bony landmarks when conducting postural appraisals.

5.5. Use a standardised method of recording the results of tests accurately and systematically using a process that allows for subsequent re-evaluation.

5.6. Refer clients with significant injury and postural variances or concerns to appropriate medical or allied health professional before recommending any corrective exercises.

5.7. Consult with an appropriate medical or allied health professional to discuss results of the postural evaluation to determine an appropriate exercise management plan.

5.8. Implement valid postural appraisal methods according to recognised test protocols and industry standards.

6. Observe and evaluate a client's dynamic posture through observation of gait.

6.1. Observe the client's dynamic posture whilst performing suitable locomotive movements and record information about movement coordination and balance.

6.2. Apply an understanding of the biomechanics of movement to the gait observation to obtain relevant information about the client's dynamic posture.

6.3. Relate the effect of common postural variances to the client's gait.

6.4. Conduct functional tests to evaluate range of movement, movement control, muscular deficits and proprioception.

6.5. Use a standardised method of recording information obtained to allow for further re-evaluation.

6.6. Understand the aim of gait observation by the specialised exercise trainer is not to be diagnostic or prescriptive, but to identify potential causes of injury.

Required Skills

Required skills

communication skills to:

convey information to clients about injury prevention strategies

liaise with appropriate personnel to report problems that can contribute to injury

problem-solving skills to:

assess the risk of equipment and facilities to clients

identify appropriate preventative methods and interventions

adapt measures in response to ongoing surveillance

identify and report issues related to implementation of injury prevention strategies

conduct a postural appraisal to identify potential causes of injury

assess the need for referral and reassessment of client injuries

language and literacy skills to access, record and interpret information about injuries related to specific fitness activities and their causes

observation skills to identify the bony landmarks used as identification points when conducting postural screening tests

numeracy skills to calculate client range of movement at major joints

self-management skills to:

recognise and work within own professional roles and responsibilities

review and reflect on own performance.

Required knowledge

legislation and organisational policies and procedures to enable safe conduct of all activities according to job role and responsibilities

principles of biomechanics to enable the application of appropriate techniques and strategies to minimise injuries for specific fitness activities

pathology of injury and injury response and the phases of healing and repair to enable appropriate exercise prescription to aid healing

anatomy of the musculoskeletal system and its supporting systems to enable the design of appropriate programs

function of the musculoskeletal system to enable design of appropriate programs

range of motion and stretching techniques to enable the inclusion of exercise variables to suit client's functional capacity

common causes of musculoskeletal injuries in relation to fitness activities

the role of exercise and fitness in the prevention, management and rehabilitation of common exercise related injuries and falls prevention.

defined roles and responsibilities of the specialised exercise trainer and their ethical and legal limitations to enable understanding of work parameters in implementing injury prevention and management strategies.

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.

Overview of assessment

Critical aspects for assessment and evidence required to demonstrate competency in this unit

Evidence of the following is essential:

researches cause and prevalence of commonly occurring injuries to develop injury prevention strategies for fitness clients

implements injury prevention strategies and monitors and adjusts the effect of interventions within the parameters of own accepted roles and responsibilities

applies effective contingency management techniques according to own level of responsibility to respond to problems impacting on effective injury prevention and management

evaluates and reflects on own performance in implementing and evaluating injury prevention strategies.

Context of and specific resources for assessment

Assessment must ensure development and implementation of effective injury prevention strategies that are of sufficient breadth to allow the candidate to demonstrate competency and consistency of performance.

Assessment must also ensure access to:

a fitness centre with appropriate equipment and facilities in which the candidate operates or intends to operate

fitness clients participating in the specific fitness environment in which the candidate operates or intends to operate.

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge. The following examples are appropriate for this unit:

observation of interaction with fitness clients and other personnel in conveying information about injury prevention strategies

oral or written questioning to assess knowledge of common injuries and preventative methods related to fitness activities

portfolio containing evidence of analysis of injury patterns in relation to fitness activities and self evaluation of own performance

third-party reports from a supervisor detailing performance

portfolio containing evidence of injury prevention and management strategies developed for specific clients.

Holistic assessment with other units relevant to the industry sector, workplace and job role is recommended, for example:

SISFFIT526A Deliver prescribed exercise to clients with musculoskeletal conditions

Guidance information for assessment


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. Bold italicised wording, if used in the performance criteria, is detailed below. 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) may also be included.

Data may include:

incidence

severity

prevalence

cause

types of injuries.

Injuries may include:

primary or secondary

direct or indirect

acute or overuse

musculoskeletal.

Risk factors may include:

personal and internal factors

extrinsic factors

equipment used

gender

age

weight

fitness level.

Relevant legislation may include:

Occupational Health and Safety

duty of care

privacy

codes of practice

fair trading.

Organisational policies and procedures may include:

Occupational Health and Safety

emergency procedures

risk management

use of client record systems

collection and use of client information

equipment use and maintenance

client supervision

incident reporting

client screening procedures

client referral procedures.

Preventative measures may include:

screening

physical conditioning

protective equipment

hydration and nutrition.

Medical or allied health professionals may include:

sports physician

sports doctor

general practitioner

physiotherapist

accredited exercise physiologist

occupational therapist

remedial massage therapist

chiropractor

osteopath

accredited practising dietician

psychologist

aboriginal health worker.

Prevention strategies may include:

pre-exercise, warm-up and stretching

neural stretching

protective equipment

recovery strategies and physical conditioning

frequency and duration of participation

correction of technique

adequate rehabilitation following injury

appropriate management of previous injury.

Stakeholders may include:

clients

fitness professionals and centre owners

coaches

parents or caregivers

medical or allied health professionals.

Facilities and equipment may include:

exercise specific equipment

first aid kit

environment

protective equipment.

Best practice guidelines may include:

guidelines for fitness trainers

Code of Ethics

Code of Conduct.

Clients may include:

young or aged

experienced or inexperienced.

Range of movement may include:

joint specific

muscle specific

passive range

active range

functional range

joint and muscle specific tests

equipment:

flexometer

goniometer

electronic

Major joints may include:

intervertebral

glenohumeral

elbow

radiocarpal

sacroiliac

hip (coxal)

tibiofemoral

patello-femoral

ankle

Postural appraisal may include:

visual observation

appraisals using appropriate equipment

joint mobility:

joint specific range of movement

tests for specific joints

segmental mobility of vertebral sections

active range

passive range

functional range

hypo and or hyper mobile joints

contra lateral

symptoms

muscular strength:

tests for specific muscles and or muscle groups

functional strength

relative strength

muscular endurance:

tests for specific muscles and or muscle groups

functional endurance

functional tests:

squat

single leg squat

single arm push up

special tests

postural screening equipment:

plumb line

grid

photographic technology

video analysis

tape measure

goniometer

flexometer

plurimeter

pressure biofeedback unit.

Functional anatomy of the joints may include:

glenohumeral:

bones:

humerus

scapula

clavicle

ligaments:

corocohumeral

corococlavicular

glenohumeral

transverse humeral

related structures:

subscapular bursa

subacromial bursa

subdeltoid bursa

subcorocoid bursa

muscles acting on the joint

elbow:

bones:

humerus

ulna

radius

ligaments:

ulnar collateral

radial collateral

related structures:

olecranon bursa

muscles acting on the joint

lumbo-sacral:

bones:

5th lumbar vertebrae

1st vertebrae of sacrum

ligaments

muscles acting on the joint

intervertebral:

bones:

vertebral bodies

ligaments

muscles acting on the joint

hip (coxal):

bones:

femur

hip

ligaments:

pubofemoral

iliofemoral

ischiofemoral

transverse ligament of acetabulum

ligament of head of femur

muscles acting on the joint

knee (tibiofemoral and or patellofemoral):

bones:

tibia

femur

patella

ligaments:

patella

oblique popliteal

arcuate popliteal

tibial collateral

fibular collateral

posterior cruciate

anterior cruciate

related structures:

tendons of the quadriceps femoris and facia latae

medial meniscus

lateral meniscus

prepatellar bursa

intrapatellar bursa

suprapatellar bursa

muscles acting on the joint

ankle (talocrucal):

bones:

talus

tibia

fibula

ligaments:

deltoid

anterior talofibial

posterior talofibial

calcaneofibular

related structures:

achilles tendon

muscles acting on the joint

Bony landmarks may include:

mastoid process

spinous process of the vertebrae

spine of the scapula

inferior angle of the scapula

acromion process

coracoid process

xiphoid process

lateral epicondyle of humerus

head of the radius

styloid process

olecranon process

umbilicus

anterior superior iliac spine

posterior superior iliac spine

iliac crest

ischial tuberosity

greater trochanter

lateral femoral condyle

medial epicondyle

lateral epicondyle

superior border of the patella

inferior border of the patella

lateral malleolus

medial malleolus

calcaneous.

Posture may include:

static

dynamic

standing

sitting

supine

specific observations of standing posture:

head and neck

thoracic spine

rib cage

shoulder position

scapula position

elbow position

lumbar spine

pelvis

abdominals

femur

knee

patella

foot position.

Locomotive movements may include:

walking

jogging

running.

Biomechanics of movement may include:

levers

loads

fulcrum

movement arms

muscle actions

centre of gravity

base of support

balance

stability

equilibrium.

Gait observation may include:

view:

anterior

posterior

lateral

gait cycle:

stance phase

swing phase

flight phase

double stance phase

evaluation:

ankle

foot

tibia

knee

pelvis

trunk

head

arm

foot cycle:

foot strike

mid-stance

toe off

evaluation of:

sequence of movement at each joint

sequence of muscle actions

efficiency of movement

method:

visual analysis

video analysis.

Postural variances may include:

structural

functional.


Sectors

Unit sector

Fitness


Employability Skills

This unit contains employability skills.


Licensing Information

Refer to Unit Descriptor