Clinical question: why is kinesiology tape not allowed in high school swimming without a doctor’s note?
My Advisory committee is made up of Hannah Clementson for my AT Advisor, Brianne for my Faculty Advisor and I was hoping to ask Dr. Muncy, who is KT tape certified, for my content expert. I chose to do this question because, when I was at home in New Bern, I was a stroke and turn judge for the location high school. In the handbook that we are given at the begin of the session, they stated that a swimmer is only allowed to have kinesiology tape on their body if they have a doctor’s note stating why it is needed and the places that the tape will be placed. The most confusing part about this question, that I ask, is why is it not allowed? Any person can go to Wal-Mart and buy kinesiology tape and place it wherever they would like.
This week in clinical, the high school is still in the dead period, which means there is not much clinically going on during the week. This week, we were able to get a lot of attempts as well as clinic time in. We had a sheet due this coming week with 42 taping, wrapping, and bracing jobs on it. During clinical we will able to complete all of those tape jobs with the exception of things that were not in the clinic at Patrick Henry High School, which I was able to do with Taylor Hale and DC. After doing all of those taping, wrapping and bracing jobs I feel a lot more confident in the clinic and with my clinical skills, after having a year off from clinical.
With being a year ahead in classes from the sophomore class, I am in Gen Med, which discusses common medical conditions. This week in Med Term chapter 5, it goes over medical conditions for the heart, which is what we have been discussing in Gen Med. So seeing those terms again does not only help with memorization but also helping me study for a Gen Med test this week.
With all of the taping, wrapping and bracing jobs I was able to complete six more attempts as well as 6 masteries. I am falling a little behind but plan on working very hard before spring break to catch back up with attempts and masteries.
This week in clinical was not very exciting, with winter sports over both the high schools had very little going on. However, I was placed at the physical therapy clinic this week, Mountain States Rehab. I was able to go Wednesday and Thursday. I was able to experience a bunch of shoulder rehabs and chronic back pain evaluations. I met a lot of really nice and energetic people. On Wednesday, I met and a woman who was in rehab to attempted to regain strength and function of her hands. She was not only in physical therapy but also occupational therapy, which is what I would like to go into. However, this woman was not a fan of occupational therapy, mostly the therapist herself. The woman claimed that they did the same thing every day she came, putting pegs in holes on a board. Once I finish my undergrad in athletic training I would like to go on to be a pediatric occupational therapist.
The older gentleman was one I was looking forward to meeting, however he fell and was unable to make it to therapy that day, so I didn’t get to hear all the fun stories that everyone has talked about. The most exciting day was defiantly Thursday because I was able to watch something most students don’t. Pre- job health screens, where the applicant is tested on job related scenario, for example a man was being testing for a paramedic position had to be able to carry a body and put it on a table the height of an ambulance and be able to push and pull the body across the table. They were also tested for their health to ensure that they were able to physically do the job. I was able to see two men go through, one was applying for a paramedic position and the other was applying for a pipeline position. The job specific scenarios change with the different jobs, so both of those guys tests were the same in ways but totally different. Towards the end of the day I also met a man that reminded me so much of my grandfather, a man that never stops going and doesn’t let injuries get in the way. This man has had a knee replacement, hip replacement, and just had his ankle realigned. When he was in high school he sprained his ankle and never allowed it to fully recover, so as he has aged he has walked more and more on the lateral side of his ankle, almost to where he was walking on his lateral malleolus. He had his surgery in December and only has two weeks left in his boot. Once he took his boot off we could see his knee was internally rotated and his foot was internally rotated which caused he to walk on the outer part of his foot only. He was trying his best to walk straight and was making process.
I was not able to get any more attempts this week but hope to get back on track this week.
This week was the most exciting week yet. First, was with Patrick Henry Basketball, two days back to back, which exhausted the players. The most exciting part about this week was the 1A regional wrestling tournament.
To start off the week, Tuesday was the rescheduled basketball games at Patrick Henry. The JV boys started off the night, before the game one of the boys came to the Athletic Training room. He asked to have a scab on his knee wrapped because he was worried about it opening during the game. During halftime, he walked up to me with his white legging covered in blood, I was able to wipe all the blood out re-wrap his knee and get him back on the court before the second half started. One of the most exciting parts about both of the basketball games was a varsity boy that had all the indications of marfan syndrome. He was extremely tall, however only the bottom half, from his waist down and his extremities (fingers and toes) were long. After learning about it in Gen Med, it was really exciting to possibly see the condition in real life, and if not see something where the signs were present.
The best part about the week without a doubt was the wrestling tournament with so many experiences! To start the day, a bunch of nosebleeds, some real and some forced. Then the excitement began during the semi-finals. Starting with a girl, from Holston, on Friday during her first match she was elbowed in the mouth and had to take a medical forfeit for her second match. This medical forfeit put her behind for Saturday. She was taken to the hospital where the doctor put on a brace (as strong as a cast) on her first three teeth. She made it through her first round on Saturday with just a little bit of blood. Then during her second match, fighting for third, in the last five seconds she was elbowed again, but was able to finish the match. After the match was done I rushed over to her and quickly realized her tooth was pushed back even farther. We walked over to Bre where she was already talking to her mother, we were able to get her ice and put gauze in her mouth. We were able to stop the bleeding and able to get a pretty awesome picture. Her dentist was on his way to the meet to watch his grandson and she was able to see him. He was able to explain to her the chances of her loosing that tooth and what she needs to do to keep it alive. Brit and I were able to talk to him and learn a little bit about how an emergency situation is handled with teeth.
The last match of the semi-finals was the heavy weight. One of the boys picked up the other and threw him down and his knee took a pretty hard blow. Brit and Bre ran out but the boy had already taken off part of his singlet, which disqualified him before they even got to him. The boy’s father was not happy about him going down and being disqualified. The other wrestler helped him out of the gym and to a bench in the hallway. We were asked to go out and look at his knee because he was still in a lot of pain. Bre took his history and he claimed that all his pain was on his MCL. Bre began tests where she quickly realized his ACL was fine but his MCL was gone. His knee didn’t stop during valgus stress test.
Finally, the best part of the day was an ethical dilemma. In one of the last rounds a wrestler wearing two shoulder braces, one compression and one shoulder stabilizer, was disqualified. During the match his shoulder came out of socket, inferiorly, his coach went up to him shook it up and down then pushed it back in, then he went back in. Then about 30 seconds later it happened again and then for a third time ten seconds later. However, after a third medical timeout a player is disqualified. Is it ethical for the coach to put his shoulder back? NO, hospital!!
During this week I was able to get two more attempts but no masteries yet.
This week was another week of refreshing, taping and bracing, allowing me to get a couple more attempts toward masteries. First taping a thumb and wrist, preventing abduction. Then hip spica, hip flexor strain, pulling hip into flexion preventing hyperextension. Finally, buddy taping, a player sprained finger, preventing abduction.
In clinical, I experienced my first wresting match… I was very intrigued the whole time, mostly because there was a girl wresting and kicking butt. I was ready to learn about a sport I had never experienced before, I asked so many questions, I think Bre was ready to get rid of me. The first match I was experiencing was held at Patrick Henry High School and there were four teams in total: Patrick Henry, Holston, Rural Retreat, and Chilhowie. From all the stories I had heard about wresting and injuries I was ready to experience some, however…. Nothing.. no epistaxis or anything. I was ready to experience my next meet though, which was two days later. The wresting conference meet, about 8 different schools, with only one nosebleed the whole time. However, during the nosebleed he walked all over the meet and I got the chance to run around three different times and clean up blood. There were 10 girls that participated in the conference meet, so again I was very intrigued, and I could never do what those girls do. When finals rolled around one of Patrick Henry’s boys beat a boy from Castlewood and that Castlewood mama wasn’t very happy about her son losing so she shouted at a child half her age for the rest of the meet (2 hours). Finally, on Friday we were at Battle for four basketball games. Starting off with the JV girls’ game, I noticed a girl on the bench in a boot and realized I it was the player from last week who had an inversion ankle sprain. I asked why she was in a boot and she proceeded to tell me that she had gone to the doctor because she was still in a lot of pain and very swollen. I asked to look at her foot, it was insanely swollen and discolored, a week and a half later, I didn’t understand, not only was it her lateral ankle but her planter fascia and up her lateral lower leg. The doctor was unable to take x-rays due to all the swelling in her foot, so until the swelling goes down we are unsure of what her injury is. After both the JV games we went in the locker room to tape up a couple players and looked for one player on the other team that we needed to keep an eye on. She was the whole reason we were at Battle rather then Patrick Henry, she has an extreme latex allergy and is she comes in contact with latex she goes into anaphylactic shock, however she did not play the whole game. This week will be very exciting with the Virginia wrestling regional meet Friday and Saturday!