1

USP100X Applying hot and cold techniques in sport and active leisure

Unit reference number: H/507/5583

Level: 3

Guided Learning (GL) hours: 30

Overview

This unit provides learners with the knowledge and practical skills to be able apply hot and cold techniques to prevent and manage injury. Learners will develop their knowledge of the physical and physiological effects of both hot (thermotherapy) and cold (cryotherapy) techniques. Learners will also develop their knowledge of the indications, contra-indications, precautions and risks associated with both techniques. Learners will develop their skills and apply their knowledge to prepare and apply hot and cold treatments safely and effectively.

Learning outcomes

On completion of this unit, learners will: LO1 Know the indications for hot and cold techniques

LO2 Know the physical and physiological effects of hot and cold techniques

LO3 Know the contra-indications, pre-cautions and risks associated with hot and cold techniques

LO4 Be able to prepare for the application of hot and cold techniques

LO5 Be able to apply hot and cold techniques

Version 8

2

Assessment requirements

Learners must produce a portfolio of evidence which includes:

1. Treatment portfolio 2. Practical summative assessment

1. Treatment portfolio

Learners must produce a treatment portfolio that contains assessed evidence covering all the theory assessment criteria in the unit. The portfolio must also contain evidence relating to the practical assessment criteria. At a minimum the treatment portfolio for this unit must include treatment records covering all of the following:

Completed a minimum of 4 treatments covering application of hot and cold techniques

Used a minimum of 4 types of hot or cold techniques - Ice

- Ice packs

- Ice massage

- Immersion (cold)

- Cryocuff

- Hot packs

- Heat pads

- Hot compress

- Immersion (heat)

Completed records containing all of the following information - Indications for thermal modality

- Contra-indications (if applicable)

- Treatment plan

- Information given to client

- Informed consent from client

- Assessment of client, e.g. sharp/blunt, hot/cold

- Hot or cold treatment applied

- Adverse effects (if applicable)

- Outcome of treatment

- Aftercare/homecare advice Evidence from one summative practical assessment must also be presented in the portfolio. The treatment portfolio that must be completed prior to learners undertaking the summative practical assessment.

3

2. Summative practical assessment

Learners must carry out a complete hot or cold treatment that will be observed, and marked by centre assessors. Learners must achieve all assessment criteria in order to pass and achieve the unit. The summative practical assessment must take place in a real or realistic working environment on a real or realistic client. At a minimum the summative practical assessment for this unit must cover:

Preparation of equipment and treatment area

Preparation and assessment of client

Application of a hot or cold treatment

Evaluation of treatment

Recording of all information Recorded professional discussion can also be used as an assessment method attached to the summative practical assessment and is particularly useful for gathering evidence for criteria related to evaluation and reflection. Professional discussions should be planned and recorded.

4

Unit content

LO1 Know the indications for hot and cold techniques

Explain the indications for cold treatments:

Acute or chronic pain

Acute or chronic muscle spasm

Acute inflammation or injury

Post-surgical pain and oedema

Superficial first degree burns

Also used with exercise to facilitate mobilisation, relieve pain and decrease muscle spasticity

Explain the indications for hot treatments:

Sub-acute or chronic injuries

Reduce oedema

Reduce muscle spasm/guarding

Increase blood flow

Increase range of movement prior to activity

Resolve haematoma

Facilitate soft tissue healing

Relieve joint contracture

5

LO2 Know the physical and physiological effects of hot and cold techniques

Describe the physical and physiological effects of hot and cold treatments:

Physical and physiological effects of cold techniques - Decreased local metabolism and therefore oxygen requirements

- Vasoconstriction

- Hyperaemia

- Reduced swelling/oedema

- Decreased hemorrhage

- Reduced muscle efficiency

- Analgesia

- Relaxation of muscle spasm

- Reduction in nerve conduction velocity

- Stiffening effect on connective tissue

Physical and physiological effects of heat techniques - Reduce muscle spasm/guarding

- Increase blood flow

- Increased soft tissue extensibility

- Increase range of movement prior to activity

- Resolve haematoma

- Facilitate tissue healing

- Relieve joint contracture

- Analgesia

- Increase metabolism

- Relaxation of connective tissue

- Vasodilation

- Erythema Describe the possible adverse reactions to hot and cold techniques:

Adverse reactions to application of cold - Ice burns of frostbite

- Increase pain

- Neurological effects

- Reddening of the skin

- Resolve haematoma

- Increased swelling

- Allergic reaction

- Chemical burns

- Fainting (vasovagal response)

Adverse reactions to application of heat - Burns/scalds

- Temporary lowering/of blood pressure

- Temporary increased blood pressure

- Dizziness/fainting

- Headaches

6

- Dehydration

- Chemical burns

- Muscle metabolic fatigue

- Increased oedema

7

LO3 Know the contra-indications, pre-cautions and risks associated with hot and cold techniques

Describe contra-indications, pre-cautions and risks associated with hot and cold techniques:

Contra-indications, precautions and risk for cold techniques - Decreased cold sensitivity and/or hypersensitivity

- Cold allergy

- Circulatory or sensory impairment

- Raynaud’s Disease or cold urticaria

- Hypertension

- Uncovered open wounds

- Cardiac or respiratory disease

- Certain autoimmune diseases e.g. rheumatoid arthritis or lupus

Contra-indications, precautions and risks for hot techniques - Acute injuries

- Impaired or poor circulation

- Lack of thermal sensitivity

- Impaired thermal regulation

- Local areas of recent bleeding

- Haemorrhaging

- Malignancy

- Acute skin conditions

- Metal implants

8

LO4 Be able to prepare for the application of hot and cold techniques

Devise a treatment plan for application of hot and cold techniques:

Assess client to confirm indications for hot and cold treatments

Gather information on possible contra-indications/precautions/risks to application of hot and cold techniques

Consult or refer to other healthcare professional where necessary Prepare self and treatment areas for application of hot and cold techniques:

Prepare self

Adhere to professional standards in terms of personal hygiene, dress, appearance and attitude

Ensure treatment area is clean, comfortable and prepared in advance

Ensure equipment meets requirements for hygiene and health and safety

Take appropriate measures to control any risk of cross infection. Select and prepare equipment and resources:

Select and prepare all equipment, products and resources needed for the treatment

Ensure cleanliness, comfort and dignity for the client

Ensure resources for protection of client are available, e.g. test tubes for hot and cold testing, cotton buds or sharp/blunt testing and oil to prevent adherence. Use fabric to act as a barrier if needed

Carry out safety checks on equipment

Check all equipment is working efficiently with no damage

Ensure the plinth is stable and at correct height, ensure the positioning of other equipment and resources is within easy access

Prepare the client for application of hot and cold techniques:

Follow guidelines for the presence of a chaperone where necessary

Assess client to confirm indications for hot or cold treatments and gather information on possible contra-indications, precautions and risks of hot and cold techniques

Ask client to remove all jewellery

Carry out sensation tests (blunt/sharp, hot/cold)

Give full and detailed information to client

Gain client informed consent before conducting the treatment and maintain an appropriate informed consent record, with signatures

Cleanse and prepare the body areas to which the treatment will be applied

9

LO5 Be able to apply hot and cold techniques

Position the client to ensure their comfort, dignity, safety throughout the treatment:

Position the client to maintain their comfort, dignity and safety – use of supports, towels, rolls and pillows, as appropriate to ensure effectiveness of the treatment

Consider degree of client exposure, draping if necessary, use barrier if necessary and/or work through towels

Position the client and resources for accessibility, effectiveness and efficiency

Consideration to health and safety of client and therapist and protection against any environmental considerations, e.g. outdoor event, or from treatment modalities, e.g. melting ice

Apply hot and cold techniques safely and effectively:

Follow manufacturers’ instructions and/or recommended guidelines for the application of the hot or cold treatment, as appropriate

Apply techniques correctly to meet the context and presenting condition of the client

Use an appropriate time-scale for treatment of the body area to achieve the required outcome and with consideration to the client’s skin type

Use barriers to prevent unnecessary client exposure or work through clothing or use towels, if needed

Adapt to accommodate the client’s needs, e.g. any concerns or discomfort presented during the treatment

Be observant and aware of any signs of inflammation, redness, swelling, heat and any adverse reactions - superficial palpation, deep palpation

Encourage the client to provide feedback and communicate any unexpected sensations, pain or discomfort

Be aware of non verbal communication, e.g. client facial expressions, flinching

Respond and take appropriate action to all client feedback received (verbal and non verbal)

Bring the treatment to an end using appropriate techniques:

Supply appropriate cleansing and drying materials to the client, giving assistance where necessary

Check the treatment area for any adverse reactions of potential allergic response

Gain client feedback to assess the effectiveness of treatment by comparison to initial markers

Give appropriate homecare advice to the client to maintain the benefits of the treatment and to meet the client’s needs and goals

Dispose of all waste, clean all equipment and tidy the treatment area so that everything if left in an appropriate condition for future use (safe and hygienic)

Ensure that all treatment records are updated and maintained to meet legal requirements and professional standards

10

Employability skills to be demonstrated throughout the practical assessment

Professionalism:

Adhere to industry codes of ethical practice, e.g. Sports Massage Association

Wear appropriate clothing and footwear

Present a positive image Communication:

Adapt and tailor their communication approach for different clients: - New and existing clients

- Special populations (young people, older adults, ante- or post-natal women, disabled people)

- Clients with other needs e.g. speakers of other languages, deaf or partially hearing, blind or partially sighted

Communication considerations – show sensitivity to clients with different communication styles

- Verbal communication – speaking manner and tone of voice, being supportive, respectful, sensitive to client, open questioning to gather information related to treatment, active listening

Advantages of verbal communication – quick, instant response, client body language

Disadvantages of verbal communication – no written record, no time to consider your reaction, no paper trail

- Non-verbal communication – awareness to eye contact, body language, gestures, facial expressions

Advantages of body language – expression/reflection of feelings, unconscious, others can easily identify anger, happiness, confusion

Disadvantages of body language – cannot hide feelings (can be an advantage that these are visible, e.g. if a client flinches to show discomfort, then this enables the therapist to respond), can be a barrier to communication

Customer service:

Principles of customer service – quality, keeping promises, managing customer expectations, customer satisfaction, speed of service, follow organisation procedures for meeting and greeting and inducting clients to equipment

Examples of good practice in customer service – meeting and exceeding customer needs and expectations, adding a personal touch, providing personal attention, knowing client names, using polite language, making extra efforts to demonstrate willingness to please the customer, treating the customer as an individual

Dealing quickly and effectively with a complaint. Acknowledge complaint immediately (HEAT – Hear, Empathise, Apologise, Take action), handle complaints (privately, positively, confidently, professionally, promptly, confidentially, empathetically, with trust and respect, to client’s satisfaction), follow agreed procedures to check complaint has been dealt with

The importance of customer service to a business - professional image, reputation of therapist, organisation and industry sector, customer retention, customer satisfaction, customer relationships and repeat business, including word of mouth recommendations and referrals

11

Commercial awareness:

Eco-friendly and cost-efficient use of resources e.g. time, disposal of waste, use of products and consumables

- Use of non-toxic and ecologically- friendly cleaning products

- Recycling paper towel

- Shredded treatment cards and other documents

- Turning equipment and air conditioning off overnight

Opportunities to promote and sell additional products and services - Personal training sessions

- Lifestyle support

- Specialist courses or sessions, e.g. weight management, healthy eating, back care

- Group exercise

- Treatment products

Opportunities to promote other activities and services offered by the facility, e.g. group exercise and studio classes, swimming, racquet sports, sports massage, physiotherapist, nutritionist, café, beauty therapy

Awareness of competitors - Different business types locally that may compete for a client’s disposable

income

Unique selling points of products and services. Combination of facilities and services offered that are not available elsewhere. Specialities and target market niches

Opportunities to differentiate self and services from competitors. Own experiences and achievements relevant to supporting others

12

Skin cancer awareness

Please note this information will not be assessed for the achievement of this unit. Public awareness of skin cancer has never been higher, and yet skin cancer remains the

fastest growing cancer in the UK, especially amongst young people. The chances of a

positive outcome can be dramatically increased with early identification and diagnosis.

Professionals in hair, beauty, sports massage and health and wellbeing industries work

closely with clients and in many cases have sight of areas of skin which may not be easily

visible to the client. An informed awareness of the signs, symptoms and changes of

appearance to be aware of when checking for early signs of cancer is a crucial tool for the

conscientious practitioner in order to provide the most thorough service and in some cases,

possibly lifesaving information signposting.

Signs to look for when checking moles include utilising the ABCDE guide:

A - Asymmetry – the two halves of the area/mole may differ in their shape and not match.

B - Border – the edges of the mole area may be irregular or blurred and sometimes show

notches or look ‘ragged’.

C - Colour – this may be uneven and patchy. Different shades of black, brown and pink may

be seen.

D - Diameter – most but not all melanomas are at least 6mm in diameter. If any mole gets

bigger or changes see your doctor.

E - Elevation/evolving – elevation means the mole is raised above the surface and has an

uneven surface. Looks different from the rest or changing in size, shape or colour. Anyone

can get a suspicious mole or patch of skin checked out for free by the NHS by visiting their

doctor, who may then refer to a dermatologist (an expert in diagnosing skin cancer).

If you require any additional NHS information please refer to https://www.nhs.uk/be-clear-on-

cancer/symptoms/skin-cancer

If your learners are interested in learning more about skin cancer awareness alongside this

qualification, VTCT runs the following qualification: VTCT Level 2 Award in Skin Cancer

Awareness for Non-Healthcare Professionals.

This qualification has been specifically designed for those working in the sports massage,

health and wellbeing, beauty, hairdressing and barbering sectors. It will enable learners to

identify any changes to their client’s skin and to highlight those changes to the client using

appropriate language and communication skills. It will enable the learner to raise awareness

of skin cancer and signpost their clients to public information about skin cancer.

This qualification will enable hair, beauty and wellbeing professionals to gain the appropriate

knowledge and communication skills required to provide non-diagnostic, professional advice

and information to clients in a discrete, empathetic and confidential manner.

For more information please refer to the Record of Assessment book:

https://qualifications.vtct.org.uk/finder/qualfinder/1Record%20of%20Assessment%20Book/A

G20529.pdf

13

Assessment criteria

In order to pass this unit, learners must achieve all pass criteria. The pass criteria relate to the proficient demonstration of skills and knowledge.

Learning outcome

The learner must:

Assessment Criteria

The learner can:

LO1 Know the indications for hot and cold techniques

P1 Explain the indications for cold treatments

P2 Explain the indications for hot treatments

LO2 Know the physical and physiological effects of hot and cold techniques

P3 Describe the physical and physiological effects of hot and cold treatments

P4 Describe the possible adverse reactions to hot and cold techniques

LO3 Know the contra-indications, pre-cautions and risks associated with hot and cold techniques

P5 Describe contra-indications, pre-cautions and risks associated with hot and cold techniques

LO4 Be able to prepare for the application of hot and cold techniques

P6 Devise a treatment plan for application of hot and cold techniques

P7 Prepare self and treatment area for hot and cold treatments

P8 Select and prepare equipment and resources

P9 Prepare the client for application of hot and cold techniques

LO5 Be able to apply hot and cold techniques

P10 Position the client to ensure their comfort, dignity, safety throughout the treatment

P11 Apply hot and cold treatments safely and effectively

P12 Bring the treatment to an end using appropriate techniques

14

Assessment guidance

Assessors must use the amplified assessment guidance in this section to judge whether assessment criteria have been achieved.

P1 Explain the indications for cold treatments

Learners must explain the indications for the application of cold techniques. These may include acute or chronic pain, acute or chronic muscle spasm, acute inflammation or injury, post-surgical pain and oedema, superficial first degree burns, with exercise to facilitate mobilisation, relieve pain and decrease muscle spasticity.

P2 Explain the indications for hot treatments

Learners must explain the indications for the application of hot techniques. These may include sub-acute or chronic injuries, to reduce oedema, to reduce muscle spasm/guarding, to increase blood flow, to increase range of movement prior to activity, resolve haematoma, facilitate soft tissue healing and relieve joint contracture

P3 Describe the physical and physiological effects of hot and cold treatments

Learners must demonstrate their knowledge of the physical and physiological effects of hot and cold techniques.

Learners must describe the physical and physiological effects of cold techniques, for

example: decreased local metabolismand therefore oxygen requirements,

vasoconstriction, hyperaemia, decreased haemorrhage, reduced muscle efficiency, analgesia (pain relief), relaxation of muscle spasm, reduction in nerve conduction velocity and stiffening effect on connective tissue.

Learners must describe the physical and physiological effects of hot techniques, for example: to reduce muscle spasm/guarding, increase blood flow, to increase soft tissue extensibility, resolve haematoma, to facilitate tissue healing, to relieve joint contracture, analgesia (pain relief), to increase metabolism, vasodilation, erythema, to relax connective tissue and increased soft tissue extensibility.

P4 Describe the possible adverse reactions to hot and cold techniques

Learners must demonstrate their awareness of the possible adverse reactions that a client may have to both hot and cold treatments. These may include ice burns or frostbite, increased pain, neurological effects, reddening of the skin, increased swelling, allergic reaction, chemical burns, burns or scalds, fainting, muscle metabolic fatigue, sudden increased blood pressure, temporary lowering of blood pressure, dehydration, heat stroke, dizziness and/or headaches.

P5 Describe contra-indications, pre-cautions and risks associated with hot and cold techniques

Learners must demonstrate awareness of the contraindications, precautions and risks associated with hot and cold techniques.

Examples for cold techniques would include: decreased cold sensitivity and/or hypersensitivity, cold allergy, circulatory or sensory impairment, Raynaud’s disease, cold urticaria, hypertension, uncovered open wounds, cardiac or respiratory disease, certain autoimmune diseases, e.g. rheumatoid arthritis or lupus, infected skin at application site, superficial nerve at the site of application.

Examples for hot techniques would include, acute injuries or skin conditions, impaired or poor circulation, lack of thermal sensitivity, impaired thermal regulation, local areas of recent bleeding, haemorrhaging, malignancy and metal implants.

15

P6 Devise a treatment plan for application of hot and cold techniques

Learners must assess client and confirm indications for the application of hot or cold treatments. Learners must gather information to ascertain if there are possible any contraindications, precautions and/or risks associated with the application of hot and cold techniques. Learners must consult or refer to where necessary.

P7 Prepare self and treatment area for hot and cold treatments

Learners must demonstrate that they have prepared themselves and the treatment area for the application of hot and cold techniques.

Learners must prepare themselves and give consideration to their personal hygiene, dress, appearance and attitude. Personal presentation and behaviour should comply with guidelines from professional standards for sports massage.

Learners must also ensure that all treatment area is prepared in advance. Learners must give appropriate consideration to both hygiene and health and safety requirements and the area should be comfortable and welcoming for the client.

Learners must also give appropriate consideration to both hygiene and health and safety requirements to control any potential risks of cross-infection.

P8 Select and prepare equipment and resources

Learners must select and prepare the appropriate equipment and resources needed for the chosen hot or cold treatment. This will include selection of all accessory resources needed to ensure cleanliness, comfort and dignity for the client.

Learners must prepare all resources needed for sensation tests, e.g. test tubes (for hot and cold testing), cotton buds (sharp/blunt testing). They must also prepare resources that may be needed for protection, e.g. oil to prevent adherence, fabric to act as a barrier.

Learners must also carry out safety checks on the equipment and check all equipment is working efficiently with no damage. For example the plinth should be stable and at correct height and all equipment and resources should be positioned to allow the therapist to work safely and efficiently with minimal disruption to the client.

P9 Prepare the client for application of hot and cold techniques

Learners must fully explain each stage of the treatment process to the client, this would include explanation of the purpose of the treatment, the features and benefits, sensations the client may experience, any adverse effects and their likely duration. Learners must respond fully to any questions the client asks and all questions and answers should be recorded. The client’s informed consent should be gained before any treatment is conducted. Informed consent record should be signed by both client and therapist.

Learners must also demonstrate that they have prepared the client to receive the treatment, this would include instructing the client to remove any jewellery (in treatment area), cleansing and preparing the body areas for treatment and carry out carrying out appropriate sensation tests e.g. blunt/sharp, hot/cold.

Learners must follow guidelines for the presence of a chaperone, where necessary.

16

P10 Position the client to ensure their comfort, dignity, safety throughout the treatment

Learners must demonstrate that they have positioned the client to maintain their comfort, dignity and safety throughout the treatment. This will include the use of supports and drapes e.g. towels, rolls and pillows. It will also include consideration of client modesty, for example exposing only the necessary amount of the body area being treated and using barriers or working through the towels, if appropriate.

Learners must ensure that all resources needed to treat the client are within easy access so that the treatment can be conducted effectively and efficiently. Learners must also demonstrate appropriate consideration to health and safety and protection of the client and therapist.

P11 Apply hot and cold treatments safely and effectively

Learners must demonstrate that they can apply hot and cold techniques using safe and effective practices. Learners must follow manufacturers’ instructions and/or recommended guidelines for the application of the hot or cold treatment (as appropriate). Learners must apply techniques correctly to meet the context and presenting condition of the client. This will include an appropriate time-scale for treatment of the body area to achieve the required outcome and with consideration to the client’s skin type.

Learners must use barriers to prevent unnecessary client exposure or work through clothing or use towels, if needed.

Learners must also be able to respond and adapt the treatment to accommodate the client’s needs. This includes being observant throughout the treatment and aware of any signs of inflammation, redness, swelling, heat and any adverse reactions.

Learners must encourage the client to communicate and provide feedback throughout the treatment, e.g. any unexpected sensations, pain or discomfort. Learners must also be aware of the client’s non-verbal communication, e.g. tensing, flinching or facial expressions and should take appropriate action to respond to client feedback.

P12 Bring the treatment to an end using appropriate techniques

Learners must demonstrate that they can end the treatment effectively. Learners must check the treatment area for any adverse reactions of potential allergic response and ensure they have supplied appropriate cleansing and drying materials to the client, giving assistance where necessary.

Learners must gain client feedback to assess the effectiveness of treatment by comparison to initial markers. Learners must also give appropriate homecare advice to the client to maintain the benefits of the treatment and to meet the client’s needs and goals.

Learners must dispose of all waste, clean all equipment and tidy the treatment area so that everything is left in an appropriate condition for future use (safe and hygienic).

Learners must ensure that all treatment records are updated and maintained to meet legal requirements and professional standards.

17

Resources

The special resources required for this unit are access to a real or realistic working environment that supports the provision of application of hot or cold treatments Learners will benefit from access to a wide range of hot and cold treatment modalities. Recommended text books:

Norris, C (2011) The Complete Guide to Sports Injuries. UK. A&C Black/Bloomsbury Publishing

Paine, T (2000) The Complete Guide to Sports Massage. 2nd edition. UK. A&C Black/Bloomsbury Publishing.

Peterson, L (2000) Sports Injuries. Their Prevention and Treatment. 3rd edition. UK. CRC Press

NB: This list is not exhaustive. There are many other valuable text books.

Websites:

The SMA Code of Ethics and Conduct – www.thesma.org

Institute of Sport and Remedial Massage – www.theisrm.com/terms.php

Complementary and Natural Healthcare Council (CNHC) – www.cnhc.org.uk

Federation of Holistic Therapists (FHT) – www.fht.org.uk

The council for soft tissue therapies – www.gcmt.org.uk

The National Institute for Health and Care Excellence (NICE) – www.nice.org.uk

The American College of Sport Medicine (ACSM) – www.acsm.org

The Department of health – www.gov.uk/government/organisations/department-of-health

The British Association of Sport and Exercise Science – www.bases.org.uk

Delivery guidance

Teachers are encouraged to use innovative, practical and engaging delivery methods to enhance the learning experience. Learners may benefit from:

Meaningful employer engagement so they relate what is being learned to the real world of work and understand commercial competence and product, tools and equipment usage in relation to injury prevention and management

Work experience within a injury/sports massage clinic so they can practise to hone their skills in a real environment

Using interactive information and technology systems and hardware so they can learn about concepts and theories; research current trends; research product knowledge and produce visual aids relevant to the application of hold or cold techniques

The use of flash cards, diagrams to complete, quizzes and design of posters to reinforce learning of the effects and adverse reactions to hot and cold techniques

Opportunities to observe and practise a range of hot and cold techniques

Presentations from guest speakers, e.g. physiotherapists, to guide on the benefits and uses of hot and cold techniques

18

Links with other units

This unit is closely linked with the following units:

USP92M Anatomy and physiology for sports massage

Learners will be required to apply their knowledge of anatomy and physiology when studying hot and cold techniques. Knowledge of anatomy and physiology underpins the application of hot and cold treatments and all stages of the injury and healing process. The anatomy and physiology unit should be delivered before the delivery of the applying hot and cold techniques unit.

USP96M Understand the principles of soft tissue dysfunction

Learners will be required to apply their knowledge of the principles of soft tissue when studying hot and cold techniques. The principles of soft tissue dysfunction unit will provide the fundamental knowledge and understanding of injury and dysfunctional tissue, which unpins the use of hot and cold treatments to prevent and manage injury. The principles of soft tissue dysfunction unit can be delivered before, or integrated with delivery of the applying hot and cold techniques unit.

USP94M Assessment for sports massage

Learners will be required to apply their knowledge of assessment for sports massage when studying hot and cold techniques. Client consultation will help the therapist to identify if hot or cold treatments would benefit the client. The assessment for sports massage unit should be delivered before the delivery of the applying hot and cold techniques unit.

USP95M Sports massage treatment

Learners will be required to apply their knowledge of sports massage treatments when studying hot and cold techniques. This will ensure all treatments are effective to manage the healing process. The content of the sports massage treatments unit can be delivered before, or integrated with the delivery of the applying hot and cold techniques unit.

USP101X Applying taping and strapping to support and limit specific movement in sport and active leisure

Learners will be required to apply their knowledge of taping and strapping when studying hot and cold techniques. The taping and strapping unit directly complements the application of hot and cold techniques unit as both are used to prevent and manage injury. The content of the taping and strapping unit can be delivered before, or integrated with the delivery of the applying hot and cold techniques unit. Both are optional units.

19

Version Details of amendments Date

v8 Skin cancer information page added

13/06/17