Artifact 1 Clinical Integration Proficiency (CIP) 2:

Select, apply, evaluate, and modify appropriate standard protective equipment, taping, wrapping, bracing, padding, and other custom devices for the client/patient in order to prevent and/or minimize the risk of injury to the head, torso, spine, and extremities for safe participation in sport or other physical activity.

Reflection:
CIP 2 was completed during my rotation with the Indiana University football team. Taping class with Kip Smith sophomore year definitely gave me the background needed to succeed. During the months leading up to the annual spring football game, the players endured grueling practices every Tuesday and Thursday. Before each practice every player had their ankles taped, offensive and defensive linemen were fitted for knee braces, and protective padding such as helmets and shoulder pads, were visually checked. In figure 1, you can see the pre-participation inspection and checks made for proper helmet fitting. Selecting and applying the appropriate tapings (half and half vs. all white) and bracings (medial and lateral collateral ligament support) were just as important as the modifications necessary for injured athletes. Some common modifications made in regards to taping include the Spartan technique for additional medial or lateral ankle support, turf toe taping, and wrist taping through the hand and/or including the thumb. Continually practicing taping and staying up-to-date with current bracing techniques and modification will help me grow stronger and more proficient in this area. I have created a helmet and shoulder pad fitting checklist (see below) that I can give to younger peers. This allows me to be a good mentor and resource to the younger peers but also keeps me in tune with proper standard protective equipment fitting. Shoulder Pads
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Visually inspect for any defects with padding Determine the position the athlete plays Measure the shoulder width from acromion to acromion Place appropriate shoulder pads on athlete and tightly secure straps Measure inch- inch space between neck and shoulder pad Padding must cover sternoclavicular joint and cover xiphoid process Deltoid muscle and acromioclavicular joint must be covered The back of the pads must completely cover both scapulas Ensure adequate range of motion and functional movements

Helmet
1) Inspect the helmet for any defects and be sure the
warning label and NOCSAE stamp is clearly visible.

2) Check for any physical abnormalities on athletes head

and measure the athletes head beginning at the side of the head and wrap around 1 inch above the eyebrow and around the occipital lobe to get the head circumference. Fit the head circumference with the appropriate helmet size. - Medium Range = 20-22.5 in - Large Range = 21.5-23.25 in - XL Range = 23-25.5 in Place the helmet on the athlete and fasten the chin strap. Forehead pad should sit 3 fingers width above the bridge of the nose. Check pads should be snug against the face. You should be able to stick your finger in the athletes ear canal through the earholes. Occiput should be completely covered and padding should fit snug around entire head. Check the fit. Have athlete place pressure downward on the crown of his head and pressure should be distributed evenly. Have athlete hold head still while you attempt to move the helmet side to side Fill air bladder to appropriate/comfortable level. Maintain weekly.

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Figure 1