Rowan University



[pic] [pic]

Hannah Lewis/Deisy Maguirre

Kinesiology

9:25-10:40

Personal Demographics

Name: Hannah Lewis

Date: 9/ 10 / 13

Age: 21 Height: 167.64 cm or 66 in Weight: 124 lbs. 57 kg BMI: 19.8

Physical History

1. Have you ever broken or dislocated any bones in the body? (Select one, if yes list what it was and date)

Yes/No My Coccyx (2009) and Nose (2010)

2. Have you ever had surgery for an injury you have gotten in the past? (If yes, please list)

Yes/No Septoplasty 8/19/2013

3. Do you have any current injuries that affect your ability to do a movement such as a muscle tear, dislocation, sprain etc.? (If yes, please list) Yes/No

4. Has an injury ever disabled you from participating in a sport or daily movement in the past? (If yes explain) Yes/No Yes, Hamstring injury (track spring 2011) Hip flexor injury (track spring 2010)

5. Are you currently working? (If yes, please list what it is, how many hours, and days a week) Yes/No Catering Hall 10+ hours (Friday/Saturday) Tanning Salon 20+ hours (Monday-Sunday about 4 days a week)

6. Do you participate in the following activities weekly? Check off any that apply:

✓ Team Sports

✓ Running/Walking

✓ Biking

✓ Weight Lifting

o Swimming

o Zumba

o Yoga

o Pilates

o Dance

o Others (please list any other activities not listed)

7. Does any certain movement bother you when doing any of the activities above? (If yes, please describe where the pain is and what kind of pain it is) Yes/No While running I find that my calves get very tight and my groin also gets very sore.

Goals

-Gain flexibility in lower extremities to increase ROM while participating in sports and running -Strengthen trunk muscles/thigh muscles to increase speed

-Increase speed while running distances by cardiovascular training

-Correct upper back/neck posture by strengthening shoulder girdle and shoulder muscles

Summary

Overall I believe I am pretty physically fit and in good shape. I am able to be active and healthy without any noticeable pains or restrictions. I will say my only issue with myself is that I was much more athletic in high school as I was involved in three seasons of sports for four years. I noticed a decline in my abilities after I made the decision not to run cross-country or track my sophomore year of college. I was once able to run a mile in under seven minutes and I find that now I’m only able to hit about seven minutes on good days.

I lost much of my lower extremity flexibility in my hamstrings and some of my upper body strength in my arms and back by lifting lighter weights with high repetition. One thing I do keep up with is my core strength and endurance I run distance and create core workout circuits for myself to do at least 4 times a week. With all of this being said the things I hope to gain from this project are more flexibility and strength in my lower and upper extremities, corrective exercises to increase speed while running, and shoulder strengthening to correct my poor posture.

Range of Motion Analysis

Cervical Spine

[pic] [pic] [pic]

1. Neutral (Sagittal View) 2. Flexion 3. Extension

[pic] [pic] [pic]

4. Frontal View 5. Lateral Flexion (Right) 6. Lateral Flexion (Left)

[pic] [pic] [pic]

7. Neutral (Transverse) 8. Rotation (Right) 9. Rotation (Left)

|Name of Joint |Motion |Normal |My R.O.M |Normal? Restricted? |

| | | | |Hypermobile? |

|Cervical Spine |Flexion |60 |45 |Restricted |

|Cervical Spine |Extension |75 |60 |Restricted |

|Cervical Spine |Lateral Flexion |45 |(R 40) (L 45) |Normal |

|Cervical Spine |Rotation |80 |(R 60) (L 82) |Restricted/Normal |

Glenohumeral (Shoulder)

[pic] [pic] [pic]

1. Neutral (Frontal) 2. Abduction (Right) 3. Abduction (Left)

[pic] [pic] [pic]

4. Neutral (Sagittal) 5. Flexion (Right) 6. Extension (Right)

[pic] [pic] [pic]

7. Neutral Position 8. External Rotation (R) 9. Internal Rotation (R)

|Joint Name |Motion |Normal R.O.M |My R.O.M |Normal? Restricted? |

| | | | |Hypermobile? |

|Glenohumeral |Abduction |170 |110 (Right) |Restricted |

| | | |175 (Left) |Hypermobile |

|Glenohumeral |External Rotation |90 |90 |Normal |

|Glenohumeral |Internal Rotation |70 |45 |Restricted |

|Glenohumeral |Flexion |170 |170 |Normal |

|Glenohumeral |Extension |50 |50 |Normal |

Acetabulofemoral (Hip)

[pic] [pic] [pic]

1. Neutral (Sagittal) 2. Flexion (Right) 3. Extension

[pic] [pic] [pic]

4. Neutral (Right Femur Rotation) 5. External Rotation 6. Internal Rotation

[pic] [pic] [pic]

7. Neutral (Left Femur) 8. External Rotation 9. Internal Rotation

[pic][pic]

10. 90-90 Left Femur

[pic][pic]

11. 90-90 Right Femur

|Joint Name |Motion |Normal R.O.M |My R.O.M |Normal? Restricted? |

| | | | |Hypermobile? |

|Acetabulofemoral |Flexion |110 |115 |Normal |

|Acetabulofemoral |Extension |30 |40 |Hypermobile |

|Acetabulofemoral |Internal Rot. |35 |(R&L) 35 |Normal |

|Acetabulofemoral |External Rot. |45 |(R) 35 (L) 45 |Normal |

|Acetabulofemoral |90-90 |90 |(R&L) 90 |Normal |

Tibiofemoral (Knee)

[pic][pic][pic]

1. Straight Leg Raise (Knee Extension) Left Right

[pic] [pic]

2. Knee Flexion (Left) (Right)

[pic][pic][pic][pic]

3. Extension and Flexion Right and Left

|Joint |Motion |Normal R.O.M |My R.O.M |Normal? Restricted? |

| | | | |Hypermobile? |

|Tibiofemoral |Assisted Extension |0 |(R&L) 0 |Normal |

|Tibiofemoral |Assisted Flexion |145 |(R&L) 130&145 |Normal |

|Tibiofemoral |Extension/Flexion |0&145 |(R&L) 135&145 |Normal |

Summary of R.O.M.

Overall my range of motion is normal or close to normal in all of my joints that were examined. I would like to release some of the tightness I feel in my hamstrings and hip flexors through stretching I noted a lot of restriction in my cervical spine movements this could be corrected with stretching and posture change. I also noted some hypermobility in my left shoulder; which I have always noticed, but this could be a potential problem if I were to fall on my shoulder during lacrosse or at any other time. This could be corrected with strengthening of the rotator cuff and shoulder girdle.

Postural Analysis

[pic][pic][pic][pic]

|Frontal View |

|Eyes Aligned Yes No If no, which side higher Right Left |

| |

|AC Joint Aligned Yes No If no, which side higher Right Left |

| |

|ASIS Aligned Yes No If no, which side higher Right Left |

| |

|Patella Height Even Yes No If no, which side higher Right Left |

| |

|Patella Faces Forward Yes No If no, facing which way Out In |

| |

|Genu Valgum Yes No If yes, which side R L Both |

| |

|Genu Varum Yes No If yes, which side R L Both |

| |

|Feet Face Forward Yes No If no, which one R L Both |

| facing which way Out In |

| |

|Sagittal View |

|Head Protruded Yes No |

| |

|Protracted Shoulder Girdle Yes No |

| |

|Kyphosis Yes No |

| |

|Excessive Lordosis Yes No |

| |

|Reduced Lordosis Yes No |

| |

|Genu Recurvatum Yes No If yes, which side R L Both |

| |

| |

|Posterior View |

|Winged Scapula Yes No If yes, which side R L Both |

| |

|Feet Evert Yes No If yes, which foot R L Both |

| |

|Feet Invert Yes No If yes, which foot R L Both |

-After review of my posture there are some alignment issues and discrepancies that need to be addressed and hopefully corrected. My left Acromioclavicular joint is noticeably higher than the right most likely due to hypermobility; which may lead to joint instability. I have good posture overall besides an excessive lordosis which I believe is due to tight hip flexors causing an anterior tilt to my pelvis. I have good alignment in my lower extremities and no discrepancies in my knees or ankles.

Overhead Squat

[pic][pic][pic]

|Anterior View |

|Knees Align with foot: Yes No If no, which one R L Both |

| which way valgus varus |

|Feet Face Forward: Yes No If no, which one R L Both |

| which way abduct adduct |

| |

|Sagittal View |

|Normal Forward Flexion: Yes No, excessive forward lean |

|Normal Lumbar Lordosis: Yes No If no, excessive lordosis or reduced lordosis |

| |

|Arms Remain in Line: Yes No, arms fall forward |

|Posterior View |

|Feet Evert: Yes No |

|Heels Rise Off Floor: Yes No |

|Asymmetrical Shift: Yes No If yes which side R L |

Anterior View

-Assessing my overhead squat, it appears that I have close to flawless form. The knees are in alignment with the shoulders; which are also in alignment with the second metatarsal although the right knee buckles inward potentially due to tight hip flexors that were noted in the postural analysis. The feet are straight and neither abduct or adduct. From the anterior view, my squat form is close to perfect.

Sagittal View

-Although I have proper form from a sagittal aspect there is an obvious excessive lordosis that was also identified by the postural analysis this is caused by an overactive superficial erector spinae muscle and a weak rectus abdominus. In order to correct this, I should focus on stretching my lower back and tightening my rectus abdominus.

Posterior View

-From a posterior view you can see the right knee buckle in very obviously; which was noted when viewing my squat anteriorly. There is also a noticeable asymmetrical shift of my pelvis to the left side, this is most likely due to my knee buckling in also possibly due to my excessive lordosis and tight lower back muscles. This could all be corrected by proper stretching and focusing on form while performing a squat.

Gait Analysis

Walking (Posterior):

Heel Strike Mid-Stance Toe Off

[pic] [pic] [pic]

Walking (Sagittal):

[pic] [pic] [pic]

Jogging (Posterior):

Heel Strike Mid-Stance Toe Off

[pic] [pic] [pic]

Sagittal:

[pic] [pic] [pic]

After analyzing my jogging motions I can see that I am more of a toe runner, but I also tend to run more flat footed in the loading/Mid-stance phases.

|Heel Strike |Hip: Flexion Extension, Knee: Flexion |Knee is almost fully extended |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Foot Flat |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Mid-stance |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Heel-off |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Toe-off |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Swing phase | | |

|Initial Swing |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Mid-swing |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Deceleration |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

Stance Phase-Jogging

|Heel Strike |Hip: Flexion Extension, Knee: Flexion |Knee is almost fully extended |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Foot Flat |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Mid-stance |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Heel-off |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Toe-off |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Swing phase | | |

|Initial Swing |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Mid-swing |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

|Deceleration |Hip: Flexion Extension, Knee: Flexion | |

| |Extension, Ankle: Slight Dorsiflexion into | |

| |Plantar Flexion | |

Corrective Exercises for the Trunk and Shoulder Complexes

Posture Corrective Exercises

• Plank- strengthens obliques and transverse abdominus.

• Side Plank and Leg Pull- Shortens and lengthens external

obliques while maintaining length internal obliques and rectus

abdominus.

• Single Leg Extensions

• Cobra Pose- Strengthens erector spinae

Shoulder Complex Exercises

• Lateral raises- Strengthens supraspinatus and lateral deltoids

• Front Raises- Strengthens anterior deltoid

• Reverse Flys- strengthens posterior deltoid

• Military press- strengthens anterior deltoid

-----------------------

Movement Anaylsis Project

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download