Emily Howard
Partner: Kyle
Movement Analysis Project
Dr. Uygur
Kinesiology MW 11:00-12:15
Demographics
Name: Emily HowardGender: Female Age: 21
Height: 68 inches--172.72 centimetersWeight: 140 pounds-- 63.5 kilograms
Medical and Physical History Questionnaire
Medical Conditions:
Please list previous injuries that could effect movement below:
Both right and left wrists suffered breaks
Right ankle sprain
Please list family history of medical problems that could impair physical activity: Diabetes
Cancer
Physical Activity:
What types of exercises do you take part in within your current lifestyle:
Cardio 3 times a week
Some abdominal workouts
Rare leg and arm muscle workouts
Pick up basketball and baseball games
Please list daily life activities that contribute to physical activity:
Daycare worker
Lifting small children ages 3 months to 5 years old
Moving often, always on feet
If it applies, please list any other physical disabilities or problems that could effect movement if not already mentioned above:
I have slightly rounded shoulders due to being tall as I grew I would hunch them while I walked, stood or sat there for leading to a deformity of bad posture.
Movement Goals
I have two goals to accomplish:
Increase Flexibility
Improve Posture
I would like to improve my flexibility by just a small margin but I feel as though flexibility can decrease the likelihood of injury during exercise. By increasing my flexibility I will be able to exercise with less worry of injury or soreness. This can help me to be able to exercise at a higher intensity.
I would also like to improve my posture by being able to stand up straighter and not curving my shoulders by standing and or sitting. I would like to be able to naturally stand up straight and not have a rounded shoulder to my back posture. As a young child I grew faster then other children therefore I feel as though my bad posture steams from a height insecurity, but now that I am older I would like to stand up straight without having to thing about preforming the action.
Summary
After analyzing the data I have discovered that my main problem that needs work is my posture. Other than that I do not have any medical or physical history that should lead to many physical disabilities that could impair movement. I have realized that if I work on my posture it seems as though my movement will no longer be impaired to an extreme extent.
Range of Motion Assessment
Cervical
NeutralFlexionExtension
Left RotationRight Rotation
Left Lateral FlexionRight Lateral Flexion
Glenohumeral Joint (Shoulder)
Neutral Right Abduction Left Abduction
Right Neutral (Flexion&Extention) Right Flexion Right Extension
Left Neutral (Flexion&Extension) Left Abduction Left Extension
Hips
Right FlexionLeft Flexion
Right NeutralRight Internal RotationRight External Rotation
Left NeutralLeft Internal Rotation Left External Rotation
Sit and Reach Test
Straight Leg Raise
Left Straight Leg RaiseRight Straight Leg Raise
Thomas Test
Right Side
Left Side
Summary of ROM Analysis
After analyzing the picture of the range of motion demonstrated, it is obvious of some dysfunctions but for the most part complete range of motion is intact. One of the goals listed by the client was to work on posture and in the above pictures it is visible that there is some rounding and hunching of the shoulder. Through the other tests you can see flexibility is in tact and does not need too much work even though that was another one of the goals. There is room from improvement for the sit and reach test but not much in range of motion of the hips shoulder and cervical spine. For the cervical spine ROM the client has a flexion of about 60 degrees, rotation on both right and left side of about 80 degrees, and extension of about 75 degrees and a lateral flexion on both the right and left side of about 45 degree. These are all normal range of motion degrees for these areas. For the Glenohumeral Joint also know as the shoulder the Flexion for both arms was between 170 and 180 degrees and the extension was around 75 degrees for both arms. Also the internal and external rotations were found to be normal at between 70-90 degrees and the abduction was found to be around 170 for both arms showing normal ROM.
After assessing the shoulder and spine we move to the hip ROM and the sit and reach test along with the Thomas test and the straight leg raise. In the hip ROM test the flexion for both the right and left legs were found to be approximately 110 degrees while the internal and external rotation of both legs was between 35 and 45 degrees. In the sit and reach test it was shown that there is room for improvement and in the leg raise the leg reached a 90 degree angle which could use improvement but is a normal result.
Lastly the Thomas Test showed good hip flexors in the client. The ability to be able to bring leg to the chest while having the other leg flexed, relaxed and extended shows good hip flexion.
Postural Analysis
Anterior View Sagittal ViewPosterior View
After analyzing the postural photos it is easy to see some postural dysfunctions. In the photos it is visible that there is a protracted shoulder girdle with head protrusion. In the protracted shoulder girdle the underactive muscles are rhomboids and middle trapezius and the over active muscles are the Pectoralis minor. In the head protrusion the overactive muscles are scalenes and sternocleidomastoid and the underactive muscles are cervical extensors.
Overhead Squat Assessment
Anterior ViewSagittal ViewPosterior View
After analyzing the clients overhead squat there is a few problems to be taken care of. There is an excessive lumbarlordosis in conjunction with a slight pronation of the right and left feet. The excessive lumbar lordosis has underactive muscles of the rectus abdominis and hamstrings and the overactive muscles are erector spinae, and hip flexors more specifically the iliopsoas and the Rectus Femoris. The pronation of the right and left feet also known as flat feet can be caused by overactive peroneal complex, toe extensor complex, Bicep femoris and TFL muscles and underactive muscles of the Posterior Tibialis, Anerior Tibialis, Medial Gastrocnemius and the Gluteus Medius.
Gait Analysis
Walking
Right Side Posterior
Heel Touch MidStanceToe Off
Left Side Posterior
Heel Touch MidStance Toe Off
Right Side Sagittal
Heel Touch MidStanceToe Off
During the walking Gait Assessment it is easy to see some dysfunctions. In the posterior side of the right leg, you can excessive pronation of the right ankle at mid-stance and slight external rotation of the tibia during heel strike. There is also a slightly elevated pelvis on the left side during toe off of the right foot. When viewing the left side you can see some extreme internal rotation of the right foot during mid-stance of the left foot. Finally while viewing from the sagittal view you can see some slight inversion of the right foot during toe off stage.
Running
Right Side Posterior
Left Side Posterior
Right Side Sagittal
In the posterior view of the right foot while running you can see an externally rotated tibia of the left leg during mid-stance with extreme pronation of the right foot while in the left foot you see external rotation in the left foot while it is in mid-stance and some external rotation of the right threw swing phase. There is also slight inversion of the right foot during heel touch of the left. Finally, while using the sagittal view you can see increased knee flexion during mid-stance of the right side and severe pronation of the right foot.
Corrective Exercise Program
Rows- Rows are meant to work on strengthening the clients rhomboid muscles while protracting the shoulders to improve posture.
Pec Pull Stretch- by holding a wall and turning your body forward you are able to stretch the pectoralis major, which will help with the overactive tendencies that lead to rounded shoulders.
Prone Y stretch- the purpose of this stretch is to strengthen the cervical extensors and stretch the scalene and sternocleidomastoid to improve head protrusion
Cat Pose- by creating the curve in the lower back it helps to stretch the erector spinae which improves excessive lordosis of the lumbar spine.
Childs Pose- This is another stretch that can help to stretch the lumbar spine to help with excessive lordosis.
Lunge- the lunge stretches the hip flexors, which will improve the anteriorly tilted pelvis and the tight erector spinae, which is causing excessive lordosis.
Chair Squat- this is to increase gluteus Maximus strength to help with lordosis
Plank- plank helps to with the stabilization of the internal abdominal muscles which will decrease excessive lordosis.
Calf Raises- this strengthens gastrocnemius and soleus which can help pronation of the feet.
Hip Flexor Stretch- another hip flexor stretch can help to stop excessive lordosis