Partner: Corey Feigenbaum

Movement Analysis Project

Jeffrey Htam

Partner: Corey Feigenbaum

Kinesiology

Dr. Anjuli Gairola

M,W 9:30-10:45 (section 1)

Demographics

Name: Jeffrey Htam

Gender: Male

Age: 20

Height: 72 inches, 182.88 cm

Weight: 165 lbs, 74.84 kg

Body Mass Index: 22.4 BMI

Medical and Physical History Questionnaire

Medical History

1)Have you ever had any serious medical conditions and/ or injuries? List

Medical conditions: None

Injuries: Partially torn labrum (left shoulder), Healed herniated disc (L5)

2)If so, do these injuries affect movement of certain body part? List all injuries and describe whether they affect movement, even if its no.

a)Partially torn labrum (left shoulder) – no does not affect movement of left shoulder

b)Herniated disc (L5) – does not affect movement of lower back

3)Have you fractured any bones?...... Y / N

4)If so, does what is it and does hinder movement of certain parts of your body?

-Fractured left wrist and no it does not hinder movement.

5)Have you had any past surgeries?...... Y / N

6)If so, describe these surgeries and their affect with movement.

------

7)Does your family have back issues? ...... Y / N

8)Any health conditions within your family that may affect movement? ……….Y / N

If so, what are they? ------

Physical History

1)How many times a week do you exercise?

None 1-2 times 3-4 times 5 or more

2)Do you participate in any sports? ...... Y / N

If so, what sport? Baseball

3)Do you work a job that requires high labor?...... Y / N

4)Do you participate in any daily activities that are strenuous?...... Y / N

5)What would you rate your physical health?

Poor So-So Good Great

Movement Goals

-Increase flexibility within my hamstrings

-Increase shoulder flexibility for my right shoulder

-Improve posture when sitting down

-Preventing a re injury of my lower back and herniated disc

-Improve squatting and benching movement when lifting weights to prevent injury

Initial Summary

After having reviewed the initial information, this is a summary of the information given. The client Jeffrey Htam is a 20-year-old male. Weighing 165 pounds/ 74.84 kilograms and measuring out to be 72 inches/ 182.88 centimeters. His body mass index is 22.4 and in the normal range. He has no medical conditions but has had some past injuries. These include a partially torn labrum of his left shoulder and a herniated lumbar 5 disc. Both these injuries do not affect movement of the specific areas of the body. In addition, he has fractured his left wrist in the past but doesn’t affect movement. He has not undergone any surgeries, have any family history of back problems or any other health conditions within the family that may affect movement. He exercises 3 to 4 times a week while playing baseball. He does not work any jobs that require high labor or participate in daily activities that are strenuous. Lastly, he considers himself in good physical conditions. To relate this to his movement goals, flexibility within his hamstrings may coincide with past/ present back issues. Also with playing baseball, this may be a source of right shoulder flexibility as he is a right-handed thrower. Improvement of squatting and benching movement will help prevent re injury of lower back problems and other injuries that may arise. Whenever working out, he does his stretches that help strengthen the muscles around his shoulders and lower back to prevent re injury of his shoulder and lumbar disc. By doing this, it will help him move towards his goals of getting more flexible and preventing re injuries to specific areas of his body.

Range of Motion Assessment

Cervical

Neutral Position (Frontal View) / Neutral Position (Sagittal View)
Flexion / Extension
Flexion of the cervical spine has a normal range of motion of 60 degrees. Based on this picture, range of motion for flexion is about 60 degrees, which is normal. / Extension of the cervical spine has a range of motion of 75 degrees. In this instance, the degree for extension is around 70 degrees. It is almost normal and dysfunction for this could stem from tight neck muscles.
Lateral Flexion / Lateral Flexion
Lateral flexion leaning right shows a range of motion of 45 degrees which is normal. / Lateral flexion leaning left shows a range of motion of 45 degrees which is normal.
Rotation / Rotation
Rotation to the right appears to be less than the 80 degrees for a normal range of motion. / Rotation to the left has a normal range of motion of 80 degrees.

Shoulder

Neutral Position (Abduction) / Neutral Position (Flexion)
Neutral Position (Flexion)
Flexion (Right) / Flexion (Left)
Flexion of the right glenohumeral joint has more than the normal range of motion of 170 degrees. This picture indicates I have a range of motion of 180 degrees. A problem with this could be how I did the movement. / Flexion of the left glenohumeral joint has more than the normal range of motion of 170 degrees. This picture indicates I have a range of motion of 180 degrees.
Abduction (Right) / Abduction (Left)
Abduction of the right glenohumeral joint has a normal range of motion of 170 degrees. My range of motion for this movement seems to be about normal. / Abduction of the left glenohumeral joint has a normal range of motion of 170 degrees. My range of motion for this movement seems to be about normal.
Neutral Position (Internal & External) / Neutral Position (Internal & External)
Internal Rotation (Left) / Internal Rotation (Right)
Internal rotation of my left glenohumeral joint seems to be in the normal range of 70 degrees. / Internal rotation of my left glenohumeral joint seems to be less than the 70 degrees. A reason for this issue could be from playing a throwing sport. This could hinder my range of motion within my right shoulder.
External Rotation (Left) / External Rotation (Right)
External rotation of my left glenohumeral joint is normal with a 90 degree range of motion. / External rotation of my right glenohumeral joint is normal with a 90 degree range of motion.

Hip

Flexion (Right) / Flexion (Left)
Flexion of the hip joint indicates that I have about 90 degrees of range of motion. This is less than the normal range of motion of 110. / Flexion of the hip joint indicates that I have about 90 degrees of range of motion. This is less than the normal range of motion of 110.
Neutral Position / Neutral Position
Internal Rotation (Right) / Internal Rotation (Left)
Internal rotation of my right hip is normal with a 35 degree range of motion. / Internal rotation of my left hip is normal with a 35 degree range of motion.
External Rotation (Right) / External Rotation (Left)
External rotation of my right hip is normal with a 45 degree range of motion. / External rotation of my left hip is normal with a 45 degree range of motion.

Sit and Reach

Start / End
This sit and reach test shows that I have tight hamstring muscles. By having tight muscles, I can have lower back issues.

Straight Leg Raise

Right / Left
Straight leg raise of my right leg shows that I have less than 90 degrees of range of motion. This stems from tight hamstrings. / Straight leg raise of my left leg shows that I have less than 90 degrees of range of motion. This stems from tight hamstrings.

Thomas Test

For the left hip, the Thomas test demonstrates a negative test. Thus there are no restrictions on hip flexors. / For the right hip, the Thomas test demonstrates a negative test. Thus there are no restrictions on hip flexors.

Postural Analysis

Frontal View / Sagittal View
For the frontal view of posture, my eyes, AC joint and ASIS are all aligned. Both my patella heights are even and they face forward. In addition, I have no genu valgum, varum and both my feet face forward. Any disfunction that I could’ve had would have been caused by underactive and overactive muscles. / For the sagittal view of posture, my head is not protruded but I do have a slight shoulder girdle protraction. This is caused from overactive pectoralis major muscles and underactive mid trapizius. I could fix this by doing more exercises to inhibit and strength the trapzius muscle.Furthermore, I don’t have kyphosis, excessive or reduced lordosis or genu recurvatum.
Posterior View / Sagittal View
I do not have a winged scapula and both my feet are not inverted or everted. / For the sagittal view of posture, my head is not protruded but I do have a slight shoulder girdle protraction. This is caused from overactive pectoralis major muscles and underactive mid trapizius. I could fix this by doing more exercises to inhibit and strength the trapzius muscle.Furthermore, I don’t have kyphosis, excessive or reduced lordosis or genu recurvatum.

Overhead Squat Assessment

Anterior View
For my anterior view of the overhead squat assessment, both my knees are aligned with my feet before and after I do the overhead squat. In addition, both my feet face forward so in the anterior view, there is no misalignment.
Sagittal View
For the sagittal view of my overhead squat assessment, I have normal flexion but have a slightly excessive lordosis. This may be caused having overactive superficial erector spinae and hip flexors, while have underactive rectus abdominus and hamstrings. Lastly, my arms remain in line during the assessment.
Sagittal View
For the sagittal view of my overhead squat assessment, I have normal flexion but have a slightly excessive lordosis. This may be caused having overactive superficial erector spinae and hip flexors, while have underactive rectus abdominus and hamstrings. Lastly, my arms remain in line during the assessment.
Posterior View
Finally for the posterior view of the overhead squat assessment, both my feet are not everted and my heels do not rise off the floor. Also, my body does not have any asymmetrical shift. This indicates that my body is in right alignment from the posterior view of the overhead squat assessment.

Gait Analysis

Sagittal View
Walking Heel Strike / Running Heel Strike
The gait analysis for my walking heel strike is that my hip is in flexion, knee is barely flexed and ankle is slightly dorsiflexed. By having my knees only slightly flexed, this could increase the pressure in my knees when I am walking on a daily basis. With my ankle slightly dorsiflexed, it could put stress on my knees. / My gait during jogging from the sagittal view is slightly different from when I am walking. For instance, my knee and hip are in more flexion. Also, my ankle is slightly plantar flexed instead. This is caused by me landing on the balls of my feet instead of my heel. This would decrease the pressure on my knees and help it spread through my body as I run.
Sagittal View
Walking Mid Stance / Running Mid Stance
During my mid stance of walking, my hip is extended while my knee is only slightly flexed. Also, my ankle does not show dorsiflexion. Without dorsiflexion, it could put more strain on my knees. / During my mid stance for running, my hip is not as extended but my knee shows more flexion. This helps me propel forward with greater speed. In addition, my ankle is dorsiflexed absorbing the shock of the ground.
Sagittal View
Walking Toe Off / Running Toe Off
For toe off during walking, my hip is extended but moving toward flexion as it is preparing to swing. Also, my knee is flexed while my foot is in plantar flexion. In addition, my other foot is in mid stance. / For toe off during running, my hip is in extension while my knee is slightly less flexed. My ankle is in plantar flexion during running. However, during running, there is a split second where my feet are off the ground as I propel forward since my left foot is still off the ground as I am in the toe off stage.
Posterior View
Walking Heel Strike / Running Heel Strike
For my walking heel strike in the posterior view, I notice that I am in toe off and heel strike at the same time for either leg. Indicating that I don’t have any problems when walking forward. Also, my stride width is between 4-6 inches. / As for my running in the posterior view, my second foot is still off the ground as my right heel is striking the ground. In this view, I can tell that my ankle is in plantar flexion because there’s a slight gap between heel and ground.
Posterior View
Walking Mid Stance / Running Mid Stance
During my walking mid stance from the posterior view, I notice that my left pelvis is slightly tilted. This could be an issue of weak right gluteus medius or that I felt uncomfortable walking on a treadmill. / In my running mid stance from the posterior view, I don’t show any indication that my left pelvis is tilted. This shows that during running my muscles don’t indicate any weakness. Also, during mid stance my right foot is slightly plantar flexed showing that I am running on the balls of my feet and distributing the pressure through my body as I run.
Posterior View
Walking Toe Off / Running Toe Off
For toe off during my walking, hip is extended as my knee is slightly flexed. Also, my ankle is plantar flexed. This is a good example of no significant problems of toe off during my walking. / Lastly, my toe off during running shows that I am almost slightly off the ground as my toe is about to lift up. Also, my knees look like they are too close together as I run but I think this is caused by the view of the camera. My stance from the back doesn’t indicate that I am either internally or externally rotated.

Corrective Exercise Program (Upper Body)

Towel Internal Rotation Stretch
Start / End
The towel internal rotation stretch was chosen to help increase the range of motion of my shoulder during internal rotation. This stretch is primarily for my right shoulder because I have less range of motion in my right shoulder compared to my left. By using this stretch, the infraspinatus and teres minor will be more flexible and allow more internal rotation. More flexibility in my shoulder was one of my movement goals and this will help prevent injury of my right shoulder in the future.
Alphabet Series
Start / End
The series of alphabet stretches are helpful in setting your scapula back into a neutral position. These stretches help me activate my rhomboids, middle trapezius and posterior deltoids. I have always had slightly rounded shoulders and sometimes winged scapula. So these stretches help fix this issue by setting my scapula back into depression, downward rotation and retraction.
Sleeper Stretch
Start / End
Since high school, the sleeper stretch has been in my daily routine whenever I have had shoulder pain. This stretch helps reduce shoulder impingement and stretches the posterior capsule. By using this stretch, your external rotator muscles and posterior capsule is activated. Since I am a baseball player, this stretch is beneficial to prevent injury of your shoulder and helps with my movement goals.
Apley Scratch Stretch
Start / End
The apley scratch stretch was chosen because I have frequently used this stretch in the past to maintain increase internal and external rotation of my shoulders. For instance, my right shoulder has far less flexibility than my left when this stretch is applied. In addition, this helps me achieve my movement goal of increasing internal rotation of my right shoulder.
Cervical Rotation Stretch
Start / End
The cervical rotation stretch helps me increase my flexibility during rotation of my cervical spine. Rotating right, I had a slight reduction in flexibility so this stretch will help me regain the range of motion back to 80 degrees. Cervical rotation stretch activates your cervical rotators and increasing range of motion.
Internal Rotation
Start / End
The internal rotation exercise helps in strengthening the subscapularis, which is important in depressing the head of the humerus during abduction. This stretch is widely used by baseball players to maintain strength in your shoulder muscles during internal rotation. This is beneficial to me by helping me strengthen the muscles around my labrum.
External Rotation
Start / End
The external rotation exercise helps in strengthening the external rotators of the shoulder, which are often underactive. Also, this is helpful during the scapulohumeral rhythm when abducting your shoulder. This stretch helps my movement goals of increasing flexibility in my shoulder while also preventing re-injury of my labrum by strengthening underactive external rotators I may have.
Biceps Stretch
Start / End
The biceps stretch was chosen to help me prevent a re tear of the labrum in my left shoulder. I have slightly torn this muscle before, so by stretching the biceps brachii and anterior shoulder capsule, it will help prevent another injury. This stretch helps my goal of re-injury while reducing risk of a labral tear due to tightness of the long head of the biceps.
Shoulder Flexion Stretch
Start / End
I choose the shoulder flexion stretch in order to help reduce excess lumbar lordosis and increase the range of motion of my latissimus dorsi when it is overactive. This exercise helps me prevent injury of my lower back by reducing the excess lordosis. Also, it will help me prevent losing range of motion in my latissimus dorsi muscle.
Plank
Start / End
The plank exercise was picked because it helps maintain core strength of muscles. By maintaining core muscles, it will help resist motions that try to take the spine out of a neutral position. In addition, the plank exercise was chosen to help reduce excessive lordosis of the lower spine. This exercise helps train the inner core muscles so excess lordosis doesn’t occur. By creating less pressure on my back, it will help my goal of preventing re-injury of my lower back.

Corrective Exercise Program (Lower Body)