users.rowan.eduusers.rowan.edu/~clarke56/Kines. Movement analysis... · Web viewIt is painful to rotate my head to the left more than the right side, especially after working a long

Movement Analysis Project by:

Jessica Clarke

Partnered with:

Spring 2016, Kinesiology

Section:

Assignment #4

Dr. Anjuli Gairola

Demographics:

Name: Jessica Clarke

Gender: Female

Age: 21

Height (in inches and cm): 5’7 in. or 170.2 cm

Weight (in lbs. and kg): 190lb or 86.45kg

Body mass index: 29.8

Medical and Physical History Questionnaire:

Medical Conditions:

Name_______________________________

Height______ Weight________ BMI_________

1. Any recent history of diseases pretaning to body movement? Yes/NoIf yes please list them. ____________________________________________________________

2. Do you take any medications pretaning to body movement? Yes/NoIf yes please list them. ____________________________________________________________

3. Do you have any deficiencies pretaining to body movement? (i.e. bone density) Yes/No Please list all that apply. __________________________________

4. Have you had any recent surgeries pretaining to body movement? Yes/No If yes please list all. ___________________________________________

5. Do you have any joint or bone problems that could be made worse by becoming more physically active? Yes/No

6. Has your doctor ever said that you should only do medically supervised physical activity? Yes/No

7. Do you loose balance because of dizziness or have you lost consouisness in the last 12 months? Yes/No

8. Do you frequently have swelling in your ankles (edema)? Yes/No9. Do you have servere pain in your leg when walking? Yes/No10. Are you able to fully touch your toes without bending your legs? Yes/No11. Do you have any back pain affecting nerves or muscles? Yes/No

Family History:

1. Has anyone in your family suffered from the following disorders (check all that apply):o Osteoporosiso Multiple sclerosiso Dyskinesia

2. Has anyone is your family suffered from any deficiencies pretaining to body movement (i.e. osteoporosis)? Yes/No

3. Does anyone in your family have any recent history of diseases pretaning to body movement? Yes/NoIf yes please list them. ____________________________________________________________

4. Does anyone in your family take medications pretaining to body movement? Yes/NoIf yes please list them. ____________________________________________________________

Current exercise:

1. How many days a week do you work out?o Not at allo 1-2 times a weeko 3-5 times a weeko 5-7 times a weeko Other __________________

2. What would you rank the intensity level of your workout? Light/Moderate/Vigorous3. When working out in each session how long does the workout typically last?

o 0-20 minuteso 25-35 minuteso 40-60 minuteso 60+o Does not apply

4. Do you drink and if so how often? ______________________________5. Do you smoke? Yes/ No6. Do you have any weight goals? Gain/loose/None7. When going to class do you walk or commute? ____________________8. Do you take the elevator or stairs more often? _____________________9. Do you sit or stand at work? ___________________________________

Movement Goals:

o Improve postureo Reduce the amount of pain in upper back by improving postureo Sit properly in a chair and not hunch backo Walk with my shoulders back

Initial Summary:

My name is Jessica Clarke and I am 22 years old. I am working to improve my posture. My posture may be due to my ankle sprain I’ve been having since 10th grade. Now, I feel pain in my knees, hips and back at times. I’m hoping fixing my posture will help reduce the pain in my back especially, while at work.

Range of motion Assessment:

Cervical Spine:

Neutral position Flexion Extension

Neutral Position Rotation (Left) Rotation (Right)

Neutral Position Lateral flexion (left) Lateral flexion (right)

Glenohumeral Joint (Shoulder):

Neutral position External Rotation Internal Rotation

Neutral Position Abduction (left) Abduction (Right)

Neutral Position Flexion

Acetabulofemoral Joint (hip):

Neutral Position Internal Rotation (Left) Internal Rotation (Right)

External Rotation

Neutral Position Flexion (Right) Flexion (Left)

Sit and Reach Start Sit and Reach End

Straight Leg Raise (Left) Straight Leg Raise (Right)

Thomas Test (Right) Thomas Test (Left)

Analyzing ROM:

My goal is to improve my posture, and I’ve stated that I hope to improve the pain in my upper back by doing so. Based off the data above, I am very close to what the normal range of motion should be. Some areas exceed the norm, but when it comes to rotation in my cervical spine it is significantly lower. I believe this may be due to a pinched nerve in my left scapula area. It is painful to rotate my head to the left more than the right side, especially after working a long day or workout. Knowing my assessed range of motion in my cervical spine I need to be

Range of motion assessmentJoint Name Motion Assessed ROM

(Degrees)Normal ROM

(Degrees)

Cervical Spine:

Flexion 80 60Extension 70 75Rotation (left) 45 80Rotation (right) 60 80Lateral Flexion (Left) 45 45Lateral Flexion (right)

55 45

Glenohumeral Joint (Shoulder):

Flexion 180 170Abduction (left) 180 170Abduction (right) 180 170Internal Rotation 60 70External Rotation 110 90

Hip:Flexion 110 110Internal Rotation 35 35External Rotation 45 45

more careful and start stretching more to hopefully extend the rotation in my neck. This can also be seen in the cervical spine for my lateral flexion between my left and right.

Posture Analysis/Overhead Squat:

Anatomical position Sagittal View Posterior view

Begin: Overhead Squat (Frontal) End: Overhead Squat (Frontal) Frontal view feet

Begin: O.H Squat (Sagittal) End: O.H. Squat (Sagittal) Begin: O.H. Squat (Posterior)

End: Overhead Squat (Posterior) Posterior view Feet Posterior view of scapula

Patella view

Postural Needs Assessment:

Frontal ViewEyes Aligned Yes No If no, which side

higherRight 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 Right Left Both

Genu Varum Yes No Right Left Both

Feet face Forward Yes No Right Left Both

Sagittal ViewHead Protruded Yes No

Kyphosis Yes No

Excessive Lordosis Yes No

Reduced Lordosis Yes No

Genu Recurvatum Yes No

Posterior ViewWinged Scapula Yes No If yes, which side Right Left Both

Feet Evert Yes No If yes, which side Right Left Both

Feet Invert Yes No If yes, which side Right Left Both

Summary:

Based off of the results above my posture is very straight. Although, one thing that surprised me though is that my patella is shifted medially, on both sides when viewing it from a frontal plane. This could be due to my vastus medialis being under active and my vastus lateralis being over active. To address this issue, I need to stretch my vastus medialis and strengthen my vastus lateralis.

While looking at the overhead assessment, I can conclude many things I wasn’t aware of. When I start my overhead squat I am straight, but when I end my right foot externally rotates. This does not surprise me because I have sprained my ankle many times playing basketball. My ankle is very weak and needs to be strengthened. More importantly this means that my peroneal is over active, and needs to be stretched. This also means that my tibialis posterior needs to be strengthened. Finally, when looking at my overhead squat from a sagittal plane, you can indicate that I have a little bit of excessive lordosis. Excessive lordosis causes an anterior tilt of the pelvis due to the over active muscles of erector spinae and iliopsoas, and underactive muscles of the hamstrings, gluteus maximus and transverse abdominis. To help fix this problem I need to stretch my overactive muscles and begin strengthening my underactive muscles.

Relating back to my original goals, my posture looks good. However, I think looking at my overhead squat analysis; it shows the little things I need to work on. The excessive lordosis might be causing the pain in my back and pin pointing this out should help reduce the pain.