users.rowan.eduusers.rowan.edu/~lavalletm0/Movement Analysis.docx · Web viewPrevious Surgeries: Nothing relevant to activity. Specific Movement deficiencies: Rotating my back, tight

Michel Vincent LaValle TettoRyan Skuzinsky

Movement Analysis ProjectDr. Biren

Section: Tuesday-Thursday 2:00-3:15

Name: Michael Vincent LaValle Tetto Gender: Male Age: 20 BMI: 17.3

Height (in.): 70 (cm.): 177.8 Weight (lbs.): 167 (kg.): 74.84

Medical and Physical History Questions:

Previous Surgeries: Nothing relevant to activity.

Specific Movement deficiencies: Rotating my back, tight calves and Achilles pain.

Any fractures: No.

Any Sprains/Strains: Strained bicep tendon, strained left groin

Family History of deformities or muscular issues: No.

Sports you play/played: Soccer and baseball.

Any injuries that left you unable to play your sport: No.

Any current jobs that require physical activity: No.

Anything you feel I should know that may be affecting your movement: I have flat feet.

Any past head or neck injuries: No.

Any spinal issues: No.

Do you wear orthotics: Yes.

Any pain with a specific movement/action: Rotating my back and running for long periods of time

Movement Goals:

- Gain flexibility in my calves and hamstrings- Increase range of motion in my back and neck without pain- Strengthen my groin- Straightening my posture

Initial Summary:

All throughout my career I have had ankle and knee problems. A lot of this has been due to weak thighs, and tight calves. So that is one issue I would like to improve on. I am also worried about my posture, and that has been diagnosed to me as a result of a weaker back and core, which I would like to take care of as well. Also involved with my back is my pain when rotating, so improving my range of motion would save me a lot of pain in every day life. If I'm successful, my posture should improve, and I will have the knowledge to get my legs flexible and balanced in strength between muscles, which will result in my knee and ankle pains. I know now that I can stretch and work specific muscle groups to improve my weaknesses, and eventually I will reach my goals.

Cervical Spine Lateral Flexion

When it comes to the cervical spine, the ideal range of motion for extension is 75 degrees and for flexion it is 60 degrees. In terms of my own range of motion, I was in the right range for extension (about 70-75), but for flexion I came up a bit short (45-50). Another thing I noticed while performing this test was that i felt tightness in my lower neck/ upper back when performing flexion. With this observation in mind, I believe stretching my trapezius and lower neck muscle groups will allow me to reach the ideal range of motion.

My range of motion was weak for both lateral flexion and rotation of my cervical spine. Where lateral flexion should be 45 degrees, mine was about 30-35, and where rotation should be at 80 degrees, mine was about 70. This can be due to tightness of my muscles in my neck, which would make sense with my lack of range of motion and pain in movement of my neck for years. I need to strengthen, stabilize, and stretch the groups involved in both of these motions in order to improve my range of motion.

Range of Motion Assessment

Cervical Spine Flexion and Extension

Glenohumoral (shoulder) Abduction

Glenohumoral Extension

Normal range of motion for glenohumoral joint flexion is 170 degrees, and extension is 50 degrees. My measurements seemed to be at the normal rate for both motions, and there was no discomfort or difficulty in completing any of the motions. This was the case for all of the movements regarding my glenohumoral joints. I was in the average range for abduction (170 degrees), external rotation (90 degrees), and internal rotation (70 degrees). This means that I have done a good job strengthening and stretching my shoulder joint in a way that does not constrict my range of motion. All I can do is continue to work my stabilizing muscles and continue to stretch and keep the muscles flexible.

Radioulnar Supination and Pronation

Both my supination and pronation for my radioulnar joint were in the normal range without any pain, discomfort, or difficulty. Thus, my 80 degree pronation and 90 degree supination reflect the fact that I am doing well with maintaining balance between strength and flexibility in my radioulnar joint related muscles.

Radiocarpal Ulnar Deviation and Radial Deviation

I had normal range of motion for radial deviation (20 degrees), as well as for ulnar deviation (30 degrees). However, when performing ulnar deviation, I did experience some discomfort. What I can do for this is just do that motion more often. I believe the tightness I felt was a result from the fact that the movement required for that test is one that I do not do on a regular basis. I do not think that avid stretching is really necessary, but I do believe that just doing it more will slowly take away the discomfort. As for flexion and extension or the radio carpal joint, I measure about 70 degrees for flexion and about 60 degrees for extension, which are both normal. I was able to complete these test without any pain, and this reflects healthy muscle movement in my radio carpal joint.

Acetabulofemoral (Hip) Internal Rotation, and External Rotation

For flexion of my acetabulofemoral joint I measured about 70 degrees, and for extension I measured about 0 degrees, which is normal readings for both of these ranges of motion. I also measured normally for abduction (about 45 degrees). However, my adduction was a bit short of the average rate. It was about 15 instead of about 25, and It also gave me some discomfort in my hamstrings and lateral gluteus muscles. I knew coming into this that I needed to stretch both of those muscles, and the test made it more apparent. I had the same issues with internal and external rotation. I measured regular range of motion for internal (35 degrees) as well as for external rotation (45 degrees), but it was difficult to get there. My groin is weak, and I was able to feel that while trying to perform internal rotation, and I felt similar discomfort for external rotation as I did with adduction. Things I can do are stretch these muscle groups regularly, as well as work to strengthen the stabilizing muscles and the muscles themselves.

Acetabulofemoral (Hip) Abduction and Adduction

Postural Analysis

Tibiofemoral (Knee) Flexion

My tibiofemoral flexion was about 145 degrees, and my extension was 0 degrees. I was able to complete these tests without any difficulty, pain, or discomfort, so I am in a healthy range for my tibiofemoral joint.

Ankle Plantar Flexion and Dorsiflexion

My dorsiflexion measurement was about 15 degrees, which is a bit less than normal (25 degrees), and I had discomfort while performing the test. I think this is a result of my tight calves, which have caused problems in the past. I have been instructed by my doctor to stretch regularly, and I have to be more religious with that or kit can result in achilles tendon issues (which it has in the passed), and more regular discomfort in everyday activities. My plantar flexion, on the other hand, was about 45 degrees

Frontal View Sagittal View

For the most part, my posture is fairly straight and regular from the frontal view. This means that there isn’t much lateral differentiation regarding tightness or uneven strength. From the sagittal view, it seems like I could potentially be in the beginning stages of Upper Cross Syndrome. The indications of this postural dysfunction are my head being a little tilted forward, my shoulders being slightly protracted, and a slightly increased thoracic kyphosis. The reasons this dysfunction occurs are because my pectoralis major and minor, scalenes, SCM, upper traps, subscapularis, lats, and levator scapulae are all overactive or “tight.” Also, my posterior deltoid, rhomboids, serratus anterior, middle and lower trapezius, and terus minor and infraspinatus are all underactive. The combination of underactive and overactive muscles on anterior and posterior sides is what makes my head and shoulders be pulled anteriorly. In order to take care of this so that I don’t have more serious postural issues in the future, I have to make a conscious effort to use my back muscles in the correct postural way, and I need to stretch my overactive muscles. I should also strengthen my underactive muscles.

Overhead Squat

Anterior View Lateral View Posterior View

The best way to break this analysis down is by view. For the anterior view, my feet point out and my knees move slightly inward. My feet turn out because my soleus, lateral gastrocnemius, and bicep femoris are overactive, and my medial gastrocnemius and medial hamstrings are underactive. I have always been told I need to stretch my calves, and this is yet more evidence that I need to do that. In the lateral view you will notice that my arms fall forward, which is a result of my pectorals being overactive and my posterior deltoids being underactive. We noticed my pectorals being overactive in my postural analysis, and it comes up here again. I also look like I lean forward more than I should which can be brought about by an overactive rectus abdominus and hip flexor, and underactive erector spinae. These issues can be corrected by stretching the tight and strengthening the weak, but also by stretching all of my leg muscles in general. This is a perfect example of how the kinetic chain works. I have tight lower body muscles, and it affects my lower back. In the posterior view, my feet are in the position they should be (other than the outward tilt), so I am ok in the posterior view. Overall, I need to really focus on my posture, and I need to stretch and strengthen my muscles so that there are no more significant overactive/underactive issues.

Gait Analysis

Walking (Lateral View) Running (Posterior View)

My gait during walking is actually fairly normal and within the standards of healthy technique. I start with a heel strike with my tibia exteriorly rotated and my foot somewhere between a neutral position and supinated. I could potentially work on getting my foot into a more pronated position so that I do not add more force to my kinetic chain, resulting in other injuries. However, I am glad to see my foot is not too supinated because that results in more rolling of my ankle. Other than that slight adjustment, my heel strike demonstrates correct form. Next is my mid-stance. My foot is slightly more pronated, and my tibia in more of a neutral and slightly interiorly rotated position. There is not much correction to be made here either.

Prior to my swing phase, my foot goes neutral with a slight supination and my leg rotates exteriorly slightly again. During the swing phase, everything is still in check posture wise and movement wise, and then the cycle resets with my heel strike. Overall, there doesn’t seem like there is much that needs to be corrected.

Running (Lateral View) Running (Posterior View)

My gait during running is also fairly normal with maybe a little bit more to potentially change. I run with a heel strike rather than a mid-foot strike. My head and back lean forward a bit, but not at the waist which is proper posture. I learned that posture through all of the speed and agility clinics I’ve gone to all throughout my career in sports. One thing that is a bit off is the angle of my arms when I run. They are at about a 120-degree angle when they should be at 90, but that is a simple fix that just requires conscious effort. As for my vertical displacement, I would say I move between 2-3 inches, so that is another thing that I can try to correct. Otherwise, everything else looks healthy.

Corrective Exercise Program

After going over my analysis, I’ve compiled a few exercises that will help me with my dysfunctions. I start the program with working on the inner core like we learned to do in class. This is because everything should start with the inner core and then we make our way out to the rest of the body.

Pelvic Tilts

Planks, Side Planks, Leg Planks

Russian TwistsThe exercises for the core start with pelvic tilts, followed by an alteration of different kinds of planks. First are regular planks for 1 minute, followed by 30 second side planks on each side, then 30 second alternating leg planks, and finishing off with 30 seconds of a regular plank again. This will strengthen and help with stability in my inner core and transverse abdominis. The last exercise I want to do is Russian twists, with the hope of gaining strength, and at the same time improve my range of motion with rotation of my back.

Chest Foam Roller Stretch Seated Rows Internal and External

Rotation of the Glenohumeral Joint

Doorway Chest Stretch

The next thing that I plan to do is try to prevent my possible upper cross syndrome from getting any worse. In order to do that, I have to stretch my pectorals and strengthen my underactive back muscles. To stretch my chest I will do a simple doorway stretch as well as lay on a foam roller with my arms extended laterally. To strengthen my back, I have seated rows and reverse flies. I also want to work on my stabilizers in the shoulder girdle, which I plan to do by interiorly and exteriorly rotating my shoulder using cables.

Reverse Sit-Ups Calf Wall Stretch PNF Hamstring Stretch ->

Groin Adduction Machine

Some other muscles, which I need to make some improvements on, are my erector spinae, hamstrings, calves, and groin. I plan to strengthen my erector spinae by doing

prone style reverse sit-ups. My hamstrings need to be stretched, and the best way for that to be done would be with proprioceptive neuromuscular facilitation stretching. I also need to stretch my calves, which I will do with simple leaning calf stretches and also some more PNF stretching. My groin is weak, and in order to correct that I will be doing work on the groin machine.

If I do all of these exercises and stretches regularly as I should be, hopefully I will start seeing improvements in my posture, a lack of leg injuries and discomfort, and a relief of pain in my back with movement.