Haley Aimone
Kinesiology 12:15 TR
Partner: Dan Dexter
My Fitness Planner
Medical History
General Information
Name Dan Dexter_______________________________________________________
Gender __Male_________________________________________________________
Date of Birth __08-30-89_________________________________________________
Weight: lbs _____________________________ kgs _68.9_______________________
Height: Inches ___70.5____________________ cm __179_______________________
Body Mass Index _______________________________________________________
Physical Personal Goals
A physical goal of mine is to gain 5-10 lbs. of muscle mass this year before the start of
March
Have you ever had any previous injuries? If so what?
Broken hand, and broken left ankle, also in high school I hyper-extened my right elbow.
Are they reoccurring?
No
Have you ever had any surgeries?
No
Do you have a current injury? If so what and what happened.
No
Do you have a current illness? If so are you taking any medicines or receiving any
treatments?
No
Does anyone in your family have any health related illnesses or chronic diseases? If
so, please name.
Risk of heart attack, high blood pressure
How many times a week do you exercise?
1. 0-1
2. 2-3
3. 4-5
4. 6-7
What does your workout consist of?
1. Walking
2. Strength and Conditioning
3. Cardio
4. Aerobics
5. Anaerobic
Do you take any workout supplements? Jack3d and Whey Protien
How is your diet?
1. Unhealthy
2. Moderate
3. Healthy
Are you currently involved in any sports?
Intramural's; soccer, flag football
Were you involved in sports in high school?
Wrestling, football, baseball
What does you daily routine consist of?
Class, Gym, Homework, Intramural activity
How many hours of sleep a night do you receive?
1. 0-4 hours
2. 4-6 hours
3. 7-9 hours
4. 9+ hours
Do you smoke cigarettes?
No
Do you use any tobacco products?
No
How many days a week do you consume an adult beverage?
1. 0-2
2. 3-5
3. 6-7
What do you do in your spare time?
I try and get more time into my workouts or just relax with my friends
Elbow
Extension: 5°
Flexion: 145°
Radio-Ulnar
Pronation: 80°
Supination: 90°
Normal: In
highschool, Dan
hyperextended
his elbow playing
football causing
his elbow to
hyperextend 5
degrees above
normal.
Normal: Yes
Wrist
Shoulder
Extension: 60°
Flexion: 75°
Ulnar-Deviation: 40°
Radial-Deviation: 20°
Flexion: 170°
Extension: 50°
Abduction: 170°
Internal Rotation: 70°
External Rotation: 90°
Normal: No, his
wrist flexion is 5
degrees above
normal.
Normal: Yes
Hip
Flexion: 100°
Extensions: 50°
Abduction: 45°
Internal Rotation: 45°
Normal: No, his
flexion in the
hip is 10
degrees above
normal.
External Rotation: 35°
Knee
Flexion: 145°
Extension: 0°
Normal: Yes
Ankle
Dorsiflexion: 25°
Plantar Flexion: 45
Normal: Yes
Neck
Flexion: 55°
Extension: 80°
Lateral Flexion: 45°
Rotation: 80°
Normal: Yes
Through out Dan’s range of motion assessment I came across that his range of
motion in his wrist and elbow are above the normal degree of motion. I learned that in
high school he hyper-extended his elbow in football and it never got better. People who
engage in the sport football are at a great risk for hyperextension because of all the
movements made with the elbow. Even through his range of motion is above average I do
not have any real concerns as of now for limitations in his exercises. Concerns may
change if during his performance, he experiences pain and stiffness within his elbow
during his exercises. Dan’s goal by the end of the assessment is to gain five to ten pounds
in muscle. To help achieve his goal, we will work on doing upper extremity exercises,
such as bicep and triceps curls, bench press, and push-ups. When putting pressure and
weight on his elbow and wrist starts to act up and we will have to tone down his work
out. Depending on what starts to bother him we can either lower the amount of weight
used or cut out a round of reps in the set.
Postural Needs Assessment
Eyes Aligned
Left
Yes
Frontal View
No
If no, which side higher
AC Joint Aligned
Left
Yes
No
If no, which side higher
Right
ASIS Aligned
Left
Yes
No
If no, which side higher
Right
Patella Height Even
Left
Yes
No
If no, which side higher
Right
Patella Faces Forward
In
Yes
No
If no, facing which way
Out
Genu Valgum
Both
Yes
No
If yes, which side
R
L
Genu Varum
Both
Yes
No
If yes, which side
R
L
Feet Face Forward
Both
Yes
No
If no, which one
R
L
facing which way
Out
Right
In
Head Protruded
Sagittal View
Yes No
Protracted Shoulder Girdle
Yes
No
Kyphosis
Yes
No
Excessive Lordosis
Yes
No
Reduced Lordosis
Yes
No
Genu Recurvatum
Both
Yes
No
Winged Scapula
Both
Yes
If yes, which side R
Posterior View
No
If yes, which side
L
R
L
Feet Evert
Both
Yes
No
If yes, which foot
R
L
Feet Invert
Both
Yes
No
If yes, which foot
R
L
Posture is a very important aspect of a person’s body because it affects both your
health and fitness. Having good posture is beneficial to a person health because it allows
the body to use muscles more efficiently because the muscles are in correct alignment.
After assessing Dan’s posture I have come to find that he has Excessive Lordosis.
Excessive Lordosis is a dysfunction to the hips that causes an anterior pelvic tilt on top of
the femur. The excessive lordosis causes Dan’s superficial erector spinae and hip flexors
to be overactive. To help correct the overactive muscles he is going to have to stretch
those muscles. Some exercises that will stretch out hip flexors are lunges, butterfly
stretch, or hip flexor stretch. Dan’s rectus abdominus and hamstring are underactive, and
to help correct his underactive muscles he is going to have to work on strengthening
those muscles. To strengthen the rectus abdominus and hamstrings, Dan’s can do planks
and squats to strengthen his core, or deadlifts to strengthen those muscles. Using the
elliptical or even walking up stairs can also help strengthen his hamstrings.
Gait Analysis Assessment
Stance Phase
Hip Position
Knee Position
Ankle Position
Foot Flat
Hip Position
Knee Position
Ankle Position
Mid-stance
Hip Position
Knee Position
Ankle Position
Heel-off
Hip Position
Knee Position
Ankle Position
Toe-off
Hip Position
Knee Position
Ankle Position
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Gait Analysis Assessment
Swing Phase
Initial Swing
Hip Position
Knee Position
Ankle Position
Mid-swing
Hip Position
Knee Position
Ankle Position
Terminal Swing
Hip Position
Knee Position
Ankle Position
Gait Events
Heel Strike
Foot Flat
Mid-swing
Heel-off
Toe-off
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Real-time
Plantar flexion
Dorsiflexion
Real-time
Supination
Pronation
Supination
Pronation
Recorded
Supination
Pronation
Supination
Pronation
Supination
Pronation
Supination
Pronation
Supination
Pronation
Supination
Pronation
Supination
Pronation
Supination
Pronation
Sagittal View
Heel-Strike
Midstance
Terminal Stance
Initial Swing
Midswing
Terminal Swing
Posterior View
Heel-Strike
Midstance
Terminal Stance
Initial Swing
Midswing
Terminal Swing
Toe-Off
Toe-Off
After assessing Dan’s gait from the sagittal and posterior view I did not find any
dysfunctions in his movement patterns. With Dan’s Excessive Lordosis, I would have
assumed his gait would be affected when his foot came in contact with the ground during
the stance phase. However, I did notice that on his toe-off phase his tibia internally
rotates and on his heel-strike phase his tibia externally rotates putting stress on his medial
gastrocnemius. If his medial gastrocnemius is over-active, he could work on
strengthening his lateral gastrocnemius to rid the over activity in his other muscles
potentially contributing to his excessive supination during many phases of his Gait. To
strengthen his lateral gastrocnemius, Dan could do seated or standing calf raises. To
correct his excessive supination Dan can also stretch his calves, hamstrings, and
quadriceps to relieve the tightness that is causing him to supination. Relieving the
tightness may create an even foot pattern for him and take some stress off the medial
gastrocnemius.
Corrective Exercises: Upper Extremity
Wrist Flexion
Wrist Extension
Static Bicep
Static Triceps
Contractions: Stand with
Contractions: have the
injured arm bent at the elbow
injured elbow bent at 90 degrees
and your forearm parallel to the
with your palm facing your
ground, place your other hand on
body. Flex fingers of the injured
top of the hand of the injured
elbow into a fist and place palm
elbow and press down resisting
on your other hand under the
any movement. Hold for about 5
flexed fingers and press down
seconds than repeat 10 times
trying to straighten your arm
while resisting elbow movement
with other hand.
After assessing Dan’s range of motion, posture, squat analysis, and gait analysis I
came to realize some dysfunctions of the upper extremely that can be improved through
corrective exercises. When assessing his range of motion it was clear Dan has a
hyperextended elbow due to his football injury back in high school meaning his elbow
bent back the wrong way, too far. When Dan hyperextended his elbow in high school, he
lost flexibility and range of motion in his elbow joint. In most cases to correct a
hyperextended elbow a person could wear an elbow brace to stabilize the elbow joint or
ice the elbow to reduce pain and inflammation. There are also corrective exercises that
can help improve his range of motion in the joint, such as wrist flexion and extension
stretches, and static biceps and triceps contractions. Stretches such as wrist flexion and
extension can help increase movement in both his elbow and wrist by stretching out the
muscles in his forearm. Static biceps and triceps contractions help strengthen his elbow
joint to regain flexibility. Dan will benefit from these exercises because they stretch and
strengthen the elbow and release the tension his has within the joint.
Corrective Exercises: Lower Extremity and Overall Goal
Lunges
Butterfly Stretch
Hip Flexor Stretch
Planks/Side Planks
Squats
Supermans
Reverse Pelvic Tilt
Push-Ups
feet to sky
Triceps Curls
Bicep Curls
Bench Press
Leg Curls
Leg Extensions
Leg Press
Based off Dan’s assessments and exercise goals I have choose fourteen corrective
exercises and stretches for him to do to improve his dysfunctions. After assessing Dan’s
range of motion, posture, and gait of the lower extremity I have found he has Excessive
Lordosis. To improve his Excessive Lordosis I have picked lunges, the butterfly stretch,
the hip flexor stretch, planks, squats, supermans, and reverse pelvic tilt with feet to the
sky as Dan’s corrective exercises. Dan has set his goal throughout his assessments and
exercises to gain 5 to 10 pounds in muscle mass by March. To help him achieve his goal I
have recommended bicep curls, triceps curls, bench presses, push-ups, leg press, leg
extensions, and leg curls.
Excessive Lordosis of the lumbar spine results in overactive hip flexors and
erector spinae and underactive rectus abdomins. To correct and stretch his overactive
muscles I would like Dan to do lunges, the butterfly stretch, the hip flexor stretch, and
squats. Doing lunges and the hip flexor stretch will stretch the hip flexors reducing a
forward tilt and pull on the lumbar spine causing the excessive lordosis. The butterfly
stretch will help stabilize the spinae while stretching the erector spinae to improve
extension of the spine. The butterfly stretch is easy way to release tension in the back
increasing flexibility. Squats will also help strengthen the hip flexors. To correct and
strengthen his underactive muscles I would like Dan to do planks, supermans, and the
pelvic tilt with reverse curls feet to sky. These exercises will help strengthen his rectus
abdomins and hamstrings to prevent Excessive Lordosis and increasing flexion. Planks,
supermans, and reverse pelvic tilt with his feet to the sky will strengthen his core training
his rectus abdomins to become stronger and not cause the anterior tilt.
Dan’s goal is to gain 5 to 10 pounds in muscle mass by March. To accomplish
Dan’s goal I would like him to do exercises that work on both the upper and lower
extremity. Dan will benefit from gaining 5 to 10 pounds because he will increase
strength, create weight control, and reduce the risk of injury. To gain muscle mass in the
upper extremity I would like Dan to do bicep curls, triceps curls, push-ups, and bench
press. If these weight baring exercise put to much stress on his hyperextended elbow, he
can reduce the number sets and reps he is doing if he feels comfortable continuing with
the exercise. To gain muscle mass in the lower extremity I would like Dan to do leg
extensions with weights, leg press with weights, and leg curls. Each exercise will have its
own set and reps. These specific exercises will help Dan gain muscle mass he wants.