Joseph McKenna
Partner: John Lisella
Movement Analysis Project
Kinesiology
Dr. Biren
MW 11:00am
Demographics:
Name: Joseph McKenna
Gender: Male
Age: 22 years old
Height: 5'11'' 71 inches 180.34 centimeters
Weight: 164 lbs. 74.38914868 kg
Body Mass Index: 22.9
Medical Questionnaire
1.Please describe any recent injuries that you have endured.
2.I tore ligament in my ankle a couple of months ago and at times it does bother me when I am
engaging in physical activity.
3.Is there any genetic disorders you have that we should know about?
4.My father was diagnosed with diabetes around 5 years ago but the doctors do not believe that is
genetic due to the fact diabetes does not run in our family.
5.Do you have any other disorders that would affect your movement?
6.Yes, when I was younger I would get hip infections. My hips would fill up with fluid, causing
extreme pain and making it impossible for me to walk for about a week. I would get these infections at
least once a year until I was about 16. The damage and physical stress the infections caused on my
hips caused me to have limited range of motion in both my hips. Doctors later diagnosed me with
arthritis in both hips.
7.Are you taking any medications? If so, what medication are you on?
8.N/A
9.Have you ever had any surgeries? If so, what was the surgery for?
10.I have never had a surgery.
11.Do you have or ever had high blood pressure?
12.No
13.What is your height?
14.5'11
15.What is your weight?
16.164 lbs.
17.Do you have any daily aches or pains?
18.Some days my hips hurt or feel stiff.
19.Any conditions or disorders we should know about?
20.No, all my previous disorders or conditions are listed above.
Physical History Questionnaire
1.Do you exercise regularly?
2.I exercise 4-5 days a week.
3.Do you play sports? If so, what sports?
4.I play street hockey all year around.
5.Do you take any supplements? If so, which supplements do you take?
6.I do not take any supplements.
7.When you are active, do you have aches or pains? If so, where?
8.I have arthritis in my hips and some days my hips will feel stiff. I also tore ligaments in my ankle a
few months ago and at some points my ankle does get sore.
9.Have you ever examined the way other people move?
10.I have noticed lately how people walk and the way they run on the treadmill. Some people have bad
posture and I noticed a lot of people have improper techniques when they are on the treadmill.
11.Have you ever examined the way you move?
12.No I have not.
13.What is your biggest concern with the way you move?
14.I really want to improve the flexibility in my hips. Because of the arthritis, I feel as much my
flexibility and movement is not as good as it could be.
15.Any other conditions or disorders that affect your movement?
16.No, all the conditions or disorders where stated above.
Movement Goals
My main goal is to increase the flexibility in my hips. With having arthritis in my hips I know I will
not be able to be at flexible as other people but I do believe I can improve. I never really worked on
improving my flexibility in my hips because I never thought I could improve it. I talked to my doctor
and he said there is ways on improving the flexibility in my hips.
I also want to improve the sit and reach test. I did it once and did not get the results I wanted. I
believe I got discouraged after the first time I did it that I did not want to try it again. The only way to
improve these results is to keep trying.
I want to keep an eye on my posture. My family has a history of bad posture so I want to be able to
take care of my posture before it gets bad.
I want to improve my range of motion when I am running. I am not as fast as I could be because of
my hips and the restriction of motion that they cause. I am not sure if it is possible to improve my
range of motion with having arthritis but I want to give it a try and see what I can do.
I also want to work on rehabilitating my ankle. After or during workouts I sometimes have pain in my
left ankle due to the torn ligaments that I suffered a couple of months ago. I do not think I rehabbed it
good enough after I suffered the injury. I am hoping there is a way that I can rehab it now.
Initial Summary
The key area I need to focus on is my hips. If I can increase the flexibility in my hips then I can
figure out how to improve my range of motion when running. I do not believe that the aches that I
sometimes feel in my hips after a workout can be something that can be fixed but I can live with that. I
would like to rehab my ankle because I feel as though that pain can be helped. I think I should have
rehabbed my ankle more after the injury occurred. I went to physical therapy for it but I ended it
before I should have. Once I could jog on it I ended the physical therapy, which was a big idea because
there was room for improvement. Right now I am going to start doing exercises to help increase the
flexibility in my hips. Some of the exercises will include: butterflies, hip rotations, and piriformis
stretch.
Range Of Motion Assessment:
Cervical:
Neutral Position (Frontal View) Neutral position (Sagittal view)
Flexion
Extension
Lateral Flexion
Shoulder:
Lateral Flexion
Rotation
Rotation
Neutral Position
Abduction
Abduction
Neutral Position
Neutral Position
Flexion
Neutral Position
Flexion
Neutral Position
External Rotation
Hip:
External Rotation
Neutral Position
Flexion
Flexion
Neutral Position
Neutral Position
Internal Rotation
Internal Rotation
Sit and Reach
Straight Leg
Thomas Test
Range of Motion Assessment Summary:
Cervical:
I did not feel as though I had any limitations when assessing my cervical spine. My range of
motion felt normal and after looking at the pictures that feeling was correct. The norm for flexion is 60
degrees. The range of motion when I flexed was right at 60 degrees. The norm for extension of the
cervical spine is 75 degrees, in which was my range of motion. For lateral flexion the norm is 45
degrees. When I lateral flexed to the right I was at 45 degrees, when I lateral flexed to the left it looked
like I was a little less than 45 degrees, I was maybe a little over 40 degrees. The norm for rotation of
the cervical spine is 80 degrees, which is where I measured myself when I rotated right and left. I have
never felt as though I have had limitations of my range of motion of my cervical spine. I have never
injured it or even have had pain or stiffness there. My father has had an injury to his spine and I had
him do this assessment also. He had many limitations, which I was not surprised about due to how
severe his injury was. It was interesting comparing my results to his.
Shoulder:
While assessing my range of motion in my shoulder I did not feel limitations. The norm for
abduction is 170 degrees in which both my right and left shoulders were at. When flexing your
shoulder your shoulder should be at 170 degrees also. Both my shoulders were around that 170 degree
point. The norm for shoulder internal rotation is 70 degrees. I am at 70 degrees, maybe a little more,
with my right shoulder but with my left arm it looks like 55-60 degrees. I believe the reason for that is
because my shoulder needs to be higher up. External rotation of the shoulder should be at 90 degrees,
which both my shoulders were at. I have never had any injuries to my shoulders. My cousin was a
minor league pitcher and was pitching well in the Double A for the Brewers when he had a surgery
injury. I do not remember what the exact injury was but it required a surgery and the team switched his
mechanics and form. This prevented further injury but decreased the speed of his fastball and the
movement of his curveball. He never pitched the same and two years later he was out of baseball and
is now not playing at any level. I know is range of motion of his shoulder is now limited and on some
days it gets real stiff and really decreases the motion in his right shoulder. He threw a little bit side-arm
and probably if he came more over the top he could have decreased his chances of injury.
Hip:
I knew coming into this assessment the range of motion in my hips was limited, I was correct
about this. The norm for flexion of the hip is 110 degrees. My range of motion, when flexing my hip,
is about 80-85 degrees. The norm for internal rotation of the hip is 35 degrees; in my hips my range of
motion when internally rotating is about 20 degrees. 45 degrees in the norm for external rotation and in
my hips it is about 30 degrees. I knew I would have trouble with this part of the assessment because of
the arthritis in both my hips. When I was diagnosed with arthritis my doctor told me that my range of
motion would never be the same. I do exercises when I work out to try and help flexibility and range
of motion in my hips which include, hip swings front to back and side to side and also some squats. I
want to continue to try and improve the flexibility and range of motion in my hips but I do get
frustrated at points because I feel as though it is out of my control. I feel as though the arthritis affects
the poor results of my sit and reach test, straight leg raise, and Thomas test. I felt limited when doing
all these tests and at points uncomfortable.
Postural Analysis:
Anterior View
Sagittal View
Postural Analysis Summary:
Posterior View
Sagittal View
I noticed after completing and reviewing my posture I did have some compensations. One I
noticed when viewing the posterior view of the postural analysis is that I had an elevated
shoulder girdle on my right side. Some exercises I could do to improve this would be exercises
having to do with shoulder elevation, protraction, and depression. I was surprised at how good
my posture was. One of my goals for this project was to maintain good posture because a lot of
members of my family have bad posture. I do not believe I had this good of posture before
learning about how to fix posture. I am always looking at other people's posture now and
thinking about what is wrong and if I know ways to fix it.
Overhead Squat Analysis:
Anterior View
Posterior View
Sagittal View
Sagittal View
Overhead Squat Analysis Summary:
When reviewing my photo in the Anterior View, it looks like my knees are moving
laterally a little bit and my feet are turning out. The reason my knees are moving laterally is due
to the Piriformis muscle being over active and the Adductors are under active. A way I could
strength my adductors would be to do the butterfly stretch, standing groin stretch, laying hip
adduction, etc. The reason that my feet are turning out is due to an over active soleus and
lateral gastrocnemius and also due to an under active medial gastrocnemius and medial
hamstrings. Some was that I could strength those under active muscles would be to do some
calf raises and some hamstring curls with a resistance band and also bridges.
When I was looking at my Posterior View photos, I noticed that I had some
Asymmetrical weight shift to the left. It was not major but I did detect the shift. The reason for
the Asymmetrical Weight Shift to the left is due to over active adductor muscles and an under
active gluteus medius. Some stretches I could do to strength the gluteus medius would be
lunges, step-ups, etc.
After viewing my Sagittal View photo the only thing I noticed that when squatting to the
right my arms fell forward a little bit. The reason for my arms falling forward is due to an over
active Latissiumus Dorsi, and Pectoral muscles. The under active muscles that would be
causing my arms to slightly fall forward are the middle and lower traps and the Posterior
Deltoids. Some ways I could strength those under active muscles would be to do rows, leaning
shrugs, push-ups, and some bench presses.
When doing the overhead squat in class I noticed that every time I squatted my knees
would move medially. I noticed that my feet were too spread apart. Once I fixed that I was able
to keep my knees in the right position.
Gait Analysis
Walking Sagittal View
Left Foot:
Heel Strike
Mid-Stance
Heel Off
Right Foot:
Heel Strike
Mid-Stance
Heel Off
Walking Frontal View
Left Foot:
Heel Strike
Mid-Stance
Heel Off
Right Foot:
Heel Strike
Mid-Stance
Heel Off
Jogging Sagittal View
Left Foot:
Heel Strike
Mid-Stance
Heel Off
Right Foot:
Heel Strike
Mid-Stance
Heel Off
Jogging Frontal View
Left Foot:
Heel Strike
Heel Off
Mid-Stance
Right Foot:
Heel Strike
Heel Off
Mid-Stance
Gait Analysis Summary:
My gait was not as correct as I thought it would be. There are a few things that I could change
in order to improve my gait and prevent future injuries. I noticed that in every single one of my midstance pictures, walking or jogging, I would have a pelvic tilt to whatever side I was stepping down on.
This means that my gluteus medius is weak to both sides. I would also like to find out if that tilt has
anything to do with the arthritis in my hips. Growing up when I would get my hip infections, which
was often, I would either be in a wheelchair, using crutches, or limping. I would always be scared of
my hips hurting more that sometimes I would psych myself out and think I was having pain. When that
would happen I would limp to whatever hip would be “hurting”. It may have just become a habit,
which I need to break.
I also noticed that during the swing phase going into the heel strike phase my feet would
pronate. My right foot would pronate more than my left foot. I am increasing the forces applied to my
kinetic chain by pronating my feet when I walk and jog. This could lead to injury especially when I get
older.
One other thing I noticed that in some sagittal view pictures when I was walking I noticed that
my arms would swing across my body. This indicates that I may have a weak core or tight shoulders. I
would to stretch out my shoulder and do some core training which could include planks, supermans,
and lunges with a twist.
Overall I was surprised about how poor my gait was. I never really thought about my gait until
learning about it in class. Ever since learning about the gait cycle I have been looking at myself and
others to see how everyone walks and jogs. Having a proper routine for all the components of the gait
cycle is important because limits the oscillation of a person’s center of gravity. This also minimizes
energy expenditure and reduces forces on a person’s kinetic chain. If we can help our students with an
improper gait cycle we will also decrease the chance of injury of our students.
Corrective Exercises:
Core:
Plank
V-Sit Trunk Twists
V-Sits Hands to Floor, Hands to Toes
Shoulder/Arms:
Posterior Deltoid Stretch
Triceps Stretch
Pelvic Tilt with Leg Cycles
Biceps Stretch
Shoulder Press
Girdle Elevation/Depression
Hip:
Hip Abduction
Hip Flexion
Frog Stretch
Hip Rotations
Hip Rotations
Butterflies