Movement Analysis Project Anthony Morolda Analyzing Dominic Caruso Demographics Name: Dominic Caruso Gender: Male Age: 22 Height: 73in 185.42cm Weight: 220 lbs. 99.79kg BMI: 29 What are your physical and personal goals this semester? Please be specific Dominic’s physical and personal goals are to maintain a healthy diet while maintaining his body weight, and decreasing body fat. Physical/Medical History Please be as honest and specific as possible. 1. Are you currently taking any medication that will affect physical activity? Dominic is taking nasonex for his allergies but it does not affect his physical activity. 2. Do you have any current medical conditions that will affect movement in anyway? No, Dominic does not have any current medical conditions. 3. Have you ever had any injuries in the past? If so please state the injury and explain if it still currently effects movement or performance in anyway? Yes, Dominic has had a couple injuries in the past. He has had one concussion, multiple ankle sprains, only one that was severe, turf toe, ac sprain, and shin splints. None of these injuries currently effect his movements or performance. 4. Do you have any discomfort or difficulty exercising certain muscles? If so please explain the problem area. Yes, Dominic has discomfort in his right shoulder while doing, military press, dumbbell side flies, push press, and bench. 5. Do you play any sports? If so what sport? Yes Dominic plays football for Rowan University, and plays seasonal intramural sports, softball, and basketball. 6. Do you have a physically demanding job? No, Dominic works at TD Bank, and sits at a desk. He does not have to do any hard labor. 7. Physically what are you looking to accomplish? Dominic is looking to accomplish reaching a 10% body fat percentage, to gain more flexibility, to build up more muscle, and to maintain a healthy diet. Assessment of current demographics, medical/physical conditions, and personal goals: Based on the information given above I think that the goals are not far out of reach. First off it is important to have a solid understanding of your current physical condition as well as a good understanding of the anticipated results. Your goals clearly explain that you would like to reach 10% body fat, gain more flexibility and gain more muscle in the process. You have had several injuries in the past however, none of which seem to be affecting your current physical condition and movement, which is a plus in creating a workout regime. In order to achieve your goals the our main focus should be on performing at the highest level in any activity you do as well as preventing the current shoulder injury from getting worse or any other injury from occurring for that matter. We will take your shoulder discomfort very seriously and watch each movement you do analyzing what exactly causes the pain from the exercising you listed above. This will ultimately give you a better understanding of where the pain originates and how to fix it. All in all it is important to dedicate yourself and take each movement slow and steady making sure it is correct. Assessment Lab 1 Dominic Caruso Motion Segment Plane Axis Degrees Normal Cervical Region Cervical Region Cervical Region-Right Cervical Region-Right Flexion Extension Lateral Flexion Rotation Cervical Region Cervical Region Cervical Region Cervical Region Sagital Sagital Frontal Transverse Mediolateral Mediolateral Anterioposterior Vertical 60⁰ 80⁰ R45⁰/L45⁰ R80⁰/L80⁰ 60⁰ 75⁰ 45⁰ 80⁰ Shoulder-Right Shoulder-Right Shoulder-Left Shoulder elbow 90⁰ Dominic Caruso Abduction Flexion Flexion Internal Rotation Motion Glenohumeral Glenohumeral Glenohumeral Humerus Segment Frontal Sagital Sagital Sagital Plane Anterioposterior Mediolateral Mediolateral Mediolateral Axis R180⁰/L180⁰ 180⁰ 180⁰ R40⁰/L65⁰ Degrees 180⁰ 180⁰ 180⁰ 70⁰ Normal Cervical Region Cervical Region Cervical Region-Right Cervical Region-Right Flexion Extension Lateral Flexion Rotation Cervical Region Cervical Region Cervical Region Cervical Region Sagital Sagital Frontal Transverse Mediolateral Mediolateral Anterioposterior Vertical 9256 9456 R45⁰/L8707 R80⁰/L9057 60⁰ 75⁰ 45⁰ 80⁰ Shoulder-Right Abduction Glenohumeral Frontal Anterioposterior R180⁰/L1005 180⁰ Internal rotation R (Normal 70 degrees) External rotation R External rotation L Internal rotation L Assessing Lab 1 After assessing Dominic I noticed some issues with his range of motion. Clearly his internal rotation on the right shoulder is very limited. He explains this in the physical history by stating his inability to perform certain tasks due to his right shoulder. Most everything else that I viewed on Dominic’s range of motion was up to speed with the normal movement in degrees. However, he needs to begin focusing on the pain coming from what seems to be the anterior deltoid. Letting shoulder injuries worsen can make working out in general almost impossible. Due to the kinetic chain our body is all connected therefore, nearly any upper body workout will hurt the shoulder. Overall Dominic needs to start off slowly and build up the muscle in his shoulder. He should be doing lightweight internal rotation workouts to hopefully help strengthen the muscle. In time this will making working out and everyday activities much easier. Postural Needs Assessment Subject’s Name: _____Dominic Caruso___________ Assessor’s Name: _______Dr. Biren__________ Date: _______ 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 In Head Protruded Sagittal View Yes No Protracted Shoulder Girdle Yes No Right Kyphosis Yes No Excessive Lordosis Yes No Reduced Lordosis Yes No Genu Recurvatum Both Yes No If yes, which side R L Winged Scapula Both Yes Posterior View No If yes, which side Feet Evert Both Yes No If yes, which foot R L Feet Invert Both Yes No If yes, which foot R L R L Dominic Caruso Postural Assessment Protracted Shoulder Views: 1. Sagittal 2. Posterior 3. Anterior/Frontal Saggital L everted foot Posterior Analyzing Lab #2 Saggital R Anterior After thoroughly assessing your postural stance I noticed very few things that need correcting. The misalignments are very mild but if corrected they can stop any alignment from getting worse, prevent future injury, and hopefully increase performance in the long run. Starting at the anterior/frontal view, I noticed nothing that seemed out of line. Both feet are facing forward as well as the patella of each leg. I noticed no internally or externally rotated hip, tibia, or abducted foot. Overall I could not find a misalignment from the frontal view. However when viewing the sagittal postural stance I noticed a slight protraction in your shoulder girdle. The protraction can be due to over working the pectoralis major and pectoralis minor. The overactive chest can be caused from over working bench press or push-ups. The protraction in the shoulder girdle can also have a correlation with the shoulder problems when doing certain exercises that you explained. The main focus to getting the shoulder girdle back into position is to stretch the overactive muscles (pectoralis major, minor) and work on the underactive muscles (rhomboids, middle trapezius). To work out the underactive muscle it is important to do seated rows and when doing so to pinch the back tight in order to get a good opening to the chest and a good pump to the back. Finally, looking at the posterior view I noticed a very slight eversion on your right foot. This would conclude a slight over activity of the tibialis anterior and posterior. Therefore, a toe drag stretch would be necessary in order to stop the tightness in the tibia. Also the peroneal complex will need to strengthened due to its under activity. Both of the misalignments are mild but when fixed they can make a significant difference in performance and future injuries. Overhead Squat Assessment Subject Name: _____________________________________ _________ Knees Align with foot: Yes Feet Face Forward: Yes Normal Forward Flexion: Yes Anterior View No If no, which one which way No If no, which one which way Date: R L valgus R L abduct Both varus Both adduct Sagittal View No, excessive forward lean Normal Lumbar Lordosis: Yes lordosis If no, excessive lordosis Arms Remain in Line: Yes No, arms fall forward Feet Evert: Yes Posterior View No Heels Rise Off Floor: Yes No Asymmetrical Shift: Yes No If yes which side or R reduced L Saggital L Saggital R Posterior Anterior Analyzing Lab #3 After reviewing the following pictures of Dominic in an anterior, posterior, and sagittal view I noticed some minor issues. In all three views the number one issue I noticed was a forward drop in the right arm. The right shoulder should be aligned evenly with the left shoulder and should run parallel side by side. If this does not occur it will usual be the result of a protraction in the shoulder girdle. More importantly it is the direct cause of an under activity in the mid and lower trapezius as well as the posterior deltoids. To help resolve this misalignment it is very important to strengthen these muscles by performing seated rows as well as reverse dumbbell flies for the rear deltoid. On the other hand the over active muscles were the latissiumus dorsi as well as the pectorals. These muscles should be stretched thoroughly and worked out less to prevent a shoulder dip. It is important fix these problems immediately to prevent further injury and to enhance performance. I spoke with Dominic about these issues and he spoke of a problem with his bicep tendon. Clearly he needs to focus on stretching the correct muscles and working out the weakened muscles. Other then his shoulder and arm falling forward and slightly down not many issues came up as far as posture and weakened or tightened muscles. His back was straight and his legs were aligned. Overall his main focus needs to be on the protracted right shoulder if he wants to stop the pain and tension that prevents his lifting progress Gait Analysis SAGITTAL VIEW HEAL STRIKE FLAT FOOT MIDSTANCE HEAL OFF TOE OFF MIDSWING HEAL STRIKE POSTERIOR VIEW HEAL STRIKE FLAT FOOT MIDSTANCE HEAL OFF TOE OFF MIDSTANCE Gait Analysis Assessment After thoroughly viewing Dominic’s gait cycle in the sagittal view I saw very few problems. Overall his hip, knee, and ankle seemed to be aligned with one another and all at the correct degrees. In the initial contact it is difficult to tell how flexed his hip is however, judging by his knee and ankle I would say around 25 degrees. For the loading phase his knee should be about 15 degrees flexed however, you can tell it is slightly more extended. The other phases seem just about normal. For the posterior view you can clearly see his foot rotating from supination to pronation and back to supination in order to absorb the shock. The tibia is internally rotating during supination and externally rotating during pronation. His timing, degrees and alignment all seem to be normal and overall Dominic’s gait cycle is fine. Corrective Exercises Day Monday 3x10 Workout Seated Row Shoulder Blade Squeeze Darts Bent Over Lateral Raise Incline Bench lateral Raise Band Reverse Flies Press Ups Wall Slides Straight arm pull down Workout: Rhomboids Tuesday 3x15 Workout: Rear Deltoid Wednesday Day off Thursday 3x10 Workout: Mid-Lower Traps Stretch Towel Stretch (Pec Minor) Wall Chest Stretch (Pec Minor) Bow Pose (Pec Major) Face Pulls Anterior Capsule Stretch (anterior deltoid) Doorway front deltoid stretch (anterior deltoid) Arm across chest stretch (anterior deltoid) Prone trap raises Childs Pose (Lattisimus Dorsi) Overhead Lat Stretch (Lattisimus Dorsi) Seated Torso Reach (Lattismus Dorsi) Throughout the several assessments given over the semester I noticed a similar misalignment in the upper extremities. Clearly your shoulder girdle has a slight forward lean that causes limited range of motion of the shoulder joint. You are ultimately weak in depression, downward rotation, and retraction of the shoulder girdle. Strengthening these movements will stabilize the scapula helping provide a base for the upper extremities to move. The weakened muscles are middle traps, rhomboids, and rear deltoid; all listed above along with strengthening exercises. On the other hand when the shoulder girdle is protracted the tight muscles are the pectoralis minor and major are tight, the lattisimus dorsi, and the anterior deltoid are tight. Each of these muscles needs to be stretched; as listed above. Without good stabilizing muscles and a protracted girdle the kinetic chain will eventually cause tearing in the supraspinatus and teres minor. Overall each overactive muscle should be stretched as well as each underactive muscle strengthened.