Movement Analysis Project - Rowan University

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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.
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