Anthony DeLuca
Movement Analysis Project
Kinesiology
Demographics Questionnaire
Last name___hill_______
First name__matt___________
Gender: M / F
Height_73_ (inches) Weight____220___(lbs)
Primary Phone #___609 529 3511
Date of Birth _10-30-89
Emergency Contact Phone #______609 575 6323
Email address __hillm60@students.rowan.edu______
ETHNICITY (Please Circle)
Caucasian
African American
Latino
Other____________
Native American
Asian American
1) Do you have any disease or disorder that would complicate your participation in a testing
or exercise program?______________no____________________________________
2) Has your doctor ever told you that you have a bone or joint problem that has been or
could be made worse by
exercise?___________________no________________________________________
_________________________________________________________________________
3) Please describe any past or current musculoskeletal conditions you have experienced
such as muscle pulls, sprains, fractures, surgery, back pain, or general discomfort:
Head / Neck
______________________________________________________________________________
Upper Back
______________________________________________________________________________
Shoulder / Clavicle
______________________________________________________________________________
Arm / Elbow
______________________________________________________________________________
Wrist / Hand
______________________________________________________________________________
Lower Back
______________________________________________________________________________
Hip / Pelvis
______________________________________________________________________________
Thigh / Knee
______________________________________________________________________________
Lower Leg / Ankle / Foot
______________________________________________________________________________
4) Are you unaccustomed to vigorous exercise?_______no_____________
5) Have you recently experienced any chest pain associated with either exercise or stress? Y / N
If so, please explain:
______________________________no___________________________________
6) How active are you and/or what is your exercise lifestyle like? (Circle any that apply)
Sedentary
Moderate Exercise
Bodybuilding
Competitive Exercise
7) Please describe what your fitness goals are and what you would like to achieve in your
short term/ long term goals:
Loss fat, gain muscle and get more cut
Medical History Questionnaire
Family history: Please circle any of the following conditions that are present in your family
Osteoporosis
Cancer
High/Low Blood Pressure
Stroke
Heart Attack
Diabetes
Bleeding Disorder
Genetic Disorder
Have you ever had, or do you currently have any of the previous conditions? (Circle) Yes/No
If so, which one(s):________________
Please list all known Allergies: 1.___seasonal allergies
4.______________
2._________________
5.______________
3._________________
6.______________
Are you currently taking any medications or OTC drugs? (Circle) Yes/No
If yes,list:__________xzyal, veramist and advair____
Have you been involved in any serious accidents, serious falls or injuries within the past 5
years? Yes/ No
Year_________
Type of accident____________________
Injury_______________
Year_________
Type of accident____________________
Injury_______________
Have you had any previous surgeries or hospitalizations? Yes/No
Reason: 1. _____broken nose surgery____
2.______acl surgery___________
3.______________________ __
How much aerobic exercise do you get each week, e.g. walking, running, biking etc?
Answer the following questions for each type of aerobic activity you do:
Activity #1
What do you do? _________running_________ For how long? _________________
At what intensity?
(Circle: 1 being least intense) 1 2 3 4 5 6 7 8 9 10
How many times a week do you do this? _________3____________________
Activity #2
What do you do? __________basketball_________ For how long? ____2 hours_____
At what intensity?
(Circle: 1 being least intense) 1 2 3 4 5 6 7 8 9 10
How many times a week do you do this? __5_________
Activity #3
What do you do? _____________________________ For how long? _________________
At what intensity?
(Circle: 1 being least intense) 1 2 3 4 5 6 7 8 9 10
How many times a week do you do this? _____________________________
How much strengthening and toning exercise do you get each week, e.g. lifting
weights, resistance exercise? Answer the following questions for each type of
Strengthening and toning exercise you do:
Activity #1
What do you do? _______lifting weights________ For how long? ___2 hours_______
At what intensity?
(Circle: 1 being least intense) 1 2 3 4 5 6 7 8 9 10
How many times a week do you do this? _____________________________
Activity #2
What do you do? ___________________ For how long? _________________
At what intensity?
(Circle: 1 being least intense) 1 2 3 4 5 6 7 8 9 10
How many times a week do you do this? _____________________________
How many times do you stretch? Daily? Weekly? Or not at all? _____daily________
Do you leave time for rest and relaxation? Yes/No
Do you smoke? Yes/No
Do you drink alcohol? Yes/No
If yes, how many drinks per week?_____10_______
Summary/ Range of Motion Assessment:
Being an active, healthy, 22 year old student, Matt Hill has potential to become even
more fit and healthy. His goals of building/preserving muscle and losing body fat are reachable
with his high activity level and determined goal setting. If he keeps his nutrition in check and
follows a rigid workout program, he will undoubtedly see great gains.
After assessing his range of motion, some minor setbacks that may affect his performance
include some problems with his shoulder. The major reason for this is because Matt plays
baseball and being a pitcher in the past, his dominant throwing shoulder and non-dominant hip
seemed to have been affected by his repetitive throwing motion on the pitcher’s mound. He has
also suffered a few minor shoulder injuries/problems in the past which I believe is a key
determinant to these ROM setbacks.
His results are as follows on the next page:
RANGE OF MOTION ASSESSMENT-
MATT HILL
Cervical Spine Segment:




Cervical flexion on the saggital plane= 60 degrees
Cervical extension on the saggital plane=75 degrees
Cervical lateral flexion on the frontal plane= 45 degrees
Cervical rotation on the transverse plane=80 degrees
Normal = 60 degrees
Normal= 75 degrees
Normal= 45 degrees
Normal=80 degrees
Shoulder Segment:
 Shoulder abduction on the frontal plane= both 170 degrees Normal=170 degrees
 Shoulder flexion on the saggital plane=both 170 degrees Normal=170 degrees
 Shoulder internal rotation on the transverse plane(right shoulder)= 35 degrees
Normal=70 degrees
(left shoulder) = 55 degrees
 Shoulder external rotation on the transverse plane(right shoulder)= 30 degrees
Normal=90 degrees
(left shoulder) = 50 degrees
This study testing ROM on pitchers and non-pitchers with a shoulder injury helped me determine
that those people with a history of shoulder injury had a greater difference in internal rotation
between the dominant and non-dominant shoulders. This can explain Matt’s ROM differences
between his pitching arm and left arm.
Knee Segment:
 Extension on the saggital plane= both 0 degrees
 Flexion on the saggital plane= both 145 degrees
Hip Segment:
Normal=0 degrees
Normal=145 degrees
 Hip flexion on the saggital plane= both 80 degrees
Normal=90 degrees
 Hip external rotation on the frontal plane=both 45 degrees Normal=45 degrees
 Hip internal rotation on the frontal plane(right hip)=35 degrees
 Internal rotation (left hip)= 20 degrees
Normal= 35 degrees
Conclusions:
Matt’s ROM numbers are normal other than hip internal rotation, shoulder external
rotation and shoulder internal rotation. I researched why these ROM numbers were not up to par
and his pitching background completely backs up the norm. I concluded that the relationship
between dominant hip internal rotation and shoulder external rotation was significant for pitchers
with a history of shoulder injury and non-pitchers with a history of shoulder injury.
His shoulder injury may be associated with specific measures of hip and shoulder ROM,
and hip internal rotation and shoulder external rotation may be related in baseball players with a
history of a shoulder injury.
This is a perfect example of how the kinetic chain works. Forces at the shoulder may be
greater in an athlete who is compensating for injuries or ROM restrictions at joints some distance
from the shoulder. For example, I hypothesized that poor internal rotation of the non- dominant
hip (hip opposite of throwing arm) during the maximal cocking or acceleration phases of the
pitching motion could cause the pitcher to increase the amount of shoulder external rotation in an
attempt to achieve the desired throwing motion.
Although there are some ROM limitations, Matt is still within a healthy range, in good
shape and doesn’t appear to be injury prone. His only serious injuries seem to be a broken nose
and ACL tear many years ago. There doesn’t seem to be much of a threat to further injury, but
Matt does need to tweak his workouts so that he focuses on more exercises that work the
supraspinatus, infraspinatus, teres minor and subscapularis. He should also stay away from heavy
overhead presses if he wants to increase athletic performance and minimize injury in his
shoulder.
Postural Needs Assessment
Subject’s Name: __Matt Hill__ Assessor’s Name: _Anthony DeLuca__ Date: _10/4/12__
Eyes Aligned
Yes
Frontal View
No
If no, which side higher
AC Joint Aligned
Yes
No
If no, which side higher
Right
Left
ASIS Aligned
Yes
No
If no, which side higher
Right
Left
Patella Height Even
Yes
No
If no, which side higher
Right
Left
Patella Faces Forward
Yes
No
If no, facing which way
Out
In
Genu Valgum
Yes
No
If yes, which side
R
L
Both
Genu Varum
Yes
No
If yes, which side
R
L
Both
Feet Face Forward
Yes
No
If no, which one
facing which way
R
L
Out
Both
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
Yes
No
Winged Scapula
Yes
Posterior View
No
If yes, which side
Feet Evert
Yes
No
Feet Invert
Yes
No
Right
Left
If yes, which side R
L
Both
R
L
Both
If yes, which foot
R
L
Both
If yes, which foot
R
L
Both
Postural Analysis:
After assessing Matt’s posture, I realized that he has a few postural misalignments that
need to be addressed. As you can see in the top picture, Matt’s left foot turns slightly outward. It
could be for a number of reasons, including an externally rotated tibia, hip
misalignment/externally rotated hip, pronated foot or a structural misalignment. It appears as if
the problem is in his externally rotated hip. But there can also be an imbalance within the
hamstring muscles. The hip abductors or the iliotibial band (viewed from the back) are also
external rotators of the hip, while the hip adductors are internal rotators. The adductors could be
weak, as well as the possibility of Matt having an overactive piriformis. Matt should perform
more unilateral drills to try and fix this. The Bulgarian split squat and walking lunges, both while
holding dumbbells and focusing on having feet facing forward can definitely help strengthen the
underactive muscles and focus on walking/balance in everyday movements that contributes to
the postural misalignment.
In that area, I also discovered that there is a slight unbalancing of his pelvis. It appears as
if his ilium on the left side is lower, possibly due to an underactive gluteus medius on his
opposite (right side) or an overactive quadratus lumborum on the same opposite side. Because
most people sit for most of the day, their quadratus lumborum muscles are short, tight, and
overused. This may not be the case with Matt, seeing that he is an athlete, but it is still very
possible. He has an uneven ASIS, so there’s a good chance it has to do with the quadratus
lumborum on the contralateral side of the tilt. The main function of this muscle is to laterally flex
the trunk. Looking at the picture, I believe that the tight right QL has contributed to what the
ASIS misalignment in Matt. In order to fix this, Matt needs to stretch his quadratus lumborum
and strengthen his gluteus medius.
The last postural misalignment that Matt has is a protracted shoulder girdle. While it isn’t
too bad/serious, it should still be addressed. This is also important because he is a baseball
player/pitcher. His rear deltoids are being overpowered by his pectoralis minor and major,
causing protraction. If this goes by unnoticed, ESPECIALLY if he keeps pitching and throwing
baseballs, it could get worse/serious and Matt could end up with impingements and injuries to
the shoulder and AC joint. My advice for him would be to lay off strengthening the overactive
Pectoralis minor and major for a while and instead stretch them every day. He also should work
on strengthening the rear deltoid, subscapularis, middle trapezius and rhomboids.
Final Point: While Matt’s postural problems are not serious, he still has some slight
misalignments that should be addressed and worked on.
Overhead Squat Assessment
Subject Name: _Matt Hill___
Knees Align with foot:
Yes
Feet Face Forward:
Yes
Normal Forward Flexion:
Yes
Date: __10/18/2012__
Anterior View
No
If no, which one
which way
No
If no, which one
which way
Both
varus
Both
adduct
Sagittal View
No, excessive forward lean
Normal Lumbar Lordosis: Yes
If no,
Arms Remain in Line:
No, arms fall forward
Yes
R
L
valgus
R
L
abduct
excessive lordosis
or
reduced lordosis
Posterior View
Feet Evert:
Yes
No
Heels Rise Off Floor:
Yes
No
Asymmetrical Shift:
Yes
No
If yes which side
R
L
Overhead Squat Analysis:
After assessing Matt Hill’s overhead squat, I discovered two dysfunctions in his form that
should be addressed and fixed. I found that in the anterior view, Matt’s left foot appears to
abduct out to the side. In the sagittal view, his arms fall forward as he squats down. The assuring
factor to these to overhead squat mistakes is that they are both “Functional” dysfunctions and can
easily be fixed, as opposed to structural (which can only stop the problem from getting even
worse).
The abducted foot correlates directly with his postural misalignment, where his foot does
the exact same thing when he is standing upright in a neutral position. This most likely means
that his soleus and lateral gastrocnemius are over-active and need to be stretched and inhibited
during lifts where they are not supposed to be activated. Also, his medial gastrocnemius and
medial hamstrings are under-active and need to be strengthened and activated because they can’t
eccentrically control his joints. His arms fall forward, meaning that his middle/lower trapezius
and posterior deltoids are under-active and need to be activated and strengthened. It also
indicates that his pectorals and latissiumus dorsi are over-active and need to be inhibited and
stretched. The doorway stretch would be a perfect stretch for Matt.
If Matt wants to really achieve his goals of building muscle and losing bodyfat, the
overhead squat dysfunctions must be corrected by following these suggestions. The exercise has
great potential to build muscle due to the functional, compact stress that causes a hormonal
response, indicating increased testosterone levels. They also strengthen all of the major lower
extremities by working them through a full range of motion. Squats done with proper technique,
with the bar coming below parallel can strengthen your knees and can greatly improve hip
flexibility. This also helps in all sports and daily activities throughout the rest of one’s life. But
as of now, if Matt corrects some of these muscle imbalances, he is in no immediate danger or
risk of future injury.
Gait Analysis
HEEL STRIKE
HEEL STRIKE
MID STANCE
MID STANCE
TOE OFF (right foot)
TOE OFF
It’s crucial that Matt has no dysfunctions in his gait because the foot is first and last thing
to hit the ground each day, giving it the greatest influence on overall biomechanics. As the foot
goes, so goes the rest of the body. If Matt’s foot can strike the ground correctly, the rest of the
body will move correctly, meaning his goals can and will be met. However if his foot has
become dysfunctional due to loss of form in the lower leg or overactive/underactive muscles
develop, biomechanics will be compromised and pains will eventually follow, meaning Matt’s
goals will not be fully achieved.
Luckily Matt won’t have this problem, due to correct form and performance in his gait.
After analyzing Matt’s gait while walking on a treadmill, I found that he is within the normal
parameters of gait. During the heel strike, contact with foot is in supination, with his foot
adducting, plantar flexing and his calcaneous inverting. In the midstance, Matt’s foot starts to
move into pronation and his leg moves into internal rotation to absorb the force. His foot is
properly abducting, everting and in a dorsiflexed position. His pelvis also seems to be stabilized
and without excessive tilting. During the toe-off phase before the swing, Matt’s foot moves back
into supination and leg into external rotation just prior to toe lifting.
Corrective Exercise Program
After completely assessing Matt’s range of motion, posture, overhead squat and gait, I
configured a list of exercises that would correct any of the misalignments or dysfunctions in
any/all of the above areas. In each area where Matt needs improvement, I have included a
suggestion about an exercise that will either fix or improve the dysfunction, with the prescribed
number of sets or reps for each. The idea is to incorporate all of these exercises in Matt’s usual
exercise program and baseball workouts. The following is a list of stretches and exercises,
respectfully, to help Matt achieve maximum performance and decrease the risk of future injury:
OVERACTIVE MUSCLES – NEED STRETCHING
Hold each stretch statically for 20-30 seconds
1) Overactive Piriformis (contributing to Matt’s externally rotated hip and outward foot in
postural assessment)
Lie face down and bend one leg under your
stomach, then lean towards the ground.
2) Overactive Quadratus Lumborum (contributing to Matt’s unbalanced pelvis. His ilium on
the left side is lower, which is very common due to a short, tight and overused deep, low
back lateral flexor)
Kneel on mat or floor. Place hands shoulder width apart. Flex spine by hunching back up. Hold
stretch for at least 20 seconds
3) Overactive Pectoralis Major/Minor (contributing to Matt’s protracted shoulder girdle)
Stand at end of wall or in doorway facing
perpendicular to wall. Place inside of bent arm on
surface of wall. Position your bent elbow at
shoulder height. Turn body away from positioned
arm. Hold stretch for at least 20 seconds. Repeat
with opposite arm.
4) Overactive Soleus (contributing to outward turned right foot in the overhead squat)
Face wall with both knees slightly bent. Position desired
foot on wall with heel on floor. Straighten knee of rear leg
and lean body toward wall. Hold stretch for at least 20
seconds. Repeat with opposite leg.
5) Poor ROM in external/internal rotators (resulting from pitching) = SLEEPER STRETCH
Roll onto your side and make sure that your scapula is
retracted. Next, make sure that your body is not
straight up and down. You actually want to roll
backwards so your body is facing upward at close to a
45 degree angle. This will get your shoulder out of
the sagittal plane, which places too much strain on the
posterior capsule. Lastly, you want to gently push
down until you feel a mild stretch and hold for 30
seconds. Most people will push way too hard.
EXERCISES
 1) MAJOR AREA OF IMPROVEMENT-poor ROM in internal/external rotation of both
shoulders

Suggestion: Matt needs to tweak his workouts so that he focuses on more
exercises that work the rotator cuff muscles (supraspinatus, infraspinatus, teres
minor and subscapularis). He should also stay away from heavy overhead presses
if he wants to increase athletic performance and minimize injury in his shoulder.
 Exercise: Tubing Scarecrows
To perform Tubing Scarecrows, wrap a piece of
handled tubing around a sturdy post and grab one
handle in each hand. Step far enough away to start so
that you have adequate tension on the bands. From
here, position both elbows at 90 degrees, however one
will be facing down and one will be facing up. Begin
the exercise by simply alternating the arm positions. The one facing down will
rotate up and the one facing up will rotate down. Continue to alternate reps in this
fashion until you have completed 15 reps for 3 sets on each arm.
 Exercise: Plate Squeeze Stances
Description: To perform the Plate Squeeze Stances, grab a pair of 5 or 10lb Olympic plates and
place them together (smooth sides facing) squeezing them with your hands. Get into your batting
stance and begin by raising the hands up to shoulder height. In this case it would be leading with
your right hand, since you are a right handed batter. Once at the top, hold for a count of 3
seconds, then slowly lower and repeat. Do not let the plates slip or fail to reach the proper height
during the lift.
Exercise: Eccentric “Brake Slammers”
BIG CONCERN= Matt’s obviously poor ROM in his internal/external rotators,
complaints of previous shoulder pain and pitching status make this type of movement
a no-brainer. We need to find a way to pinpoint and train Matt’s ECCENTRIC
control of his internal/external rotator muscles (infraspinatus, teres minor and
subscapularis) due to the massive stress a repetitive pitching motion will put on them.
To tell Matt to try this exercise would be an understatement.
THIS EXERCISE IS A MUST!
Description: Lie on your back on the floor. Position the
throwing arm at 90 degrees abduction and 90 degrees of elbow
flexion (“L” position). Hold one end of a cable/band with your
throwing hand and loop the other end of the band around your
same side foot. Start the exercise by bending the knee up and positioning the throwing arm in
slight external rotation. There should be just a little tension on the band at this point. Next,
rapidly extend and straighten the knee and work to control the resulting internal rotation at the
shoulder. Aim for 2-3 seconds for each rep.
 2.) MAJOR AREA OF IMPROVEMENT- Matt’s foot
turns outward during postural analysis

Suggestion: This may seem like a minor
misalignment that can be ignored, but unfortunately it is not. Repeated weight on
an outward turned foot can affect the entire kinetic chain. No need to worry
though, Matt just needs to activate and strengthen his hip adductors, which are
most likely leading to his outward turned foot. This is just the exercise to help him
do this.
 Exercise: Lateral Weighted Lunges
REASON: This exercise perfectly targets your inner-thigh muscles (hip adductors), which
contract to pull your legs together when they're spread apart. We are killing two birds with one
stone here because not only are we strengthening your hip adductors, abductors and the very
commonly underactive gluteus medius, we are using a functional movement/exercise that mimics
the fielding aspect of baseball. Think of a fielder who gets into their ready position (where the
feet are spread apart), the ball is struck and they are ready to drop and lunge in order to scoop up
a ground ball. It is the adductors that work for the fielder to shift direction in a split second and
inject speed into the fielding movement.
Description of movement:





Step to the right with your right foot, keeping your toes forward
and your feet flat.
Squat through your right hip while keeping your left leg straight
Squat as low as possible, holding this position for 2 seconds
Push back to the starting position and repeat to the opposite side
Keep your opposite leg straight, your back flat, and your chest
up
Try 3 sets of 12 each side
 Exercise: Physioball High Bridges
-
This is a fantastic exercise for strengthening the muscles of the hamstrings. Forget the
hamstring curl machine Matt; it’s time for a real FUNCTIONAL movement. This is
also key because most athletes incorporate too much quadriceps training into their
programs, leading to an inappropriate ratio. You want the ratio of quads-hamstring
strength to be around 3-2, respectively.
Description: To perform the Physioball Supine Bridge, lie on your back with your knees bent
and your feet flat on the top of the physioball. Keep your
hands out to your sides and begin by pushing straight down
through your feet, lifting your butt and drive your hips up
until they are level with your trunk. Lower your hips slowly
and repeat for 12-15 reps.
 Exercise: Pitcher’s Lunge and Reach
-
Matt, have you ever performed an exercise where your pitching motion is mimicked,
move for move? Try this and I can assure you that you won’t want to ever go back to
traditional lunges. With an exercise like this, your entire kinetic chain is involved,
you have 1 foot on the ground at the top portion of the rep, you are incorporating your
core muscles AND you are moving on multiple planes, transverse and saggital! Talk
about a complex movement and exercise!
Description: To perform the Pitcher’s Lunge and Reach, grab a fairly light dumbbell in your
throwing hand. Start by performing a simulated windup from the stretch. Step out with your
landing leg into a lunge position and rotate your torso over the contralateral (opposite/landing)
leg. Reach your throwing hand and dumbbell over your front knee in the finish position. Push off
the front leg back into your pitching top position and repeat for 8-12 reps. Make sure you do this
on both legs.
 3.) AREA OF IMPROVEMENT – Abducted foot and muscle imbalance in overhead
squat analysis.

Suggestion: Matt also has an abducted foot and overactive quadriceps (rectus
femoris) and an underactive gluteus maximus and medial hamstring. Most leg
exercises fall under the quad dominant category. Squats, deadlifts and leg presses
are all quad dominant exercises. While the hip extensor muscle groups
(hamstrings and glutes) are activated during these movements, the quads take
most of the stress, and therefore receive the largest training response. If Matt does
not make a conscious effort to balance his quad and hip extensor training, he will
eventually develop a worse imbalance between the two muscle groups.
 EXERCISE: 1 Leg DB RDL
REASON: Having this type of imbalance can lead to several conditions, as well as
physical (frequently pulled hamstrings) injuries. Because hip extensor training can have such a
wide range of benefits, it makes sense for Matt to include it in his training program, being that he
is an athlete looking for improved performance and injury prevention. The standard leg curl
is not a hip dominant exercise. To qualify as one, there has to be movement at the hip joint, and
the leg curls simply do not do this, making them a poor choice for balancing the strength levels
between the two main sections of the upper leg.
One of the most effective, most overlooked exercise is the RDL (Romanian deadlift)
Description: To perform the DB RDL grab a dumbbell in one hand (or both hands). Bend down
on your standing leg, rotate your trunk over the leg and perform a Romanian dead lift, lowering
the dumbbell to just below knee height. Make sure your core is engaged throughout the motion.
Return to standing position and repeat for a total of 10-12 reps.