9/13/2013 KINESIOLOGY: MOVEMENT ANALYSIS PROJECT Section Two: | Philip Lang & Nick Consoli Demographic Information………………….. Name: Philip E. Lang III Gender: Male Age: 20 Height: 5’11 71 inches (x 2.54) 180 centimeters Weight : 158 lbs (÷ 2.2) 71.67 kg BMI (Body Mass Index): 22.0 Review of Physical History………………… ** Have you experienced any medical conditions that would alter or impair functional movement in any matter? If yes, elaborate. Movement Impairing Medical Conditions 1. Fracture in the epiphyseal growth plate of left radius. (Prevents supination of the left hand) 2. Prone to and victim of weakness in lower back, in addition to lack of flexibility. ** What type of physical activities or engagements do you encounter on a daily, weekly, or monthly basis? (Any movement counts, this section should not be left blank!) Current Exercise Regimens 1. 2. 3. 4. Weight training every day Monday through Friday Five to ten minute cardio warm up every day. Frisbee, longboarding, various outdoor activities to encourage active recovery on weekends. Walking vigorously at least 30 minutes a day back and forth to class. ** What kind of jobs have you worked in the past that involve functional movement, and how did they affect your body in a positive or negative manner? Past Work 1. Three years as YMCA camp counselor walking around an outdoor day camp for 7-9 hours a day. 2. Sales associate at Polo Ralph Lauren on flat footed shoes putting strain on the back. General Injury Information Have you ever broken, fractured, or sprained an area of the body? If so, where. ___Yes, left wrist and radius_____________________________________________. Do you experience any pains while performing everyday tasks, or while exercising? __________Yes, pains in back when standing for too long_______________. Movement Goals……………………………… Increase personal flexibility on the sit and reach assessment by a minimum of three inches. Increase rotation in the supine direction within left radius and ulna to a point where I can lay it flat. Be able to perform the squat and dead lift exercises with proper form and range of motion. Become fluent in my knowledge of functional human movement to the best of my ability. Initial Summarization………………………. I have studied into my body for a good amount of time, and by mapping out these key areas and demographics it should be easier to identify my strengths and weaknesses. Something I have always struggled with in terms of movement is my flexibility on the sagittal plane, specifically when moving my trunk along the mediolateral axis. Contrarily, I have experience with bodyweight and medium weight training through my years of training in high school sports. My form is for the most part strict an accurate, but there are cases where I cannot perform the exercise correctly because of restrictions in my movement. For example, I cannot supinely rotate my left wrist, which makes it impossible for me to perform pull-ups with my palms facing the anterior part of my body. Because of this, I have developed more progress in my upper back rather than being able to get full extension into the deep portions of my latissimus dorsi. Furthermore, a hyperextension of my knee joint has caused me to feel tightness and lack of flexibility in hamstring exercises. When it comes down to things, my lack of range of motion negatively impacts form in some aspects of my life. Initially, what I expect to do in order to remedy some of these issues is not only to devise a unique type of training program that does not focus on weight, but also to thoroughly enhance my knowledge of mechanical human movement. As I begin to learn more, it will only allow me to better perform the tasks I do not only in the gym, but in everyday work lifting. Range of Motion Assessment Cervical Spine Neutral (Frontal View) Neutral (Sagittal View) Lateral Flexion (Normal = 45 degrees) Flexion (60 degrees) Extension (75 degrees) Rotation (80 degrees) Glenohumeral Joint (Shoulder) Neutral Position (Frontal View) For Abduction and Adduction Abduction (170 degrees) Neutral Position (Sagittal View) Flexion(170 degrees) Flexion and Extension Neutral Position (Sagittal View) Internal (70 degrees) For Internal and External Rotation Rotation External (90 degrees) Rotation For Tibiofemoral Joint (Knee) Neutral Position (Sagittal View) For Flexion and Extension Extension Flexion (145 degrees) (Fully Extended = 0 degrees) Acetabulofemoral Joint (Hip) Neutral Position Internal (35 degrees) For Internal and External Rotation External (45 degrees) Rotation Flexion (110 degrees) Rotation Neutral Position For Flexion Neutral Position For Abduction Abduction (45 degrees) Photographic Range of Motion Analysis The range of motion analysis gave me a much better understanding of where my problem areas are and how limited I really am. This portion did not tell me much about the posture of my frame but I can already make inferences by the curvature in my spine that the assessment results will be subpar. Back to my range of motion, areas that I see the most cause for harm are acetabulofemoral abduction, tibiofemoral extension, and overall loss of flexibility in the cervical spine. Weakness in the spine has been something my family and genetics are easily prone to, and in order to compensate certain stretches and exercises can be done. Exercising and lifting medium weights has been a large part of my life since I began in high school, but as many suggest, form is the last thing that people think of at that age. From improper bench press form I built up some scar tissue in the anterior portion of my deltoid which makes it more difficult to do certain shoulder motions. This also caused my shoulder area to become stronger than my rotator cuff phenomenally, which started to make it impossible to bench without pain. The final point I want to address is about the lack of range of motion I have in my knee joint. I have never been able to touch my toes or even perform the sit and reach test without getting worse than negative four inches. During soccer season I was prone to injury because I always had tightness in my hamstrings and weak knees because I didn’t properly stretch or warm up the muscles and tendons surrounding the joint. I now make sure to incorporate several miles of mild jogging before I do any intense form of leg exercise. Postural Analysis Frontal Anterior View Lateral View Frontal Posterior View Going into this portion of the analysis I had prior knowledge of my scoliosis and knew it would have a serious affect on my posture. The first thing I notice from the curve of my spine is that I have an excessive lordosis. This can be the result of several things. It can possibly be that my pelvis is suffering an anterior tilt, which would increase lordosis. Another way to look at it can be tightness, weakness, and lack of development in my lower back and lats. This would pull my back and pelvis together, and would lead to the tilt in my pelvis as well. An exercise that I am now incorporating is the hyperextension. This will effectively strengthen and increase flexibility in my lower back. Another motion to perform could be the abdominal trunk twist to strengthen that entire band of muscle from the posterior to anterior region. Overhead Squat Assessment Frontal View Lateral View Posterior View The overhead squat assessment is very useful for finding problems from injuries that limit daily functionality. In my analysis I was able to note a variety of things that will be incorporated in me achieving my goals. For one, the posterior photo makes it easy to see that my right foot is rotated away from my midline, which can be due to injuries during my high school soccer career. Another thing is the bend at my elbow. Because of overtraining and tightness in the bicep tendon, it is usually difficult for me to straighten my arms and even more so during this movement. Squatting is an exercise that I don’t usually do because of weakness and lack of flexibility. It is easy to see the tightness in my back, in addition to the excessive lordosis. Gait Analysis The Gait Cycle is composed of two phases, stance and swing. Approximately 60% of the cycle occurs while in stance phase while the remaining 40% is spent in swing, and then repeated. In the following section I analyze my gait for dysfunctions, potential muscle weakness, and the process in relation to my goals. I do this both walking and jogging. Walking: Stance Phase Heel Strike Midstance(Loading) Toe Off Walking: Swing Phase Initial Swing Mid-Swing Terminal Swing Jogging: Stance Phase Heel Strike Midstance(Loading) Toe Off Jogging: Swing Phase Initial Swing Mid-Swing Terminal Swing Analysis Becoming knowledgeable about gait is an important part to understanding human movement within the kinetic chain. In my pictures, it was difficult to pinpoint some of the angles I was looking for because I could not capture enough frames per second. What I did notice is that both my step length and stride length during the walking analysis were shorter than they should be. One of the reasons that I believe this is happening is because of tightness in my hip flexors, and tightness in my all around core. This has seemed to be a recurring issue through the tests so far in this movement analysis, and the possible causes grow. To correct the tightness in my hip flexors, a popular yoga style stretched termed “Downward dog” may be effective over time. Corrective Exercises for the Trunk and Shoulder Complex In the previous sections I was able to identify problems with my right shoulder in regards to internal rotation and flexion. Analyzing the function that I used this arm for (pitching in baseball) I was able to see effects on its structure and functionality. To loosen up the shoulder complex while keeping it stable, I chose exercises that focus more on stretching and movement rather than weight. Weight would only further restrict range of motion. The main issue with my trunk or core region (which is visible in the photos above) is an excessive lordosis of the lumbar spine caused by an anteriorly rotated pelvis. I suspect this problem to have derived from forced full situps that I performed during high school sports, mainly soccer. My team was put through circuits that alternated between sprints, jogging, and walking; and in between each phase were 20 full sit-ups. To an untrained core, doing full range of motion situps puts strain on the iliopsoas which attaches to the lumbar spine. This results in the excessive curvature if the spine undergoes this motion frequently. Shoulder Complex 1. 2. Rotator Cuff Workout : Lay on the side with elbow slightly away from body, rotate the arm at a 90 degree angle on a transverse plane. External rotation while laying on the side. Cable Diagonal Pulls: 3. Wall Slides: Stand a few inches from a wall and place your elbows and the pinky sides of your hands on the wall. Slide your hands up the wall, making a V shape. When your elbows are level with your shoulders, gradually shrug your shoulders up to help elevate your scapulae. Stop if pain occurs and hold for 5 seconds. Slide your arms back down while continuing to shrug your shoulders up. Doing this can activate the upper trapezius. Trunk Exercises 1. The Plank: I chose to incorporate the plank into my program because I know that although I have weakness in my lower back, my core as a whole isn’t entirely weak. I should be able to withstand and conquer the difficulty level of the plank. This way I will be able to perform it with strict form and utilize it correctly. 2. Reverse Leg Curls: Reverse leg curls were recently introduced to me and seem to be an extremely challenging exercise to complete even a few reps of. This will not only strengthen my core on a transverse level, but also my hamstrings and multifidus. 3. Crunchy Frogs: This workout is a type of crunch that has proprioceptive benefits as well due to the balance required. It will help build my core stabilizing muscles that are weak. Using muscles I have already developed I should be able to perform the motions while focusing on the muscles I want to train.