Scheer 1 Range Of Motion Analysis Jeff Scheer Rowan University Scheer67@studen ts.rowan.edu Kinesiology (Section 5) Dr. Biren Tuesdays and Thursdays 12:15 – 1:30 Scheer 2 Jeff Scheer Movement Analysis Project: Demographics of subject: Name: Amanda Palumbo Age: 22 Gender: Female Height (inches and centimeters): 69 inches and 175cm Weight (kilograms and pounds): 102 kg and 225lbs B.M.I.: 33.2 Medical Past: Have you ever been injured, past or present? Yes If so, what have you injured? And what was/is the length of time you were/are unable to use the injured area? I injured my right talocrural joint (ankle) twice. I was not out for long because I still preformed my activities on it even though it was hurt and it never healed properly. I injured my right hamstring 3 times during 2009 college softball season and once in 2010. I was out for one week on time. And the last three time I was out for about two weeks. Were you born, or have you acquired any physical defects? If so, what areas of the body does it affect? Black wood, Nj and no Are you currently active, or do you participate in any sports? If so, what sport and position, and/or what activity and action? I currently just go to the gym 4 times a week and just do 45 mins on the treadmill and 15 mins on the elliptical. I used to play softball up from 1997 until 2011. I played 2 years of college softball at first base and mainly windmill pitcher. I also was a cheerleader since 1996-2008 and I was a base and backspot which required lifting people a lot and catching them. Currently I coach and demonstrate a lot when coaching cheerleading and softball windmill pitching. Do you have an occupation? If so, answer the following: Job Description: Starbucks Barista How stressful (1-10): 5 How many hours a week: 25 Scheer 3 How long do you sit (hours) and how long do you stand (hours): sit for 10mins and stand for 5- 8 Hours depending on my shift. Personal Physical Goals: What are your physical goals specifically; gain muscle mass, gain weight, lose weight, run faster, running endurance, lift more? I want to lose weight and be able to run longer. How many days a week and how long a day do you work on achieving these goals? I work on these goals about 3-4 days a week depending on my work schedule. I am at the gym for 60 mins. Scheer 4 Frontal View Eyes Aligned No Left Side is higher AC Joint No Left side is higher ASIS Aligned Yes Patella Height Even Yes Patella Faces Forward Yes Genu Valgum No Genu Varum No Feet Face Forward Yes Head Protruded Sagittal View No Protracted Shoulder Girdle No Kyphosis No Excessive Lordosis No Reduced Lordosis No Genu Recurvatum No Winged Scapula Posterior View No Feet Evert No Feet Invert No Amanda Palumbos assessment was useful in assessing any differences in her posture. Everything was aligned well besides her eyes and AC joint. Both of her elevated postures were located on the left side of her body, which could ultimately result from overactive right pectoralis, right trapezius, and middle right rhomboid. This could mean underactive left pectoralis, left trapezius, and middle left rhomboid. It could be from excessive work from her right side, being that it’s her base in Softball. She could use more stretching on her right side, with intended strengthening in specific muscles on her left side. Her left shoulder girdle may be raised, but it’s not noticeable Scheer 5 Range of Motion Assessment Motion 1: Cervical Flexion Segment: Cervical Plane: Sagittal Axis: Medialateral Segment: Cervical Plane: Sigittal Axis: Medialateral Degrees: 45 (Normal) Motion 2: Cervial Extension Degrees: 45 (Normal) If abnormal, it would put strain on the trapezius and the sternocleidomastoid Motion 1: Lateral Flexion Segment: Cervical Plane: Frontal Axis: Anteroposterior Degrees: Right – 45 (Normal) Left – 45 (Normal) If abnormal, it would place strain on the trapezius muscle Motion 1: Rotation Segment: Cervical Plane: Transversion Axis: Vertical Degrees: Right – 90 (Normal) Left – 90 (Normal) If abnormal, strain on semispinalis Motion 1: Abduction Segment: Shoulder Plane: Frontal Axis: Frontal Degrees: Right – 170 (Normal) Left – 170 (Normal) If abnormal, it would put strain on the latissimus dorsi and deltoid muscles Motion 1: Adduction Segment: Shoulder Plane: Sagittal Axis: Sagittal Degrees: Right – 170 (Normal) Left – 170 (Normal) If abnormal, it would strain the lattisimus dorsi and deltoid muscles Motion 1: Lateral Rotation Segment: Shoulder Plane: Sagittal Axis: Longitudinal Motion 2: Medial Rotation Segment: Shoulder Plane: Sagittal Axis: Longitudinal Degrees: Right – 75 (abnormal) Left – 70 (Normal) Degrees: Right – 90 (Normal) Left – 70 (Normal) If abnormal, it would cause complications in the rotator cuff The right arm abnormality may be due to tight muscles, being that she plays softball and is dominant on the right side. Motion 1: Extension Segment: knee Plane: Sagittal Degrees: Right – 90 (Normal) Left – 80 (abnormal) If abnormal, it would strain the hip and hamstring, as well as sartorius muscle. Axis: Longitudinal Scheer 6 The left may be abnormal because she is dominant on the right side Motion 1: Adduction Segment: Hip Plane: Sagittal Axis: Longitudinal Degrees: Right – 90 (Normal) Left – 75 (Abnormal) If abnormal, it would place strain on the lower back oblique and hamstring The left may be due to her right side being her dominant throwing side Motion 1: Lateral Rotation Segment: Hip Plane: Frontal Axis: Frontal Degrees: Right – 30 (Abnormal) Left – 45 (Normal) Right – 30 (Abnormal) Left – 30 (Abnormal) If abnormal, it would put strain on the lower back and groin May be abnormal due to strong lower body from exercise and softball and a lack of stretching Motion 1: Adduction Segment: Knee Plane: Sagittal Axis: Longitudinal Degrees: Right – 110 (Normal) Left – 110 (Normal) If abnormal, it could cause weak ACL, MCL, PCL, and meniscus stability Findings and suggestions: Her lower body, such as hamstrings and hips seem to have complications in the range of motion (primarily on the left). It seems that she has a strong lower body, but doesn’t stretch enough to accommodate the strength training required by softball. She is also dominant on her right side, which could develop stronger muscles on the right, while straining the left. Stretches I recommend: Piriformis stretch: Spine twist: Inner thigh stretch (butterflies): Lunge stretch: Scheer 7 OVERHEAD SQUAT ASSESSMENT Anterior View Knees Align with foot: Yes Feet Face Forward: No Both adduct Sagittal View Normal Forward Flexion: Yes Normal Lumbar Lordosis: No Arms Remain in Line: excessive lordosis Yes Posterior View Feet Evert: Yes Heels Rise Off Floor: No Asymmetrical Shift: Yes Rightside Comments and Notes: From viewing Amanda’s Overhead Squat Assessment, you can see that her left arm is slightly higher in elevation, has excessive lordosis, has a slight asymmetrical shift to the right, and everted feet. Elevated left arm: Could be due to her slight asymmetrical shift to her right side, making her right muscles tight and her left side weak and longer. Stretch: Kneeling latissimus stretch for her right side. Door stretch for her right side Strengthen: Left latissimus dorsi – pulldowns. Middle-lower trapezius – rows, reverse fly’s. Excessive lordosis: her tight, overactive muscles would be her hip flexor, latissimus dorsi, and superficial erector spinae. Her underactive muscles would be her anterior core, deep erector spinae, and hamstrings. Stretch: Fetal stretch, knee to chest, and seated or standing toe grabs. Strengthen: abdominal training of any sort pertaining to the anterior side and leg curls Asymmetrical shift: her overactive muscles are adductors and her underactive muscle is her right gluteus medius. Stretch: Split toe touches, seated toe touches, and butterfly stretch. Strengthen: resistance band crab walk squats, twisting lunges, and side lying leg raises. Foot evertion: Her overactive muscle is her peroneals and her underactive muscles are her tibialis posterior and anterior. Stretch: Focus on not using peroneals in excess and use a resistance band to assist with stretching laterally/medially. Strengthen: Toe raises with resistance, lunges, and stabilizing exercises such as step ups. SAGITTAL Scheer 8 ANTERIOR POSTERIOR Asymmetrical shift to her right side Scheer 9 FRONTAL SAGITTAL POSTERIOR Scheer 10 Terminal swing Mid swing Initial Contact Loading Response Scheer 11 Midstance Initial Swing Terminal Stance Preswing Scheer 12 Midswing Heel Strike Heel Off Toe Off Scheer 13 Foot Flat Scheer 14 Sagittal View of the Gait Analysis: Stance Phase Hip Position Knee Position Ankle Position Foot Flat Hip Position Knee Position Ankle Position Mid-stance Hip Position Knee Position Ankle Position Heel-off Hip Position Knee Position Ankle Position Toe-off Hip Position Knee Position Ankle Position Real-time Extension Real-time Extension Real-time Plantar flexion Recorded Extension Recorded Extension Real-time Plantar flexion Real-time Extension Real-time Extension Real-time Plantar flexion Recorded Extension Recorded Extension Real-time Dorsiflexion Real-time Flexion Real-time Extension Real-time Plantar flexion Recorded Flexion Recorded Flexion Real-time Plantar flexion Real-time Extension Real-time Extension Real-time Dorsiflexion Recorded Flexion Recorded Flexion Real-time Dorsiflexion Real-time Flexion Real-time Flexion Real-time Plantar flexion Recorded Extension Recorded Flexion Real-time Plantar flexion Scheer 15 Swing Phase: Initial Swing Hip Position Knee Position Ankle Position Mid-swing Hip Position Knee Position Ankle Position Initial Swing Hip Position Knee Position Ankle Position Real-time Flexion Real-time Flexion Real-time Dorsiflexion Recorded Flexion Recorded Flexion Real-time Plantar flexion Real-time Flexion Real-time Flexion Real-time Plantar flexion Recorded Flexion Recorded Flexion Real-time Plantar flexion Real-time Flexion Real-time Extension Real-time Plantar flexion Recorded Flexion Recorded Flexion Real-time Dorsiflexion Posterior View of the Gait Analysis: Gait Events Heel Strike Foot Flat Mid-swing Heel-off Toe-off Real-time Supination Pronation Pronation Pronation Supination Recorded Pronation Pronation Pronation Pronation Supination Scheer 16 CORRECTIVE EXERCISES Since Amanda Palumbo is athletically inclined and works out 4 days a week, these corrective exercises will be advanced to accommodate for her abilities. According to pictures taken of her anterior view, Amanda has a tight right side (overworked). I recommend that she focuses on strengthening her transverse abdominis, left internal and external obliques, left ilopsoas, whole trapezius, and erector spinae. Side Plank on Exercise Ball Opposite Arm and Leg Russian Twist Amanda has an asymmetrical shift to her right side, which indicates she has an underactive right gluteus medius. She needs to strengthen her right gluteus medius, erector spinae, tensor fascia lata, and quadriceps for support. Side Leg Raise on Ball Superman on Ball Ball Tucks Corrective exercise that doesn’t address the core: I also observed that Amanda has overpronation of her feet during the gait analysis, which could cause issues with the plantar fascia, such as plantar fasciitis. She should roll her foot over a golf ball on the sore spots for 30 seconds to a minute.