Analysis Project - Rowan University

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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.
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