Kinesiology
Section 5 TR 12:15-1:30
Professor Biren
Full Body Movement Assessment
Assessor:
Mark Torres
Client:
John Stulpin
General Information
Name __John Stulpin___
Gender M F
D.O.B__12/18/91___(MM/DD/YY)
Height_ 6’3’’____
Weight __180__lbs.
Age__20___
B.M.I__22.5___
History Report
List all major injuries and date of when of incident:
Tendonitis- both shoulders
_____
Broken Arm-1998
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Were you born with any abnormality or deformity? If so does it affect any movement of your
body?
__No_________________________________________________________________________
____________________________________________________________________________
Do you have any health issues? If so what is it?
__No_________________________________________________________________________
______________________________________________________________________________
Does any movement cause pain? If so explain the movement and how long you been having
suffering?
___No________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you had any surgery? If so what surgery you had and when?
__No_________________________________________________________________________
______________________________________________________________________________
How active are you? If so what do you do and how often?
______I am very active. I am on the Rowan swim team, and due to me being on the team I lift
and weight train daily.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Brief description of your eating habit. Also on avg. how many hours of sleep you get per night?
_I eat a lot of grilled foods. I also eat a lot of carbs when I am in season. Fruits and vegetables
are also a staple in my diet. I also get about 7 hours of sleep daily.
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Scale from 1-10, rate your stress level
7
Do any of you joint(s) click or lockup? If so which joint(s) and how often?
__My shoulders both click whenever I move them.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Do you have any muscle(s) stiffness? If so which muscle(s)?
____No_______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Do you have shortness of breath after running 1 mile?
Yes
No
Do you get sore easily after exercising?
Yes
No
How many times a week do you stretch? _____3____Times/week
How many times a week you perform cardiovascular exercise? ____6_____Times/week
How many times a week you do any kind of strength training? _____4____Times/week
What are your personal goals?
I want to increase the stability of my shoulders and increase lean muscle mass.
Conclusion: Based on the general information and history of John Stuplin, my plan is to
strengthen his shoulder girdle/complex to give him more stability. So that is the rotator cuff,
deltoids, serratus anterior and the rhomboids. Also since he is a swimmer I want him to do some
core workouts to increase stability and power in his swimming. Since he wants to build lean
muscle mass I advise him to be eating about 2500 calories a day and doing a lot of resistance
workout. The workouts should be 3-5 sets with about 12-15 repetition.
Range of Motion Assessment
Subject Name: _____John Stulpin_____ Date: __9/20/12______
Movement
Motion
Segment
Plane
Axis
Degree
Normal
Chin to chest
Flexion
Sagittal
Mediolateral
45°
Yes
Look at Ceiling
Extension
Sagittal
Mediolateral
80°
Yes
Ear to Shoulder
Lateral
Flexion
Rotation
Cervical
Spine
Cervical
Spine
Cervical
Spine
Cervical
Spine
Frontal
Anteroposterior
Right:35°
Left:35°
Right:70°
Left:50°
Yes
Humorous
Sagittal
Mediolateral
Extension
Humorous
Sagittal
Mediolateral
Right:170° Yes
Left: 170°
Motion 1:
Internal
Rotation
Humorous
Sagittal
Mediolateral
Right:65°
Left:70°
Yes
Motion 2:
External
Rotation
Flexion
Humorous
Sagittal
Mediolateral
Right: 70°
Left:70°
No
Femur
Sagittal
Mediolateral
Right:-20°
Left: -25°
No
Flexion
Femur
Sagittal
Mediolateral
Right:75°
Left: 70°
No
Adduction
Femur
Frontal
Anteroposterior
Right: 40°
Left: 40°
Yes
Abduction
Femur
Frontal
Anteroposterior
Right: 30°
Left: 30°
Yes
Flexion
Femur
Sagittal
Mediolateral
Right:125° Yes
Left: 125°
Turn Head right
and left
(overhead view)
Straight arm
Extension
rises. Back on
wall(Anatomical
Transverse Vertical
Right
Yes, left
no
Right:165° Yes
Left: 170°
Position)
Straight arm
rises. Hands midsupinated
Shoulder
Rotation. Elbow
shoulder level
palm down.
(Same as above)
90-90. Lying on
you back. Knees
bent to 90° and
attempt to
straighten leg
Straight Leg
Raise. Lying on
your back.
Hip rotation
outward while
sitting
Hip rotation
inward while
sitting.
Lying prone flex
knee to buttocks
Conclusion: Based on the results of the assessment, John Stulpin seems to have tight hamstrings.
This can be caused by poor or no stretching before and after working out. They are I also noticed
that John’s right shoulder has less range of motion then his left and poor external rotation. This
can be due to overactivity to his right shoulder since he is righty. His right arm is his dominate
arm while swimming. Also he has poor rotation in his cervical region to the left.
*Pictures are in order respectively to the table shown above.
Postural Needs Assessment
Subject Name: _____John Stulpin_____ 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
Conclusion: Right acromioclavicular joint is higher than the left. This may be due to overactive
upper trapezius. Based on the range and motion assessment and postural assessment the shoulder
seems to be tight around his right shoulder. He needs to stretch more and strengthen his lower
trapezius. His right foot has a slight external rotation which can mean his soleus and
gastrocnemius are over active and he need to strengthen his medial gastrocnemius and medial
hamstring. Also it seems like has a slight asymmetric shift to the left.
Frontal
Saggital
Posterior
Overhead Squat Assessment
Subject Name: _____John Stulpin_____ Date: __10/18/12______
Knees Align with foot:
Yes
Feet Face Forward:
Yes
Normal Forward Flexion:
Yes
Anterior View
If no, which one
which way
No
If no, which one
which way
No
R
L
valgus
R
L
abduct
Both
varus
Both
adduct
Sagittal View
No, excessive forward lean
Normal Lumbar Lordosis: Yes
If no,
excessive lordosis
Arms Remain in Line:
Yes
No, arms fall forward
Feet Evert:
Yes
No
Heels Rise Off Floor:
Yes
No
Asymmetrical Shift:
Yes
No
or
reduced lordosis
Posterior View
If yes which side
R
L
Conclusion: Based on the overhead squat there were some abnormality. His knees and feet are
not aligned because he seems to have a small genu valgum. He has overactive adductors and
underactive gluteus medius. From a Saggital view, John has an excessive forward lean. He seems
to have overactive hip flexor, rectus abdominus, and latissiumus dorsi. He has underactive
transverse abdominus, tibialis anterior, and hamstrings. The posterior view showed his feet evert
which means he has overactive peroneals and underactive posterior/anterior tibialis. He also has
a symmetrical shift to the left. He has overactive left adductors and underactive right gluteus
medius. The underactive muscles need to be strengthened and the overactive muscles need to be
stretched.
Frontal
Saggital
Posterior
Gait Analysis Assessment
Subject Name: _____John Stulpin_____ Date: __11/11/12______
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
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Flexion Extension
Recorded
Flexion Extension
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
Gait Events
Heel Strike
Foot Flat
Mid-swing
Heel-off
Toe-off
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Flexion Extension
Real-time
Flexion Extension
Real-time
Plantar flexion Dorsiflexion
Recorded
Flexion Extension
Recorded
Flexion Extension
Recorded
Plantar flexion Dorsiflexion
Real-time
Supination Pronation
Supination Pronation
Supination Pronation
Supination Pronation
Supination Pronation
Recorded
Supination Pronation
Supination Pronation
Supination Pronation
Supination Pronation
Supination Pronation
Conclusion: Watching the video of John walking on the treadmill, his walking habit seems to
look normal. They only thing I see is that every once in a way John doesn’t perform a heel strike
on his right foot and lands almost flat footed. This can be due to poor habit or a
weak/underactive soleus and/or gastrocnemius.
Heel-strike
Loading reponse
Midstance
Terminal Stance
lPre-swing
Initial Swing
Midswing
Terminal Swing
Corrective Exercise Program
Subject Name: _____John Stulpin_____ Date: __12/6/12______
After evaluating John Stulpin in the range of motion, postural, overhead squat, and gait
assessment there were some slight abnormality that can be corrected with the proper exercise.
For each stretch hold for 20-30 seconds and do 2-3 sets, 3-5 days per week. To strengthen try to
perform 3-5 sets with 10 repetitions. To get the lean muscle do 4-5 sets but with 12-15
repetitions. These are the abnormality I can across while assessing John;
 Right shoulder has less range of motion than his left in flexion and internal rotation
 Right acromioclavicular joint is slightly higher than his left
 Poor External Rotation of the shoulders
 Hamstrings are tight
 Cervical rotation to the left is poor
 Right foot has a slight external rotation
 Genu Valgum
 Left asymmetrical shift
 Arm falls forward during overhead squat as well as a forward lean
 Both feet evert
 Right foot falls flat instead of a heel strike sometimes
Right shoulder seems to be tight due to overactivity from being John’s dominate arm. He has
tight anterior deltoid, latissiumus dorsi and maybe pectoralis major. This can lead to upper cross
syndrome.Since he is a swimmer he probably does a lot of arms and chest workouts and not
enough shoulder and back. Stretching his deltoid and pectoralis major will help increase his
range of motion. A stretch he can do is the Anterior Capsule Stretch (Biren 2012). In this
stretch He would stand in a door frame with elbows and shoulder level and step forward to
stretch out the anterior deltoid and pectoralis major. Stretching the anterior capsule is give more
internal and external rotation. A good stretch for the latissiumus doris is Shoulder Flexion
Stretch (Biren 2012). In this stretch you would place extended elbow in a door frame and try to
get the shoulder joint as close to 180°. Now flew the elbow and externally rotate the shoulder
(glenohumeral) joint. With a greater range of motion is this right shoulder he would get a better
reach/stroke when swimming. I would also want John to workout out his back to keep his
shoulder back and prevent him from getting rounded shoulders. So working out the rhomboids,
lower traps, and serratus anterior will help. Reverse Fly are a good workout for the rhomboid
especially the lower rhomboids. Standing with a lean of about 45° you want to pull your arms
straight to the sides and hold for about 3 seconds. Focus on pinching the scapula together and
keeping the elbow in extension. This can be done with either free weights or resistance band. It is
also important to not bounce. If the weight is too heavy go down. Planks are good workouts for
the serratus anterior. It is important that you keep the spine in the neutral position and protract
the shoulder.
To level out the acromicoclavicular joint needs to stretch out his upper trapezius and strengthen
his lower trapezius. The lower trapezius depresses the scapula which in time will help level out
the acromicoclavicular joint. If this problem can be the cause of John’s clicking in his shoulder.
The humerus is rubbing up against the glenoid fossa. This is the also the cause of his poor range
of motion in his shoulder. If this isn’t corrected it can lead to impingement or rotator cuff tear.
To stretch the Upper Trapezius put one hand behind your back and with the other hand reach
over your head to the temporal lobe and pull so that the cervical region goes into lateral flexion
(Biren 2012). Stretch both sides. To strengthen the lower trapezius, do Press Ups. Get into a dip
position on a chair and keep your feet flat on the ground. Keep the elbow extended at all times.
Start off with shoulder girdle elevated and then push into your hands and this will cause the
shoulder girdle to depress. Make sure to keep the scapula retracted. Hold it for a while and then
repeat 5 to 10 times. Another exercise can be One-Arm Dumbbell Rows. Use a bench a have
one leg bent and on the bench with the hand from the same side supporting. The other leg is flat
on the floor and the other hand is picking up the dumbbell. The upper body should be parallel to
the floor. While doing the row you want to bring the dumbbell up to your stomach while your
scapula is retracted and hold for 3 seconds. Then drop the weight and let it get close to the floor
so you can get a nice stretch and get the full range of motion.
To stretch the hamstrings you can two of the range of motion assessment done, the 90/90 Stretch
and the Straight Leg Raise. For the 90/90 lay on the ground, flex the knee into 90°. Then just
straighten out the leg while making sure the other legs stays straight and flat on the ground. Also
keep the ankle in plantarflexion. For the Straight leg Raise lay in the prone position with the leg
on the ground. Bring the leg straight up while keeping the knee locked and ankle in
plantarflexion. With both hands grab behind the knee and pull the leg toward the head. John
probably has tight hamstrings since his hamstrings and quadriceps are used so much during
swimming. Having both flexibility and strength in his hamstrings and quadriceps it will allow for
bigger and stronger kicks. Another thought is that the core is weak and the hamstring is tight to
make up for the stability John doesn’t have in his core.
In the overhead squat John’s feet flatten out. They look like they are pronating which is partly
due to him having a genu valgum. To fix this he is going to have to stretch out his peroneal
tendon and strengthen his tibialis anterior/posterior. To stretch the Peroneal Tendon sit on a
chair with one ankle resting on the opposite knee. Grab the foot and rotate the sole of the foot to
inward. Another stretch is sitting on a floor wrap the middle of a towel around the ball of the foot
and gently pull back (McCarron 2010). To strengthen the Tibialis Anterior wrap and elastic
band around a steady object like a table. Wrap the other end of the elastic band around the toes of
the foot. Sit down on the floor facing the table and bring the toes back. Now sit parallel to the
table with the toes wrap with the elastic band on the far side and then pull the toes back and
rotate the foot outward (EHow). For the Tibialis Posterior, stand on a stair step with the heels
hanging over the ledge. Drop the heels about an inch below step level and then rise up onto the
toes. Now again sit parallel to the table but this time the toes that are wrapped with the elastic
band is near the table. Point the toes and then rotate the foot inward (EHow). This will give him
a more proper walking and running technique and will help him avoid any sheen splints.
Genu Valgum (knock knees) is caused by overactive adductors and underactive gluteus medius.
To perform the Adductor Stretch lay down on supine with both legs straight out. With an
elastic band place it on the ball of the foot and abduct the hip and make sure the other leg is flat
on the ground. To strengthen the gluteus medius there are many workouts like Single Leg Dead
Lift, Lateral Walks with Resistance, and Leg Lift from plank position. A single leg dead lift
is exactly like a regular dead lift just on one leg. The main focus is to keep the knee in proper
alignment and keep in spine close to the neutral position. Lateral walks are just walking sideways
with a resistance band wrapped around both ankles. Stretch the band as far as possible and then
bring the legs back to shoulder width and then squat and take another step. Leg lift in a side
plank is just abducting the hip while making sure to stay in proper spinal alignment (Biren 2012).
These workouts would also help with the asymmetrical shift. May just want to stretch the left
adductors a little more and strengthen the left gluteus medius more
Being a swimmer, John shoulder are in consist stretch which probably over stretched out his
ligaments and muscles. Since the ligaments are stretched out, the stability of his shoulder highly
depends on his muscles. I advise John to strengthen his rotator cuff by doing Internal and
External Rotations exercise on a cable machine or with elastic bands. With arms by your side,
flex the elbow to 90°. Keep wrist at waist level and elbow about two inches away from the body.
Also keep the scapula retracted. Depending on which exercise you are doing either internally
rotate or externally rotate the humerus. It’s important to do both arms and to do both internal and
external rotation. I would be good to do these exercises before you begin to lift heavily so that
you warm up the rotator cuff
Rotation of the cervical region or the neck seems to be limited. John should be able to rotate his
head about 70-80°. Tight sternocleidomastoid and the splenius capitis can cause restriction in
rotation. Two stretches the can be done are the Upper Fibers of Trapezius Stretch and the
Sternocleidomastoid Stretch. For the upper fiber trapezius stretch begin by sitting in a chair.
Then with on hand grab on to the chair. Look down at the hand you are grabbing and with your
free hand pull your head the opposite way (Stretch-exercise-guide). For the sternocleidomastoid
stretch sit in a chair nice and tall. Rotate you head to one side and then sideflex the neck to the
opposite side. For example if you rotate your head left flex your neck right. Then extend you
head back with staying in the side-flexion and rotation position (Stretch-exercise-guide). These
stretches will relieve any stiffness in the neck.
The plank work outs I mention are good for the core but some other work out that can be done to
strengthen the core are Planking with opposite arm/leg lift, Ab Curl with Ball, Medicine ball
leg lifts, resistance twist. Using one of the big inflatable ball get in a normal plank postion but
instead you sheen are on top of the ball. Find the center and try to keep the ball from moving.
Once you are balance bring the knees to the chest and top once the toes are the only thing on the
ball. Hold for about 5 seconds and return to the beginning position. For the Medicine ball leg lift,
lay down and keep the spine in the neutral position. Lift the ball with you feet while keeping
both legs straight and arms by your side. You can lift the ball straight up or to the sides. This will
train the obliques and the rectus abdominis. The resistan twist is going to train the multifidus
which are usually to be weak. Getting in a slight squat position, with back straight, hold a
medicine ball straight out in front. Bring the medicine ball to shoulder level and keep arms
straight. Have another person either try to push the ball down, up or to the sides. Your job is to
resist the movement and try to stay in the squat with spine in neutral position. These work out
will improve both movement and stabilization core.
Upper Fiber of Trapezius Stretch
Stretches
Sternocleidomastoid stretch
Shoulder Flexion Stretch
Peroneal Tendon Stretch
90/90 Stretch
Anterior Capsule Stretch
Upper Trapz Stretch
Straight Leg Raise
Adductor stretch
Exercises
Internal Rotation
Press-Ups
External rotation
Lateral Walk w/ Resistance band
Tibialis Posterior Excersice
Side Plank w/Lateral Raises
A
S
Single Leg Dead Lift
One-arm Dumbbell Rows
Reverse Flies
Ab Curl w/ Ball
Medicine Ball Leg Lift
Resistance Twist
Reference
Biren, Greg. Shoulder Complex Exercises.
How to Strengthen the Tibial Muscle. Retrieved from: http://www.stretching-exercises-guide.com/neckstretches.html
McCarron, Joshua. (2010, December 15). How to Stretch Your Peroneal Tendon. Retrieved
from: http://www.livestrong.com/article/334691-how-to-stretch-your-peroneal-tendon/
Neck Stretches. Retrieved from:http://www.ehow.com/how_4464301_strengthen-tibialmuscle.html