Jeff Scheer’s Movement Analysis By: Amanda Palumbo Kinesiology Section 5 12:15-1:30 Tuesday and Thursday Demographics: Name: Jeff Scheer Gender: Male Age: 23 Height: 75 inches and 190.5 cm Weight: 95 kg and 210lbs BMI: 26.2 Physical Goals: o To maintain an athletic body type. o The health component he wants to work on is muscular strength, muscular endurance and a little cardiovascular endurance. o Currently exercises 3-4 days a week for an hour each day Review of Physical History: 1. Medical Conditions: o 1 previous injury Concussion o Has no current injuries o Played football and ran track o Currently plays recreational sports like flag football and participates for about one hour o Current occupation is bartender/server which may affect his lower back due to constant standing, walking, and bending. 2. Influences: Jeff Scheer is currently active and has physical goals that he is maintaining by exercising 3-4 days a week for 60 minutes each day. He has no previous injuries that could impact his movement however; his occupation could affect the kinetic chain. He constantly stands and walks for hours at a time, if he is not moving or walking properly it can affect his whole body. He mentioned his lower back could be affected by his occupation which means it may start from lower parts of his body. For example the way he steps. My suggestion would be to build work on the core. Also I suggest working the shoulder girdle muscles to help with posture. If you have good posture it could decrease the stress on lower back. Movement Chart Motion Segment Plane Axis Degree Normal: Y/N Cervical Flexion Cervical Spine Sagittal Mediolateral 65 Cervical Extension Cervical Spine Sagittal Mediolateral 75 Cervical Lateral Flexion to the right Cervical Lateral Flexion to the left Cervical Rotation to the right Cervical Rotation to the left *Right Shoulder Abduction *Left Shoulder Abduction Right shoulder Flexion Left should Flexion Cervical Spine Frontal Anteroposterior 45 Cervical Spine Frontal Anteroposterior 40 Cervical Spine Transverse Vertical 85 Cervical Spine Transverse Vertical 85 Humerus Frontal Anteroposterior 175 Humerus Frontal anteroposterior 180 Humerus Sagittal Mediolateral 170 humerus Sagittal Mediolateral 175 Right Scapula abduction Left Scapula abduction Right scapula elevation Left scapula elevation Scapula Sagittal mediolateral 90 Scapula Sagittal mediolateral 85 Scapula Sagittal mediolateral 80 Scapula Sagittal mediolateral 80 Right knee extension Tibia and Fibula Sagittal Mediolateral 45 Left knee extension Tibia and Fibula Sagittal Mediolateral 35 Right Hip Flexion Femur Sagittal Mediolateral 55 Left Hip Flexion Femur Sagittal Mediolateral 45 Right Hip external Rotation Left Hip external Tibia and Fibula Frontal Anteroposterior 40 Tibia and Fibula Frontal Anteroposterior 45 60 Yes 80 Yes 45 Yes 45 Yes 80 Yes 80 Yes 180 Yes 180 Yes 180 Slightly abmormal 180 Yes 90 Yes 90 Yes 80 Yes 80 Yes 90 No 90 No 90 No 90 No 45 Yes 45 rotation Right Hip internal Rotation Left hip internal rotation Right Knee Flexion Right Knee Flexion Tibia and Fibula Frontal Anteroposterior 40 Tibia and Fibula Frontal Anteroposterior 40 Tibia and Fibula Sagittal Mediolateral 100 Tibia and Fibula Sagittal Mediolateral 110 Yes 45 Yes 45 Yes 115 Yes 115 Yes Hamstrings could become weaker. The ligaments and tendons in the knee could become weaker and cause knee problem. Problems with the knee could potentially affect the Hip and spine. A potential problem could be with walking. The hip and knee could be strengthened by stretching to reach the normal range of motion. The hamstrings and quadriceps could become weak. Also it could affect the spine if one side is weaker. Activities could be limited because they might cause pain in knee, hip, and back. Postural Needs Assessment Subject’s Name: Jeff Scheer Assessor’s Name: Amanda Palumbo Date: 10/4 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 All of the postural needs are normal expect for the acromioclavicular joint. The right side is slightly higher. This could mean overactive right levator scapula and upper trapezius. It could also mean an underactive right lower trapezius. His goals are to keep an athletic body type and work on muscular endurance and strength. With everything in alignment it should be easy to achieve his goals. The only thing he may need to make sure he works on his exercising his lower trapezius and try to stretch his right levator scapula and upper trapezius. Knees Align with foot: Yes Feet Face Forward: Yes Normal Forward Flexion: Yes Normal Lumbar Lordosis: Yes Arms Remain in Line: Yes Anterior View If no, which one which way No If no, which one which way No R L valgus R L abduct Sagittal View No, excessive forward lean If no, excessive lordosis slight No, arms fall forward Both varus Both adduct Slight forward lean 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 Lean On the Anterior view the right knee and right foot appear to be not aligned. The right foot is slightly turned out to valgus. The right Soleus, the lateral gastrocnemius, and biceps femoris could be over-active. The right leg medial gastrocnemius and medial hamstring (semitendinosus) could be under-active. The right soleus, the lateral gastronemius, and biceps femoris could be stretched because they need to be lenghted because they are too tight. They also may need to be inhibited to prevent the muscle from contracting when they should be involved in certain movements like the over-head squat. The right leg medial gastrocnemius and medial hamstring (semitendinosus) need to be strengthened. On the Sagittal view there is a slight forward lean. The rectus abdominus, the soleus, and hip flexors could be over-active; they need to be stretched or inhibited. The erector spinae and tibialis anterior may need to be strengthened. There is also a slight excessive lumbar lordosis. The hip flexors and latissiumus dorsi could be too tight and over-active and could need to be stretched. The anterior core muscles and hamstrings could be under-active and need to be strengthened. On the Posterior view there is an asymmetrical shift to the left. The adductors on the left side may be over-active and need to be lengthened by being stretched. The left side gluteus medius may be under-active and need to be strengthened. Exercise and stretch recommendations: Exercises: Seated knee curls hip extensions using a resistance band bridges standing calf-rises straight leg side plank Stretches: soleus o Stand with one leg in front of the other, with both feet pointed forward. Put hands on a wall or similar for support. Then keep back knee bent, with the heel pressed to the floor and push your hips forward, while pressing your back heel to ground Standing lateral tilt Childs pose Lateral over-head stretch Terminal Swing Mid Swing Initial Contact Loading response MidStance Terminal Stance MidSwing Initial Swing PreSwing Heel Strike Toe-off Heel off Stance Phase Foot Flat 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 Plantar flexion Real-time Flexion Real-time Extension Real-time Doriflexion Recorded Flexion Recorded Flexion Real-time Plantar flexion Real-time Extension Real-time Flexion Real-time Dorsiflexion Recorded Flexion Recorded Extension Real-time Dorsiflexion Real-time Flexion Real-time Flexion Real-time Dorsi flexion Recorded Extension Recorded Flexion Real-time Plantar flexion 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 Real-time Flexion Real-time Dorsiflexion Recorded Extension 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 Extension Real-time Plantar flexion Real-time Supination Pronation Pronation Pronation Supination Recorded Supination Supination Pronation Pronation Supination Corrective Exercises: Single leg dead lefts: - To strengthen the hamstrings, gluteus medius, and the core - Trains Gluteus Medius to help with asymmetrical shift in over-head squat Single Leg Bridge on stability ball: - To strengthen Hamstrings and Core Lateral walks with resistances: -To strengthen the gluteus medius to reduce the risk of valgus as seen in postural assessments and to stabilize the pelvis Core exercises to strengthen anterior core muscles seen in postural assessment and over-head squat 1. Pelvic tilt should be done first to put spine in neutral position 2. Pelvis tilt with single leg lifts, leg cycles, double leg lowering, and reverse curls, feet to sky. 3. Superman exercise to train the erector spinae which was seen to be under-active in the over-head squat Barbell Shrugs: to train the Upper Trapezius which appeared to be weak in postural analysis and over-head squat