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TRANSCRIPT
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
Concussiono Has no current injurieso Played football and ran tracko Currently plays recreational sports like flag football and participates for about
one houro 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/NCervical Flexion Cervical Spine Sagittal Mediolateral 65 60
Yes Cervical Extension Cervical Spine Sagittal Mediolateral 75 80
Yes Cervical Lateral Flexion to the right
Cervical Spine Frontal Anteroposterior 45 45Yes
Cervical Lateral Flexion to the left
Cervical Spine Frontal Anteroposterior 40 45Yes
Cervical Rotation to the right
Cervical Spine Transverse Vertical 85 80Yes
Cervical Rotation to the left
Cervical Spine Transverse Vertical 85 80Yes
*Right Shoulder Abduction
Humerus Frontal Anteroposterior 175 180Yes
*Left Shoulder Abduction
Humerus Frontal anteroposterior 180 180Yes
Right shoulder Flexion
Humerus Sagittal Mediolateral 170 180Slightly abmormal
Left should Flexion humerus Sagittal Mediolateral 175 180Yes
Right Scapula abduction
Scapula Sagittal mediolateral 90 90Yes
Left Scapula abduction
Scapula Sagittal mediolateral 85 90Yes
Right scapula elevation
Scapula Sagittal mediolateral 80 80Yes
Left scapula elevation Scapula Sagittal mediolateral 80 80 Yes
Right knee extension Tibia and Fibula Sagittal Mediolateral 45 90No
Left knee extension Tibia and Fibula Sagittal Mediolateral 35 90No
Right Hip Flexion Femur Sagittal Mediolateral 55 90No
Left Hip Flexion Femur Sagittal Mediolateral 45 90No
Right Hip external Rotation
Tibia and Fibula Frontal Anteroposterior 40 45Yes
Left Hip external Tibia and Fibula Frontal Anteroposterior 45 45
rotation Yes Right Hip internal Rotation
Tibia and Fibula Frontal Anteroposterior 40 45Yes
Left hip internal rotation
Tibia and Fibula Frontal Anteroposterior 40 45Yes
Right Knee Flexion Tibia and Fibula Sagittal Mediolateral 100 115Yes
Right Knee Flexion Tibia and Fibula Sagittal Mediolateral 110 115Yes
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
Frontal ViewEyes Aligned Yes No If no, which side higher Right Left
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 R L Both facing which way Out In
Sagittal ViewHead Protruded Yes No
Protracted Shoulder Girdle Yes No
Kyphosis Yes No
Excessive Lordosis Yes No
Reduced Lordosis Yes No
Genu Recurvatum Yes No If yes, which side R L Both
Posterior ViewWinged Scapula Yes No If yes, which side R L Both
Feet Evert Yes No If yes, which foot R L Both
Feet Invert Yes No 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.
Anterior ViewKnees Align with foot: Yes No If no, which one R L Both which way valgus varus Feet Face Forward: Yes No If no, which one R L Both which way abduct adduct
Sagittal ViewNormal Forward Flexion: Yes No, excessive forward lean Slight forward lean
Normal Lumbar Lordosis: Yes If no, excessive lordosis or reduced lordosis slightArms Remain in Line: Yes No, arms fall forward
Posterior ViewFeet 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 Initial Swing
Terminal Stance PreSwing
MidSwing Heel Strike
Toe-off
Foot Flat
Heel off
Stance PhaseHip Position Real-time
ExtensionRecordedExtension
Knee Position Real-timeExtension
RecordedExtension
Ankle Position Real-timePlantar flexion
Real-timePlantar flexion
Foot FlatHip Position Real-time
ExtensionRecordedExtension
Knee Position Real-timeExtension
RecordedExtension
Ankle Position Real-timePlantar flexion
Real-timePlantar flexion
Mid-stanceHip Position Real-time
FlexionRecordedFlexion
Knee Position Real-timeExtension
RecordedFlexion
Ankle Position Real-timeDoriflexion
Real-timePlantar flexion
Heel-offHip Position Real-time
ExtensionRecordedFlexion
Knee Position Real-timeFlexion
RecordedExtension
Ankle Position Real-timeDorsiflexion
Real-timeDorsiflexion
Toe-offHip Position Real-time
FlexionRecordedExtension
Knee Position Real-timeFlexion
RecordedFlexion
Ankle Position Real-timeDorsi flexion
Real-timePlantar flexion
Initial SwingHip Position Real-time
FlexionRecordedExtension
Knee Position Real-timeFlexion
RecordedFlexion
Ankle Position Real-timeDorsiflexion
Real-timePlantar flexion
Mid-swingHip Position Real-time
FlexionRecordedFlexion
Knee Position Real-timeFlexion
RecordedFlexion
Ankle Position Real-timePlantar flexion
Real-timePlantar flexion
Initial SwingHip Position Real-time
FlexionRecordedFlexion
Knee Position Real-timeExtension
RecordedExtension
Ankle Position Real-timePlantar flexion
Real-timePlantar flexion
Gait Events Real-time RecordedHeel Strike Supination SupinationFoot Flat Pronation SupinationMid-swing Pronation PronationHeel-off Pronation PronationToe-off Supination 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:
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
- To strengthen Hamstrings and Core
Barbell Shrugs: to train the Upper Trapezius which appeared to be weak in postural analysis
and over-head squat