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Jeff Scheer’s Movement Analysis By: Amanda Palumbo Kinesiology Section 5

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Page 1: Rowan Universityusers.rowan.edu/~palumb51/New Folder/Movement... · Web viewThe right Soleus, the lateral gastrocnemius, and biceps femoris could be over-active. The right leg medial

Jeff Scheer’s Movement Analysis

By: Amanda Palumbo

Kinesiology Section 5

12:15-1:30 Tuesday and Thursday

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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.

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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

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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.

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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

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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.

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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.

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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

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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

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MidStance Initial Swing

Terminal Stance PreSwing

MidSwing Heel Strike

Page 14: Rowan Universityusers.rowan.edu/~palumb51/New Folder/Movement... · Web viewThe right Soleus, the lateral gastrocnemius, and biceps femoris could be over-active. The right leg medial

Toe-off

Foot Flat

Heel off

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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

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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

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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

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Barbell Shrugs: to train the Upper Trapezius which appeared to be weak in postural analysis

and over-head squat

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