Spring 15

Movement Analysis ProjectKinesiology

MW 8-9:15

Tyler Cahill

Demographic Information

Name: Tyler CahillAge: 22Gender: MaleHeight (in. & cm): 72in; 182.88cmWeight (lbs. & kg): 165lbs; 74.8kgBMI: 22.4

Physical History

Do you have any existing or pre-existing injuries that will effect your movement? I’ve had multiple hip flexor injuries in both hips. The last one was in 2011 playing soccer but I still have trouble with my hips at some points.

Spring 15

Is there any family history of movement issues or injury that you may have inherited?

None.

What kind of current exercise, physical activities, jobs, and activities of daily living do you participate in?

My current exercise is doing P90x and yoga every other day. I started doing P90x to help maintain a tone body not to necessarily gain muscle. I mostly do the cardio and ab workouts of P90x. The yoga is just something I found online and do to help strengthen my flexibility and to control my breathing.

Whenever it’s nice out I’ll always try to put together a pick-up game of soccer or ultimate Frisbee. I also surf year round whenever the waves are good, and if I’m not doing any of those things I’ll go kayaking.

Movement goals

Increase flexibility of hips, quadriceps, and hamstringso I need flexibility in these areas for every activity I like to do

and just to improve daily living. Strengthen core

o Strengthening of the core will help me with defending in soccer, balance with surfing, and more stamina while kayaking.

Hip mobilityo There’s very limited ROM in my hips without pain so

working on this is essential

Summary

Looking at all the information provided I would say that I am a fairly healthy person. My physical fitness and muscle flexibility could definitely improve a lot and that’s what I’m going to work on throughout this semester. Hopefully working on my hip mobility and strengthening my lower extremity muscles my hip pain will go away. Maybe I will start working on these issues everyday after seeing results.

Range of Motion Analysis

The table below represents my range of motion in various joints.

Knee Extension Hip Internal Rotation Hip External Rotation

Motion Degree of Motion Normal ROM?Right Left Right Left

Cervical Region Flexion Extension Rotation Lateral

Flexion

6075

8045

8045

YesYesYesYes

YesYesYesYes

Shoulder Region Abduction Flexion Extension Internal

rotation External

Rotation

1551605070

90

1551605070

90

YesYesYesYes

Yes

YesYesYesYes

Yes

Knee Region Extension Knee

Flexion

0145

0145

YesYes

YesYes

Hip Region Flexion Extension Internal

Rotation

External Rotation

Abduction Adduction

1252535

45

4020

1252535

45

4020

YesYesYes

Yes

YesYes

YesYesYes

Yes

YesYes

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Glenohumoral Glenohumeral External Rotation Internal Rotation

Glenohumeral Abduction

Neutral Position Cervical Rotation Neutral Position

Cervical Flextion Cervical Extension

I seem to have normal range of motion throughout all of the motions listed above. Although, I have pain in hip external rotation and coming out of hip flexion. Everything seems to be within normal limits but I can definitely add some flexibility to the lower extremity. Making my hamstrings, quads, and hip flexors stronger is key to making my hip movement less painful.

Spring 15

Postural Analysis

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

Spring 15

From standing in neutral position there are not many things wrong with my posture. The one thing I can notice is that my feet evert as you can see in the anterior view. This is caused by overactive TFL, piriformis, and biceps femoris. The underactive muscles that cause this are Semi T, Semi M, gracillas, vastus mediallis, and the glutes. If I had no shirt on in the sagittal views my slight lordosis would be visible in my lumbar spine.

Overhead Squat AnalysisAnterior View

Knees Align with foot: Yes No If no, which one R L Both which way valgus varusFeet Face Forward: Yes No If no, which one R L Both which way abduct adduct

Sagittal ViewNormal Forward Flexion: Yes No, excessive forward lean

Normal Lumbar Lordosis: Yes If no, excessive lordosis or reduced lordosis

Arms 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

Anterior View

The only thing that I can see wrong with my anterior view is my everted feet. To fix this dysfunction is to stretch the overactive muscles and strengthen the underactive muscles. Overactive muscles being Biceps Femoris, TFL, and Piriformis. Underactive muscles being gluteus maximus, medial hamstrings, and adductor complex. Another cause for my everted foot could be from overactive soleus, and lateral gastrocnemius.

Sagittal View

Spring 15

Assessing the sagittal view I can only see one thing wrong. There is a slight arch in my lumbar spine. This is a cause of overactive hip flexors and abdominals mixed with underactive glutes and hamstrings.

Posterior View

Assessing the posterior view I see that I have a slight asymmetrical shift to the left. This could be from injuring my hip flexors on my right side so my left side carries most of the weight. I could correct this by strengthening my right hip flexors and stretching my left hip flexors.

Gait AnalysisStance PhaseHeel Strike

Begins the moment my right foot touches the ground and is the first phase of double support.

Stance PhaseLoading

The body absorbs the impact of the foot (my right foot) by rolling in pronation.

Stance PhaseMidstance

The body is transferring weight from the back of the feet to the front of the feet.

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Stance/Swing PhaseToe off

This is where the toes are pushing off to propel the body forward.

Swing PhaseInitial Swing

The period from toe off to maximum knee flexion in order for the foot to clear the ground.

Swing PhaseMidswing

The period between maximum knee flexion and the forward movement of the tibia to a vertical position.

Swing PhaseTerminal Swing

This phase begins with a vertical tibia and ends when the foot strikes the floor.

Corrective Exercise

After analyzing my range of motion, squat assessment, and gait cycle I have realized there is a lot more wrong with me than I had originally expected. I’ve come up a general plan that I can add to my daily routine. I have many overactive and underactive muscles with issues that I have gone over. These are some exercises that I have come up with to help correct my issues:

LPHC Anteriorly rotated pelvis

Knees Asymmetrical shift to the left

Feet Everted feet

Lower Back Arches/KneesOveractive muscles: Hip flexors, erector spinae

Spring 15

Underactive muscles: Hamstrings, glutes

Lower abdominal leg lower

This exercise helps correct the anterior pelvic tilt by bringing the pelvis posteriorly. You want to make sure that your back stays flat on the ground during this so you’re not strengthening your already overactive hip flexors.

LungeHip flexor stretch

This is used to lengthen tight hip flexors. You want to maintain contraction of the abdominal and glute muscles while performing this stretch

FeetOveractive Muscles: Soleus, Lateral gastrocnemiusUnderactive Muscles: Medial gastroc, medial hamstrings, glutesLateral Gastrocnemius

stretchFor this stretch you really want to focus on putting weight on the outside of the foot so it stretches the lateral part of the gastroc. You can use a wall or table to

stabilize yourself and hold the stretch for about 30 seconds.

Medial Calf raiseYou can use resistance bands for this exercise. Place the resistance band on the ball of your foot and make sure the resistance is during plantar flexion. You can do this about 20 times on each side and about 2-4 sets.

ConclusionThroughout these assessments of my body I have learned that there is a lot more wrong with my body that I knew about. Doing yoga everyday like I used to could have potential made it easier for me to injure myself. This causes the muscles to be more flexible but I wasn’t strengthening the muscles that I needed to. Every Health Promotion student/graduate should be able to perform these tests because it gives you a great look at where your client’s problems lay. These tests will most certainly help me in my future as a Health Promotion professional not only for myself but for the people I work with as well.