Posty

Transitional Movement Assessments

Obraz
Transitional Movement Assessments can assess dynamic flexibility, core strength, balance and overall neuromuscular control. It is very strong assessment to check lower extremity movement patterns as knee valgus which is due to by decreased hip abductor and hip external rotation strength (Ireland et al., 2003), increased hip adductor activity (Vesci et al., 2007), and restricted ankle dorsiflexion (Bell and Padua, 2007). Single - Leg Squat Assessment Hip Hikes/ Torso Rotates Outwards Lumbo-pelvic-hip complex (LPHC) hip hikes may be a cause of overactive muscles as quadratus lumborum (opposite side of stance leg) TFL- gluteus minimus the same side as stance leg. Underactive muscles as adductor complex - same side as stance leg and gluteus medius - same side. We can observe in the upper body outward trunk rotation muscles  which are overactive are: internal oblique - opposite side of stance leg, external oblique the same side as stance leg and pirifor...

Dynamic Postural Assessment

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Dynamic Postural Assessment Dynamic posture assessment is opposite than static, because body is in at any moment during a movement patter, we can see how the body is moving so it is a kinetic chain in movement with dynamic motion (Vesci et al., 2007).  Gait: Treadmill Walking                                                 Posterior                                 Lateral  Excessive pelvic rotation                                               Feet flatten / front foot turn slightly out                                            ...

Static Posture Assessment

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Static Posture  Postural assessment is used from ages, were a critical element of any evolution. In current time, when knowledge is developed and evidence-based medicine progressed It is time to establish if the postural assessment is effective, however, there are limited clinical studies and evidence-based whether the postural assessment is effective. Posture assessment can be static and dynamic Static posture assessment is the view of physical looks in the mirror, when a person is in stance. Is need of a strong visual observation skill from the person who does it. Starts from feet and goes upwards towards the head. The static postural assessment has been the basis to recognize muscle imbalance. ( Clark et al., 2014) . Posterior View is very similar to the anterior view. This what showed a posterior view, an anterior view will confirm. The head (ear level), shoulder position, knee interspace, and ankle position are all assessed in addition to the over...

Range of Motion Assesment

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Goniometric Measurement  Dorsiflexion Assessment, Position This assessment assess dorsiflexion of talocrural joint. Client has knee extended, goniometer is placed below the lateral malleolus close to the bottom of the foot, lateral side of the fibula and midline of fifth metatarsal . Client's foot is going up and a measurement is taken. Normal joint end range of motion is 20 degrees. In this case measurements showed range of motion is at 14 degrees. Walking needs 15 degrees (McPoil  and Cornwall, 1996).   It is a very low score and this can lead to a knee injury, because its a lack of dorsiflexion (Clark et al., 2014).  Reference McPoil TG, Cornwall MW (1996). Applied Sports Mechanics in Rehabilitation Running In: Zachazewski JF, Magee DJ, Quillen WS, eds. Athletics Injury Rehabilitation. Philadelphia, PA: WB Saunders   Micheal A. Clark, Scott C. Lucett, Brian G. Sutton (2014). Corrective Exercise Training. Knee . 2...

Corrective Exercise

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Corrective Strategies for Lumbo-Pelvic-Hip Complex Impairments (LPHC). The client has problem with lower back pain. She has pelvic tilt and one leg shorter, which means that side is stronger, because it works harder to manage every movement. LPHC is an area of the body which is very important. It has a huge impact on the structures of both upper and lower body. This part of our body contains twenty-nine to thirty-five different muscles that are attached to the lumbar spine or pelvis (Clark et al.,2014). The most important muscles which are associated with the LPHC are: gastrocnemius/soleus, adductor complex, hamstring complex, hip flexor, abdominal complex, erector spinae, intrinsic core stabilizers, latissimus dorsi, tensor fascia latae/ IT band and gluteus medius and maximus. LPHC dysfunction can lead to dysfunctions in the other parts of the body (Powers, 2003).   Her upper body has some dysfunction as well which can lead to shoulder and upper – extremity injuries, c...