-
- QUESTION
These are TWO CASES EACH 250 WORDS. the text book IS ATTACHED PLEASE ACCESS IT.
Tom is a 36 year-old businessman that likes to compete in outdoor, high-intensity fitness events every few months. Between the events, he performs workouts with a mix of strength and cardiovascular training 4-5 days per week. Tom recently went to a physical therapist because he was experiencing discomfort in both knees when he ran or performed lunges and squats. The physical therapist discovered weakness in his hips' abductors and external rotators. The physical therapist discharged Tom and sent him to you to strengthen those muscle groups.
Case study 1: E.Fill out the movement analysis form for a one-arm dumbbell row. What are the common compensations you might see, and how will you cue the client to correct each one? F. Fill out the movement analysis form for a reverse lunge. What are the common compensations you might see, and how will you cue the client to correct each one? G. Explain the relationship between proximal stability and distal mobility. If you determine that Tom has poor mobility of his right hamstring, which activation exercises would you use to increase his mobility without resorting to hamstring stretches? H. Explain the compensations that can be seen during the modified Thomas Test. Then, choose one of those compensations and explain how you will correct it.
Case study2: Design a one-week corrective exercise program for a friend or client. Your program must include the following: A. Have your client fill out the Lower Extremity Functional Index and the Upper Extremity Functional Index. Summarize what the results tell you about your client (you do not need to submit the filled out forms). B. Conduct an Upper Body Multi-Joint Movement Assessment and a Lower Body Multi-Joint Movement Assessment on your client. Summarize your findings and how these findings influenced your program design. C. A detailed one-week corrective exercise program including specific exercises/drills/stretches, sets, and repetitions. D. A comprehensive analysis of your program outlining how your prescriptions meet the needs of the client.
| Subject | Business | Pages | 3 | Style | APA |
|---|
Answer
Corrective Education for strengthening abductors and external rotators of Tom on the exercise Field
The paper briefly presents corrective approach for Tom, A client who is generally physically fit for sports but who has some discomfort with his kneed on strenuous workout due to problem with hips' abductors and external rotators.
Case Study II
|
Single-Joint Movement Analysis |
|
|
Client: Tom |
May 27, 2020 |
|
Exercise: Postural stability hold |
|
|
Critical event #1: Reverse Goblet Lunge with band. |
|
|
Was critical event #1 met?
Yes |
|
|
Critical Event #2: Squat or Deadlift with Mini Band. |
|
|
Was critical event #2 met?
Yes |
|
|
What other movement were observed? Sagittal Plane: Squats and lunges including flexing of the knees Frontal plane: Pulling the elbows inwards against the ball to activate lats and abnominals Transverse plane: Hip rotation |
|
|
Possible cause for the compensation? Sagittal plane: Jumping and squatting Frontal plane: Pronation in one of both the feet Transverse plane: Limb rotation |
|
Proximal stability is the stability of the muscles and ligaments around the trunk of the body. These are muscles around the spine and the axial skeletal or the spine (Waterbury, 2019). The success of all other exercises depends how strong and stable are the muscles of the trunk and around the pelvis. Distal mobility on the other hand refers to the mobility of the muscles of the appendicular skeletal systems. Appendicular skeletons are the skeletons of the limbs (Waterbury, 2019). Distal mobility is thus drawn from proximal stability because the strength of the truck and spine muscles gives the muscles of the limbs a firm foundation on which they operate and functions. The best activation exercise for Tom would be Hard Style Plank to strengthen the trunk and pelvis muscles (Liebenson, 2014). In the process, Modified Thomas Test could reveal shortness of the psoas, iliacus and rectus femoris. A corrective exercise would include hip thrust to mobilize the muscles and fascia.
Case Study II
|
Lower Extremity Functional Index |
|||||
|
Provide appropriate answers to the question regarding problems with your lower limbs for which you are currently pursuing solution by ticking (✔) or crossing (0)your score |
|||||
|
|
Extreme difficulty or unable to perform activity |
Quite a bit of difficulty |
Moderately difficulty |
A little bit of difficulty |
No difficulty |
|
Lifting any of your feet to your waist level/ Lifting a load to waist levels |
0 |
1 |
2 |
3 |
4 ✔ |
|
Kicking or throwing a soccer ball |
0 |
1 |
2 |
3 |
4✔ |
|
Cycling up a hilly terrain |
0 |
1 |
2 |
3 ✔ |
4 |
|
Jumping and squatting simultaneously |
0 |
1 |
2 |
3 ✔ |
4 |
|
Jogging up a hill |
0 |
1 |
2 |
3 ✔ |
4 |
|
Taking sprints |
0 |
1 |
2 |
3 ✔ |
4 |
|
Resisted right hip flexion |
0 |
1 |
2 |
3 |
4 ✔ |
|
Resisted left hip flexion and right hip extension |
0 |
1 |
2 |
3 |
4 ✔ |
|
Resisted hip adduction |
0 |
1 |
2 |
3 |
4 ✔ |
|
Tread milling |
0 |
1 |
2 |
3 |
4 ✔ |
|
Goblet Squat |
0 |
1 |
2 |
3 ✔ |
4 |
|
Banded Lateral Walk |
0 |
1 |
2 |
3 |
4 ✔ |
|
Single-Leg Deadlift |
0 |
1 |
2 |
3 |
4 ✔ |
|
Sumo Deadlift |
0 |
1 |
2 |
3 |
4 ✔ |
|
Staggered-Stance Deadlift |
0 |
1 |
2 |
3 |
4 ✔ |
|
Lateral Lunge |
0 |
1 |
2 |
3 ✔ |
4 |
|
Thruster |
0 |
1 |
2 |
3 ✔ |
4 |
|
Suitcase Deadlift |
0 |
1 |
2 |
3 |
4 ✔ |
|
Bulgarian Split Squat |
0 |
1 |
2 ✔ |
3 |
4 |
|
Sumo Squat |
0 |
1 |
2 |
3 ✔ |
4 |
|
Banded Hip Thruster |
0 |
1 |
2 |
3 |
4 ✔ |
|
Calf Raise |
0 |
1 |
2 |
3 |
4 ✔ |
|
Reverse Lunge |
0 |
1 |
2 ✔ |
3 |
4 |
|
Good Morning |
0 |
1 |
2 |
3 |
4 ✔ |
|
Prisoner walk |
0 |
1 |
2 ✔ |
3 |
4 |
|
Curtsy Lunge |
0 |
1 |
2 |
3 ✔ |
4 |
|
Step Up |
0 |
1 |
2 |
3 ✔ |
4 |
|
Pistol Squat |
0 |
1 |
2 ✔ |
3 |
4 |
|
Mini Band Step Out With Let Lift |
0 |
1 |
2 |
3 |
4 ✔ |
|
Mini Band Clamshells |
0 |
1 |
2 |
3 |
4 ✔ |
|
Mini Band Kickback |
0 |
1 |
2 |
3 ✔ |
4 |
|
Lying Lateral Leg Raise |
0 |
1 |
2 |
3 |
4 ✔ |
|
Rainbow Kick |
0 |
1 |
2 |
3 |
4 ✔ |
|
Glute Bridge |
0 |
1 |
2 |
3 |
4 ✔ |
|
Single-Let glute Bridge |
0 |
1 |
2 |
3 |
4 ✔ |
|
Colum Totals |
|
|
|
|
|
|
Client Name: Tom |
Date |
Score/ |
|
||
|
Client Signature |
MDC (minimal Detectable Change) =9 pts Error +/- 5pts |
||||
Findings about Tom
Tom is generally physically fit for strenuous sporting activity. Additionally Tom has no identifiable problem with his upper extremities and as such is comfortable doing all exercises of upper extremities. This is evidence from his score on no difficulty columns on activities involving the upper extremities. However, critical is the fact that Tom has some problem with his lower extremities and most particularly with his knees. This was evidence from the difficulties he experiences while performing exercises involving high degrees squatting like goblet squat, Bulgarian Split Squat, Reverse Lunge, Prisoner Walk, and pistol squats. Tom indicated moderate difficulties with performing these workouts. He also has a little bit of difficulty cycling up a hill, jumping and squatting simultaneously, jogging up a hill, taking sprints, performing lateral lunge, thruster, Curtsy Lunge and Step Up. In conclusion Tom has a problem with the his hips' abductors and external rotators.
Upper body Assessment
Tom has good arm elevation, normal scapulohumeral rhythm, the glenohumeral joint is stable and of good mobility. The scapula and the upper trapezia are equally stable and of reliably mobility. The trunk is equally stable as indicate by optimal ability to control the posture in an erect position and aligned.
Lower Body Movement
Tom has slight discomfort with squats as indicated with les knee flexion and less lumbopelvic rotation.
One-Week Corrective Exercise Program
The table below presents recommended exercise for Tom for 30 minutes per day. The warm-up and cool-down will run for five minutes each which the stretches and the strengthening exercises will run for 10 minutes each.
|
6 |
Jogging Tennis Ball on Glutes Foam Roller
|
Pitching a baseball Clamshell Fire hydrants |
Goblet squat, Bulgarian Split Squat, Reverse Lunge |
Calf stretch (back of lower legs) |
|
7 |
Calf massage Foam Roller IT Band |
Trunk rotation Seated floor stretch Chair Stretch |
Postural Stability hold. Hip hinging |
Foam roller Thoracic spine Lower back stretch |
Generally Tom is fit but for his sporting activities he needs to be perfectly fit. However he has a problem with his knees which need corrective workouts as recommended above.
|
Day |
Warm –Up (5 min) |
Stretches (10 min) |
Strengthening (10 min) |
Cool-Down (5 min) |
|
1 |
Calf massage Foam Roller IT Band |
Hip Flexor Stretch Wall Rotation Stretch |
Lunge With Knee Pull Reverse Lunge |
Tennis Ball on Glutes Foam Roller |
|
2 |
Tennis Ball on Glutes Foam Roller |
Wall Rotation Stretches |
Straight arm Raise Wood Chops |
Hip Flexor Stretch Calf stretch (back of lower legs) |
|
3 |
Calf massage Foam Roller IT Band |
Pitching a baseball Clamshell Fire hydrants |
Goblet squat, Bulgarian Split Squat, Reverse Lunge |
Foam roller IT Band Glute stretch |
|
4 |
Jogging |
Trunk rotation Seated floor stretch Chair Stretch |
Postural Stability hold. Hip hinging |
Foam roller Thoracic spine Lower back stretch |
|
5 |
Calf massage Foam Roller IT Band |
Figure 4 stretches Pigeon Pose Wall rotation Stretch |
Lunge With Knee Pull (see above) Squats
|
Tennis Ball on Glutes Foam Roller Hip Flexor Stretch Calf stretch |
References
|
Liebenson, C. (2014). Functional training handbook. Lippincott Williams & Wilkins. Waterbury Chad (2019). Corrective Exercise; A comprehensive Guide to Corrective Movement Training, First Edition. International Sports Sciences Association, Carpinteria, CA 93013.
Appendix
|
|