Chapter 9: Movement Assessments Flashcards
What are the 3 types of movement assessments?
Transitional assessments- Assessments that involve movement without a change in the base of support.
Loaded assessments- Observing a client’s posture under an additional source of resistance.
Dynamic assessments- Assessments that involve movement with a change in the base of support.
Transitional assessments utilize only the client’s body weight and include what exercises:
Overhead squat (OHSA)
Modified overhead squat
Single-leg squat (SLS)
Split squat
What are the 8 primary movement patterns humans use everyday?
Push Pull Overhead press Trunk rotation Squat Hinge Split stance Single leg and stepping
Examples of Dynamic Movement Assessments:
Gait (walking) assessment
Depth jump assessment
The Davies test
What are the common Movement Impairments?
Excessive pronation: Look for the arch of the foot to collapse and flatten, eversion of the heel, or malalignment of the Achilles tendon.
Feet turn out: Look for the toes to rotate laterally during the movement (aka foot abduction).
Heel rise: Look for the heel to come off of the ground during the movement.
Knee valgus: Look for the knees to collapse inward.
Knee varus: Look for the knees to bow outward.
Knee dominance: Look for an upright trunk, the knees to move in front of the toes, and/or for more knee anterior displacement compared to hip posterior displacement; that is, the knees move forward more than the hips move back. May be seen with heel rise.
Asymmetric weight shift: Look for the hip to shift toward one side or the other. The side of the body opposite the shift may also exhibit the hip dropping in the frontal plane.
Excessive trunk movement: Look for instability of the trunk when in a push-up position (specifically during the dynamic Davies test).
What are the common Movement Impairments?
Excessive anterior pelvic tilt: Look for the pelvis to roll forward and for the lumbar spine to extend beyond normal curvature, creating a prominent low-back arch.
Excessive posterior pelvic tilt: Look for the pelvis to roll backward and for
the lumbar spine to flex, creating a flattening
or rounding of the lower back.
Excessive forward trunk lean: Look for the trunk to lean forward and beyond ideal parallel alignment with the shins.
Trunk rotation: Look for the trunk of the body to rotate internally or externally during single-leg movements.
Scapular elevation: Look for the shoulders to move up toward the ears.
Scapular winging: Look for the scapulae to protrude excessively from the back, seen most prominently in a push-up position (specifically during the dynamic Davies test or when pushing).
Arms fall forward: Look for the arms to fall forward to no longer be aligned with the torso and ears.
Excessive cervical extension (forward head): Look for the head to migrate forward, moving the ears out of alignment with the shoulders.
What are 2 examples of a transitional movement assessments?
Overhead Squat
Single Leg Squat
What is the primary intention behind learning how to perform loaded movement assessments?
To see how the body performs the primary movement patterns with additional resistance.
Which movement impairments are best observed using the loaded push and pull assessments?
- Scapular Elevation
2. Excessive cervical extension
Which loaded primary movement pattern exercise is best to use to see if a client has the arms fall forward movement compensation?
Standing Overhead Dumbbell Press
Gait Assessment:
To clarify and validate previous assessment results in a real-world scenario.
Depth Jump Assessment:
Identify movement impairments during jumping and landing tasks.
Davies Test:
Identify upper extremity movement impairments during plyometric activity.
What is true about the Depth Jump Assessment?
- It is a predictor of repeat ACL injuries in clients who exhibit knee valgus.
- Use it with advanced clients as a progression to the OHSA.
- Do not perform it until transitional assessments are relatively impairment-free.
What muscle would be considered underactive/lengthened, leading to the arms falling forward during the overhead squat assessment?
Lower Traps
Which muscle would be considered underactive/lengthened, leading to scapular elevation during a loaded pulling movement?
Lower Traps
Which view allows for the optimal assessment of frontal plane movements (adduction and abduction)?
Anterior
Which muscle would be considered underactive/lengthened, leading to scapular winging during the Davies test?
Serratus Anterior
Which muscle would be considered underactive/lengthened, leading to knee dominance during the split squat assessment?
Gluteus Maximus
Which muscle would be considered overactive/shortened, leading to scapular elevation during a loaded pulling movement?
Upper Traps
Which movement impairment is characterized by an upright trunk and more knee flexion excursion than hip flexion excursion?
Knee Dominance
What type of muscle contractions are common during the jumping phase of the depth jump?
Concentric
Which movement assessment is considered the best assessment of an individual’s balance?
Single Leg Squat
Which movement assessment utilizes dumbbells to assess a vertical pushing movement?
Standing Overhead Press
