chapter 9 movement assessments Flashcards
dynamic posture
represents what happens to that alignment when the body is in motion. a person may appear to have perfect static posture but it can change when in motion
types of movement assessments
Transitional assessments
Loaded assessments
Dynamic assessments
transitional assessments
involve movement without a change in one’s base of support (e.g., closed chain with both feet on the ground). Transitional movements allow for the assessment of an individual’s dynamic posture, quality and control of movement, and joint alignment during a specific movement pattern.
Overhead squat (OHSA)
Modified overhead squat
Single-leg squat (SLS)
Split squat
5 kinetic checkpoints
Foot and ankle
Knee
Lumbo-pelvic-hip complex (LPHC)
Shoulders and thoracic spine
Head and cervical spine
loaded assessment
adding load. Push
Pull
Overhead press
Trunk rotation
Squat
Hinge
Split stance
Single leg and stepping
should relate to foundational movement patterns
arched low back
anterior pelvic tilt
dynamic movement assessment
Dynamic movement assessments involve movement with a change in one’s base of support. This would include movements such as walking and jumping.
Gait (walking) assessment
Depth jump assessment
The Davies test
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).
solutions
Active knee extension
Ankle dorsiflexion
Hip abduction and external rotation
Modified Thomas test
Seated hip internal and external rotation
Overactive/shortened
Biceps femoris (short head)
Gastrocnemius (lateral)
Soleus
Underactive/lengthened
Anterior tibialis
Gastrocnemius (medial)
Gluteus maximus
Gluteus medius
Hamstrings complex (medial)
Posterior tibialis
posterior pelvic tilt
belly in and shoulders rounded with arch forward
heels lift
Overactive/shortened
Quadriceps complex
Soleus
Underactive/lengthened
Anterior tibialis
Gluteus maximus
solutions
Active knee flexion
Ankle dorsiflexion
Excessive pronation
Overactive/shortened
Fibularis (peroneal) complex
Gastrocnemius (lateral)
Tensor fascia latae
Underactive/lengthened
Anterior tibialis
Gastrocnemius (medial)
Gluteus maximus
Gluteus medius
Intrinsic foot muscles
Posterior tibialis
strengthen
Ankle dorsiflexion
Modified Thomas test
Seated hip internal and external rotation
valgus (inward)
Overactive/shortened
Adductor complex
Biceps femoris (short head)
Gastrocnemius
Soleus
Tensor fascia latae
Vastus lateralis
strengthen
Active knee extension
Ankle dorsiflexion
Hip abduction and external rotation
Modified Thomas test
Seated hip internal and external rotation
Varus (outward)
Overactive/shortened
Adductor magnus (posterior fibers)
Anterior tibialis
Biceps femoris (long head)
Piriformis
Posterior tibialis
Tensor fascia latae
Underactive/lengthened
Adductor complex
Gluteus maximus
Hamstrings complex (medial)
mobility assessments
Active knee extension
Lumbar flexion
Modified Thomas test
Passive hip internal rotation
Seated hip internal and external rotation
Asymmetric weight shift
Overactive/shortened
Same side as shift
Adductor complex
Tensor fascia latae
Opposite side of shift
Biceps femoris
Gastrocnemius/soleus
Piriformis
Underactive/lengthened
Core stabilizers
Same side as shift
Gluteus medius
Opposite side of shift
Adductor complex
Active knee extension
Ankle dorsiflexion
Hip abduction and external rotation
Modified Thomas test
Seated hip internal and external rotation
most likely causing impairment for valgus
adductor complex and TFL
most likely causing impairment lean forward
latissimus dorsi and pectoralis minor
most likely causing impairment forward head
cervical extensor
depth jump assessment
Starting Position
The individual stands on a 12-inch box.
A target line is drawn on the floor 12 inches in front of the box.
Movement
The individual is instructed to hop off of the box and land with both feet just after the line.
Upon the initial landing, the client should quickly jump up for maximum height.
The client will then land a second time under control.
The number of repetitions may vary for each client depending on their ability to perform under fatigue. One to three repetitions per view are recommended as a starting point, following an opportunity to practice the movement after a demonstration.
davies assessment
Movement
Instruct the individual to quickly move the right hand to touch the left hand and then move the left hand to touch the right hand.
The individual’s body weight should shift over the planted hand as they touch it with the floating hand, while maintaining postural control and minimizing unnecessary trunk motion (e.g., excessive rotation).
Perform alternating touching on each side for 15 seconds and record both the number of times a line is touched by both hands and movement impairments observed.
Perform for three trials.
For which movement impairment would one see the arch of the foot collapse or malalignment of the Achilles tendon?
Excessive pronation
Which movement assessment utilizes bands or a cable machine to assess horizontal pushing capabilities?
Loaded push assessment
What dysfunctional movement is observed during scapular elevation?
The shoulders moving upward toward the ears
What compensatory movements create an excessive posterior pelvic tilt?
The pelvis rolling backward and lumbar flexion.
Which movement assessment is considered the best assessment of an individual’s balance?
Single-leg squat
Which movement assessment is a global observation of the entire kinetic chain and recommended as the first movement assessment to use with all clients?
overhead squat
Which category of movement assessments includes gait assessments?
dynamic
Which muscle would be considered underactive/lengthened, leading to scapular elevation during a loaded pulling movement?
lower trap
Which muscle would be considered underactive/lengthened, leading to excessive pronation during the overhead squat assessment?
posterior tibialis
Which view allows for the optimal assessment of frontal plane movements (adduction and abduction)?
Anterior
Which category of movement assessments includes the split squat?
transitional
Which muscle would be considered overactive/shortened, leading to the arms falling forward during the overhead squat assessment?
Latissimus dorsi
Which category of movement assessments includes the overhead squat?
transitional
Which muscle would be considered overactive/shortened, leading to scapular elevation during a loaded pulling movement?
Upper trapezius
Which muscle would be considered underactive/lengthened, leading to knee dominance during the split squat assessment?
Gluteus maximus
True of False? Mobility represents the combination of available joint range of motion and the body’s neuromuscular control of that motion.
true
Mobility assessments are used to pinpoint whether a movement impairment is due to a flexibility deficit (overactive/shortened) or a lack of neuromuscular activation (underactive/lengthened).
true
True or False? Passive motion during a mobility assessment means that the client should move the joint into position with a voluntary muscle contraction.
false
