Erica O’Hagan

Rebecca Fasano

Movement Analysis Project

Kinesiology

Dr. Biren

Tuesday Thursday 11am

Demographics Form

Name: Erica O’Hagan

Gender: Female

Age: 20

Height: Cm177.8In 70

Weight: lbs 145Kg 65

Body Mass Index: 20.8

Medical Conditions Questionnaire

Name: Erica O’HaganDate of Birth: 4/20/1995

Primary Care Physician: Town Medical Verona NJ

Medical Conditions; ( If yes, explain)

Do you have any current injuries? If so what are they?Yes/NoBicep tendinitis, extremely tight hip flexors, minor knee pain

Do you have any previous injuries? If so what are they?:Yes/No- I have sprained both of my ankles in 2010, playing basketball. Also, I had a concussion in 2013, my freshman year of college playing volleyball.

Have you ever been hospitalized for an injury? If so, please explain. Yes/No

Are you currently taking any medications? If so, please explain. Yes/No- Vyvanse40mg(ADHD)

Are you taking any short course medications for a specific current illness or injury? If so, please explain. Yes/No

Family history injuries that you are you prone to regarding movement?If so, please explain.(Example- weak bones.) Yes/No

Daily exercise intensity: 1 2 3 4 5 (lowest to highest)

How many times a week are you physically active? 1-7I am active 7 times a week

Activities of daily living?I am on the Rowan Women’s Volleyball Team. I participate in very high intensity 2.5 hour practices Monday Through Saturday and am on a weight lifting program three times a week.

Occupation? Student

  1. Are there any movements that effect your athletic performance negatively?

Yes, after taking my approach to hit a volleyball, I land on my left leg, instead of landing on both legs. This puts a lot of strain on my left knee and hip. It is a very hard habit to break. Another abnormal movement that that effects my athletic performance negatively is the way that I swing my arm when I hit a volleyball sometimes. It is not all the time, but sometimes I forget to get both my arms up in the air to hit a volleyball and instead, my left arm is down putting a lot of strain on my right because I am relying only on my right arm to swing hard and pull through the ball.

  1. If question above was yes, how do those movement effect your performance and goals?

Landing on only left leg after I take my approach effects my performance because I am unstable coming off of a swing. I am unable to react as quickly to a blocked ball or an over pass as I would if I landed on both legs. Landing on one leg makes me unbalanced and off center. Having my left arm down at my side when I am hitting a ball effects my athletic performance because I am unable to jump as high because I am pulling myself down. Also, it prevents me from putting as much power as I can into the ball because I am pulling through the ball with both arms.

  1. Has anyone every told you that you are prone to more injuries because of abnormal movements when performing in athletics. If so, explain.

I have been told by many people including my coaches, and athletic trainers that I am prone for injuries if I don’t stop landing on one foot. I have been told that it is very bad for my knee, my hips and my ankles. Also, I have been told that I am prone to injuries in my shoulder, and currently have an injured shoulder. Because I have taken so many swings as a volleyball player, I have tendinitis of the bicep tendon. Even though I do not consistently do this, swinging with my left arm down, relying only on my right arm, does not help and I have been told that I can become more injured doing that.

Movement Goals

  • Increase my vertical Jump
  • Increase my arm speed (flexibility of the rotator cuff and bicep tendon, Strengthen shoulder)
  • Improve stability (balance)
  • Increase knee stability- ACL Prevention
  • Increase hip flexibility ( flexion, abduction)

Initial Summary

After looking at the questionnaire, medical history and movement goals it is clear that I need to focus on both my upper and lower body. My upper body is extremely important, especially being an outside hitter on a volleyball team, and my lower body is the part that I need to keep healthy and get even stronger. When looking at my past injuries, I see that they have been very minor and are not effecting me now. The key areas that I need to improve are my shoulder, my knees, and my hips. My shoulder needs to move correctly when I hit a ball, my hip flexors make me very inflexible, and my knee pain is starting from the way I come down after an approach to a volleyball. Initial suggestions on how to improve my shoulder are internal and external rotational exercises. For my knee, I can complete an ACL prevention program, and I can work on stretching my hip flexors every day. Areas in my body that are strong, are my core, lower back, quads, and traps. All of these sections of the body are very important to my athletic performance and are strong, stable, and effective.

Citation

Rocky Mountain College Health Status Review.(n.d.). Retrieved September 18, 2015, from

I did not use anything directly from this source. I just browsed over this site to get an idea on what an athletic questionnaire looked like.

Range Of Motion Assessment

Cervical Spine


Analysis:If ROM is abnormal this person would be more at risk for head and neck injuries. They would be more prone to straining their neck, and pulling muscles. Having good ROM in your lateral flexion of the cervical spine can help with flexibility, and overall health.

Analysis: Not having the normal ROM for cervical rotation puts that person at more of a risk of head and neck injuries. Also, it means that they will not be able to turn their necks as far to the side, limiting their ability to look to the side without turning their bodies. Having too much range of motion in cervical rotation makes that person more likely to strain neck and muscles.

Shoulder

Analysis: After looking at these pictures, it is clear that I have a very high range of motion in shoulder flexion in both my right and left shoulders. In volleyball this is an advantage because my arm is able to reach high, and hit the ball at its highest point because my range of motion in very high. I am prone to injury because I have less stability in my shoulder if I have that much range of motion when flexing my shoulder. Also, because my arm is so long this gives me a mechanical advantage in force production, and a mechanical disadvantage in force production, so I have to exert more force in order to hit the ball harder, making me prone to shoulder injuries. Also, looking at my movement goals, one of them was to increase my arm speed. Now seeing how my range of motion I have when in flexion, explains why I can’t hit the ball with as much force as I want to. I do hit the ball extremely hard because I weight train and have been trained to swing fast but I want to be even faster.

Analysis: If shoulder abduction ROM is abnormal, that person is prone to shoulder and injuries. For me in these pictures and after analyzing them, it is clear that I am very flexible and my ROM in my shoulder is higher than the normal amount. In order to prevent injury, I need to be doing stabilizing exercises on my rotator cuff and all the muscles in my shoulder to make sure that it had a wide range of motion and is also stable and strong. This will increase my arm speed and arm strength.

Analysis: After looking at these pictures and completing the ROM assessment on the internal range of motion on my shoulder, you can see how little range of motion I have. Because I have shoulder issues, and I am a volleyball player, it is normal to have little range of motion especially this movement. In order to prevent an injury and increase my range of motion, I do band workouts that strengthen my rotator cuff, and bicep tendon. Also, I get my shoulder stretched every single day, before and after I play volleyball. You can clearly see in this picture that my right arm has a significantly low degree of ROM, and I remember when completing this movement how hard and painful it was for me to move only that far. By the end of this volleyball season my goal is to increase my internal shoulder ROM to the normal degree.

Analysis: After analyzing my findings for this test, you can see how much range of motion I have externally. When thinking back to my internal and external rotation exercises that I complete 3 times a week, I now remember how much easier it is for me to do my band work externally. It is because those muscles are not used as much when I swing into a volleyball. I am using my internal range of motion significantly more and that’s why the degrees were so different.

Hip

Analysis: After completing this ROM I was definitely surprised with my results. I always thought that I has extremely tight hip flexors and that it was holding me back from being as flexible as I could be. If someone did have a negative ROM in this motion then they would be prone to more hip, and back injuries. To prevent these kinds of injuries, I always stretch my hip flexors before and after I work out. This specific movement, can influence the way you run, so it is very relevant to sports. Without having range of motion in your hips, you are unable to get full extension of the hips and therefore will not be able to run as fast.

Analysis: Looking at external rotation ROM of the hip I am very limited and barley could move my leg. Having little to no ROM for this specific movement is not good at all. This limits my ability to move laterally quickly and that is something that I really have to do as a volleyball player. I am more prone to injuries in my lower body because of this, and looking back on my initial summary, and movement goals, most if not all of my health issues have to do with my lower body. I need to increase my hip flexibility by stretching them more.

Analysis: We can see that my internal ROM of my hip is closer to the amount that it should be at. In order to prevent injuries, one must make sure that this area is stretched out before movement, and is strengthening and stretching out this area. Hip strength has an effect on speed, vertical and flexibility. In my movement goals, I wrote that I want to increase my vertical so strengthening these muscles and keeping them flexible will help me do that.

Analysis: In this test, you can see that my hip is flexed and that there is restricted knee flexion. Because I have restricted knee flexion that means that I tightness in my quad (rectus femoris). This observation is very minor, as you can see my degrees are not far off from the normal amount, but you can clearly see that my knee flexion is restricted. To prevent this from happening and to prevent injury I have to increase the flexibility in my quads.

Analysis: Making sure that your hamstring ROM is healthy is very important. If not, you are prone to may more injuries, and pulling your hamstring takes a long time to recover from. Strengthening and stretching your hamstrings, is important for speed and stability of our legs.

Analysis: Having a restricted range of motion performing the sit and reach test, can result in lower back and hamstring injuries. Staying flexible and active in these specific area will reduce the risk of injury. This range of motion is very relevant to me because my lower back needs to be flexible for my sport. I am always in a low hunched over positon so it is easy to injure that part of my body.

Postural Analysis

Over Head Squat

Gait Analysis

Walking

Jogging

10. Corrective Exercise Program.



When looking at my goals written in the dispositional assessment and looking at my range of motion assessment, my range of motion in my shoulder is something that I need to improve on. The range of motion in my arm for internal rotation is only 35 degrees when the normal healthy zone for internal rotation is 70 degrees. Below, in this exercise, I am strengthening my rotator cuff muscles, by applying resistance to the supraspinatus, infraspinatus, teres minor, and the subscapularis. Increasing my range of motion and strength in this area, will have such a positive effect on my performance as an athlete. This will increase my shoulder stability allow me to hit volleyballs for a longer period of time with more force, and my chances of an injury are decreased. I chose this exercise because it is easy to complete and it is effective. To complete this exercise I am Taking a band with the correct resistance, standing in a neutral position, keeping my hand at my waist and bringing my arm forward pulling against the fixed axis.

The next correctional exercise that I am going to complete is called, Plank Rock with scapular protraction. This exercise is a strengthening exercise used to strengthen the serratus anterior. By staying in a plank, I am protracting my shoulder girdle, and rocking my body in all different directions, making sure that my shoulders do not retract and my scapula is stable in the protraction motion. It is common for people to have an under active serratus anterior so strengthening this will helps my humeral head and glenoid fossa stay in proper alignment. I chose this exercise because it is a injury prevention exercise. Keeping my upper extremities in strong and proper alignment is so important to my performance because as a volleyball hitter my arms are constantly moving in and out of alignment. This exercise will prevent injuries and strengthen a muscle that is commonly forgotten.

The next correctional exercise is called a plank. I chose this exercise because it is a simple and very effective exercise. The plank works primarily the stabilizing muscles of the core, which in this specific exercise are the transverse abdominis, rectus abdominis and the deep erector spinae. Having a stable core and training from the inside out is so important to my performance as a volleyball player. Without a strong core, I would not be able to produce nearly as much force when I swing at a ball. Planks are simple, effective and strengthen the stabilizing muscles of the core.

The last correctional exercise is V- sit knee hugs. I chose this exercise because it targets the transverse abdominus and targets the lower back. As we can see in my external rotation picture I am starting to get a slight excessive lordosis meaning my transverse abdominus is weak. This exercise targets that area and also strengthens, muscles in my lower back. Being a volleyball player, lower back injuries are very common due to being in a hunched over low position. Making sure that my transverse abdonimus, is strong will prevent those injuries.