Richard CastrataroJenna Galezniak

Section 4 Friday 8:00am

Demographics

Kinesiology

Movement Analysis Project

Name (Last, First): Castrataro, Richard

Address: 10 Breckenridge Drive

City, State, Zip: Sicklerville, New Jersey, 08081

Phone Number: (856) 904-0984

Email: Castra79@students.rowan.edu

Date of Birth: 06/16/1990

Gender: Male [ X ] Female [ ]

Height (inches): 72 inches Height (cm): 182.88 cm

Weight (lbs.): 166 lbs Weight (kg): 75.3 kg

BMI: 22.5

Race/Ethnicity (optional):[ X ] Caucasian [ ] African American[ ] Hispanic[ ] Other

Level of Physical Activity:[ ] Sedentary [ ] Moderately Active[ X ] Active

Emergency ContactContact name: Michael Castrataro

Contact Phone: (609) 330-5756

Relationship: Father Physical History Questionnaire

1. Medical Conditions (current or previous)A. Have you ever broken a bone or had surgery? If yes, explain Fractured

right patella in dirt bike accident January of 2007

B. Have you ever had a concussion or any head related injury? If yes, explain N/A

C. Have you ever had chest pain or discomfort, unexplained difficulty breathing, or dizziness and fatigue during or after physical activity? If yes, explain N/A

D. Do you currently or previously have any of the following relative conditions: Sprains, strains, swelling or pain in muscles, bones or joints, or any back pain? If yes, explain Pain in my left subtalar joint, pain in both of my knees at times, recent pain in AC joint

E. Do you need and protective braces? If yes, explain N/A

2. Family HistoryA. Please check off the following conditions that run in your family health

history that affect movement___ Osteoporosis ___ Tourette’s syndrome___ Rheumatoid Arthritis ___ Wilson Disease___ Arthritis ___ Restless Leg Syndrome X Muscular Sclerosis ___ Cerebral Palsy___ ALS ___ Fibromyalgia___ Lupus ___ Ataxia___ Parkinson’s disease

3. Current Activities A. Please list your current jobs/sports Work at Retro Fitness and Inspiria

Health Network, both require me to be on my feet for long periods of time. No sports, workout 4-5 days a week.

B. How many hours a week do you work out? About 6-8 hours a week

Movement Goals

Flexibility

Increase flexibility in both of my acetabulofemoral joints Reduce tightness in both of my hamstrings and quadriceps

Movements

Increase angles of flexion/extension of the acetabulofemoral joints to normal or better

Increase angles of abduction/adduction of the acetabulofemoral joints to normal or better

Increase angles of internal/external rotation of the acetabulofemoral joints to normal or better

Make sure angles on of movement are equal on contralateral sides

Method

Focus on stretchy acetabulofemoral joints daily at home/gym Focus on strength training of quadriceps and hamstrings Track and record result

Initial summary

After reviewing the demographics, physical history, and movement goals I

can conclude that I am a very active person that is not new to movements. I am

taller than average and I am in the normal range of body mass index. Working out is

something that I am familiar with, but there is some precations I would have to

consider when exercising.

My right patella was fractured in 2007, which leads to some pain in the area

of my tibiofemoral joint. Also, on the contralateral side of the patella fracture I tend

to get pain the subtalar joint. Multiple Sclerosis runs in my family.

While the movements in my glenohumeral, humeroulnar, and tibiofemoral

joints are relatively normal and pain free, the area of concern is the

acetabulofemoral joints. My goals are to increase the angles of extension, flexion,

abduction, adduction, internal rotation, and external rotation of this joint.

I plan on doing so by increasing the amount of stretching to loosen the

hamstrings and quadriceps. Also, I plan on focusing on strength training of these

muscles. Although, I have to keep in mind to take into consideration the pains in my

legs as listed above. I live an active life style and work on my feet so I must not over

work my joints or muscles so I wont experience and pain that would prevent me

from daily activities such as work. Lastly, I must monitor my movements and pains

for signs of Muscluar Sclerosis.

Range of Motion Assessment

Cervical Spine:

Neutral Position Neutral Position Flexion

Frontal View Sagittal View Sagittal View

Left Lateral Flexion Right Lateral Flexion Left Lateral Flexion

Sagittal View Frontal View Frontal View

Right Rotation Left Rotation

Frontal View Frontal View

Glenohumeral Joint:

Neutral position Left Abduction Right Abduction Frontal View Frontal View Frontal View

Neutral Position Right Flexion Sagittal View Sagittal View

Neutral Position Left Flexion Sagittal View Sagittal View

Neutral Position Right External Rotation Right Internal Rotation Sagittal View Sagittal View Sagittal View

Neutral Position Left External Rotation Left Internal Rotation Sagittal View Sagittal View Sagittal View

Acetabulofemoral Joint:

Neutral Position Right Flexion Sagittal View Sagittal View

Neutral Position Left Flexion Sagittal View Sagittal View

Neutral Position Right Internal Rotation Left Internal Rotation Frontal View Frontal View Frontal View

Right External Rotation Left External Rotation Frontal View Frontal View

Tibiofemoral Joint:

Neutral Position Right Extension Sagittal View Sagittal View

Neutral Position Left Extension Sagittal View Sagittal View

Neutral Position Left Flexion Sagittal View Sagittal View

Neutral Position Right Flexion Sagittal View Sagittal View

Range of Motion Summary:

As you can see from the photos above, my biggest movement issues are in my

acetabulofemoral joints and my tibiofemoral joints. All of my other joints were

relatively close to the normal or average angle that they should be at, although if you

look at my acetabulofemoral joints you can see some deficiencies in their

movement. The angle of flexion in my right hip is at about 75degrees and

80degrees in my left hip. Both of these are far off of the average of 110degrees. As

far as internal rotation, the average degree of movement is 35. For my right hip my

internal rotation was about 20 degrees and my left was around 25 degrees. External

rotation should be around 45 degrees and again I was at about 20 degrees for both

hips. In my knees (tibiofemoral joints) I am about 40 degrees off the normal 0

degrees of extension when testing by bringing your knees to your chest then,

extending your knees in the air. Flexion I am close to the normal 145 degrees of

motion being at about 130 degrees.

As noted, it seems like my left leg is more dominant when it comes to range

of motions rather than my right leg. Even though, both of my legs are significantly

deficient in their range of motion. Because of the lack of range of motion in my

acetabulofemoral and tibiofemoral joints, I may be prone to injuries and

dysfunctions. Simple exercises like leg extensions and squats may be difficult for me

to perform and should be taken lightly and carefully. Some off my muscles may be

over active while others are underactive resulting in these abnormal ranges of

motions. My quadriceps could be underactive giving me the lack of motion in my

hip flexion, while my hamstrings are over active. I need to assess my overactive and

under active muscles and stretch and loosen all muscles equally and strength train

so one muscle wont be pulling more than the other creating an unequal range of

motion.

Postural Analysis

_________________________________________________________________________________________________

Sagittal View

Posterior View

Frontal View

Eyes Aligned: YesAC Joint Aligned: NO, left side higherASIS Aligned: YesPatella Height Even: YesPatella Faces Forward: YesGenu Valgum: NoGenu Varum: NoFeet Face Forward: Yes, Left Feet Face Outward: Yes, right

Head Protruded: NoProtracted Shoulder Girdle: NoKyphosis: NoExcessive Lordosis: NoReduced Lordosis: NoGenu Recurvatum: No

Postural Summary

After reviewing and assessing my posture in the fitness lab I noticed a few

needs and issues that I have. For the most part my posture is normal, but I noticed a

few issues on the right side of my body. My acromioclavicular joint on my right side

of my body is lower than the joint on my left side. I haven’t had any injuries to

either of my shoulders; therefore the unevenness of my acromionclavicular joints

could be due to overactive and underactive muscles. Unless I suffered an injury and

was unaware of the damage, my levator scapula and upper trapezius may be

overactive on my left side while my lower trapezius may be underactive.

Another thing that I noticed was my right foot everts and turns outward from

both the frontal and posterior view. I believe that my right foot turns outward

because my tibia in the right leg is slightly externally rotated. Making a postural

assessment is important to avoid injury. Also, I was unaware of these pressing

issues until I reviewed these photos. These areas of postural needs should be met

whether it is a flexibility or underactive muscle issue. This should first be met to

prevent injury and increase range of motion before strength training. Especially in

Winged Scapula: NoFeet Evert: Yes, right footFeet Invert: No

reference to my movement goals of increasing my strength and flexibility in my legs

I must first correct my externally rotated tibia and underactive muscles in my right

leg.

Overhead Squat Assessment

_________________________________________________________________________________________________

Sagittal View

_________________________________________________________________________________________________

Frontal View

Knees Align with Foot: YesFeet Face Forward: NoBoth Left and Right Abduct

Normal Forward Flexion: YesNormal Lumbar Lordosis: YesArms Remain in Line: Yes

Posterior View

Overhead Squat Summary

After reviewing my overhead squat pictures I noticed that my main issues in

this movement and form are in my feet. Both of my feet abduct outward from the

begging to the end of the movement. Also, at the end of the movement my feet evert.

My feet may be turning outward because my medial head of my gastrocnemius

muscles are underactive and overactive lateral heads of the gastrocnemius. Under

active tibialis posterior and anterior muscles may be the cause for the eversion of

my feet.

As with the postural analysis the overhead squat assessment is important to

see where the first point of emphasis should be and to help prevent injury. This

form and overhead squat movement should be evaluated and “fixed’ before any kind

of strength training. I must train my under active muscles such as my medial

gastrocnemius’s and tibialis posterior and anterior in order to get my ankles and

feet to normal position and range of motion.

Walking Gait Analysis

Phase One: Heel Strike Phase Two: Foot Flat

Feet Evert: YesHeels Rise Off Floor: NoAsymmetrical Shift: No

Phase Three: Mid-Stance Phase Four: Heel-Off

Phase Five: Toe-Off Phase Six: Initial Swing

Phase Seven: Mid Swing Phase Eight: Terminal Swing

Jogging Gait Analysis

Phase One: Heel Strike Phase Two: Foot Flat

Phase Three: Mid-Stance Phase Four: Heel-Off

Phase Five: Toe-Off Phase Six: Initial Swing

Phase Seven: Mid Swing Phase Eight: Terminal Swing

Gait Analysis Summary

After reviewing the pictures of my gaits, whether I was jogging or walking

each movement was similar. The only difference was when jogging my stride length

was longer along with my range of motions. When jogging and walking the Heel

strike phase of my gait is relatively normal. At the heel strike, all of the force is

behind my ankle and knee. My hip is in flexion, my knee is also in slight flexion, and

my ankle is in dorsiflexion. My ankle is in more dorsiflexion walking than jogging.

At the foot flat phase, the reaction forces begin to line up through my ankle and hip

joint. During jogging and walking my hip is still in flexion, but close to extension,

my knee is still flexed, and my ankle is now in slight plantar flexion.

During Mid-Stance you can see that forces have moved to anterior of my

ankle and posterior to my hip. During this phase, my acetabulofemoral joint begins

to work its was into extension, my knee remains flexed, and my ankle is still in a

slight plantar position. At Heel-off, the ground reaction forces stay anterior to my

ankle and knee (almost directly aligned with the knee) and posterior to my hip.

During this phase my hip is in extension, my knee is flexed, and my heel is in plantar

flexion coming off of the ground. During the last stance phase toe off, the ground

reaction forces begin to disappear, as the toe no longer comes in contact with the

ground. My hip is extended in this phase, but it is now moving forward toward

flexion, my knee remains flexed, and my ankle is in plantar flexion.

In the first phase of the swing phased or the initial swing, my hip is at max

extension of the gait and beginning to move forward. The initial swing phase is very

similar to toe-off, the hip is extended, knee is flexed, and ankle I in plantar flexion.

The only difference is the foot is no longer in contact with the ground and it is

beginning to swing forward to propel the body forward. The next phase of the

swing phase is the mid swing. As you can see in the pictures, this is when the

swinging legs are practically aligned with the opposite leg. The swinging leg still

isn’t in contact with the ground. At this point, the hip is now flexed along with the

knee and the ankle is still in slight plantar flexion. The final part of the swing phase

is the terminal swing phase, this is when the swinging leg is about to make contact

with the ground and complete the cycle to go back into the heel strike phase. During

this phase my hip is flexed, for the first time my knee is slightly extended, and my

ankle is going into dorsiflexion since my heel is about to strike the ground.

Corrective Exercises for the Trunk and Shoulder Complex

Pelvic Tilt: Neutral Pelvis Pelvic Tilt Back Arched

Pelvic Tilt with Single Leg Lift: Start Finish

Pelvic Tilt with Leg Cycles: Pelvic Tilt with Sagittal Scissor Kicks:

Pelvic Tilt with Double Leg Lowering:

Pelvic Tilt with Reverse Curls, Feet to Sky: V-Sit Trunk Twists:

V-Sit Knee Hugs:

V-Sit Hands to Floor, Hands to Toes:

Plank with Opposite Arm/Leg Lift:

Side Plank with Trunk Rotation:

Side Plank Leg Lift:

Superman:

Posterior Deltoid Stretch: Anterior Capsule Stretch: Pectoralis Minor Stretch:

Shoulder Flexion Stretch: Biceps Stretch: Triceps Stretch:

Apley Scratch Stretch: Chicken Wing Stretch: Upper Trapezius Stretch:

Cervical Rotation Stretch: Levator Scapula Stretch: Lateral Flexion Stretch:

Exercises for Trunk and Shoulder Summary

I choose these exercises with my movement goals and previous injuries in

mind. All of these exercises will help increase the range of motion in my

glenohumeral joints. Also, the trunk exercises will help strengthen my core

abdominal muscles. Strengthening my abdominal muscles is very crucial; they are

the core of everything and help maintain balance during activity. It is important to

strengthen these muscles for more than just looks.

These exercises will target every all of my main necessary muscles and joins

of my trunk and shoulder. I have exercises to hit and help the range of motion of all

three heads of my deltoids (anterior, posterior, lateral) and my abdomen (upper,

lower, and oblique). Doing this will help make sure that there is no under or

overactive muscles and all stretches and training are equally distributed throughout

my shoulders and trunk.

Corrective Exercises for the Lower Extremity

Single Knee to Chest: 90/90S Stretch:

Adductor Stretch: External Rotation Stretch:

Internal Rotation Stretch: Low Back Rotation Stretch:

Hip Flexor Stretch: Quadriceps Stretch:

Dorsiflexion Exercises:

Plantar Flexion for Gastrocnemius and Soleus:

Exercises for the Lower Extremity Summary

The exercises for my lower extremities were also chose with my movement

goals and previous injuries in mind. My main goal is to increase the range of motion

in my acetabulofemoral joints so I picked these exercises to help loosen up my

muscles that are associated with these joints. I have to make sure that I don’t over

stretch these muscles and take it easy so I don’t do any further damage. Also, I need

to watch my flexion and extension of my tibiofemoral joint on my right leg because

of my previous fractures.

These exercises will also hit all necessary main muscles of my lower

extremity. This helps make sure that there isn’t any extra pull of one muscle than

another resulting in overactive and underactive muscles creating abnormal posture

or range of motion. There are stretches here for my quadriceps, hamstrings, lower

back, adductor group, gastrocnemius, and internal and external rotation. With time

doing these exercises daily I will be able to reach my movement goals, build

strength, and increase my range of motion safely, effectively, and efficiently.