paul thawley bsc (hons), msc, pg dip simple movement patterns and dysfunction
TRANSCRIPT
![Page 1: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/1.jpg)
Paul Thawley BSc (Hons), MSc, Pg Dip
Simple movement Patterns and dysfunction
![Page 2: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/2.jpg)
This an extra Lecture
You will not have a written paper on this
However sports medicine uses and understands physical and functional movements
![Page 3: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/3.jpg)
Movement dysfunction can be caused by a range of factors, including:
Structural instability: which occurs when the body structure fails, usually as a result of a direct trauma
Loss of Range of Motion (ROM): which can be due to joint stiffness, muscle tightness or motor patterning (acts performed with less skill and in which movement is stressed)
Functional rigidity: which often develops if an athlete tries to cope with a higher balance or stability challenge than they are capable of
Insufficient Control of Momentum: if an athlete can't control their momentum, their change in direction will be slow, or, alternatively, will throw them off balance
![Page 4: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/4.jpg)
Poor balance: balance requires an interplay between your vision, inner ear and body's
feedback
Poor co-ordination: Most obvious in racket sports, and golf
Timing: Poor stability is often related to timing problems
Poor understanding of the movement required: Caused by a misunderstanding
between the coach and athlete
Poor training design: unsuitable training practices
Stress: Stress from the mind can manifest itself in the body
![Page 5: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/5.jpg)
Clinical Movement Analysis to Identify Muscle Imbalances and Guide Exercise
MOVEMENT is an essential component of athletic performance. Human movement isinfluenced by an individual’s structural alignment, muscle flexibility, muscle strength, and nervous system coordination of muscle responses to a changing environment. (Padua 2007)
The Overhead Squat Test can be used to qualitatively assess an individual’s overall movement patterns. The results of this test can then be related to goniometric measures (muscle flexibility) and manual muscle testing (muscle strength) to develop a comprehensive view of the individual’s movement characteristics. (Ford et al 2003)
![Page 6: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/6.jpg)
Observable functional test can provide the basis for therapeutic exercise recommendations for stretching of potentially overactive and tight muscles and for strengthening of underactive and weak musculature. To optimize function, the individual should be progressed to an integrated functional exercise program. (Clark et al 2005)
![Page 7: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/7.jpg)
The Overhead Squat
Is used regularly in screening by medical teams
It can help identify Common dysfunctional movement patterns.
It can be linked to Muscle testing etc
![Page 8: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/8.jpg)
After Padua 2007
Over head SquatTwo legged squat with the arms raised overhead.
The athlete is instructed to stand with feet hip-width to shoulder width apart with toes pointing straight ahead and arms raised above the head.
![Page 9: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/9.jpg)
The athlete is instructed to squat down as if sitting in a chair.
The observation is made from three views: anterior, lateral, and posterior.
5 Squats are preformed whilst the clinician observes from anterior view, lateral view posterior view (15 squats in total
The clinician notes the movement pattern characteristics by recording whether or not a particular characteristic was identified during performance of the test.
Method
![Page 10: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/10.jpg)
![Page 11: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/11.jpg)
Anterior View:
Observations made from the anterior view of the overhead squat are focused at the feet and knees
A common compensation at the feet is the foot turning outwardly
When observing for the presence of toe outassess the position of the firstmetatarsophalangeal (MTP) joint in relationto that of the medial malleolus.
The 1st MTP joint will align with the medial malleolus in a normal foot, whereas the first MTP joint will appear lateral to the medial malleolus with foot turn-out. This can identify potentially overactive/tight muscles and underactive/weak muscles
Foot and Ankle
![Page 12: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/12.jpg)
Anterior ViewKnee
Inward movement of the patella over the first MTP joint during the squatting movement creates valgus stress at the knee
![Page 13: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/13.jpg)
lumbo-pelvic hip complex (LPHC) and upper body positions.
Lateral View
Two common compensations are excessive forward leaning and arms falling forward.
Trunk should remain parallel to the lower leg during the descent phase of the squat. If the two imaginary lines do not remain parallel, forward leaning is excessive (Figure 4).
![Page 14: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/14.jpg)
Arms should be held over the head in an elbow-extended position parallel to the torso. If the arms move forward in relation to the torso, the observation is designated as “the arms falling forward”
![Page 15: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/15.jpg)
Observations made from the posterior view include the positions of the feet and the lumbo-pelvic hip complex.
The calcaneus should stay parallel with the lower leg
A common compensation seen at the feet is pronation.During the descent phase of the Overhead Squat Test may observe flattening of the medial longitudinal arch with eversion ofthe calcaneus in the frontal plane
Posterior View
![Page 16: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/16.jpg)
Identifying possible causes of common movement dysfunction
![Page 17: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/17.jpg)
![Page 18: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/18.jpg)
Overactive? underactive?
![Page 19: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/19.jpg)
Overactive? Underactive?
![Page 20: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/20.jpg)
Overactive? Underactive?
![Page 21: Paul Thawley BSc (Hons), MSc, Pg Dip Simple movement Patterns and dysfunction](https://reader031.vdocuments.us/reader031/viewer/2022032312/56649de75503460f94ae1059/html5/thumbnails/21.jpg)
Single Leg Squat
• Increases demand and need for balance + control
• Can be specific to sport / running single stance
• Requires Rotational control