Corrective Exercise Case Study

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Hi,

One approach to a helping with a question like this one is to discuss the assignment generally and provide examples of assessments and results for the two tests, which you can draw on for your assessment and corrective exercises. For Part 4, the questions at the end of the assignment, I discussed and made suggestions for each question (see Module 9...doc attached). I also attached two other resources to consider.

Let's take a closer look.

RESPONSE (also attached for active links and better formatting: Posting 162058.doc)

1. Putting all together and working with a client to identify movement compensations is the approach to develop an individualized corrective exercise program, implement the program, and finally perform a re-assessment to see if your program was successful. What are your thoughts about this subject matter? I have a lot ideas but I will like to share yours w/ mine to have a better final outcome to this case study exercise corrective program.

Traditionally, rehabilitation has focused on isolating and training muscles using single planes of motion. However, as you have been studying in this course, muscles and joints do not work in isolation. We know that functional activities like transfers and gait are triplanar and require acceleration, deceleration, and dynamic stabilization. Your course emphasizes training movements, not muscles. This type of evaluation process and tests allow assessment of kinetic chain movement patterns to detect quality of movement and neuromuscular efficiency.

One such test is the test e.g. the Overhead Squat Test, which assesses the closed kinetic chain mobility and stability of patient's ankles, knees, hips, core, thorax and shoulders during a fundamental movement pattern. Mobility and gait also utilize basic fundamental movement patterns that will be assessed/corrected, which is the second part of this assignment. Based on movement pattern findings and applying neuromuscular physiology, you make corrective exercise program to inhibit and lengthen specific overactive muscles, facilitate under active muscles and prescribe corrective exercises utilizing evidence-based, optimal strength training parameters. Then, as you question states, re-assessment tells you if the goal has been accomplished.

The overhead squat profile is a test allowing you to see your muscle imbalances, which can predispose you/client to injury. From this assessment a corrective exercise program can be designed informing you which muscles need to be focused on by stretching or strengthening. The overhead squat profile should takes about fifteen minutes. After the observation has been made a corrective exercise program can be designed. As a professional, you would accompany the client to the fitness floor and go through their program with them. This should take about an hour (http://www.wellworx.com/overhead%20squat%20plan.htm).

ASSESSMENT AND CORRECTIVE EXERCISES

By performing a basic body weight overhead squat (you will need to fill in the chart for yourself/client or volunteer and make observances to determine various muscle imbalances that could possibly occur and lead to injury during any function related movement. Dysfunctional patterns in this basic movement will carry over to other movements or exercise. By identifying dysfunctions, you can incorporate corrective exercises to ensure that the kinetic chain (shoulders, hips, knees and ankles) is working properly.

For example, a knee that buckles during a squat is a clue that muscles on the inside of the leg might be too tight to allow the outer muscles to do ...