Sports Injury Therapy
Lower Back and Pelvic Region
Palpation reveals some tenderness in the quadratus lumborum and erector spinae (lower back muscles) on the left hand side level with L2/L3 spinous processes. I have also found tenderness in the upper fibres of gluteus maximus just below the PSIS (posterior superior iliac spine) on the right hand side, and in the muscle belly of posterior gluteus medius on both sides, all of which are responding well to NMT (Neuromuscular Technique).
Left leg
I found some adhesion in Simon’s left leg, above the insertion of the biceps femoris (hamstrings) and the lateral head of the gastrocnemius (calf muscle). I also found tenderness, adhesion and tension in the lower fibres of the vastus lateralis (quadriceps), and upper and lower fibres of rectus femoris (quadriceps). Simon has adhesion in the lower and upper fibres of tibialis anterior (shin), and also along the peroneus brevis and longus (lateral aspect of lower leg); he also has two tender points in the medial longitudinal arch of his left foot.
Right leg
Simon has being experiencing soreness in the upper fibres of the vastus lateralis (quadriceps), and in the lower fibres of the biceps femoris (hamstrings).
Palpation reveals some tenderness in the quadratus lumborum and erector spinae (lower back muscles) on the left hand side level with L2/L3 spinous processes. I have also found tenderness in the upper fibres of gluteus maximus just below the PSIS (posterior superior iliac spine) on the right hand side, and in the muscle belly of posterior gluteus medius on both sides, all of which are responding well to NMT (Neuromuscular Technique).
Left leg
I found some adhesion in Simon’s left leg, above the insertion of the biceps femoris (hamstrings) and the lateral head of the gastrocnemius (calf muscle). I also found tenderness, adhesion and tension in the lower fibres of the vastus lateralis (quadriceps), and upper and lower fibres of rectus femoris (quadriceps). Simon has adhesion in the lower and upper fibres of tibialis anterior (shin), and also along the peroneus brevis and longus (lateral aspect of lower leg); he also has two tender points in the medial longitudinal arch of his left foot.
Right leg
Simon has being experiencing soreness in the upper fibres of the vastus lateralis (quadriceps), and in the lower fibres of the biceps femoris (hamstrings).
General Evaluation
Isokinetic Testing
First initial tests done by Neasa Canavan in the Health Sciences Department, using Isokinetic testing have shown a discrepency between the right and left handside. The fings have shown that there is a deficit of 43.4% between the right abductor and the left abductor. The Adductors also displayed a deficit of 17.4% between left and righ handside.
Biomechanics
The same was displayed when tested by Drew Harrison and Ian kenny. There's a combination of weak medial gluteals and frontal quads that are affecting leg symmetry.
Left/Right leg differences:
Right leg with IDS prosthetic = 53% less vertical propulsive force
Right leg with IDS prosthetic = 17% less adductor reach strength
Right leg with IDS prosthetic = 37% less abductor reach strength
Adductor and Abductor strength on the right leg needs to be strengthened and balanced. Right leg gluteals and rectus femoris quad needs to be strengthened even more so than the left side, to compensate for lack of right lower leg muscles.
Isokinetic Testing
First initial tests done by Neasa Canavan in the Health Sciences Department, using Isokinetic testing have shown a discrepency between the right and left handside. The fings have shown that there is a deficit of 43.4% between the right abductor and the left abductor. The Adductors also displayed a deficit of 17.4% between left and righ handside.
Biomechanics
The same was displayed when tested by Drew Harrison and Ian kenny. There's a combination of weak medial gluteals and frontal quads that are affecting leg symmetry.
Left/Right leg differences:
Right leg with IDS prosthetic = 53% less vertical propulsive force
Right leg with IDS prosthetic = 17% less adductor reach strength
Right leg with IDS prosthetic = 37% less abductor reach strength
Adductor and Abductor strength on the right leg needs to be strengthened and balanced. Right leg gluteals and rectus femoris quad needs to be strengthened even more so than the left side, to compensate for lack of right lower leg muscles.
simon_baker_biomech_test3_june_2012.pdf | |
File Size: | 142 kb |
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general_evaluation1.xlsx | |
File Size: | 13 kb |
File Type: | xlsx |
isokinetic_results.pdf | |
File Size: | 542 kb |
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force_results_1_1.xlsx | |
File Size: | 4381 kb |
File Type: | xlsx |