PHYSIOTHERAPY SCREENING SUMMARY · PHYSIOTHERAPY SCREENING SUMMARY CARA MURA PHYSIOTHERAPIST...
Transcript of PHYSIOTHERAPY SCREENING SUMMARY · PHYSIOTHERAPY SCREENING SUMMARY CARA MURA PHYSIOTHERAPIST...
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PHYSIOTHERAPY SCREENING SUMMARY
CARA MURA PHYSIOTHERAPIST
ESSENDON, KEW, MT WAVERLY
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Identify specific range of motion important for swimming
WHY SCREEN?
Injury Prevention = Performance enhancement (Blanch 2004)
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HYPERMOBILE SWIMMER More joint range of motion
Improved catch position Require greater muscle strength and control
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STIFF BUT STRONG SWIMMERS Poor mobility and flexibility
Adopt compensation strategies to gain range
Strong and Powerful – stable base
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RESULTS
Abduc&on Humeral Angle Combined
ext
Shoulder External Rota&on
Shoulder Internal Rota&on
Hip Flexor Angle
Hamstring Femoral Angle
Hip Internal Rota&on
Ankle Plantar Flexion
Trunk Rota&on
Right LeA Right LeA Right LeA Right LeA Right LeA Right LeA Right LeA Right LeA
Girls 152.0 152.5 -‐3.4 49.3 41.6 10.9 17.5 -‐5.0 -‐7.0 102.0 101.1 45.0 45.5 169.5 170.5 64.8 65.5
Boys 133.5 135.3 -‐7.8 100.5 99.3 32.3 37.3 1.8 2.3 74.0 74.5 37.8 40.3 167.5 165.0 75.8 77.8
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ABDUCTION/IR
• Ideal > 170 • Acceptable but needs work
150-170
Right LeA
Girls 152.0 152.5 Boys 133.5 135.3
• Important for a high elbow and effective strong catch on the water
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IMPROVING ABDUCTION/IR • Trigger Points • Stretching • Soft tissue Release
• lats • posterior cuff • teres
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COMBINED EXTENSION AND ELEVATION Important for streamline, catch
and body position in water
EFFICIENCY
Combined ext
Girls -‐3.4 Boys -‐7.8
> 10 deg = Ideal 0-10 deg = needs work
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IMPROVING COMBINED EXTENSION
• Trigger point • Soft Tissue release • Needling
• Mobilise Thorasic spine • Release Abdominals /
Diaphragm • Stretching
FOAM ROLLER
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INTERNAL ROTATION
• > 45 = ideal • 30-45 = needs work
Shoulder Internal Rota&on Right LeA
Girls 10.9 17.5 Boys 32.3 37.3
Important to achieve an early catch and maintain high elbow
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IMPROVING INTERNAL ROTATION • Trigger Point / release Post
Cuff • Sleeper Stretch
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HIPS AND LOWER LIMB
Hip Flexor Angle Hamstring Femoral Angle
Hip Internal Rota&on
Ankle Plantar Flexion
Right LeA Right LeA Right LeA Right LeA Girls -‐5.0 -‐7.0 102.0 101.1 45.0 45.5 169.5 170.5 Boys 1.8 2.3 74.0 74.5 37.8 40.3 167.5 165.0
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BREASTSTROKE • Hip Internal Rotation important for an efficient kick • Main limiting factor is tight glutes
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THORASIC ROTATION
• Most important indictor of increased risk of injury
• Significantly impacts upon body position and catch in the water
Trunk Rota&on
Right LeA Girls 64.8 65.5 Boys 75.8 77.8
Ideal = >80 Needs improvement = 70-80
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IMPROVING THORASIC ROTATION Joint/ soft tissue mobilisation Home mobilisation exercises • Bows and arrows • Windmills • Broomstick rotations
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QUESTIONS [email protected]