FUNCTIONAL ASSESSMENTS: POSTURE, MOVEMENT, CORE, BALANCE, AND FLEXIBILITY
CHAPTER 7
173
Figure 7-26 Hurdle step screen: Anterior view
Figure 7-27
Hurdle step screen: Anterior view with compensations
Figure 7-28 Hurdle step screen: Sagittal view
ü Second repetition: Observe the mobility of the hip (i.e., allowing 70 degrees of hip flexion without compensation—anterior tilting). General interpretations: • Identify the origin(s) of movement limitation or compensation. • Evaluate the impact on the entire kinetic chain.
SHOULDER PUSH STABILIZATION SCREEN Objective: To examine stabilization of the scapulothoracic joint and core control
during closed-kinetic-chain pushing movements Instructions: • Briefly discuss the protocol so the client understands what is required. ü The client presses his or her body off the ground as the trainer evaluates the ability to stabilize the scapulae against the thorax (rib cage) during pushing-type movements (Figure 7-29).
• Instruct the client to lie prone on the floor with arms abducted in the push-up position or bent-knee push-up position.
• Ask the client to perform several push-ups to full arm extension. ü Subjects should perform full push-ups; modify to bent-knee push-ups if necessary.
ü It is important to remember not to cue the client to use good technique, but instead observe his or her natural movement.
ü Repetitions need to be performed slowly and with control. Observations (Table 7-11): • Observe any notable changes in the position of the scapulae relative to the rib cage at both end-ranges of motion (i.e., the appearance of scapular “winging”) (Figure 7-30).
• Observe for lumbar hyperextension in the press position. General interpretations: • Identify the origin(s) of movement limitation or compensation. • Evaluate the impact on the entire kinetic chain.
