Feedback from PHYT1221 case studies

A teacher who cannot walk up stairs properly and the impairment is the knee extensor muscles specifically the thighs : what home exercise would you prescribe?

A step up rather than a knee extension- a knee extension does not really target the issue of the stairs (start about 40cm high so you can get between 45 to 70 degrees of flexion

To improve stability of the glutes

Do a side-plank clamshell hold for 10 seconds with a resistance bands

RDL variations: B-stance RDL

A variation of the Romanian deadlift that emphasizes one leg while stabilizing the other. It targets the glutes and hamstrings while improving balance and strength.

BULGARIAN SPLIT SQUAT QUADS VS GLUTES

• distance away from the bench (the knee flexion angle) teh further the foot s away from the bench you will feel more glutes and closer you will feel more quads)

• Bent forward torso is going to be stretching our glutes more, however if you are more upright wiht the torso you will feel it more in the quads

• Keep the knee in external rotation

The patient needs to improve the strength of their latissimus dorsi muscle and the teres major- what would be the assessment test for this?

They should do the dumbell bent over row on a bench to test rep max for strength

Teaching the dumbell bent over row: STRENGTH 544

Bend elbows towards hips/ribs. Controlled 1 second up and controlled one second down without swinging

FIIT for flexibility

2-3 days a week, stretch to tightness but not pain, 60 seconds per side 2× 3 second holds

What are the 3 phases of the thomas test?

• Position the person lying on their back near the edge of the plinth.

• Ask them to pull one knee to their chest and hold it there.

1. Observe and see what is tight:

• abductors: if the leg is slightly out to the side

• adductors: if the leg is slightlycrossed over the midline

2. Abduction and adduction Abduct the thigh to take teh TFL off stretch

3. Extend the knee: this shows if rectus femoris is causing the issue

4. Flex the knee by pushing it in (shows if rectus femoris is too tight)

Squat jump progression and cues? how could you make the progression fit with netball/basketball?

Keep knees in line with toes

Do not use ankle weights for a progresion its not safe, need to do a countermovement jump as a progression or holding a netball

why RDL before deadlift?

because an RDL teaches the hip hinge movement that is required

What would be the assessment for the person who cannot walk up stairs and needs more muscular endurance?

Squats till fatigue

static vs dynamic stretching

static stretching: to increase range of motion

dynamic: prepare for activity

tennis widestrokes are more of? (lateral, forward, backward or rotational movement)?

lateral movement

Sensorimotor exercise prescription

2-3 days a week

Intensity (not determined)

Time 20-30 minutes a day may be needed