Carolyn (AGE 60) is a seasonal tennis player and takes her 8 month old Black Labrador Retriever (Bailey) for daily walks along her beach but finds it increasingly difficult to control him when he gets excited. They walk two miles (30 minutes) and reports having general muscle soreness throughout her body during their walks and some back pain after. âI just donât feel as strong and energetic as I used to and wish that I did not ache so much when I have to control Bailey. Tennis season is coming soon and I want to play at my previous competitive levelâ.
Job: administrative secretary. Her BMDs in her lumbar spine and hips are 1.8 and 1.9 SD lower than a young healthy women respectively!!!
Overhead Squat Assessment dysfunction: Feet slightly pronated, knee valgus, arms fall forward
Postural Assessment: Slightly rounded shoulders/upper back w/forward head/protruding abdomen and sway back w/hips in slight flexio/â¥n
Tight hip flexors and hamstrings, weak gluteals
Slightly reduced overhead shoulder ROM
Manual Muscle Testing: shoulder flexion 4/5, abduction 4/5 & external rotation 4/5
Senior Fitness Test:
30-Second Chair Stand: 7 repetitions
Arm Curl: 10 repetitions
6-minute walk: 700 yards
Back Scratch: 0 (finger tips touch)
Chair Sit & Reach + 1.0âmedically cleared to perform very cautiously!!
8-Foot Up & Go: 7.0 seconds
1) What disorder does she have?
a) Sarcopenia b) osteoarthritis c) osteopenia d) osteoporosis
2) What postural anomaly(s/Syndrome(s)) does she have?
a) Cushingâs b) Upper Cross c) Lower Cross d) More than one d) NOTA
3) She scored above the mean average scores in which parameter on the Senior Fitness Test?
a) Cardiorespiratory fitness b) musculoskeletal strength c) flexibility d) dynamic balance
4) In which physical parameter has she entered the ârisk zoneâ?
a) Cardiorespiratory fitness b) musculoskeletal strength c) flexibility d) dynamic balance
5) Which muscle groups warrant flexibility training?
a) rhomboids/lower trapezius/gluteus maximus/gluteus medius/deep cervical flexors
b) Hip flexors/biceps femoris/pectorals/cervical spine extensors/latissimus dorsi
c) quadriceps/hip abductors/tensor fascia latae/ lower trapezius/ posterior deltoid
d) All of the Above
Carolyn (AGE 60) is a seasonal tennis player and takes her 8 month old Black Labrador Retriever (Bailey) for daily walks along her beach but finds it increasingly difficult to control him when he gets excited. They walk two miles (30 minutes) and reports having general muscle soreness throughout her body during their walks and some back pain after. âI just donât feel as strong and energetic as I used to and wish that I did not ache so much when I have to control Bailey. Tennis season is coming soon and I want to play at my previous competitive levelâ.
Job: administrative secretary. Her BMDs in her lumbar spine and hips are 1.8 and 1.9 SD lower than a young healthy women respectively!!!
Overhead Squat Assessment dysfunction: Feet slightly pronated, knee valgus, arms fall forward
Postural Assessment: Slightly rounded shoulders/upper back w/forward head/protruding abdomen and sway back w/hips in slight flexio/â¥n
Tight hip flexors and hamstrings, weak gluteals
Slightly reduced overhead shoulder ROM
Manual Muscle Testing: shoulder flexion 4/5, abduction 4/5 & external rotation 4/5
Senior Fitness Test:
30-Second Chair Stand: 7 repetitions
Arm Curl: 10 repetitions
6-minute walk: 700 yards
Back Scratch: 0 (finger tips touch)
Chair Sit & Reach + 1.0âmedically cleared to perform very cautiously!!
8-Foot Up & Go: 7.0 seconds
1) What disorder does she have?
a) Sarcopenia b) osteoarthritis c) osteopenia d) osteoporosis
2) What postural anomaly(s/Syndrome(s)) does she have?
a) Cushingâs b) Upper Cross c) Lower Cross d) More than one d) NOTA
3) She scored above the mean average scores in which parameter on the Senior Fitness Test?
a) Cardiorespiratory fitness b) musculoskeletal strength c) flexibility d) dynamic balance
4) In which physical parameter has she entered the ârisk zoneâ?
a) Cardiorespiratory fitness b) musculoskeletal strength c) flexibility d) dynamic balance
5) Which muscle groups warrant flexibility training?
a) rhomboids/lower trapezius/gluteus maximus/gluteus medius/deep cervical flexors
b) Hip flexors/biceps femoris/pectorals/cervical spine extensors/latissimus dorsi
c) quadriceps/hip abductors/tensor fascia latae/ lower trapezius/ posterior deltoid
d) All of the Above
