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USER HELP FILE - Movement SCREEN

1. Movementscreen Movemsntep Movement assessment and analysis software Developed by Dr Kevin Norton Max Mar Click Begin on the OPENING screen to proceed to the first screen the DATABASE screen This screen allows a new client to be entered into the database It is also the screen containing a search function to enable the user to see the list of clients already in the database The database function in MovementScreen is powerful and a large number of clients and their details can be stored depending on the number and size of the images and video clips stored with each client In general a 16 GB iPad will store approximately 500 600 clients with associated 5 7s video clips for each movement Clients are stored in alphabetical order and if more than one test has been performed for a particular person then the tests are stored in reverse chronological order oldest on top After you click Begin on the OPENING screen you will see the screen shown below the DATABASE screen where clients entered into the program are listed DATABASE screen to find a client previously tested Icons along the top right of the screen are used to add new tests navigate to previous tests add a new client edit previous client details or access the utilities screen where the help file is located and where the database can be exported DATABASE SEARCH amp MovementscreEN Searching for a client The software DATAB
2. Movement assessment and analysis software for iPad USER HELP FILE MovementScreen user help file Copyright Movement Screen Pty Ltd Overview Copyright information DATABASE screen CLIENT DETAILS screen Adding a new client to the database name address contact details identification details update details PREVIOUS TEST screen previous test results inserting changing deleting Navigating in MovementScreen Data entry screens MEDICAL HISTORY details PHYSICAL ACTIVITY patterns DISSABILITY ASSESSMENT screen POSTURE ANALYSIS MOVEMENT ANALYSIS screen Squat Lunge Deadlift with bentover row Single leg squat Overhead reach Thoracic rotation 4 point opposite arm leg lift Push up Active straight leg raise MovementscreEN RESULTS screen INJURY RISK INDIVIDUAL MOVEMENTS Squat Lunge Deadlift with bentover row Single leg squat Overhead reach Thoracic rotation 4 point opposite arm leg lift Push up Active straight leg raise DISSABILITY ASSESSMENT PHYSICAL CAPACITIES CORRECTIVE EXERCISES PRINT REPORT function Appendix Corrective Exercises MovementScreen is a unique software program that is designed to assist in the assessment of both movement capacity and quality of adults of any age It is a program that contains several assessment dimensions that can be used either alone or as a total package Not every individual assessment needs to include all measurement ite
3. Gently roll back and forth up and down the rib cage in this position leg fall outs Lie face up knees bent feet on floor Preset lower abdominals Slowly allow one leg to rotate outward towards the floor relax adductor muscles Hold neutral spine position control pelvic rotation leg loads Level Lie on floor arms by side knees bent feet on the floor Preset lower abdominals hold neutral spine position Slowly raise one foot off the floor pause Lower foot to floor and repeat on the other side Maintain neutral spine position throughout leg loads Level 2 Lie on floor arms by side knees bent One foot on floor other foot raised off the floor Preset lower abdominals hold neutral spine position Slowly extend raised leg then return it to start position Maintain neutral spine position throughout Repeat as directed overhead Latissimus Dorsi Have a pole doorway to your side with your feet close stretch Grab the pole doorway with your further hand at a higher position above your head Move the pelvis away from the pole doorway increasing the stretch through the lateral trunk and lats as you move Slowly come back to the start position then repeat Pectoralis Minor Levator Place a tennis ball between your pectoralis minor and a wall Scapulae Rhomboids trigger concentrating on a sore spot but avoiding the anterior section of the Acromion Process Abducting and adducting the Humerus can speed up the release process by promoting upward
4. a no by pressing the response button MovementscreeN 34 Additionally each overall movement must be subjectively scored for overall quality and control by shifting the slider on the right hand side of the screen The button on the slider towards the top indicates a movement that was performed smoothly and with control Shifting the button on the slider towards the bottom would indicate the movement was jerky uncontrolled and or generally lacking in smoothness Note that these two scores objective questions and subjective rating are independent of each other For example someone may not score yes on many of the questions but may perform the movement relatively smoothly and with grace Or less likely but still possible the opposite could be observed where a person may meet all the objective competencies questions but may have done so in a very jerky manner A brief description of each movement set up and instructions is provided under the icon from each movement The movements are described in more detail below including the primary aim s of including and analysing each movement the instructions that should be given to the client for them to perform the movements and how the client should be set up before performing the movements It is recommended the client undertakes 3 6 repetitions for each movement while being assessed This helps overcome both learning effects as well as issues wit
5. foot on the ground Gently roll the ball and yourself forwards and backwards by using the grounded foot to generate the movement ensuring you are maintain good posture and hip knee foot alignment This will challenge your lumbo pelvic stability and leg musculature control Repeat on the other side FitBall superman Lie prone on an exercise ball so that the lower half of your rib cage is on the ball Maintain hips and knees in extension with your feet on the ground Allow your ribcage and shoulders to drape over the ball in relaxation To perform the superman extend your thoracic spine and ribcage so that you end up in anatomical position extension no hyperextension of the spine or hips You can have your hands under your chin or by your sides ensuring shoulders end up also in neutral extension no retraction W MovementscreeN floor thoracic rotations Lie on side hips and knees bent to 90 head supported by a pillow and arms out in front Keeping your knees together and on the ground slowly lift the top arm and rotate the trunk as you do so Stop when you reach the comfortable limit of your range take two deep breaths then return to the start position Repeat hamstring mobility drill Stand with one foot on a chair with a slight bend in the knee Slowly rotate the bent leg internally and externally to change the emphasis on the different hamstring muscle high level Leg loads Levels 3 Preset lower abdomi
6. neutral spine Place the dowel behind the back which is then held in the crooks of the elbows with forearms facing forwards Instruction to client Instruct client to smoothly rotate to one side as far as possible and then the other while maintaining a neutral spine Ensure that the client doesn t move the pelvis or legs to achieve a greater rotation OPPOSITE ARM LEG LIFT Client Set up Maintains balance while one leg one hand on The client kneels on the ground mat on all ground fours Instruct the client to have the wrists Maintains neutral spine throughout under the shoulders knees under hips and a Maintains level rib cage neutral spine Maintains level pelvis Grounded scapula remains stable on ribcage Instruction to client Lift one knee off the ground by extending at the hip and knee while lifting the opposite hand and flexing at the shoulder and elbow Hold the position for one second and return to starting position Repeat with the other leg hand combination The side being scored is the grounded arm side MovementscreEEN PUSH UP Client Set up Maintains neutral spinal alignment The client should start lying on their front on the Shoulders neutral and not hitched floor with hands flat on floor level with armpits Hips stable and aligned with trunk and slightly wider than shoulders Toes on floor Head neutral in line with shoulders are flexed The push up will be performed by No obvious
7. scapular wingings raising up from that set position and lowering back down with control Instruction to client Perform a push up by pushing up from the floor and lowering back down with control Aim to keep the body in a straight line from ankle through hips to shoulders so the hips don t fall behind If the client is unable to perform a full push up try a push up from the knees on the floor If this is still not possible use a standing position with hands on a secure surface at a height of the anterior superior iliac spine ASIS ACTIVE STRAIGHT LEG RAISE Client Set up The client starts by lying on the floor on their back with legs together and arms by the side Instruction to client Lift one leg off the ground by flexing at the hip while keeping the knee extended Ensure that the leg left on the ground remains fully extended and does not lift Observe the height that the leg is lifted to and replicate score this on the slider below the drawn figure The distance scored is the change in the position of the dowel relative to 100 distance achieved where the lifted leg is at 90 to the ground When the MOVEMENT ANALYSIS data has been entered click the next icon RESULTS screen MovementscreEN lf the user identifies the client has injury or pain associated with any individual movements then there is an injury pain check button located on the lower right side of the movement scre
8. still be shown Note the date on which the original data was entered will be shown as the test date even if you enter new data to an existing client test at some future date NOTE the TEST DATE can be over ridden by clicking the Test Date on the RESULTS screen see below and entering the new date An overview of the function of each screen is listed along with the screen icon as illustrated below Movementscreen Navigating in MovementScreen MEDICAL HISTORY details A list of diseases and medications are presented that can be used to record areas of potential concerns for people beginning exercise This is stage of the adult pre exercise screening system APSS Also included here are measures of height and weight PHYSICAL ACTIVITY and SEDENTARY patterns The physical activity patterns over the last week are added here Includes all leisure time activity such as walking other moderate and vigorous activity for health and recreation or active transport Sedentary time includes time spent watching TV driving and occupational activity patterns DISABILITY ASSESSMENT questionnaire Answer the World Health Organisation s 2 item disability assessment questionnaire to get a disability score and percentile ranking shown on the results screen POSTURE ANALYSIS screen The user can take photos of the client in both front and side views and mark up on screen to determine a head load and posture angles INDIVIDUA
9. 0 minutes or more of weighted activity per week and is associated with positive health outcomes Less than this amount is a risk factor for many chronic conditions and a shortened life expectancy There are also questions on sitting time Sitting time is an independent risk factor associated with increased metabolic and cardiovascular disease Sitting for long periods is also detrimental to many muscle groups that help stabilise our posture Sitting weakens these muscles particularly trunk and hip muscles which can also lead to back weakness and aches injury and pain This is why specific exercise programs and corrective exercises are important to counteract these periods of low activity levels and sedentary behaviour Finally there is a question on sitting at work These responses together with the physical activity minutes are used in the injury risk decisions built in to the software At the conclusion of the PHYSICAL ACTIVITY data entry click the next icon down the right hand side of the screen the DISABILITY ASSESSMENT screen icon MovementscreEEN DISABILITY ASSESSMENT DISABILITY ASSESSMENT Think back over the past 30 days In the past 30 days how much difficulty did you have in zZ fe O P WWOQOO00 08 00 3 Cannot do y O O O O O O O 0O O00 O4 Standing for long periods such as 30 minutes OO Taking care of your household responsibilities Learning a new task for example lear
10. ASE screen allows you to search for clients already in the database If you want to search for someone then type the last name surname into the text box at the top of the screen and click the Search button All clients with the last name you have entered will be shown in alphabetical order according to their first name The program has a predictive function so that clients will be shown as you begin typing Alternatively just click Search and all clients in the database will be shown in alphabetical order The DATABASE screen has two icons along the top left of the screen The function of each of these buttons is outlined below In the top left corner of the screen the left Exit icon allows the user to return to the previous screen while the right Print icon will provide a screen capture of the DATABASE screen that can be emailed or printed Exit click this icon to exit the DATABASE screen and return to the OPENING screen Print screen Print screen click this icon to print a copy of the DATABASE screen shown This will include the clients who have been stored in the database and listed on the screen For a full list of all clients contained in the database the user can click the utilities icon and then click the export button This will allow the user to email a full list of all clients in the database Once a Search of the database has been conducted the user can highlight the client who is to be t
11. Client Set up Maintains neutral spine alignment The client stands with their feet together Hold a Trunk parallel to grounded leg shin dowel in front of the hips and with thumbs at the Reaches 90 at knee level of the anterior superior iliac spines ASIS Dowel remains on frontal plane and to facilitate viewing of pelvic alignment horizontal Hip knee foot alignment is maintained Instruction to client Balance is maintained Lift one foot off ground by bending at the knee and keeping thighs parallel Squat down on one leg by sitting back as far as comfortable aiming for a 90 angle at the knee Keep heel on the ground OVERHEAD REACH Client Set up Palms touch overhead The client stands with feet hip width apart Arms No obvious hitching of shoulders should be extended to the sides with palms Arms are on frontal plane in line with ears facing upwards Lumbar spine remains neutral Side plumb alignment remains neutral Instruction to client Instruct the client to keep elbows locked in extension straight arms throughout the movement The client abducts the arms as far as possible aiming for the palms to touch overhead If observations are different for each shoulder score the movement according to the worse side W Movementscreen THORACIC ROTATION Client Set up e Maintains neutral vertical alignment Instruct the client to sit on a bench stool that allows the hips to be flexed at 90 with an upright and
12. L MOVEMENT ANALYSIS This screen has nine movements several with both left and right side movements that the client undertakes These can be recorded on video using your iPad analysed visually assessed and scored and stored for future reference RESULTS screen for movement performance review This screen displays a number of calculated output variables and a range of sub screens to illustrate the results These include an overall injury risk rating hot spots on the body that may be at higher risk for injury a ranking for each of the individual movements the WHO disability assessment score and ranking using international norms a physical capacity diagram showing performance on five movement domains and a corrective exercise screen with areas to be improved and suggested exercises to help performance The icons on the right hand side of the data entry screens are used for navigating as part of the data entry and analysis process 4 Move meEntSCREEN The RESULTS screen is also the screen from which a number of analyses and reports can be generated These options are listed on the RESULTS screen as labelled buttons These are in order Injury risk individual movement analysis disability assessment physical capacities corrective strategies and printing a summary report Specific details of these functions are shown below Data entry screens Overall there are more than 100 potential measurements taken and question
13. SESSMENT screen Two types of posture analyses can be performed 1 a front view posture analysis and 2 a side view posture analysis There is an information icon on the screen that provides the user with some brief information about the protocols associated with marking up each photographic view This is located immediately above the rectangular grid The user can record up to two photographs of their client a front and side view Using the tools provided on the POSTURE ANALYSIS screen the user can then re size and position the photograph draw over the photograph to indicate specific reference points and click a SUMMARY button to have the software calculate a number of angles specific to the posture of the client FRONT VIEW The client faces the camera in a relaxed natural position with arms to the side slightly off the body and feet slightly apart in approximately the mid clavicular line Once the photograph has been taken and re sized if necessary five pairs of dots are placed on the photo to link right and left anatomical landmarks It is important the pairs are placed from the top to the bottom in a specific order as indicated below amp MovementscreeN The front view requires the user to mark the photograph at the following positions after clicking both the drawing icon and front view icon There are also options for the grid to be on or off and for different colours to be used for the dots and lines on
14. URY RISK results screen to compare a client s current test with their previous test results in order to see if any changes have been identified In this case the functionality involves clicking the compare button located in the bottom right hand corner of the screen The button will change shading indicating it is active and a scrolling field will appear to allow the user to identify which test they want to use in the compare function The user should select another test and then will be automatically taken back to the INJURY RISK screen If it is the same test a text box will appear that says This is the same test please choose another test Click OK to return to the selection field of previous tests to choose a different test Once an appropriate test has been chosen and the user returns to the INJURY RISK screen a blue comparison circle will be shown on the bar graph to indicate the comparison results for overall Injury risk The specific dates of the two tests will be shown in a key on the bottom right hand side of the screen Note the injury hot spots are associated with the MOST RECENT test undertaken NOT the initial test This is indicated on the screen in red font Results shown are for the most recent test date provided Once the compare function has been selected and a test chosen the user can click any of the other results icons to reveal other comparison screens To remove the comparison test simply click on the h
15. ail support movementscreen com au webpage URL www movementscreen com au Authors profkevinnorton iNformMaxMartin NathanHarten Movementscreen Aspects of the movement testing protocols within MovementScreen assessments involve physical movements or exercise Exercise involves a level of risk You should be aware that there are increased risks associated with any form of movements and exercise including adverse events such as fainting nausea collapse heart attack and even sudden death While these adverse events are relatively rare they occasionally occur and that you agree when undertaking a movement assessment that you accept the increased risks associated with movements and exercise The MovementScreen tool is a general screening tool and does not provide advice on any specific matter injury or limitation nor does it substitute for advice from an appropriately qualified medical practitioner The corrective exercises are broad suggestions and based only on the information entered in the program More specific advice should be obtained from an experienced exercise professional No warranty of safety should result from its use The MovementScreen system in no way guarantees against injury or death No responsibility or liability whatsoever can be accepted by Movement Screen Pty Ltd for any loss damage or injury that may arise from any person acting on any statement or information contained in this tool Movement SCREENCID
16. and side view icon There are also options for the grid to be on or off and for different colours to be used for the dots and lines on the photograph Note also that there is a re size photograph tool so that optimal photo positioning can be achieved If the user wants they can scale the image up mark the specific landmarks while in the zoom mode and then re size back down to see the entire image The specific anatomical landmarks are indicated below Ankle at the lateral malleolus 2 Lateral knee 3 Greater trochanter of the femur 4 Acromion process of the near shoulder 5 The ear external auditory canal IMPORTANT SIDE VIEW analysis requires dots to be drawn from the ground up MovementsCREEN After the SUMMARY button is clicked the results are calculated for head load and various body segment deviations from the vertical position These are displayed on the screen and used in further calculations Head load factors in the size of the person and their head mass plus the angle off vertical that the head is positioned The load is the calculated additional force in kg that the neck muscles are subjected to because of poor posture After you have entered the POSTURE ANALYSIS data you should click the MOVEMENT ANALYSIS screen icon that is next down the list on the screen MovementscreEN MOVEMENT ANALYSIS screen The MOVEMENT ANALYSIS screen has nine individual movements shown and de
17. and ankle single leg standing unstable Stand on one leg foot in the middle of the unstable surface surface mat bosu cushion Attempt to balance keep surface as flat as possible Maintain an upright posture single leg windmill Stand on single leg with your arms extended by your sides forming a Cross Keep the grounded leg knee soft with slight flexion Bend forwards at the hips maintaining a neutral spine Rotate your ribcage and arms side to side imagine playing you are an airplane BUT ensuring your pelvis and grounded leg remain in a neutral position without rotating SMEFR glutes Sit on a foam roller or tennis ball on one hip with that knee bent Roll diagonally from just below the top of the pelvis posterolateral aspect towards the top of the femur then back up to the start position SMFR hamstrings Sit with the foam roller under the top of one of the posterior thighs just below the glute Have that leg straight with the other bent Roll down to just above the knee then back up to the start position SMFR Move from distal to proximal but remember to change angles to quadriceps TFL adductors target the Vastus Lateralis and Vastus Medialis The anterior mid section of the quadriceps group is a common site for adhesion due to the density of tissue here split squat Feet hip width apart long split stance Descend to a comfortable depth maintaining a neutral spine and hip knee foot alignment Ascend back to the st
18. and downward rotation of the Scapula posterior hip mobility drill DStart in a split squat position and lower your weight with emphasis placed on the hip of the back foot Push your weight straight back into the hip until you feel a gentle stretch in the posterior hip Reach straight forward as you do so Rock back and forth in and out of this stretch position Gradually start to push the hip back at an angle away from the midline with the forward reach going in the opposite the direction The movement should gradually migrate from the saggital towards the frontal plane Movementscreen prone single arm lift Lay on your front with arms at 90 to your body and at the elbow Lift one arm an inch or two by activating muscles around your shoulder blade Keep your forearm parallel to the ground Quadriceps mobility drill Stand in split stance flexing back leg at the knee and resting that kneeling or standing foot on a bench As you sink into the lunge extend the arms overhead rack push ups Supported on hands and toes body straight Lower chest towards bench rack Push up slowly ankle retinaculum SMER Lying on your front with a foam roller under the front of your ankle make small movements back and forth over the anterior section of the subtalar and talocrural joints This technique is particularly useful for those who feel jammed at the front of the ankle when applying dorsi flexion single arm cable row Stand oppos
19. art position Maintain upright posture throughout movement Movementscreen split squat aim for parallel thighs Squats Squats aim for parallel thighs Serratus Anterior push ups standing dowel spiral release rotation supine knee hugs supine lying on longitudinal towel half foam roller supine lying on perpendicular towel 40 Movement Feet hip width apart long split stance Descend until leading thigh is parallel to floor Ascend back to the start position Maintain upright posture throughout movement Stand feet wider than hip width apart Arms in front of body Flex at the knee and hip ensuring knee is in line over toes and sit backwards into a squat position into a comfortable depth Ascend by driving hips forward and shoulders towards the roof Feet stay flat and lower back maintains normal curvature throughout Stand feet wider than hip width apart Arms in front of body Flex at the knee and hip ensuring knee is in line over toes and sit backwards into a squat position until top of thigh is parallel to floor Ascend by driving hips forward and shoulders towards the roof Feet stay flat and lower back maintains normal curvature throughout Start in a kneeling pushup position with your core engaged and arms straight Keeping your elbows straight complete a pushup using your shoulders only Allow your scapulae to move back and together and then back to a neutral position Stand with a
20. ays This is the same test please choose another test Click OK to return to the selection field of previous tests to choose a different test MovementscreeN Once an appropriate test has been chosen and the user returns to the PHYSICAL CAPACITIES screen blue comparison circles connected by a blue line will be shown on the pentagon graph to indicate the comparison results for the test The specific dates of the two tests will be shown in a key on the bottom right hand side of the screen Once the compare function has been selected and a test chosen the user will be taken back to the INJURY RISK results screen but can then click any of the other results icons to reveal other comparison screens To remove the comparison test simply click on the highlighted compare button on the lower right side of the screen Strength 47 36 Testdate1 15 12 2014 Test date 2 v 11 12 2014 Stability 40 Mobility 38 50 41 PHYSICAL CAPACITIES results screen for a comparison test MovementscreeN CORRECTIVE STRATEGIES CORRECTIVE STRATEGIES The CORRECTIVE STRATEGIES results screen is illustrated There are five figures shown each one representing one of the physical capacity domains The left side figure shows the SYMMETRY domain and is coloured to represent the degree of departure from 100 which would be perfect symmetry A green colour is good and is associated with scores closer to 00 while a r
21. blems in the heart e pains in the calves lower legs behind the knees or up higher in the hamstring and buttock regions suggesting a blockage or blood flow restriction in the larger blood vessels of the legs e a heart murmur which suggests that something may be wrong with the valves of the heart or that there may be an atrial or ventricular septal defect e undue fatigue perhaps associated with poor oxygenation of the blood poor blood flow or other metabolic or immune system problems When the MEDICAL HISTORY data entry screen opens the responses are all automatically set to No These do not have to be re checked if the client answers No to the questions When the user checks the button it is clear the client intends a YES response and this is shown as a change of colour to red and also the appearance of the word YES on the button The questions are identical to the Stage of the Adult Pre exercise Screening System There is also a section on the bottom of the screen where notes can be written These notes will be printed provided they are not too long on the client s summary report There is also a check box on a question on the bottom of the screen that allows the tester to make a professional judgement about whether a client should should not be allowed to proceed and undertake further testing and exercise The pre exercise system embedded in the MovementScreen software will automatically make a decision based o
22. cise program PHYSICAL ACTIVITY Maintaining adequate levels of physical activity PA is very important for overall physical and mental health reducing the risk of some cancers diabetes and cardiovascular disease It is recommended that we should accumulate 150 300 min of moderate PA on a weekly basis For those who can including bouts of higher intensity PA is even better for health benefits You reported performing 207 min of activity in the last week This is within the recommended level of weekly activity SEDENTARY ACTIVITY Recent research indicates being sedentary is very detrimental to our health and that this can potentially outweigh some of the benefits obtained from physical activity It is very important to try and decrease your sitting sedentary time as much as possible to no more than 8 hours per day Ways this can be done include finding opportunities to move more such as standing up regularly during your day taking stairs parking further from your destinations and reducing TV computer time where possible Your current sedentary time averages 4 hr per day Thie ia an intarmariate lawal nf eartantary time 1 15 12 2014 Name test new Age 33 2 yr Test date 9 2 11 12 2014 MOVEMENT SCREEN SUMMARY Movement screening is an important process to go through to ensure the type of exercises you do are at a level of intensity and complexity that are appropriate to your current capacity and physical needs This will he
23. cted because of high movement performance or if some of the movements were not attempted or if an injury pain button was checked and the user selected to NOT include the movement score then it is possible that no sites will be shown for some or all of the mobility stability or strength domains MovementscreeN 39 OMPARE FUNCTION It is not possible on the CORRECTIVE STRATEGIES results screen to compare a client s current test with their previous test results The results shown are for the active profile currently loaded in the program PRINT REPORT function The Print results button will automatically generate a pdf file This is a 5 page report that contains details for all of the variables measured injury risk sites graphs of the movement scores photos if stored for the posture analysis the APSS pre exercise screening decision and if appropriate suggested corrective strategies An example of an individual report is shown below increase the level of priority of that joint to increase the low capacity scores rma mom mt M O V ILICI 7 Examples of corrective exercises that can be performed to address your specific needs have S S R E E N been generated based on your capacities Stability PERSONAL INFORMATION Name Lynda Little Test date 17 12 2014 Address Email Mobility Phone Gender Female Date of birth 17 12 1970 Occupation Height 166 0 cm Weight 72 0 kg Balance BMI 26 1 1
24. d at a high position cable band pull down Hold with one hand and kneel onto opposite knee in a split stance Pull from the high position into your lateral ribcage armpit Use slight rotation of the trunk but remain upright bent over dumbbell cable Stand with slightly flexed knees bend forward from hips while row maintaining a neutral spine Dumbbells positioned alongside knees Dumbbells remain in line with feet shoulders forward of knees Pull dumbbells along thighs to abdomen Maintain posture throughout Variation pull in an alternate fashion Bulgarian squat Start in a split squat position rear foot on a box or bench Perform split squat in controlled manner Maintain upright torso Complete repetitions on one side at a time Bulgarian squat aim for Long split stance rear foot elevated on bench parallel front thigh Descend until leading thigh is parallel to floor Ascend back to the start position Maintain upright posture throughout movement single arm cable press Hold end of cable handle in one hand Face away from cable attachment Keep elbow away from side extend the arm forward in a pushing action Keep forearm horizontal Maintain upright posture calf SMFR FoamRolling Gradually work your way up from the Achilles Tendon into the Soleus and then into the Gastrocnemius Try rolling more medially and laterally as you ascend to focus on the different Gastrocnemius heads calf stretch Split stance hands on wall Keep back foot flat and
25. dowel across the back or front of your shoulders as if about to perform a squat Rotate to one side seeing how far back you can see Take a deep breath in notice if this reduces how far back you can see As you release your breath aim to rotate further Notice that its likely that you will now be able to see further around Come back to neutral and repeat on the other side Repeat 3 6 times until you find that no further gains are seen Lie on the floor bend knees to chest Hold shins Lay on a foam roller situated lengthways up your spine Breath deeply and try to lengthen your spine as you breathe out Position the towel perpendicular to spine Lie with towel under a segment of the thoracic spine Take arms overhead or out to the side Relax into the stretch vary position along thoracic spine SCREEN supine SMFR tennis Lie on your back with a tennis ball or other SMFR tool such as an ball easer easer under your Lumbar extensors or Quadratus Lumborum muscles Find spots that feel relatively tight and place your tool there Breath deeply so as to relax the muscles Change positions of the tool a to other tight spots Aim to release 2 3 spots per side at a time or as required or recommended tandem standing Stand with one foot right in front of the other so that the back of the heel of the front foot rests against the front of the toes of the back foot Aim to maintain your balance in this position for 60 second
26. e Grasp foot bring ankle toward buttock Tilt your pelvis into a posterior tilt to increase stretch single arm wall ball hovers Set the ball up at roughly eye height and hold it there with one hand Lean into it slightly Move the ball up and down left and right and in circles maintaining control through the shoulder joint scapula and trunk throughout Movementscreen single leg stance Stand on one leg Maintain upright posture and alignment of hip knee and ankle Aim to maintain balance for 60 seconds sit to stand single leg calf raise pushing through big toe line single leg deadlifts single leg hip lifts single leg hitches single leg squat single leg squat aim for 90 at the knee 40 Movement Sit tall in a chair with ankles positioned back from the edge of the chair Rock forward from the hips then stand by extending the knees and hips Maintain a neutral spine Sit back down slowly Sit tall in a chair with ankles positioned back from the edge of the chair Rock forward from the hips then stand by extending the knees and hips Maintain a neutral spine Sit back down slowly Stand on one leg and bow forward from the hip keeping the spine neutral knee angle fixed and hip alignment neutral Squeeze the glute to stand back up tall Repeat Lie on back one knee bent foot on the floor Other leg straight knees side by side Preset lower abdominals Lift hips to align with should
27. e extended passive leg Allow the flexed knee to fall outwards so the hip externally rotates and abducts with the foot resting on the extended leg Aim to relax the hip in this position FADIR Flexion Adduction Internal Rotation For this component place the drawn in foot on the inside of the knee lower thigh of the extended passive leg Allow the flexed knee to fall inwards so the hip internally rotates and adducts Aim to relax the hip in this position seated row Sit on machine Grasp handle sit tall Extend the legs Pull handle to abdomen Maintain upright posture seated Tibialis Sit with one leg crossed over the other so that the shin is Posterior Flexor Hallucis horizontal Longus release Place your thumb on the inside of the shin bone Tibia towards the top knee Press in and feel for tension pain If you feel pain hold the compression until it eases If not move the thumb down slightly and repeat Work your way right down parallel to the shaft of the Tibia towards the ankle seated thoracic rotation as Sit tall on a bench with arms folded across shoulders per testing protocol Staying tall rotate trunk to the left then to the right Assess for any difference in mobility from side to side side bridge Body supported on side by forearm and side of foot Ankles hips and shoulders in alignment Rest other hand on hip or hold it out to the side side lying quadriceps stretch Lie on side Bend top kne
28. ed automatically as the user modifies previous data on the data entry screens Therefore if you change any input variables these will supersede the previous ones which are then lost MovementscreEEN Navigating in MovementScreen Navigating in MovementScreen is simple The general way to move through the program as you conduct the testing is to navigate down through each of the screens in the order shown along the right hand side of the MEDICAL HISTORY screen as well as each of the other screens during the data entry You can easily check where you are in the program because the icon representing the screen you are on is highlighted on the right side of the screen There are six icons each representing a separate screen Click on each icon in descending order to progress from screen to screen While this is the usual way to progress through the software and to conduct a screening session it is not essential that you always do it in the order shown You can go back and forth between different screens at any time you can also move from one screen to another even if you haven t filled in all the necessary information on any particular screen Information you have entered is automatically saved as you leave the screen and move back and forward among the screens If you exit the current client profile your data is automatically saved If you reload the client from the database at any time in the future the data previously entered will
29. ed shaded colour is associated with a poorer symmetry score The symmetry scores are based on the level of agreement in the five exercises that involve both a left and right sided independent movement lunge single leg squat 4 pt opposite arm leg raise active straight leg raise as well as the clockwise and counter clockwise thoracic rotation movements The BALANCE figure is also coloured to represent the degree of departure from 100 ora perfect balance score Green shading represents better and red shading poorer balance scores MOBILITY is the degree to which a joint can move without inhibition before being restricted by surrounding tissues ligaments tendons muscles etc Mobility scores are calculated on the basis of movement performance in the individual movements The three areas of the body that were associated with the lowest mobility scores are shown on the mobility figure STABILITY is the ability to control joint movement or position against perturbation forces Stability is achieved by the coordinating actions of surrounding tissues and the neuromuscular system The three areas of the body that were associated with the lowest stability scores are shown on the stability figure STRENGTH is the force or torque generated by contractions of muscles to move or support the weight of the body The three areas of the body that were associated with the lowest strength scores are shown on the strength figure Note that if no scores were dedu
30. ementScreen scores MovementscrEEN MEDICAL HISTORY MEDICAL HISTORY Has your doctor ever told you that you have a heart condition or have you ever suffered a stroke Do you ever experience unexplained pains in your chest at rest or during physical activity exercise Do you ever feel faint or have spells of dizziness during physical activity exercise that causes you to lose balance Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months If you have diabetes type I or Il have you had trouble controlling your blood glucose in the last 3 months Do you have any diagnosed muscle bone or joint problems that you have been told could be made worse by participating in physical activity exercise suuvutuy Do you have any other medical conditions that may make it dangerous for you to participate in physical activity exercise Notes What is your professional decision Refer for guidance MEDICAL HISTORY data entry screen The MEDICAL HISTORY screen is stage of the Adult Pre exercise Screening System APSS developed by Fitness Australia Sports Medicine Australia and Exercise and Sports Science Australia It allows the user to enter information on medical conditions involving cardiovascular metabolic and respiratory systems or other medical problems that may make aerobic based or other strenuous exercise contraindicated It also includes information o
31. ens Checking this button will automatically display an anatomical figure that has the 5 joints body parts shown as grey circles The user can check press any of these joints to indicate the client has pain or an injury associated with this site These sites will turn red and will be displayed as a hot spot injury site on the INJURY RISK results screen Following the identification of the problem joints the user should press done to hide the anatomical figure Another question box is displayed asking the user Include in movement analyses The user has a choice of yes or no A yes response will mean despite some problem with the joint the user has decided to include the score for that particular movement in the various down stream calculations such as overall injury risk physical capacities such as symmetry calculations etc A no response means the red injury hot spot areas will still be seen on the INJURY RISK results screen but the score on that particular movement will not be included in any further calculations If the injury in significant then it is probably best to NOT include the movement score in further calculations but that is the decision for the exercise professional depending on the circumstances Any injury pain button that is checked will result in a separate Injury risk score being displayed on the INJURY RISK screen In this case there will be a 100 injury risk circle in black represent
32. ers and knees Keep hips square hold position for 2 3 seconds Maintain neutral spine position throughout Stand on one leg on a low box Hang other leg off edge of box Raise and lower the hanging leg by laterally tilting the pelvis squeezing gluteus medius Maintain upright posture throughout Stand on one leg Flex at the knee and hip ensuring knee is in line over toes and sit backwards into a squat position Ascend by driving hips forward and shoulders towards the roof Foot stays flat on floor amp lower back maintains normal curvature throughout Stand on one leg Flex at the knee and hip ensuring knee is in line over toes and sit backwards into a squat positionn aim for a 90 bend in the knee Ascend by driving hips forward and shoulders towards the roof Foot stays flat on floor and lower back maintains normal curvature throughout SCREEN single leg stance Stand on one leg Maintain upright posture amp alignment of hip knee and ankle single leg stance Stand on single leg and perform any of a variety of activities to distraction distract you and hence make increase the level of control required to maintain balance such as Move your arms around turn your head to look in different directions Bounce a ball on the ground balance a ball against a wall play catch with someone else etc single leg standing eyes Stand on one leg and close eyes shut Maintain upright posture and alignment of hip knee
33. ested or whose information is to be reviewed The icons along the top right of the database field allow you to mange the client in different ways as outlined below The icons along the top right of the DATABASE screen from left to right allow creating a new test for a client already in the database loading a previous test for a client in the database adding a new client to the database changing the details of a client already in the database utilities functions exporting printing options and help files 2a JA Creating a new test for a client already in the database New test click this icon to begin a new test for the client who has been highlighted in the database field Loading a previous test for a client in the database Previous tests click this icon to view all previous tests that have been stored in the database for the client who has been highlighted A new screen will appear that shows all the previous tests These are listed in reverse chronological order with the most recent test last at the bottom of the list If the client has previous tests then when you click on the Previous tests icon a list of tests will be shown on a new screen PREVIOUS TESTS screen To open previous tests for a client you should highlight the client and click the Previous test icon which will then load the previous test selected and open up on the MEDICAL HISTORY screen The PREVIOUS TESTS screen will be s
34. fected by a number of conditions or physical capacities including injury risk Your overall level of injury risk is based on the history you provided and the scores the level of symmetry from right to left balance mobility stability and strength The graph obtained from all sections of your movement screen highlights the level of each capacity for you with greater values indicating better capacity Your level of risk is This places your injury risk in the category Definitions This level of risk can be addressed through the recommendations made below by following amey Similarity or exact correspondence between the right and left sides of body as suggestions from your exercise professional and by decreasing body fat and sedentary time observed during the movement screening process resulting in the same or very similar scores for the movements and physical capacities observed INJURY RISK HOT SPOTS Balance The ability to maintain a certain posture by an even distribution of weight enabling The figure below includes what body parts are at greater risk of musculoskeletal injury based on someone to remain upright and steady or to move without falling your history and current movement capacity and what you scored for each of the movements included in your screen Mobility The degree to Symmetry 100 which a joint an articulation can move without inhibition before being restricted by surrounding tissues ligaments tendons m
35. h fatigue Score the best repetition You will note that the movements have been organised in increasing level of demand per body part For example squat before a lunge or 4 point opposite arm leg lift before a push up etc The nine movements are squat lunge deadlift with bent over row single leg squat overhead reach thoracic rotation 4 point opposite arm leg lift push up and active straight leg raise Further details about each movement are given below but is important to provide a demonstration if possible and guidance when the client is performing the movement SQUAT Client Set up Neutral lumbar position no hyperextension Client to place feet shoulder width apart with or flexion approximately 0 external rotation Dowel to Trunk parallel to shins be placed and held behind the neck to simulate a Thighs reached horizontal plane back squat Dowel over footprint Vertical pelvic displacement Instruction to client Knees in line with feet Squat down as low as you comfortable can by sitting back as if on to a chair Aim for thighs to reach horizontal Ensure heels remain on the ground Movementscreen LUNGE Client Set up To set up the length of the lunge test ask client to kneel in a split position one knee on the ground with the other foot in front so that both knees are at 90 with the grounded knee below the hip Mark the placement of the back toes and a separa
36. has been provided below for guidance For example generally there is a focus on stability issues first then mobility balance and strength although this is not always the case so seek professional help where possible 4 Ctohilit mnhili e halonno otronnth Strength 5 38 increase the level of priority of that joint to increase the low capacity scores Examples of corrective exercises that can be performed to address your specific needs have been generated based on your capacities Stability 1 leg loads Level 2 2 single leg hitches Mobility 1 posterior hip mobiliser 2 single arm cable band archer row Balance 1 single leg stance distracti Strength 1 Bulgarian squat single leg squat Disclaimer This MovernentScreen tool is a general screening tool and does not provide advice on any specific matter injury or limitation nor does it substitute for advice from an appropriately qualified medical practitioner The corrective exercises are broad suggestions and based only on the information entered in the program More specific advice should be obtained from an experienced exercise professional No warranty of safety should result from its use The MovernentScreen system in no way guarantees against injury or death No responsibility or liability whatsoever can be accepted by MovementScreen Pty Ltd for any loss damage or injury that may arise from any person acting on statements or information contained i
37. hown as illustrated below see more details further down PREVIOUS TESTS PREVIOUS TESTS screen will show all tests undertaken by the selected client including their age at test date injury risk and WHODAS score 4 MovementscreeN Adding a new client to the database New client click this icon on the DATABASE screen to open the CLIENT INFORMATION screen to enter the client s details name address gender date of birth occupation etc The name date of birth and gender information is critical for many of the calculations so these fields must be completed These fields are highlighted indicating they are mandatory data entry fields see details on new client entries below Changing the details of a client already in the database Modify client click this icon to reload a client s details name address etc and alter if necessary The client s name must be highlighted in the database list on the screen before clicking this button S O Utilities Utilities This option is used to modify the printouts to export the database and to access the user help file ears a amp Mov SCREEN a CD Adding a new client to the database Adding a new client is started by clicking the New client icon This will take the user to the CLIENT INFORMATION screen shown below There are only four absolutely necessary details to be added to the database when a new clie
38. igher percentile rank on the bar graph Norms are provided by the WHO and are used as a basis of comparison in MovementScreen Scores that are in the top 50th percent of the population are shown on the far right of the bar chart with an associated 50 percentile the resolution is poor for low WHODAS scores because most of the population score low and the distribution is therefore skewed The bar graph also has some disability categories identified for various percentile ranks within the population These range from physically well at 50 or above low from 25 lt 50 moderate from 15 lt 25 significant from 10 lt I5 high from 5 lt 10 and very high for percentile scores less than 5 COMPARE FUNCTION It is also possible on the DISABILITY ASSESSMENT results screen to compare a client s current test with their previous test results in order to see if any changes have been identified In this case the functionality involves clicking the compare button located in the bottom right hand corner of the screen The button will change shading indicating it is active and a scrolling field will appear to allow the user to identify which test they want to use in the compare function The user should select another test and then will be automatically taken back to the DISABILITY ASSESSMENT screen MovementscreEEN If it is the same test a text box will appear that says This is the same test please choose a
39. ighlighted compare button on the lower right side of the screen INDIVIDUAL MOVEMENTS INDIVIDUAL MOVEMENTS Test date 11 12 2014 ao The INDIVIDUAL MOVEMENTS screen shows a bar chart with the scores achieved for the movements attempted The movements are listed down the left side of the graph If a specific movement was not completed there will be a blank for the movement on the bar chart The specific score out of 100 is also shown for each movement MovementscreEEN Also provided is an average value based on the combination of all the completed movements which is the bottom bar or larger circle in the case of a comparison screen COMPARE FUNCTION It is also possible on the INDIVIDUAL MOVEMENTS results screen to compare a client s current test with their previous test results in order to see if any changes have been identified In this case the functionality involves clicking the compare button located in the bottom right hand corner of the screen The button will change shading indicating it is active and a scrolling field will appear to allow the user to identify which test they want to use in the compare function The user should select another test and then will be automatically taken back to the INDIVIDUAL MOVEMENTS screen If it is the same test a text box will appear that says This is the same test please choose another test Click OK to return to the selection field of previous tes
40. ility 5 Balance 12 Strength 2 Stability 3 The actual scores for strength 38 and mobility 46 are the domains with the lowest scores Strength isratedinthe poor category while mobility isratedinthe poor category Scores in the average category or below should be the focus for corrective exercises In order to work on deficiencies in the strength domain the following types of exercises and movements are recommended Mobility The degree to mamky N which a joint an articulation 3 can move without inhibition before being restricted by surrounding tissues ligaments tendons muscles etc Stability The ability to maintain or control joint movement or position against perturbation forces Stability is achieved by the coordinating actions of surrounding tissues and the neuromuscular system Strength The force or torque generated by contractions of muscles to move or support Mobility the weight of the body b 4 CORRECTIVE STRATEGIES The following table goes one step further to highlight which joints and associated muscles are at greatest need of developing specific capacities based on the results of your most recent test As you can see the top three body areas joints for each capacity have been outlined There is no substitute for the advice and quidance of a quality health professional so it is recommended that if you are under their care you follow their advice However a basic corrective Strategy template
41. in this way in the last week 2 In the last week how many times did you do any vigorous physical activity which made you breathe harder or puff and pant excluding household chores and gardening Estimate the total time that you spent doing this vigorous physical activity in the last week E 3 In the last week how many times did you do any other more moderate physical activities that you have not already mentioned FUG UOU Estimate the total time that you spent doing these moderate activities in the last week gt m SEDENTARY ACTIVITY On average how many hours per day do you spend sitting watching TV videos DVDs or playing video or computer games or surfing the internet for pleasure a 3 On average how many hours per day do you spend driving or being driven i ij z Does your job require sitting for long periods PHYSICAL ACTIVITY data entry screen The PHYSICAL ACTIVITY screen is based on the Active Australia Survey a questionnaire that has been used in Australia for state and national surveys of adult physical activity patterns There are six basic questions to determine the total minutes of leisure time physical activity vigorous activity minutes are multiplied by two in the standardised way to account for the added health benefits associated with more intense exercise The questionnaire can also be used to determine who reaches sufficient levels of physical activity This is currently set at 150 30
42. ing the fact the client has an injury plus a separate circle in yellow on the graph based on all other measurements including the score on the movement associated with the injured site if the user checked yes to include it in the overall injury risk calculation MovementscrEEN RESULTS screens There are a number of output screens results available in MovementScreen The icons along the top of the results screen allow the user to display the range of results of the movement screening process The icons from left to right represent result screens for INJURY RISK INDIVIDUAL MOVEMENTS DISABILITY ASSESSMENT PHYSICAL CAPACITIES CORRECTIVE STRATEGIES and PRINTING the MovementScreen summary report INJURY RISK INJURY HOT SPOTS INJURY RISK screen for a single test In this example the client has also checked injury pain was associated with at least one of the movements This is indicated by the black circle showing 100 injury risk for the injured site MovementscreEN Injury risk screen is the opening results screen The screen has a bar graph on the left hand side This will have a yellow circle and a value out of 100 next to it indicating the calculated overall probability for injury This is based on all the input variables entered in to the program There are also some labels to indicate the categories of risk Low Injury risk values are associated with a lower probability of an in
43. ite a cable stack with the handle at shoulder height Pull in towards the ribs without hitching the shoulder then control the speed as you lower the weight single arm cable band archer Kneel opposite a cable stack with the handle at shoulder height row with the knee opposite to the loaded hand forward Pull in towards the ribs without hitching the shoulder then control the speed as you lower the weight single arm Latissimus Dorsi Kneel to the side of high cable pulldown Grip cable in one hand Palm facing forward Pull cable to shoulder Return to start position Serratus Anterior push ups Start in a kneeling pushup position with your core engaged and arms straight Keeping your elbows straight complete a pushup using your shoulders only Allow your scapulae to move back and together and then back to a neutral position seated hamstring stretch Sit on the edge of a bench with one leg straight other leg bent Lean forward from hips ensuring you are maintaining a neutral spine Reach towards shin of straight leg Movementscreen seated cross leg Sit on the ground plinth with both legs straight out in front of you FABER FADIR You may have hands grounded behind for support Bend the leg at the hip and knee that you are going to stretch mobilise drawing the foot towards you along the ground FABER Flexion Abduction External Rotation For this component place the drawn in foot on the outside of the knee lower thigh of th
44. jury to the client and will be shown in the low category on the screen This corresponds to a Injury risk of less than 2 Clients with values between 2 lt 25 are at moderate risk between 25 lt 50 at significant risk from 50 lt 75 at high risk and clients with Injury risk of 75 or above are at a very high risk of musculoskeletal injury Also shown on this screen are the injury hot spots calculated from the specific question responses and movement scores achieved in the various activities of the movement analysis process The figures illustrate where on the body the high very high significant and moderate joints for injury risk are located These will be shown as red orange and yellow circles respectively Joints not associated with any coloured circles are at a risk less than moderate based on the information provided by the client INJURY PAIN areas lf the user has checked an injury pain button on any of the individual movements on the MOVEMENT ANALYSIS screen then any body parts joints identified at that time will automatically be shown as red on the INJURY RISK results screen Other higher risk injury sites may also be shown in red but this would depend on the calculated scores when all information is entered into our algorithms for injury risk calculations INJURY RISK INJURY RISK o INJURY RISK screen MovementscREEN COMPARE FUNCTION It is also possible on the INJ
45. leg straight Lower chest toward wall Move back foot backwards to increase stretch clams Lie on side head supported knees bent Maintain torso position slowly lift and lower knee off floor keeping heels together Focus on squeezing buttock to lift the knee Movementscreen door frame stretch Stand place forearm against wall perpendicular to floor Elbow slightly above shoulder height Turn chest away from wall dowel rotations Stand with a dowel across your back as if about to do a squat start rotating side to side starting initially at the trunk Soften the knee and start to also allow the hips and ankle to rotate FitBall dumbbell press Exercise ball supports upper ribcage and shoulders Feet shoulder width apart hips extended into a neutral hip extension Dumbbell in each hand Press dumbbells upward from shoulder maintaining the wrists above the elbows Maintain stability on the ball FitBall roll outs Kneel facing exercise ball Arms straight hands on stability ball Fall forward onto the ball as ball rolls forward Arms support body weight Push arms into the ball to return to the start position Maintain posture throughout FitBall seated single leg slides Sit on a suitably sized exercise ball so that hips are at around 90 Maintaining a good sitting posture Place your feet against each other with a 90 angle at your knees Lift one foot just slightly above the ground so that you are now stabilising with just one
46. lient button you will return to the DATABASE screen where a list of clients will be shown The new client entered will also be shown Click the new client s name then click the New test icon to begin entering the test data The first screen shown is the MEDICAL HISTORY screen Navigating in MovementScreen is simple and this is summarised below Loading a previous test for a client in the database PREVIOUS TESTS The PREVIOUS TEST screen showing a client s previous test results in the database MovementscreeN There are the usual exit the screen and print screen icons in the top left corner of the screen Highlighting a specific test from the list and then clicking on the buttons on the right side above the previous test field allows a number of functions as outlined below View previous test results non edit mode This function will re load a previous test record from the database but will not allow any changes while reviewing the record Delete a previous test Delete icon If you want to delete a previous test then click the Delete icon A warning will be provided before the data is lost to indicate the data cannot be retrieved View previous test results edit mode View previous tests in the edit mode This mode is used to reload a previous test to review the results and modify the data if required All calculated results will be re adjusted automatically and stor
47. lp to keep your exercise safer and hence more enjoyable and sustainable INJURY RISK Exercise is extremely important to improve overall health However the act of performing exercise itself carries a certain degree of risk Therefore it is very important that if commencing an exercise program an appropriate professional should screen you The movement screen you have gone through is a great way to better understand your individual level of musculoskeletal injury risk Your overall level of injury risk is based on the history you provided and the scores obtained from all sections of your movement screen Your level of risk is 99 This places your injury risk in the very high category This level of risk can be addressed through the recommendations made below by following suggestions from your exercise professional and by decreasing body fat and sedentary time INJURY RISK HOT SPOTS The figure below includes what body parts are at greater risk of musculoskeletal injury based on your history and current movement capacity and what you scored for each of the movements included in your screen INJURY PISK WURY HOT SPOTS The injury risk is the probability of a musculoskeletal injury based on all measures entered into the program including where relevant physical activity and sedentary behaviours BMI disability PHTSIVAL LAFAI IHES The compare function shows changes in the 5 dimensions of movement as follows Symmetry 47 Mob
48. ms Obviously the more measures that are included then the more accurate the final evaluation becomes The MovementScreen program contains e apre exercise screening system using stage of the Australian adult Pre exercise Screening System www fitness org au preexercisescreening to help decide if a person is ready to undertake fitness testing or begin an exercise program or whether further medical or allied health guidance is required e a standardised physical activity and sedentary behaviour questionnaire Active Australia Questionnaire that is used in state and national surveys to determine if a client reaches sufficient levels of physical activity or if they have a health risk factor associated with insufficient levels of activity e a disability assessment tool using the World Health Organisation Disability Assessment Questionnaire The tool calculates a risk factor score based on the client s responses to 2 standardised questions e tools to assist in the evaluation of posture using both front and side views including a photo capture and storage protocol e a movement analysis procedure using a rating system for 9 standardised movements This includes the capacity to record client videos and compare these movements against reference video clips e avariety of results screens including a injury risk score hot spot areas for injury risk using up to 5 different body sites individual movement rankings against norms a disability as
49. n of activity in the last week Client s signature Date SEDENTARY ACTIVITY Tester s signature Date Recent research indicates being sedentary is very detrimental to our health and that this can potentially outweigh some of the benefits obtained from physical activity It is very important to try and decrease your sitting sedentary time as much as possible to no more than 8 hours per day Ways this can be done include finding opportunities to move more such as standing up regularly during your day taking stairs parking further from your destinations and reducing TV Name Lynda Little Age 44 0 yr Test date 17 12 2014 100 single lag sgus MOVEMENT SCREEN SUMMARY a lt Movement screening is an important process to go through to ensure the type of exercises you 100 CW mn bed do are at a level of intensity and complexity that are appropriate to your current capacity and 100 ph oppose amnneg w physical needs This will help to keep your exercise safer and hence more enjoyable and pase sustainable 100 INJURY RISK Exercise is extremely important to improve overall health However the act of performing exercise itself carries a certain degree of risk Therefore it is very important that if commencing an exercise program an appropriate professional should screen you The movement screen you PHYSICAL CAPACITIES have gone through is a great way to better understand your individual level of musculoskeletal Quality of movement is af
50. n signs and or symptoms of disease that are critical to know when making a decision about whether exercise specifically aerobic type activities can begin For example does the tester require further information guidance from a medical practitioner or other health professional Are there specific elements of an exercise program that need to be included or excluded for a particular client This information is part of the data entry process on the MEDICAL HISTORY screen The medical history screen or stage of the APSS is included since aerobic exercises are often part of a general fitness program Some people have underlying disease which may be undiagnosed but nonetheless may pose a significant problem especially when they elevate their heart rate and overall metabolism Sometimes these problems may be signalled by certain signs or symptoms SCREEN M CD H Mov Signs and symptoms may include e pains in the heart chest or surrounding areas This may be a sign of restriction of blood supply to the heart muscle ischaemia e shortness of breath especially at rest or at night This may involve a reduced blood flow to the lungs or lung disease affecting air flow into the lungs e swelling or accumulation of fluid about the ankles oedema This may indicate a problem related to the heart which affects its ability to pump blood around the body e irregular heart beats or palpitations associated with electrical conduction pro
51. n the information supplied However because it is not always in the best interests of health promotion a client may be advised to proceed with further testing exercise despite answering Yes to one of the questions on this screen IF the tester decides the condition is stable or IF it is deemed that the condition does not present an unnecessarily high risk to the health of the client if they were to continue This is a professional judgement that can override the automated system On the MEDICAL HISTORY data entry screen there are also input fields for height and weight These are used to calculate the client s BMI which in turn is used as part of the algorithm to estimate injury risk People with higher BMI scores especially above 30 BMI units are known to have an increased potential for musculoskeletal aches pain and injuries MovementsCREEN Height and weight Height where possible is measured in bare feet and weight in light clothing no shoes Don t be too surprised if height varies a little more than expected from test to test Height usually decreases throughout the day by about This means around 5 2 0 cm decrease during the day as our joints predominantly in the spine compress due to gravity From the height and weight MovementScreen derives the Body Mass Index BMI The BMI is calculated by dividing weight in kg by height in metres squared There has been a very rapid increase in the number
52. n this tool Client s signature Date Tester s signature Date Under the MEDICAL CONDITIONS section there is an area where any notes or listed medical conditions will be detailed This section also contains the screening decision based on the APSS protocol For any client who checked YES to any question on the MEDICAL HISTORY screen or for whom the user checked Refer for guidance the screening decision will indicate the client is ata HIGH risk for an adverse event during aerobic based activity Professional judgement should be applied in these cases to determine whether to continue with the musculoskeletal assessment that forms the basis of the MovementScreen program MovementscreEN Appendix Corrective Exercises 4 point On all fours with neutral spine Place hands under shoulders and knees under hips Brace abdominals Push chest slightly upward to help achieve ideal scapula setting don t hitch shoulders 4 point alternate arm lift On all fours with neutral spine Push chest slightly upward to help achieve ideal scapula setting don t hitch shoulders Brace abdominals then lift one arm without swaying or dropping the chest Alternate 4 point adductors kneel on a soft mat Ideally one that allows your knees to slide stretch hip mobility drill otherwise place a scrunged up towel onder your knees that can help you slide Rest either your hands or forarms on the floor so that you are in a 4 point po
53. nals and 4 Lie supine knees and hips bent to 90 Lift one leg from the ground then lift the other to meet it Return leg to start position repeat on the other leg Maintain neutral spine position throughout hip extension sequencing Lay on your front and activate your deep core muscles Keeping your legs straight lift one a few centimetres by squeezing your glute aim for the glute to activate before the leg starts to move Relax back down hip lifts Lie face up knees bent feet flat on floor Preset lower abdominals Lift hips to align with shoulders and knees Pause for 2 3 seconds lower and repeat Hold neutral spine position throughout hip lifts single leg lifts Lay on back knees bent brace abdominals Ift hips from ground by squeezing glutes Hold top position lift one foot from ground Alternate sides then relax down and repeat knee push ups Supported on hands and knees body straight Lower chest towards floor Push up slowly Repeat as directed kneeling bentover anterior Kneel with an exercise ball in front of you hands on top with palms shoulder stretch with hands down arms straight on FiiBall Slide the ball forward whilst sitting back into your heels dropping your chest towards the ball Hold this gentle stretch until it eases then come back up Movementscreen lateral flank SMER Position foam roller under the postero lateral aspect of your rib cage with your bottom hand hip and legs on the floor
54. ning how to get to a new place How much of a problem did you have joining in community ie festivities religious or other activities in the same way as anyone else can How much have you been emotionally affected by your health problems Concentrating on doing something for ten minutes Walking a long distance such as a kilometre or equivalent Washing your whole body Getting dressed Dealing with people you do not know Maintaining a friendship 0000 0000000 OOO0O00000 00 O O O O O O 0 010 O O Your day to day work DISABILITY ASSESSMENT screen This stage of the evaluation uses an internationally recognised disability assessment tool developed by the World Health Organisation The DISABILITY ASSESSMENT data entry screen involves 2 questions about the client s ability to stand and walk short distances undertake household chores learn new tasks socialise and communicate with others concentrate and to undertake daily tasks of self care and personal hygiene The responses to these questions allow a score to be calculated and a percentile rank to be generated and graphed against international norms These are age and sex specific When you have finished entering data on the DISABILITY ASSESSMENT screen then click the next icon to proceed to the POSTURE ANALYSIS screen where body posture is photographed and measurements are recorded MovementscreeN POSTURE ANALYSIS POSTURE AS
55. nother test Click OK to return to the selection field of previous tests to choose a different test Once an appropriate test has been chosen and the user returns to the DISABILITY ASSESSMENT screen a blue comparison circle will be shown on the bar graph to indicate the comparison results for each WHODAS test The specific dates of the two tests will be shown in a key on the bottom right hand side of the screen Once the compare function has been selected and a test chosen the user will be taken back to the INJURY RISK results screen but can then click any of the other results icons to reveal other comparison screens To remove the comparison test simply click on the highlighted compare button on the lower right side of the screen DISABILITY ASSESSMENT 25 Age specific percentile rank Test date 1 v WHODAS Disability score 15 12 2014 _Test date2 WHODAS Disability score 4 11 12 2014 DISABILITY ASSESSMENT results screen for a comparison test MovementscreEN PHYSICAL CAPACITIES PHYSICAL CAPACITIES gga aue ets Symmetry 27 R Balance 38 Strength 36 Test date 11 12 2014 Stability 50 Mobility 41 The PHYSICAL CAPACITIES result screen has a pentagon shaped graph to illustrate the scores on the five physical capacity domains The five domains are symmetry strength mobility stability and balance The scores are read from the centre out so that a score yellow circle located on the pe
56. nt is created first name last name gender and date of birth Occupation is also strongly recommended as well as country of origin CLIENT INFORMATION NAME DETAILS CONTACT DETAILS The CLIENT INFORMATION screen showing the fields that are available Note that the name gender and birth date are essential items for each client The icons along the top of the CLIENT INFORMATION screen from left to right allow saving a client to the database or saving changes made to a client s database details deleting a client from the database printing the screen containing the client details exiting the screen to the previous DATABASE screen 7 Save client Click this icon to save a new client in the database or to save changes made to an existing client The program will automatically return to the DATABASE screen x Delete a client Delete icon If you want to delete a client from the database then click the Delete icon A warning will be provided before the client is deleted to indicate the data cannot be retrieved MovementscreeN xa Print screen Print report click this icon to print the screen shown Exit the screen Exit click this icon to exit the CLIENT INFORMATION screen and return to the DATABASE screen After the client s details have been entered on the CLIENT INFORMATION screen then click the Save client button to save the client s details Once you click the Save c
57. of adults who are classified as overweight BMI 25 29 9 and obese BMI 30 in most countries around the world over the past 2 3 decades This pattern is accelerating and is being mirrored among children A BMI over 30 is considered a cardiovascular risk factor as well as a risk factor for musculoskeletal injuries A key element of weight management is regular exercise and as much general movement as possible during the day Because most of us sit for long periods of the day for example behind computers in our work environment or in front of the TV it is virtually impossible to get to the 10 000 step per day recommendation via incidental activity alone Modern movement patterns of adults have a median value around 4 000 6 000 steps and these low movement patterns contribute to the overweight and obesity problems in most countries People who have been successful in losing weight and maintaining the weight loss have almost universally included a large component of physical activity into their daily routine as well as dietary modifications At the conclusion of the MEDICAL HISTORY data entry click the next icon down the right hand side of the screen the PHYSICAL ACTIVITY screen icon Movementscreen PHYSICAL ACTIVITY PHYSICAL ACTIVITY In the last week how many times have you walked continuously for at least 10 minutes for recreation exercise or to get to and from places Estimate the total time that you spent walking
58. riphery of the pentagon is a very good score equal to 100 This is the maximum score possible on any of the physical capacity domains A score in the centre of the pentagon is close to zero and is a poor score indicating poor physical capacity for that domain The domains are linked with a yellow line to illustrate a general shape based on the combination of scores in these five domains However the domains can also be viewed individually to indicate which areas of the client s physical capacities may need attention through corrective exercises or other behaviour change strategies Movements performed by the client are linked to a scoring system for the various physical domains Scoring well or poorly on different movements therefore carries weight for specific domains relative to others COMPARE FUNCTION It is also possible on the PHYSICAL CAPACITIES results screen to compare a client s current test with their previous test results in order to see if any changes have been identified In this case the functionality involves clicking the compare button located in the bottom right hand corner of the screen The button will change shading indicating it is active and a scrolling field will appear to allow the user to identify which test they want to use in the compare function The user should select another test and then will be automatically taken back to the PHYSICAL CAPACITIES screen If it is the same test a text box will appear that s
59. s tandem walk eyes shut Stand with one foot right in front of the other so that the back of the heel of the front foot rests against the front of the toes of the back foot Close your eyes Now attempt to walk as if on a tight rope with each forward moving foot landing right in front of the back foot to maintain the tandem alignment towel scrunge Stand or sit with one bare foot resting on a towel on the floor Aim to scrunge up the towel with your foot by flexing the toes and foot Repeat 10 20 times per foot VMO 1 4 squats Stand with feet shoulder width apart Contract quadriceps by pulling the knee caps upwards Sit back into hips by bending knees to a comfortable depth Stand back up to full knee extension VMO activation Stand with feet hip width apart Contract quadriceps by pulling the knee caps upwards Relax and repeat Movementscreen
60. s answered during each MovementScreen test The important thing to remember is that there is no need to take all the measurements MovementScreen software allows you to decide how many of the variables you will measure and enter into the program If you do not want to measure posture variables for example then just skip this screen Similarly if you do not want to undertake specific individual movements or your client doesn t want to complete the disability assessment then simply skip these measures MovementScreen will still calculate a range of variables for your client using the input variables that were completed Obviously the more measures you enter the more accurate the screening feedback will be The general categories of measurements including questions about medical problems and health status physical activity and sedentary behaviours measurements of posture and movement performance and other variables such as BMI and disability assessment responses and used in a weighted combination to estimate how your client s movement reflects optimal movement capacity how it might relate to injury potential what sites on the body are more or less susceptible to injury and what general corrective exercises might be useful to enable better movement patterns and functionality Over time it is also possible with pre post testing to see how much of a difference lifestyle and behavioural factors and specific exercise training can impact on these Mov
61. scribed To navigate from one movement to the next click on the icons across the top of the MOVEMENT ANALYSIS screen There is no required order but it is best to undertake these in the order shown from left to right Since each movement is highlighted when the user is on the screen it becomes easier to navigate and remember which movements have been completed The battery of movements in the program has been selected to address the following key concepts That common movements and movement patterns performed in exercise settings are represented such as pushing pulling squatting lunging bending twisting and stepping That movement capacities such as stability mobility symmetry balance and strength are represented across the main movement patterns That all large joint complexes can be analysed for all movement capacities The movements are scored in two ways A set of objective questions are provided for each movement that describe the competencies that are commonly accepted for exercise instruction and performance These questions require a basic yes no answer based on whether the competency was achieved or not There should be no middle ground with these A yes means that the competency was achieved by the client You will note that the default setting for each movement is for all questions marked as yes so you must ensure that when analysing your client s movement that you mark any competencies not reached as
62. sessment percentile rank physical capacity scores in 5 domains symmetry balance stability mobility and strength and corrective exercise suggestions e a compare feature so that pre post changes can be quantified for individual clients e a comprehensive print reportfeature that includes explanations of all output variables e asystem for storing retrieving analysing comparing graphing printing and exporting movement profiles on individuals MovementScreen movement analysis software Copyright 2014 by Movement Screen Pty Ltd MovementscrEEN All rights reserved The license agreement for this software means that the product cannot be installed on a computer or server network outside of the purchasing establishment The software must not be reverse engineered decompiled or disassembled You may not copy the product Purchases do not have the right to resell distribute or pass on as their own any images text diagrams or software contained in the manual or in the software You must ensure that your use of this product does not infringe the copyright moral right patent or other intellectual property rights of any person No part of this manual may be copied or used in any manner without written permission of the copyright authors except in the case of brief quotations embodied in critical articles and reviews For information please contact Movement Screen Pty Ltd 9 Kensington Road Norwood South Australia 5067 em
63. sition Allow your knees to slide out to the sides abduct as far as possible until you feel a gentle stretch typically on the proximal adductors Gently rock back and forth for 6 or so reps ensuring you are maintaining a neutral spine Try to slide knees out a bit further Repeat this process 2 4 times 4 point pointer dog Kneel with hands on floor below shoulders opposite arm leg lift Preset lower abdominals Lift alternate arm and leg while maintaining neutral spine position Repeat on the other side ankle mobility drill knee to Start with your foot 5 10 cm from a wall post wall Keeping your heel down try to touch your knee to the wall If you touch easily slide your foot back and repeat if you cannot touch the wall slide your foot forward Settle into a position where you can only just touch the wall with your heel down Move back and forth until it becomes easier Use a tape measure on the floor to keep accurate track of progress ankle pendulums Stand facing a wall place hands against the wall and lean into it for stability Lift one leg and let it swing side to side like a pendulum Focus on trying to rotate through the grounded ankle Movementscreen anterior hip mobility drill While standing slide one leg back keeping the back leg straight foot facing forward and heel down Rock forward maintaining a neutral pelvic alignment Reach overhead as you rock forward to increase stretch archer straight arm Set cable ban
64. tandem stand MEDICAL CONDITIONS Strength The client has been screened as LOW MODERATE risk using stage 1 of the Adult Pre exercise Screening System If they have no other concerns about their health they may proceed to undertake aerobic based exercise physical activity with appropriate supervision and progression Disclaimer This MovementScreen tool is a general screening tool and does not provide advice on any specific matter Sn tas _Mstecatshris injury or limitation nor does it substitute for advice from an appropriately qualified medical practitioner The PHYSICAL ACTIVITY corrective exercises are broad suggestions and based only on the information entered in the program More Maintaining adequate levels of physical activity PA is very important for overall physical and specific advice should be obtained from an experienced exercise professional No warranty of safety should mental health reducing the risk of some cancers diabetes and cardiovascular disease It is result from its use The MovernentScreen system in no way guarantees against injury or death No recommended that we should accumulate 150 300 min of moderate PA on a weekly basis responsibility or liability whatsoever can be accepted by MovementScreen Pty Ltd for any loss damage or For those who can including bouts of higher intensity PA is even better for health benefits Py Pt ey eRe OE By PETRON BONNY On SeaerraNts Or DOONAN Conta ae ie nee SOE You reported performing mi
65. te marker for the front toes To perform the movement the client is to stand at the closer marker with feet hip width apart and facing forward with hands across chest on shoulders Instruction to client Take a step forward so that the front foot s toes land as close to the far marker as possible Drop into a lunge as far down as you feel comfortable The movement is scored up to the point that the client reaches the bottom of the lunge Neutral lumbar position no hyperextension or flexion Trunk parallel to front shin Lead thigh reaches horizontal plane Horizontal pelvis and shoulders Knees in line with feet Balance maintained DEADLIFT WITH BENT OVER ROW Client Set up Client to place feet shoulder width apart with approximately 0 external rotation Hold onto the dowel with the arms and hands hanging by the side of body Instruction to client Bend down by bending hinging at the hips while keeping the spine back neutral Bend down as far as comfortable aiming for the trunk to be parallel to the ground Keep heels on ground Once bent over perform a rowing movement bringing the dowel to your chest MovementscreEN Trunk to parallel Trunk spine remains in neutral alignment no change to lumbar or thoracic curvature Symmetrical weight loading movement path Knees stay in line with feet Hands dowel to chest height Horizontal body and dowel alignment SINGLE LEG SQUAT
66. the photograph Note also that there is a re size photograph tool so that optimal photo positioning can be achieved If the user wants they can scale the image up mark the specific landmarks while in the zoom mode and then re size back down to see the entire image The specific anatomical landmarks are indicated below Left and right eyes look for lower border of the orbital socket 2 Left and right shoulders pick a boney landmark either of anterior tip of acromion process or acromioclavicular joints 3 Left and right hip anterior superior iliac spines ASIS 4 Left and right knee approximate centre of patella 5 Left and right ankle lateral malleolus IMPORTANT FRONT VIEW analysis requires dots to be drawn from the top pairs down Once this is completed click the SUMMARY button to display calculated tilt angles These indicate the degree to which the landmarks align with the horizontal plane and are used in the injury risk analysis The client faces the camera and then turns 90 to their left from the viewfinder on the camera they will be facing to the right They are positioned in a relaxed natural stance with arms to the side slightly off the body and posterior to the mid line The user places a dot on the photo and it is important to start from the ground up The side view requires the user to mark the photograph at specific anatomical positions after clicking both the drawing icon
67. ts to choose a different test Once an appropriate test has been chosen and the user returns to the INDIVIDUAL MOVEMENTS screen a series of blue comparison circles will be shown on the bar chart to indicate the comparison results for each movement The specific dates of the two tests will be shown in a key on the bottom right hand side of the screen Once the compare function has been selected and a test chosen the user will be taken back to the INJURY RISK results screen but can then click any of the other results icons to reveal other comparison screens To remove the comparison test simply click on the highlighted compare button on the lower right side of the screen INDIVIDUAL MOVEMENTS Test date 1 15 12 2014 Test date 2 w 15 12 2014 The INDIVIDUAL MOVEMENTS results screen for a comparison test amp MovementscreEN eee DISABILITY ASSESSMENT DISABILITY ASSESSMENT DISABILITY ASSESSMENT results screen for a single test The percentile shown on the screen for the client s WHODAS score is displayed relative to age and sex specific norms in the population The third icon along the top right of the RESLUTS screen is for the DISABILITY ASSESSMENT results This is the WHO based questionnaire result and is shown on a bar graph as an age specific percentile rank out of 100 Also shown below the bar graph is the actual score for the questionnaire Lower scores are best less disability and this will result in a h
68. uscles etc Stability The ability to maintain or control joint movement or position against perturbation forces Stability is achieved by the coordinating actions of surrounding tissues and the neuromuscular system Strength The force or torque generated by contractions of muscles to move or support Stability 100 D MURY HOT SPOTS the weight of the body INJURY RISK Balance 69 Srength 10 MovementscreeN Compare lf the client has undergone previous tests then clicking the Compare icon allows several of the performance measures to be plotted on the same graph as the current test profile PERSONAL INFORMATION 1 15 12 2014 Name test new Test date 2 11 12 2014 Address Email Phone Gender Male Date of birth 08 09 1981 Occupation Test 1 Test 2 Height 180 0 cm Height 165 0 cm Weight 78 0 kg Weight 88 0 kg BMI 24 1 BMI 32 3 MEDICAL CONDITIONS PHYSICAL ACTIVITY Test 1 Patient suffers from chest pains asthma attack Test 1 diabetes Physical activity 187 min week Sedentary time 5 hr day Test 2 Physical activity 207 min week Sedentary time 4 hr day Test 2 Patient suffers from dizziness The most recent test Test 1 shows The client has been screened as HIGH risk using stage 1 of the Adult Pre exercise Screening System It is recommended they seek advice from a medical practitioner or an appropriate allied health professional before undertaking an aerobic based exer

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