Abnormal Muscle Tightness Assessment

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Barbara is a 59-year-old female who works for the University of North Texas as a clerical support personnel. Prior to her start in the Master’s Program in Higher Education Administration, Barbara was a recreational runner who ran two to three times a week and went to a step aerobics class to train for 5K. Barbara also worked out in a health club doing group strength training and group indoor cycling classes to stay in shape for her activities, but rarely worked out on her own because she preferred the camaraderie of group activities.
Barbara exercised occasionally throughout the year of coursework but now that she has graduated but now wants to work with a personal trainer to start working out regularly and get back into better shape.
Barbara: …show more content…

During the second session, I will conduct the passive straight-leg raise assessment and the Thomas test, along with the trunk flexor, trunk lateral, and trunk extensor endurance tests, in an effort to identify any abnormal muscle tightness or weakness that can be addressed with the exercise program. I will use the results from these assessments to establish Barbara’s baseline levels of flexibility and core strength for comparison with future assessments to determine program effectiveness. In their initial conversation, Barbara identifies her primary objective as weight loss and indicates that she is motivated by tracking her results, so I have decided to take body composition and circumference measurements so we can track her progress toward her goals. During the assessments, Barbara was able to complete all of the fitness tests without complications. Rather than compare her scores to “norms,” I decided to simply record her scores to use as baseline values when measuring progress during future assessments, and to help with program …show more content…

Left hip flexors are tighter than the right – ROM in hips could be cause of back issue. She needs to increase ROM of hip flexors.
Truck extensor test Held truck flexion for 80 seconds Has a flexor extensor ratio of 1.4; needs to work on strength and endurance of back extensor muscles

Functional Movement and Resistance Training—Phase 1: Stability and Mobility Training
Due to the imbalances in flexibility and muscular strength and endurance, I will start Barbara with a program focusing on stability and mobility. This phase will last until she demonstrates effective strength of the core muscles and improved range of motion (ROM) of the hips. I estimate that she will spend two to four weeks in this phase.
• Frequency: Barbara will train two times per week with me and once a week on her own.
• Intensity: These exercises focus on using bodyweight to create an overload, leading to enhanced conditioning and stability of the core muscles.
• Type: Based on her goals and the results of the assessments, I have designed a program that will focus on exercises to help improve her core strength while also addressing the ROM of her

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