![BIBLIOGRAPHY
Comereski, J. S., Niedzielski, M. (2004). The effects of
posture on running performance: A case study. American
Medical Athletic Association Journal, 17(1), 8-10.
Sato, K. and Mokha, M. (2009). Does core strength training
influence running kinetics, lower-extremity stability,
and 5000-M performance in runners? Journal of Strength
and Conditioning Research, 23(1), 133-140.
Van Gent, R. N., Siem, D., van Middelkoop, M., van Os, A.
G., Bierma-Zeinsfra, S. M. A., & Koes, B. W. (2007).
Incidence and determinants of lower extremity running
injuries in long distance runners: a systematic
review. British Journal of Sports Science, 41(8), 469-
480.
Postural Restoration Institute. (2012). [Video explanation
of muscle activation in running with proper hip
alignment]. Lori Thomsenâs Running Video. Retrieved
from
https://www.posturalrestoration.com/community/post/576
/lori-thomsens-latest-running-video?id=576](https://image.slidesharecdn.com/524b4a6d-358c-400a-ba2e-886bbdda02d1-160713145840/85/Field-Work-Project-Proposal-5-320.jpg)
Field Work Project Proposal
- 1. Field Work Project Proposal Sunday, April 19th, 2015 Thom Manning Purpose: Create a screening protocol specific to running using observational data gathering over the course of a summer-long internship at the Natural Running Center in Shepherdstown, West Virginia with Dr. Mark Cucuzella. Motivation: Running injuries of the lower extremities affect athletes of all levels and disciplines in the range of 19.4-79.3% of the population per year and that range grows to 92.4% when non-lower extremity injuries are considered (van Gent, 2007). Correcting running mechanics by gait retraining and strength training have produced equivocal results (Sato, 2009). What role can modern corrective methods play in improving running efficiency and how can these methods be adapted to be more running specific? Key Aspects ďˇ Built from existing systems of evaluations ďˇ Tests reflect primitive requirements for healthy running ďˇ Tests measure joint mobility as a system and independently ďˇ Focus on ability to generalize to any sport where running is involved ďˇ Utilize available technology to better assess athletes (e.g. Microgait, TrueForm Runner (TFR)) Possible Sequence of Responsibilities ďˇ Familiarize myself with the space where assessments will take place and maximize available materials ďˇ As interested participants apply, assess with developed protocol taking baseline measures ďˇ Create simple program of corrective exercises to pair with the regular running training of the participants to provide treatment variable ďˇ Request the participants return in 4-6 weeks for follow-up assessment and ask for self-reporting to have idea of adherence
- 2. Possible components to Running Protocol ďˇ Assessing breathing patterns/methods ďˇ Posture from quarter squat position ďˇ Hip stability/positioning (active) ďˇ Knee stability/positioning (active) ďˇ Ankle stability/positioning (active) ďˇ Multi-segmental flexion/extension/rotation ďˇ Thoracic spine mobility/asymmetry ďˇ Head/neck mobility/asymmetry Breathing Patterns/Methods Addressing shortcomings in breathing patterns and methods could promote postural restoration, more efficient energy use, and breathing capacity. With restored posture, athletes benefit from proper tilt in the pelvis, which repositions the correct curve of the spine, improves rib flair, and diaphragm positioning (Comereski, 2004). Gluteus, abdominal, and quadriceps muscles are more effectively activated as hip flexor, lumbar spine, and hamstrings muscles return to a more balanced position if anterior hip position is corrected (Postural Restoration Institute, 2012). Assessment: Simple breathing questionnaire and visual evaluation throughout interview and sample jog on TFR. Posture Characteristics of posture to note are head position above the shoulders, natural lordosis and kyphosis of the spine, a neutral pelvis, and no hyperextension in the knees. These characteristics will be addressed with breathing as well. The following assessment will also shed light on the mobility of the leg joints as they perform in unison. Mobility of the three joints of the leg will give a good idea of how the athlete may move his/her own body while running. Assessment: Assessment with Microgait camera by taking pictures in RFE quarter squat on each leg. A picture is taken of the ant/post sagittal and frontal views then used to complete âPosture Analysisâ table on page 4. Corrective: Badď Good w/shoulder pack, â100-Upâ minor exercise with corrective cues, overhead carries. Backward jogging, Leg swing (frontal and sagittal plane), Single Leg Hip swing Squat and Lunge with inelastic strap resistance sagittal and frontal Supine Hip Sway, Piriformis deep tissue manipulation, Pigeon stretch, Pronated plank hip extension, Plank hip ab/adduction, SLR w/bent flexed
- 3. opposite knee, Passive knee hang, Ankle Pump (supine dorsiflexion), Towel scrunch, Heel raises w/eversion- inversion, Theraband ankle ROM, Gastroc/soleus stretch Multi-segmental flexion/extension/rotation Running is an activity that involves movement of the posterior and anterior kinetic chains from head to toe. The ability of the athlete to flex, extend, and rotate throughout these joints will indicate the potential quality of movement. Assessment: The FMS Deep Squat, Hurdle Step, Rotary Stability, and Inline Lunge. Correction: Hip bridge w/marching Thoracic spine mobility/asymmetry Continuing inferiorly down the body, asymmetries displayed in the thoracic spine may reveal an imbalance in motion that causes chronic pain locally or farther down the kinetic chain. Assessment: FMS Shoulder Mobility test, Uni-lateral Shoulder Flexion from quarter squat position, Quadruped shoulder flexion, Quadruped Cat/Cow. Corrective: Plank (elbows) scapula flexion, Plank alternating shoulder flexion/extension, Internal rotation stretch (strap behind the back), bilateral maximal shoulder flexion with deep breathing, Side bending with late inhalation, Scapular wall slide. Head/neck mobility/asymmetry Measuring the mobility of the neck runner could reveal large asymmetries that may cause chronic pain because of the positioning of the head after long bouts of exercise. Assessment: From the same position as the posture assessment, prompt the athlete to maximally rotate the chin toward the shoulder. Measure the distance traveled for each direction. Take picture of neutral chin and rotated chin each direction. Correction: Assisted levator stretch w/CL hand under hip, Lateral head hang.
- 4. Posture Analysis Posture Aspect Ant Sagittal Post Sagittal Frontal Toe In/Out ââ ââ Foot Pro./Sup. ââ Knee Valgus/Varus ââ Torso/Hip Angle ââ ââ Rib Float ââ Increased Lordosis/Kyphosis ââ Uneven Shoulders/Scapula Head Position ââ Tests will not be applicable in all perspectives.
- 5. BIBLIOGRAPHY Comereski, J. S., Niedzielski, M. (2004). The effects of posture on running performance: A case study. American Medical Athletic Association Journal, 17(1), 8-10. Sato, K. and Mokha, M. (2009). Does core strength training influence running kinetics, lower-extremity stability, and 5000-M performance in runners? Journal of Strength and Conditioning Research, 23(1), 133-140. Van Gent, R. N., Siem, D., van Middelkoop, M., van Os, A. G., Bierma-Zeinsfra, S. M. A., & Koes, B. W. (2007). Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. British Journal of Sports Science, 41(8), 469- 480. Postural Restoration Institute. (2012). [Video explanation of muscle activation in running with proper hip alignment]. Lori Thomsenâs Running Video. Retrieved from https://www.posturalrestoration.com/community/post/576 /lori-thomsens-latest-running-video?id=576