Thursday Thoughts: Your Thoughts on This Runner | Modern Manual Therapy Blog

Thursday Thoughts: Your Thoughts on This Runner


The runner from yesterday's Vidcast Wednesdays slow motion analysis is featured today.

There are some subtle things going on (to my eyes) that I think are directly related to her objective findings. I took this video prior to any intervention.


Two comments
  • the asymmetry is subtle and contralateral top to bottom
  • this is not her normal running pace, but even walking and standing were painful as baselines so I did not want her to push it
So, what are your thoughts? Leave them below in the comments, or the facebook page! The case will be a full write up after 3-4 more visits.


Update for my OMPT Channel subscribers! Online Follow up 1 of a DPT seeking care for his own chronic lumbar and radiating thigh pain. Under the Assessments Channel.

Keeping it Eclectic...

9 comments:

  1. Very extended gait pattern emanating from above. Thorax extended ("flat back" likely on postural screen), extended asymmetrical arm swing with increased left thoracic rotation, foot strike while knee and hip are extending vs going into flexion. Poor dissipation of forces and definitely respiratory dysfunction feeding into this.

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  2. I am going to look into her breathing next visit. Only have so much time during an eval. Very good observations! Her thoracic mobility per SFMA was FN, same with arm movements, so the asymmetry is being caused by something else which I'll write about soon. I'm sure you can guess what it is.

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  3. Typically what I find with asymmetrical arm swing is either a lateral stability or rotary stability deficit (upper-to-lower body). Wide elbows for the former and crossing midline for the latter. Given that her SLSq was spot on her lateral stability may be less of an issue, which leaves rotary stability. She carries her left arm farther from her body but her right arm crosses more in front of her body. Her pelvis looks to rotate more easily to the left, which if it's combined with what her right arm is showing might suggest she's not getting adequate left hip extension as her pelvis has a compensatory excessive rotation to the left (even at this slow a cadence). Given that she is having chronic left hip and back issues this makes sense, and the right-to-left anterior oblique line would be one to investigate. From a ChiRunning perspective she is biased towards accenting the forward half of her gait rather than the rearward half. There is a lot of inefficiency with this (albeit super common) as it places great/excessive onus on the hip flexors to generate power for locomotion. I would like to have seen perhaps a full length rear shot rather than a cropped torso but I understand you may have been space-limited. And I would have a talk with her about her shoes. :)

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  4. You may be spot on! Give it a few weeks and I'll write up her case

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  5. Thanks Erson. There is much more which could be elaborated on and it s important to note that she is in a compensatory pattern which will likely affect the SFMA results a bit. I do have some suspicions as to where you'll go with this but look forward to your post. Cheers...

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  6. Thanks Michael, she just had her second visit and it went very well. I'll update in a few more visits.

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  7. Did I miss the S: and O:? She lacks hip and knee extension, usually quad dominant. lands squarely on the heel, causing a breaking action, driving up stability demands at the core and drops L hip in R stance causing elongation and rotation of trunk. All in all I'd look to the glutes. I'd bet she is strong in sagittal plane and weak in frontal. she's even using PF > hip extension through stance for forward push.

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  8. I blogged about her case elsewhere, this was a "What do you see?" experiment and get other's eyes on her without the bias of subjective and objective

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  9. Incidentally after 2 visits, she went back to pain free running (probably a bit too early) and self discharged.

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