Thursday Thoughts: What Are Your Thoughts On This Runner? | Modern Manual Therapy Blog

Thursday Thoughts: What Are Your Thoughts On This Runner?


Every once in a while, I like getting your thoughts on a running analysis. We all have our experience and biases and collectively, I often get a lot of great feedback and observations.



Last time I posted a video like this, I did not tell you where the runner's complaints were. This time, I will, his main complaint is right lateral knee pain. That alone will probably bias you to look at different things. What do you see? Chime in below or on the facebook page.


Keeping it Eclectic...

7 comments:

  1. Quickly
    1) Rt foot lands flat on forefoot, Lt mildly lands on lateral aspect. This might account for a shortening of the Rt IT band.
    2) Lack of arm swing, trunk rotation.

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  2. I second the lack of arm swing / trunk rotation (esp. so to the R?); very upright posture, possibly with excessive bounce; L foot crosses to midline (more than R); want to watch again for slight trunk lean L; less glut activation Right?

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  3. I noticed the same things as Tom, he seems to be supinating a bit more on the L side and as he lands more pronated on the R he may not be absorbing impact as well with his foot, thus adding increased stress to the lateral compartment of the knee?

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  4. Loren WooldridgeMay 21, 2015 at 11:54 AM

    Start proximal then work distal, the foot initial contact might change if you address the pelvis/hip issues first. The patient has an abducted R arm (1:17) during R LE midstance which usually is a compensatory mechanism. The view isn't great but he also appears to have a moderate contralateral pelvic drop (1:40) at midstance on the R as well. This alone will tension the IT band. No great view but the patient doesn't appear to have any varus or valgus motor control issues. Assess hip strength and motor control of the LE during step down and hop testing?

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  5. Increased vertical displacement, initial contact slightly forward of COG, minimal hip extension. I would be curious to what his cadence was??

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  6. Thanks for the comments! I shot this one week prior to his eval quickly between my other cases. Other than looking at the video quickly I only identified a few LQ asymmetries with some initial screening. Full eval next week!

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  7. Arm swing and trunk rotation right is limited. Too much lean from trunk, and not the whole body. It's hard to tell in pants but his knee is pretty extended at ic especially for a mid striker.

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