Question

Design a one-week corrective exercise program for a friend or client. Your program must include the following:

1. Have your client fill out the Lower Extremity Functional Index and the Upper Extremity Functional Index. Summarize what the results tell you about your client (you do not need to submit the filled out forms).
2. Conduct an Upper Body Multi-Joint Movement Assessment and a Lower Body Multi-Joint Movement Assessment on your client. Summarize your findings and how these findings influenced your program design.
3. A detailed one-week corrective exercise program including specific exercises/drills/stretches, sets, and repetitions.
4. A comprehensive analysis of your program outlining how your prescriptions meet the needs of the client..

Answer 1

The The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person’s ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals. The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. The columns on the scale are summed to get a total score. The maximum score is 80. Interpretation of scores The lower the score the greater the disability.

Upper Extremity Functional Index (UEFI) Assesses the functional impairment caused by upper limb disability and pain. The final UEFI score ranges between 0 and 80 points. Scores closer to 0 indicate severe limitation whilst scores closer to 80 indicate very little to no limitation.

The Functional Movement Screen

The Functional Movement Screen (FMS) is a predictive, but not diagnostic, functional screening system. FMS is composed of 7 fundamental movement patterns.

1. Deep squat

The squat is a movement needed in most athletic events; it is the “ready position” that is required for many power movements such as jumping and landing.

2. Hurdle step maneuver

The hurdle step is designed to challenge the ability to stride, balance, and perform a single-limb stance during coordinated movement of the lower extremity (LE).

3. In line

The in-line lunge attempts to challenge the athlete with a movement that simulates dynamic deceleration with balance and lateral challenge.

4. Shoulder Mobility

This assesses bilateral shoulder ROM by combining rotation and abduction/adduction motions.

5. Active Straight-Leg Raise

This test assesses the ability to move the LE separately from the trunk, as well as tests for flexibility of the hamstring and gastrocnemius.

6. Trunk Stability Pushup

This test assesses the ability to stabilize the spine in anterior/posterior and sagittal planes during a closed-chain upper-body movement

7. Rotary Stability

The rotary stability test is a complex movement that requires neuromuscular control of the trunk and extremities and the ability to transfer energy between segments of the body

There are some Selective Functional Movement Assessment.

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Comprehensive analysis of the corrective exercise program.

Corrective Exercise is used to help assess and determine the root cause of imbalances and faulty movement patterns that lead to issues with posture, balance, and total body coordination.

Benefits of Corrective Exercise

Increases flexibility

Increases muscle activation

Increases joint stability

Improves neuromuscular efficiency.

Reduces risk of injury

Improves movement patterns

Increases ability to recover

Prepares the body for higher intensity exercise

Prepares the body for optimal performance

Corrects muscle imbalances