Functional Movement

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Functional Movement Injury Prevention

• Stuart Butler MSc MCSP
• Chartered Physiotherapist

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Functional Movement in Running

• How Do We Run?
• What Causes Injuries?
• Can we decrease Injuries and Improve Performance?

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HOW DO WE RUN????
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One Foot In front of the Other!!

• Same principles

• Individual variables

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Running Mechanics
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Walking Vs Running
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WHAT CAUSES INJURIES??
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Average Track and Field Injuries

• Approx. 70 Track 30 Field Split
• Approx.
• 30 Acute
• 70 Gradual Onset
• Lower limb (70)

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Average Track and Field Injuries

• 75 in Training
• Average injury causes loss of 7 -14 days
• Likely to me muscle strain / ligament sprain

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Therefore.......

• Most Injuries are due to repetitive mistakes
• Primarily restrictions in movement
• And / or
• Mistakes or errors in the movement

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Functional Movement Screen

• How Can we Look at the Actions used during
  Running?

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Dysfunction of the Kinetic Chain

• Excessive Pronation
• Knee Turning in
• Thigh turning in
• Hip dropping
• Shoulders uneven

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Break it down.....

• Components...
• Squat
• Single Leg Stance (Hurdle Step Over)
• Lunge

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And then try and analyse them in functional
positions
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Squat

• Key Points
• Knees over toes
• Knees forward
• Flex at waist
• Back straight

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Hurdle Step / Single leg Stance

• BALANCE
• Knee Forward and over toes
• Hips Level

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Lunge

• Lower Limb Mobility
• Trunk Stability

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COMMON ISSUES

• And what can we do to prevent injury and improve
  performance....

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Trunk Rotation

• Ability to rotate Right and Left
• Aim to be symmetrical
• Must sit tall, and lock the pelvis still

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Hip Extension

• Difficult to assess
• Important in Gait
• Best tested in Thomas position
• Can potentially measure distance from foot to the
  floor
• Must keep opposite knee pulled into chest

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Hip Extension
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Lunge Stretch

• Lunge Position
• Push hips forward
• Lean out to opposite side

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Medial Rotation (Hip)

• Often associated with tight gluets
• Again important in Gait, especially in single leg
  stance, both for support and propulsion
• Asymmetries
• Can measure distance between ankles

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Gluets Stretches

• Squeeze - 10s
• Relax - 20s

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Loss of Dorsiflexion

• Ability to pull for toes towards your body- Calf
  Tightness
• Asymmetries
• Can measure distance from wall to big toe,
  keeping heal on the floor

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Calf Stretch

• Heal Down
• Straight Leg
• Bent Leg
• Hanging off bottom Step

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Summary

• Functional Movement Screen takes basic movements
  and allows physios / coaches to spot potential
  areas of weakness that can potentially decrease
  the occurrence of injury and improve performance

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• knee below hip
• 
  box
• heel eversion
• knee past foot
• heel raise

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Any Questions?

• Stuart Butler MSc MCSP
• Allen Physiotherapy Rehabilitation and Sports
  Medicine
• Guildford
• 01483 571783
• www.physiosportsmed.co.uk