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Purpose:
The purpose of this assignment is to use my basic understanding and knowledge
of anatomy and therapeutic exercise and provide a rehab program for an activity of my
choice.
Procedure:
The functional activity that my partner and I have chosen to create a
rehabilitation program for would be that of a bowler. The bowling aspect were focusing
on is when the bowler is taking he wind up and follow through of the shot. It is a very fun
sport,despite if done incorrectly, it can cause bad injury.
The movements required for the specific action of bowling a ball would be as
follows; extension of shoulder with elbow flexed and wrist flexed with slight flexion of
thoracolumbar spine. As you follow through with your shot, the movement then changes
to flexion of the shoulder,with the elbow extended and pronation of the wrist. The
throcaolumbar spine extends back into neutral position and contralateral knee flexes
slightly, while the ipsilateral leg on same side as bowling arm, adducts slightly behind
contralateral leg.
Analysis of Movement:
The following chart below will depict the ROM of each movement and the muscles that
need to be strong and flexible to allow for the movement to happen. Duration of
movements and load resistance is also included in the chart;
ROM Required
Ant.Deltoid,Coracobrachialis,
Pectoralis Major. Biceps
Brachii,Brachialis,Brachioradialis,
Pronator Teres,Supinator.Wrist
extensors.
Muscles of Strength
Ant.Deltoid,Coracobrachialis,
Pectoralis Major. Biceps
Brachii,Brachialis,Brachioradialis,
Pronator Teres,Supinator.Wrist
extensors.
Quickness of Movement
Duration of Movement
Load Resistance
Lateral Epicondyliti
Description:
The name Lateral Epicondylitis means that there is inflammation to the lateral aspect of the
condyle on the elbow. itis means inflammation. The lateral condyle is the main origin of the
wrist extensor muscles and pronators. Lateral Epicondylitis occurs when there is too much
strain on the tendons of the muscles that originate from the epicondyle causing slight tears,
as seen in the above picture. This can relate to bowling because bowlers apply strain on the
extensor tendons as they use their thumb,index and middle fingers. They have to cock their
wrists into flexion which adds strain to the extensors as their being stretched. The added
resistance of the ball (8lbs-14lbs) adds extra load resistance on the arm,all whilst resisting
gravity pressure. Through repetition of movements between 10-24 times a game, this adds
a lot of pressure on that lateral epicondyle origin. If the technique is repetitively done
incorrectly, then that could pose as a serious injury concern if continued playing.
As seen from this above picture is the ideal form of the bowler. As you can visualize the arm
is taking a lot of the weight as the motion is being reproduced, and the added weight from
gravity. After the 4th step, there is a pronation at the elbow aspect in which bowlers use to
give the ball curve. If the weight of the ball is too heavy, it can cause severe damage to the
tendons located at the lateral epicondyle.
Most Strained Muscles: Pronator Teres, Extensor Pollicis Longus, Extensor Carpi Radialis Brevis.
http://www.webmd.com/fitness-exercise/tennis-elbow-lateral-epicondylitis
http://www.drbryanbomberg.com/our-services/upper-extremity/hands/tennis-elbow/