Carolyn (AGE 60) is a seasonal tennis player and takes her 8 month old Black Lab
ID: 78201 • Letter: C
Question
Carolyn (AGE 60) is a seasonal tennis player and takes her 8 month old Black Labrador Retriever (Bailey) for daily walks along her beach but finds it increasingly difficult to control him when he gets excited. They walk two miles (30 minutes) and reports having general muscle soreness throughout her body during their walks and some back pain after. “I just don’t feel as strong and energetic as I used to and wish that I did not ache so much when I have to control Bailey. Tennis season is coming soon and I want to play at my previous competitive level”.
Job: administrative secretary. Her BMDs in her lumbar spine and hips are 1.8 and 1.9 SD lower than a young healthy women respectively!!!
Overhead Squat Assessment dysfunction: Feet slightly pronated, knee valgus, arms fall forward
Postural Assessment: Slightly rounded shoulders/upper back w/forward head/protruding abdomen and sway back w/hips in slight flexio/n
Tight hip flexors and hamstrings, weak gluteals
Slightly reduced overhead shoulder ROM
Manual Muscle Testing: shoulder flexion 4/5, abduction 4/5 & external rotation 4/5
Senior Fitness Test:
30-Second Chair Stand: 7 repetitions
Arm Curl: 10 repetitions
6-minute walk: 700 yards
Back Scratch: 0 (finger tips touch)
Chair Sit & Reach + 1.0”medically cleared to perform very cautiously!!
8-Foot Up & Go: 7.0 seconds
1) What disorder does she have?
a) Sarcopenia b) osteoarthritis c) osteopenia d) osteoporosis
2) What postural anomaly(s/Syndrome(s)) does she have?
a) Cushing’s b) Upper Cross c) Lower Cross d) More than one d) NOTA
3) She scored above the mean average scores in which parameter on the Senior Fitness Test?
a) Cardiorespiratory fitness b) musculoskeletal strength c) flexibility d) dynamic balance
4) In which physical parameter has she entered the “risk zone”?
a) Cardiorespiratory fitness b) musculoskeletal strength c) flexibility d) dynamic balance
5) Which muscle groups warrant flexibility training?
a) rhomboids/lower trapezius/gluteus maximus/gluteus medius/deep cervical flexors
b) Hip flexors/biceps femoris/pectorals/cervical spine extensors/latissimus dorsi
c) quadriceps/hip abductors/tensor fascia latae/ lower trapezius/ posterior deltoid
d) All of the Above
Explanation / Answer
Answer 1: a) Sarcopenia (As explained below)
As supported by her Senior Fitness Test. Read further answers for more clarity.
Answer 2: d) more than one (As explained below)
Rounded shoulders and forward head posture are symptoms of upper cross. Protruding abdomen and tightness of hip flexors and hamstrings indicate lower cross. So there are more than one postural anomalies here.
Answer 3: a) cardiorespiratory fitness (As explained below)
She scored 700 yards in the 6-minute walk, which is above mean average scores (normal values are 545-660 yards). 6-minute walk is a test to assess the aerobic endurance, that is, cardiorespiratory fitness.
Answer 4: b) musculoskeletal strength (As explained below)
She tested for Arm Curl: 10 repetitions (normal values are 13-19 repetitions) and 30-Second Chair Stand: 7 repetitions (normal values are 12-17 repetitions). These tests assess the upper and lower body’s musculoskeletal strength, respectively.