EAT TRAIN SLEEP GERALDTON PERSONAL TRAINING AND GROUP FITNESS
MOVEMENT SCREEN
​Estimated Session Time- 40 to 60 Minutes
Health Screening
The data entry components of the amazing MovementScreen App are divided into general sections:
The MEDICAL HISTORY screen is stage 1 of the Adult Pre-exercise Screening System developed by Fitness Australia, Sports Medicine Australia and Exercise and Sports Science Australia.
It allows you to enter information on medical conditions involving cardiovascular, metabolic and respiratory systems or other medical problems that may make aerobic-based or other strenuous exercise contraindicated. It also includes information on signs and/or symptoms of disease that are critical to know when making a decision about whether exercise, specifically aerobic type activities, can begin.
For example, does the tester require further /information guidance from a medical practitioner or other health professional? Are there specific elements of an exercise program that need to be included or excluded for a particular client?
The PHYSICAL ACTIVITY screen is based on the Active Australia Survey that is used in state and national surveys to determine if you reach sufficient levels of physical activity or if you have a health risk factor associated with insufficient levels of activity.
There are also questions on sitting time. Sitting time is an independent risk factor associated with increased metabolic and cardiovascular disease. Finally, there is a question on sitting at work. These responses, together with the physical activity minutes are used in the injury risk decisions built in to the software.
The DISABILITY ASSESSMENT data entry screen uses the internationally recognised World Health Organisation Disability Assessment Schedule 2.0 (WHODAS) questionnaire.
It asks about your difficulties due to general health conditions. These include diseases or illnesses and other health problems that may be short or long lasting, injuries, mental or emotional problems. The WHODAS will provide me with an increased understanding of the broader context that may affect your health and capacity for change under your program.
The responses to these questions allow a score to be calculated and a percentile rank to be generated and graphed against international norms. These are age- and sex-specific.
Posture Analysis Screening
The POSTURE analysis screen allows for two types of posture analyses to be performed (1) a front-view posture analysis, and (2) a side view posture analysis.
The software allows to re-size and position the photograph, draw over the photograph to indicate specific reference points, and create a ‘summary’ to have the software calculate a number of angles specific to the posture of you, the client.
Movement Screening
The Movements:
The movements in the program have been selected to address the following key concepts:
That common movements and movement patterns performed in exercise settings are represented, such as pushing, pulling, squatting, lunging, bending, twisting, and stepping.
That movement capacities such as stability, mobility, symmetry, balance and strength are represented across the main movement patterns.
That all large joint complexes can be analysed for all movement capacities.
The movements are scored in two ways:
A set of objective ‘questions’ are provided for each movement that describe the competencies that are commonly accepted for exercise instruction and performance. These questions require a basic ‘yes/no’ answer based on whether the competency was achieved or not.
Additionally, each overall movement must be subjectively scored for overall quality and control.
Squat – to test overall lower body strength and mobility
Lunge – purpose is to look at dynamic load absorption (deceleration) through lower body
Deadlift with Bent Over Row – to observe capacity to ‘bend’ (hinge) at the hips while maintaining a neutral spine.
Single Leg Squat– to test ipsilateral lower body and stability, mobility and strength.
Overhead Shoulder Abduction – to test shoulder girdle mobility (and thoracic extension)
Troacic Rotation – Observes trunk mobility, with particular focus on thoracic rotation
4Pt Opposite Arm Leg Lift – included to analyse rotational control of the trunk and shoulder girdle; and shoulder girdle stability
Push up – observes shoulder strength and function; and trunk stability
Active Straight Leg Raise – included to observe hip mobility and pelvic stability
Movement Screen Report
The app allows you to generate a comprehensive report for you and your client. This report can be emailed, printed, or saved for future reference.
Importantly, it includes a ‘CORRECTIVE STRATEGIES‘ section which will help guide your exercise prescription to ensure it is focused on and tailored to your client’s specific needs.
These recommendations will be corrective exercises based on the the results obtained from all information collected from your client. Guidelines will also be provided as to the order that the prescription should focus on, for example, we recommend that you prioritise capacities in the following order:
Stability > mobility > balance > strength
If an asymmetry is noted for a specific joint, spend longer working on the joint with the lower capacity score. We often recommend starting the corrective exercise on this side, then moving onto the other side, and finally coming back to the under-scoring side, so it gets greater attention until the symmetry is minimized.
If a particular joint is also highlighted as an Injury risk hotspot, then this should also increase the level of priority of that joint to increase the low capacity scores​
The INJURY RISK SCREEN indicates the calculated overall % probability for injury. This is based on all the input variables entered during the screening process. Also shown on this screen are the injury ‘hot spots’ calculated from the specific question responses and movement scores achieved in the various activities of the movement analysis process. The figures illustrate where on the body the high-very high, significant and moderate joints for injury risk are located.
If the ‘injury/pain’ button on any of the individual movements has been checked then any body parts/joints identified at that time will automatically be shown as red on the INJURY RISK results screen.
The INDIVIDUAL MOVEMENTS screen shows a bar chart with the scores achieved for the movements attempted. The movements are listed down the left side of the graph.
If a specific movement was not completed there will be a blank for the movement on the bar chart. The specific score [out of 100] is also shown for each movement. Also, provided is an average value based on the combination of all the completed movements. At a very basic application level, this screen allows the professional to determine which movements need the greatest amount of work, and which may prove to be the riskiest for the client.
The World Health Organisation Disability Assessment Schedule 2.0 (WHODAS) questionnaire asks about your difficulties due to general health conditions.
The results are shown on a bar graph as an age-specific percentile rank out of 100. Also shown below the bar graph is the actual score for the questionnaire. Lower scores are best [less disability] and this will result in a higher percentile rank on the bar graph. Scores that are in the top 50th percent of the population are shown on the far right of the bar chart with an associated 50+ percentile.
The PHYSICAL CAPACITIES result screen displays a pentagon-shaped graph to illustrate scores on five physical capacity domains. The five domains are symmetry, strength, mobility, stability and balance. The movements performed by you are linked to a scoring system for the various physical domains. Scoring well or poorly on different movements therefore carries weight for specific domains relative to others.
The domains are linked with a yellow line to illustrate a general shape based on the combination of scores in these five domains. However, the domains can also be viewed individually to indicate which areas of your physical capacities may need attention through corrective exercises or other behaviour change strategies.
CORRECTIVE STRATEGIES results screen displays five figures shown, each one representing one of the physical capacity domains. The SYMMETRY and BALANCE domains are coloured to represent the degree of departure from 100 [which would be a perfect score]. A green colour is good and is associated with scores closer to 100 while a red-shaded colour is associated with a poorer score.
The symmetry score is based on the level of agreement in the five exercises that involve both a left and right sided independent movement [lunge, single leg squat, 4-pt opposite arm/leg raise, active straight leg raise], as well as the clock-wise and counter-clockwise thoracic rotation movements.
For STABILITY, MOBILITY, and STRENGTH, the three areas with the greatest need for corrective attention are shown in order of priority. This helps ensure your exercise prescription is focused on the client’s needs. A printable report within the App provides example exercises for each of these recommendations that are specific to your client’s level of function.
These are covered further in the Corrective Exercises section.