I met with Kendra on May 13th, 2010 and performed assessments on both road and TT bikes. She was complaining of various pain while riding. She is now more comfortable and efficeint on both bikes. I look forward to know how Kendra rides in the upcoming Lowe's TT Series.
I met with Jon in early May 2010 shortly after he raced in the White Lake 1/2 Ironman #1. I wish we had met before his race. Even though he had a good event, I think he would have had a faster bike and run splits. Jon is more efficient with his leg extension and pedal stroke. He now has less hip rocking (he had pelvic malalignment that caused instability on the saddle), and more even leg extension and ankle angles.
Mick just came in yesterday to pick up his new Irish HM. See you on the road Mick...
On April 15, 2010 Svere came in to pick up his new Blue Triad SP. The local TT series now has a new contender in the Sandhills Area.
On April 14, 2010 I met with Dan. A few clients I have worked with from FSR had seen Dan on a local club ride and asked Dan to come see me for a proper bike fit. Dan was too far back and low on his bike and was only using his quads and straining his lower back. I made changes to his cleats as well.
I recently had the opportunity to work with a group of athletes from Canada on April 6 and 7, 2010 while they were attending a training camp in Pinehurst. Below are their highlights:
Julie was too far back and stretched out. I also made cleat adjustments and showed her corrective execises for mucle imbalances and MET for her pelvic inflare.
janet was also stretched out and had excessive hip rocking due to muscle imbalances and pelvic malalignment.
Chris has his own bike company "Uno Velo." These bikes are awesome. I had the opportunity to help Chris with his position. Chris had a significant pelvic malaignment, but we were able to address this with very little concern. He is know square on the bike and more symmetrical.
Ann Marie is preparing for an Ironman qualifier in Florida (Disney 70.3). She was too stretched out and I made cleat adjustments for her to help with her power and efficiency.
Ambrose was very close, but with a few adjustments he will be even stronger on the bike.
April 2, 2010 I worked with Brent for a fitting and assessment. Brent was looking for his optimum position and to overcome discomfort in his shoulders and feet. During the fitting assessment using Retul and video analysis I found he was fighting himself on the bike to go forward. First, Brent's leg extension was fine. However, his seat was too far back, handlebars too low and too close to his upperbody. Basically, Brent was using wasted energy to propel forward with his hips far back and upper body too low. Brent's elbows were also close together placing strain on his shoulders and not allowing him to breath very easily. In short, Brent was in a modified crunch position on the bike.
If you look at the before photo you can see Brent's elbows are below his hips... that is well and good if you are Craig Alexander in a long and low position and you have great flexibility and core stability. However, Brent and most average and above average triathletes would have difficulty riding efficiently in this position... let alone attempting to run after riding in this position for more than an hour or more. Now look at the after photo. Brent's elbows are on the same horizon as his hips. I also brought Brent more forward on the saddle and higher to allow Brent's hips to be more open to provide power to his pedal stroke (reference his hips in relationship to the picture frames in the back drop in both the before and after photos). As well, I moved Brent's bars highers and elbow pads forward to allow him to be more comfortable and have more control of his bike. By moving the bars in this manner Brent can also breath easier.
While off the bike during the Functional Movement Screen, Range of Motion, and pelvic assessment I found Brent had an anterior rotation of his right hip which caused Brent to have a functional leg length difference of 1/4". Brent also has tight quads, a tight right hamstring, and tight right QL and TFL. The pelvic malalignment that was causing the leg length issue was easily addressed by showing Brent self treatment using a Muscle Energy Technique. However, the tight muscles and inhibited right glute will take a few weeks of corrective exercises before Brent notices a major improvement.
On March 28, 2010 I met with La Ree and James for a fitting and assessment. First, I found they both had a pelvic inflare on the right side which was relating to an uneven pedal stroke. I showed them how to self correct their inflares in a matter of minutes. We also went over some corrective exercises to develop muscle balance and maintain pelvic alignment.
Second, I found they both needed to raise the height on their aerobars for more comfort and to have a stable core. With the size frames they have, I recommended they add a fork crown extender to allow the correct torso angle. I ordered these parts, but hopefully the shop they purchased the bikes will provide the extenders for free. I also recommended that LaRee place a cleat adapter to allow cleat placement further back behind the ball of the foot. She is compensating her pedal stroke to reduce stress to the forward section of the foot. Once the cleat is further back, LaRee will drop the heel a little earlier near the top of the stroke. She will then have more power allowing the hip flexors and extensors to be more efficient... LaRee's knee angle is a little too high at Top Dead Center (80 degrees see photo below). Once LaRee's knee angle is closer to 75 degrees she will feel the difference in her pedal stroke If you look at the pedal stroke you will see a flatness on top and a straight drop on the front section. LaRee is losing a bit of power in this section of the stroke. The cleat rearward will help this. On the before and after pictures you can see LaRee's and James' changes:
Before Leg angles:
La Ree (Right: 157, Left 146 degrees-- 11 degrees difference) James (Right: 158, Left 161 degrees-- 3 degrees difference)
After Leg Angles:
La Ree (Right: 149, Left 148 degrees-- 1 degree diference) James (Right: 149, Left 149 degrees-- 0 degrees difference)
Ankle Angles:
La Ree was a few degrees different... now she is even.
James was even and now just a couple degrees off. However, I think this will even out with continued corrective exercises. If you look at the total degrees difference before for James, he was 7 degrees difference with legs and ankles, now James is only 2 to 1.5 off just in the ankles.
La Ree was off a total of 14.6 degrees and now only one degree difference. Not bad with an initial session. Once we place the risers for the bars, I believe the core will be more stable, the upper body will be more relaxed and the legs and ankles will be doing their jobs...
I met with Andrea on March 25, 2010 for a run gait analysis and bike fit assessment. Andrea has been complaining of lower left back pain, Left ITB, and calf discomfort, as well. I found Andrea was too far back on her bike and was not able to engage her core and her dominant right hip flexors were causing repetitive strain on the back and left leg. Andrea also had nearly one inch inflare of her left pelvis resulting in a leg length difference further causing discomfort while riding her bike and running.
Looking at the before pictures you can see Andrea is rearward on the bike and she has a hump in her back, also, her right hip had excessive rocking. Andrea's leg extension was nearly 6 degrees varied between the right and left leg and ankle extension was more than 10 degrees varied. After making adjustments on Andrea's bike and showing her how to self correct for her inflare, we were able to have Andrea more efficient and comfortable on the bike bike. Now she only has approximately 2 degrees difference in her leg extension, 5 degrees in ankle extension, her core is engaged, and she is no longer rocking the right hip. With additional corrective exercises, Andrea wil become more symmetrical and the leg and ankle extensions will become more even.
I also shot some video of Andrea while running. As you can see a couple of things are going on. Her knees have the tendency to come inward while running and causing the feet to flare outward. The corrective exercises will address her primary muscle imbalance. Also, the side view you can see Andrea's midline (center of gravity is slightly behind her foot resulting in a heel strike. By doing the corrective exercises and working on her running stlye, Andrea will be more efficient and be running pain - free.
I met with Monica on March 23, 2010. She had numbness in her feet, hands, and discomfort along her back. Monica was too far back and low on the bike. I also recommended her to try the new position for a week or so, and let me know how her hands and shoulders felt... she may also need a slightly shorter stem. During the functional Movement screen I found Monica had asymmetry (mobility) in her hips. I also found she had a 3/4" pelvic inflare and an anterior rotation on the right side. I showed he how to correct the malalignment using self treatment MET. This will also help her mobility and stability of the core and hips.
I met with Lou on March 22, 2010. He was having hand numbness, tight left ITB and a tight right calf. For hand numbness, we just made adjustments with the handlebars. His calf issues were due to muscle imbalances and mobility of his hip rotators and hip flexors and extensors. I also identified a significant left pelvic inflare of 3/4" which resulted in a functional leg length difference. We corrected the inflare in just a matter of seconds. The inflare was due to the tight muscles we identified during the Functional Movement Screen. So, I also prescribed Lou a few corrective exercises. Within a few weeks, Lou should see and feel a major difference in his mobility.
Michael Enjoy your new Irish Bike!!!
I met with Les in the evening of March 12, 2010 the night before his second road race of the season. His fellow teammates recommended that Les come see me for a fit session because he seemed to be off on his current position. His teammates were correct in there observations. When you look at Les' before and after pictures please compare the right and left, as well. Les is more symmetrical on the bike with his leg extension and ankle angles. The asymmetry correction was mostly due to pelvic malalignment correction. Granted, the change in his position now allows Les to properly engage his core and be more stable... this is also helpful in maintaining pelvic alignment. Thusly, pedal more efficiently. Here is the recap:
Leg Extension: L1: 138 R1: 128 degrees (10 degrees difference) versus L2: 145 R2: 144 (1 degree difference) This is an easy 10 to 15% increase in performance and efficiency.
Ankle Angle: L1: 28 R1: 27 degress (1 degree difference) versus L2: 24 R2: 23 (1 degree difference) Approximately 2% increase in performance and effieciency.
Also, if you look at the photos you will notice Les has a more rounded pedal stroke on the right leg. This is his dominant leg for cycling. To help make him more even, Les needs to do a few things from my perspective.
One, continue to do Muscle Energy Technique to correct his 1/4" Right Inflare that related to 1/8" leg length difference. He needs to do this before every ride and continue to recheck for malalignment. Two, perform one legged deadlifts, this will work his bilateral instability. There are many ways to perform this exercise. I like using resistance bands, but dumbbells or even a jug of water will work. Lastly, I recommend doing single legged pedalling drills. Do these at the beginning of the ride and don't focus on pushing a big gear for power, just focus on training the muscle firing pattern. Only a minute on the right leg and a couple minutes on the left leg. Over time this will be very helpful.
I met with John on March 12, 2010 for a Retul and Video analysis of his bike position. John had already had a bike fit from Mike B. at Inside Out Sports and Mike is a very good bike fitter. So I knew John's issues were most likely due to muscle imbalances rather than a poor fit. During our assessment off the bike I found John had an 1/8" functional leg length difference. This was due to 1/4 " pelvic inflare and anterior rotation on the right side of his pelvis. John's muscle imbalances were due to right side dominance of the hip flexors and left side extensors. This was also causing John to have a slightly tighter right hamstring. This is most likely why John was having right calf tightness and cramping during his runs at triathlons. The right side dominance has been causing John to compensate on the left side by making the Left TFL to pull more on his Left IT Band. John's Retul data identified significant lateral knee movement and was reduced on the left leg from 66mm to 58mm and the right leg from 40 to 33 mm. This is a total reduction of 15 mm which is significant with only performing a couple of minutes of MET for John's right side inflare.
A couple days later John emailed me and provided me the following feedback from our session together:
Greg, I enjoyed spending the afternoon with you. I went out for a 48 mile ride today and wow did I feel awesome! My neck was still a bit tight by the end but I felt MUCH stronger than last week. I believe moving the cleats helped tremendously. I just felt like I had a lot more power. I also ran 5 miles immediately after the ride. For this early in the season I really did quite well on the run. For comparison, last weekend I rode 38 miles and attempted to run but had to stop at 1 mile due to severe cramping. Today I rode 48 miles (1.5 mph faster than last weekend!) and managed to run 5 miles at a pretty darn good pace for me. Also, even though I went 1.5 mph faster my heart rate was 5 beats per minute lower than last weekend as well! I'm really looking forward to riding again this week after work! Thanks again Greg. John
I met with Ben on March 12th for a fit session and assessment. Ben was complaining of left knee pain and lower back pain. Ben only had a few issues that needed to be addressed. First, his saddle was too far back and low based on his range of motion and flexibility. Ben also had a pelvic inflare on his right side causing him to have an uneven pedal stroke. His initial leg extensions were L1: 133 degrees and R1: 129 degrees. After making adjustments to his bike and showing him how to self correct for his pelvic malalignment he had a more even leg extension of 141 degree for both legs. Also, notice his ankle angles are even and were initially 4 degrees in difference. Finally, look at Ben's ankle tracking... his initial tracking was more rearward and is now more vertical. His energy to the pedals are now more efficient. have a great season Ben:)
I met with Scott on March 7, 2010. He came for adjustments for his bike to be more comfortable and have more efficiency while riding. During the initial video analysis you can see Scoot's leg extension was fairly even (but low for his flexibility). However, his right hip showed greater vertical movement and Scott had uneven foot extension (26 degrees left and 34 degrees on the right foot). Scott was also a little too far back and placed more strain on his shoulders and lower back. To address the uneven hip rocking and extension of the feet was not very hard to figure out. While on the message table I recognized 1/2" functional leg length of Scott's right leg due to anterior rotation of his right side of the pelvis. I showed Scott how to correct the 1/2" leg difference in less than 60 seconds. After we corrected the pelvic malalignment, I made changes to his bike. For Scott's torso length, I moved the saddle forward and addressing leg extension, I raised his saddle to accomodate his leg and hip flexibility. The saddle rails on Scott's bike is only 7 cm in length, to further address arm extension/reach I recommend he changes to a saddle with a longer seat rail such as the Fizik Arione which has 2 additional centimeters. Once we switch to a new saddle, I can raise Scott's saddle and move it a little more forward.
I met with Jay on Feb 24, 2010 for a bike fit assessment. As you can see on the before photo Jay was a little stretched out in the shoulders which can cause strain on the neck. Jay was also a little too far back and low on the saddle restricting his leg extension and not able to use his larger muscles of the hips and quads. This reduced leg extension not only impacts Jay's performance on the bike, but also has an effect on the run because he was over working his calves, hamstrings, and hip muscles to maintain speed on the bike. For planning to race IM events this season, I believe Jay is also a little too low on the aero bars. However, since he has an integrated aerobar system he has limited options of raising up any further. Hopefully, I will find a better option in the coming weeks to allow Jay to be slightly higher. Jay also had a slight pelvic malalignment (right inflare of 1/4"). He was able to easily correct this by apply a Muscle Energy Technique Correction.
I met with Tom on Feb 23, 2010. Tom's bike seat was shifting (bent) off center more than 1/2" due to his pelvic malaignment. Tom had an anterior rotation on his left side of his pelvis that caused a leg length difference of more than 1/2". Tom easily corrected his malalignment with a basic MET (muscle energy technique) exercise. Tom said he immediately felt the pelvis move during the exercise and opened his ROM. You can easily see a more efficient pedal stroke... the "before" picture note a nearly vertical line on his upstroke. Now refer to the "after" photo... it is more rounded. Tom is no longer unloading on the upstroke but applying power throughout his pedal stroke.
I met with Craig on Feb 20, 2010 and conducted a follow up with Craig on Feb 24, 2010 once he was able to obtain the correct Trek seat mast for his optimum fit. Craig had a left pelvic inflare causing a leg length difference upto 1/2" which caused strain on his left knee and right hip (note the arrows pointing to hip rocking). Craig's bike seat was too low and too far back also limiting his efficiency on the bike (refer to the other arrows pointing at the knees). By raising Craig upward and bringing him forward on the saddle, Craig is now applying more power throughout the pedal stroke. By looking at the before photo you can see a peak on the Top Dead Center of Craig's pedal stroke. He had to rasie his ankle to get over the top of the stroke because his hips were inhibited to do the remainder of the work. By moving Craig's saddle, his aerodynamics were not affected. Look at the height of his shoulders in comparison to the picture frames on the wall. However, look at his hip joint in relationship to the horizontal line I have in relationship to Craig's handle bars. The hips are higher allowing Craig to use his larger leg muscle groups and hips to apply power.
I met with Frank on Feb 20, 2010. Frank had a left pelvic inflare over 1/2" causing a leg length difference of more tha 1/4" This had an impact on his performance and comfort on the bike. We conduct MET to correct the inflare and I provided recommended corrective exercises to improve Frank's mobility and stability of the core and hip rotators.
Tom came to see me on Feb 18, 2010 for a fit assessment. His saddle was too low and too far back reducing his pedal efficiency. His aerobars were also too low. During the Functional Movement Scrren I found weaknesses in mobility and bilateral stability. I recommended some basic corrective exercises to address these areas and Tom should be well on his way to performing his best in the coming weeks. I look forward to seeing Tom doing very well this year at Ironman Arizona.
I met with Andrew on Feb 12, 2010. He will soon have surgery on his back. Once he is ready we will work together on ROM and muscle imbalances. Andrew had a pelvic shift causing a leg length difference of more than 1/4". We performed MET self treatment and this cleared up the difference. I look forward to seeing andrew during his rehab.
Neal came to see me on Jan 17, 2010. I did bike fits and assessments on both Neal's road bike and TT bike using Retul 3D analysis and Dartfish video analysis. Neal was very close to an optimum position on his road bike. However, I found a few things for Neal to improve on with his hip and core mobility and stability when I conducted FMS (functional movement screen). I also found that Neal had a leg length difference more than 1/4" due to pelvic malalignment (righ inflare, left outflare, and right anterior rotation). I demonstrated self correcting MET (muscle energy technique) and the leg length difference was reduced to nearly even.
After the initial assessment on the road bike and working with Neal on FMS and MET, we noticed Neal's Retul data was nearly identical especially on lateral knee travel, hip travel, and elbow to hip distance. This showed us Neal was sitting more square and efficiently on the bike.
Neal's TT bike needed more adjustments than his road bike. I recommended that Neal order the appropriate seat post for his Kuota TT bike so I could set him up more efficiently. His original position was too low and too far back. Refer to the following numbers on the pictures below for comparison: 1. He is now more forward and has less strain on his shoulders.; 2. Neal now has a more powerful pedal stroke that is more elliptical... less torque spike and higher average power throughout the stroke.; 3. Greater leg extension based on Neal's flexibility... more extension, more leverage, more power, at less effort.
I am excited for Neal and I am eager to hear back from him on how he is race season progresses.
I met with James on January 23, 2010 to assess his fit on the bike. As you can see below James was too low and back on the bike. I also provided corrective exercises for James to address his functional leg length differences and core and hip stability and mobility. Good luck in the IM Florida this year James.
I met with Rodney for a follow up on Jan 9, 2010. When Rodney initially visited me in November 2009, he had a signicant anterior rotation on the right front side of his pelvis and posterior rotation on the left. When he came to see me on Jan 9th, he was complaining of back and knee pain and I found his pelvis shifted and now was an inflare on the left side. I think we found the right combination of MET and corrective exercises for Rodney and he should be riding more efficiently and pain free this upcoming race season.
Jackie visited me on Jan 8, 2010. She was looking for that extra edge on the bike and to have a great run spilt in her triathlons. I found Jackie to be just a little too far back and low on the and was putting too much strain on her lower back. By moving her forward and up, Jackie is now riding more efficiently. Although Jackie did not have much of a functional leg length difference, she had nearly 1/2" inflare on her left side of her pelvis. This was causing her to have a tight hamstring on her right leg, as well as straining her right ankle. Also, look at the before photos and compare the left and right leg extension... the right leg was extending 10 degrees further. Thusly, placing greater strain on the right leg. After performing corrective exercises and MET, Jackie should be pain free.
Roger came to see me on Jan. 4, 2010 for a bike fit to reduce pain and increase performance for future triathlons. Roger complained of piriformis syndrome. We easily found the problem. Pelvic obliquity was the cause from years of muscle asymmetry and functional leg length difference. I showed Roger appropriate corrective exercises and MET to help with pelvic alignment and stability. I am excited to hear back from Roger see how he is doing.
Al visited me on Jan 2, 2010 to pick up his new Tri bike and to also get a fit/assessment on his road bike. Al was very close with his current setup on his road bike. I did find Al had an anterior rotation and inflare on his right side of his pelvis and posterior rotation and outflare on the left side. Al's pelvic asymmetry reduced his pedal stroke efficiency due to a functional leg length difference. After demonstrating self treatment for pelvic asymmetry and a few minor adjustments to his bike and cleats he is more efficient on the bike.
I received the following email from Al on Jan 5, 2010 regarding his fit on his Tri Bike: Greg, I did my first ride yesterday afternoon. Did 42 miles relatively easy pace. I stayed on the drops for probably 75-80% of the ride. I noted the following: First, hills seemed much easier than I expected, I suspect part of this was the change in the cleat position. On the second lap I could actually feel my glutes working coming up a slight hill into the wind, I have never really noticed my glutes or hamstrings working on previous rides on my road bike. I did defintely move forward on the seat (compared to what I did on the trainer) although it was difficult to tell how much. I found my self on a few occasions wanting to sit back farther. My tush got a little sore during the last 7 or 8 miles of the ride. I actually thought that was pretty good considering it was my first ride w that seat and went 42 miles. Didn't experience any discomfort in the back, shoulders, or arms. Actually my back felt better when I was complete than it has on my road bike lately. I've been meaning to see my chiropractor. Back has been extremely stiff after road rides for the past couple of weeks. Neck felt a little strain (not sore though). I think this is because I spent most of the ride in the drops and stretched my neck just a little more up to see, actually went away as I got into the ride. Handling, I almost felt like I was riding a bike for the first time. Probably a good thing I was not riding w/ anyone.vvI do think I will have you do the run gait analysis some time in the near future and also would like to do an open water swim sometime w/ you as well when it gets a little warmer (like this spring).
Thanks Again & Enjoy the Rest of Your Holiday Break!!! Al
I met with Ron on Dec. 31, 2009 to do a bike fit/assessment on his road and Tri bike. We also worked on determining the size and angles for a future Tri bike. Ron had a functional leg length difference due to an inflare and anterior rotation of the pelvis. I showed Ron how to correct this presentation using MET and also demonstrated fascia release techniques before stretching, as well as functional movement corrective exercises. I look forward to hearing from Ron.
Kelly and her coach visited me on Dec. 28, 2009 to see if I could help her with run gate. Although Kelly was very flexible, she had a two major issues: One was hip stability due to pelvic malaignment and the other run technique. Kelly had a 1/4" leg length difference due to a pelvic inflare. I showed Kelly how to correct the inflare. I also showed her a few corrective hip stability exercises to improve her movement pattern. Next, we went outside and assessed her run technique. After the run gait/stride assessment we discussed appropriate run techniques. I look forward to hearing from Kelly and her coach regarding her progress.
Patrice came to me on December 14, 2009 with severe discomfort and was considering to give up cycling all together. Since he had driven more than 10 hours to see me, he spent the evening after we did the fitting and assessment sessions (Functional Movement Screening, pelvic landmark assessments and ROM protocols). The next morning, I showed Patrice exercises to maintain pelvic alignment as well, I demonstrated corrective exercises for proper movement patterns (Patrice had proper coordination, but I found a weakness in his bilateral functional mobility and significant tighness in his hip flexors) for cycling, running, and swimming. After the exercise session we went for a 2 hour ride to ensure he felt better on the bike. Patrice said he never felt better. I am very happy to have been the person to help keep Patrice in the sport of cycling and triathlon. In all, the entire time Patrice and I spent together (not including dinner, evening discussions, and breakfast) working on his bike fitting, ROM assessments, corrective exercises, and confirmation ride was nearly 7 hours. I enjoyed every minute of our time together.Patrice is 5'7" and had more than 1/4" leg length difference. I should him how to correct the leg difference by addressing his pelvic inflare and outflare using proper Muscle Energy Technique (MET) methods. Within 5 minutes his legs were the same length. The next morning, I rechecked his leg length and they were still even.The great thing about using Retul and Dartfish during the fitting/assessment session is I was able to verify Patrice's improvement while riding... initially Patrice had a 5mm difference in knee lateral travel. After our session, his knee travel was within 1mm. His leg extension and pedal stroke is more efficient, too.
I met with Hazel on December 12, 2009. She had just purchased a new bike and wanted some adjustments and assessments to be more efficient. For her body type, ROM, and core stability, Hazel's aerobars were the incorrect type and were too low. Since the bike was recently purchased, I recommended Hazel to have the aerobars changed from "S" bend type to "J" bend type. As well, I recommended that she have the shop swap the stem to an adjustable type stem.
On November 28, Sverre visited for a bike fit. No gross asymmetries where found. I only needed to make changes to his bike to fit is riding style and range of motion. Sverre has extremely flexible hamstrings and strong glutes. Thus, he is able to ride with a longer leg extension.
On November 28 I met with John and his wife Kitty for bike adjustments. John had a slight pelvic inflare which casued his right leg to be 1/4" shorter than the right. We corrected the leg length issue and made adjustments to his bike. Kitty is a casual rider and does not use clipless pedals or toeclips. When she decides to upgrade her pedal system, I will have her come in for a detailed fit.
On November 14 and 15 2009, I was invited to the Hilton Head SC Area by my friends Donna and Jeff Garske to work with local cyclists. Over the weekend I met and worked with 12 cyclists and triathletes and conducted 15 bike fits and assessements. I was very fortunate to have Mr. Kevin Purvis who is the President of Balance Training Systems working with me during this time period. Kevin's background as a certified personal trainer and triathlete was very helpful. Even more importantly Kevin is well versed with using Muscle Energy Techniques (MET) for correcting pelvic malalignment. As I conducted the initial assessments on the bike using video analysis, Kevin assisted with conducting ROM assessments and identifying malalignment issues of the pelvis. While he helped with demonstrating self-treatment techniques, I was able to make appropriate changes to the client's bikes and perform the post video analysis. Below are some of the clients I was very fortunate to work with:
BEFORE & AFTER
Run Gait Analysis
Below are more clients cases...
On November 3, 2009, I met with Bobby. Below are the major findings and recommendations, overall we were able to get Bobby closer to symmetrical:
PreTest Post Test Action Recommendations
Left 1 ---- Right 1 Left 3 ----- Right 3
37mm 56mm 39mm 45mm Knee Lateral MET & Single Legged Pedalling
42mm 57mm 41mm 48mm Hip Vertical PVC Quads, Plank Pose & Triangle Pose
750mm 694mm 737mm 696mm Hip to Wrist PVC Quads, Plank & Triangle Pose
113 111 degrees 113 112 Knee angle TDC None
37 34 degrees 36 34 Knee Angle BDC None
21 30 degrees 23 26 Ankle Range None
109 110 degrees 106 107 Ankle Angle BDC None
On Oct 6, 2009 I met with Reggie, he had slight knee pain and he also wanted a detailed assessment using RETUL. The orginal seat tube angle was 76 degrees. After flipping the seat mast, the new seat tube angle was closer to 80 degrees. Reggie also had pelvic malalignment putting strain on his knee. We corrected the malaignment using MET.
The RETUL highlights are these:
1. Knee lateral movement is now 31 mm for both legs (was RL 43mm and LL 33mm)
2. Elbow Angle now 86/83 (was -102 and -104) degrees
3. Ankle Ranges were RL 28/LL 36 degrees and now RL 30 and LL 29 degrees.
On Sep 22, 2009 I met with Giovanni. He was complaining of back pain. We found he had a pelvic inflare/outflare of 1/2 inch. After perfoming MET the malalignmnet was corrected. His leg extension is more symmetrical and knee lateral movement now within only a couple millimeters.
I look forward to hearing how Giovanni is doing on the bike.
Hey Greg,The bike fit is awesome, a few people looked at me on the bike and said, "wow, huge improvement!" Effortless pedaling at 23mph! Tomorrow is a big ride, looking forward to it. I love the way the bike handles. My lower back actually feels better, still have to stretch, but definitely a huge difference. I also recommended your services to a friend of mine, he'll be scheduling an appointment with you soon. Cheers,Giovanni
Below are photos of some of my clients.
