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KMID : 1195020230190020109
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Archives of Orthopedic and Sports Physical Therapy
2023 Volume.19 No. 2 p.109 ~ p.118
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Assessment and Intervention of Rolling Patterns for Symmetry in Athletes : Focused on Unilateral Sports
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Sim Woon-Yong
Kim Jae-Eun
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Abstract
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Purpose: The rolling pattern is a crucial part of human development and movement, utilized in assessingmovement development in children and evaluating the physical abilities of adults. This pattern is essentialfor enhancing various joint movements and balance, serving as a significant performance element for athletessuch as unilateral sports athletes. It can be a vital tool for injury prevention and identifying functionalimpairments, even among athletes.
Methods: The rolling test helps differentiate localized and overall functional limitations. To conduct an accurateevaluation, it requires flexibility, core stability, controlled movement, and adequate limb/trunk range. Itassesses thoracic/lumbar rotation, core control, and limb rotation. Prior to the test, examinations such asthoracic rotation, pelvic rotation, and pelvic tilt are necessary. Moreover, the rolling test should be evaluatedin conjunction with selective functional movement assessment (TPI medical2). Before intervening in rollingissues, they're broadly divided into Mobility Dysfunction (MD) and Stability Motor Control Dysfunction (SMCD).
A 3-step process called 3R (Reset, Reinforce, Retrain) is used for resolution, enhanced through correctiveexercises. These exercises apply two feedback types: Facilitate, easing movement difficulty, and Challenge,engaging other body parts for core posture adjustments.
Results: A 15-year experienced, right-handed professional golfer in his 20s, standing at 188 cm and weighing90 kg, addressed his asymmetry issues. After the evaluation, corrective exercises for pelvic tilting, rotation,and rolling were conducted, resulting in an improvement in clubhead speed from 106 mph to 110 mph. Thisled to enhancements in upper and lower body rolling and improvements in thoracic and pelvic examinations.
These outcomes suggest an improvement in the participant's swing mechanics.
Conclusion: Athletes may suffer imbalances and injuries due to biased movements and rotations. Unilateralsports athletes, in particular, are prone to spinal injuries as a result of these issues. Symmetry is crucial forhealthy functionality, and the rolling pattern aids in restoring this symmetry. Additionally, evaluating symmetrybetween the upper and lower body, as well as left-right balance, is crucial.
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KEYWORD
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Pattern, Symmetric, Athletic, SFMA, TPI, Rolling pattern
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