Cohen, Lee - 1987 - Strategic Analysis of Integrated Production-Distribution Systems
Dr. Lee Cohen
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Transcript of Dr. Lee Cohen
Dr. Lee CohenDr. Lee Cohen
Podiatric Consultant Podiatric Consultant to:to:
The Philadelphia EaglesThe Philadelphia EaglesThe Philadelphia 76ersThe Philadelphia 76ersThe Philadelphia WingsThe Philadelphia Wings
CheckCheckYourself Yourself
Out!Out!
Check Yourself OutCheck Yourself Out
Discover why you have low back or joint Discover why you have low back or joint painpain
Learn basic information on how your body Learn basic information on how your body worksworks
Master a self-evaluationMaster a self-evaluation
Self-Evaluation Check ListSelf-Evaluation Check List
EyesEyes
MouthMouth
Head & NeckHead & Neck
ShouldersShoulders
BackBack
HipsHips
Thigh/KneeThigh/Knee
Foot & AnkleFoot & Ankle
PreparationPreparation
Access to a full-length Access to a full-length mirrormirror
Attire: Attire:
women—sports bra & women—sports bra &
running shorts/tightsrunning shorts/tights
men—running men—running
shorts/tights shorts/tights
**Pen and paper—draw a **Pen and paper—draw a stick figure of yourselfstick figure of yourself
EyesEyes
Your eyes should Your eyes should always be level with always be level with the ground or horizon.the ground or horizon.Your eyes will always Your eyes will always seek a level horizon.seek a level horizon.Note your findings on Note your findings on your drawing.your drawing.
****This picture reveals a lower right This picture reveals a lower right eye.eye.
MouthMouth
With a neutral facial With a neutral facial expression, your mouth expression, your mouth should be parallel with should be parallel with your eyes.your eyes.
These two observations These two observations will form a reference will form a reference point.point.
Note your findings on Note your findings on your drawing.your drawing.
****This picture reveals a lower right This picture reveals a lower right mouth, but the eyes and mouth mouth, but the eyes and mouth are parallel.are parallel.
Head & NeckHead & Neck
Observe if your head Observe if your head tilts to the right or left.tilts to the right or left.If you have long hair, If you have long hair, be sure to pull it up.be sure to pull it up.Note your findings on Note your findings on your drawing.your drawing.
****This picture reveals a head tilt to This picture reveals a head tilt to the right.the right.
ShouldersShoulders
Observe the height of Observe the height of your shoulders. your shoulders. Does one shoulder Does one shoulder look lower then the look lower then the other?other?Note your findings on Note your findings on your drawing.your drawing.
****This picture reveals that the right This picture reveals that the right shoulder is lower.shoulder is lower.
Putting It All TogetherPutting It All Together
Possible scenario: Head tilt to the right, Possible scenario: Head tilt to the right, lower right shoulder could indicate a lower right shoulder could indicate a longer right leg.longer right leg.
Remember…the body will compensate to Remember…the body will compensate to keep the eyes parallel with the ground or keep the eyes parallel with the ground or horizon.horizon.
Shoulders/BackShoulders/Back
Turn to the side.Turn to the side.
A “normal” back has a A “normal” back has a slight kyphosis curve slight kyphosis curve in the upper back and in the upper back and a slight lordotic curve a slight lordotic curve in you lower back.in you lower back.
Shoulders/BackShoulders/Back
Observe the shape of Observe the shape of your upper back. Is your upper back. Is there an excessive there an excessive curve (Kyphosis) or curve (Kyphosis) or hunch back?hunch back?
Note your findings on Note your findings on your drawing.your drawing.
Shoulders/BackShoulders/Back
Observe the curve in your Observe the curve in your lower back. Is there an lower back. Is there an excessive lordotic curve? excessive lordotic curve?
Often times an increased Often times an increased lordotic curve will cause lordotic curve will cause your pelvis to rotate your pelvis to rotate forward and create tight forward and create tight thigh muscles.thigh muscles.
Note your findings on Note your findings on your drawing.your drawing.
HipsHips
Face the mirror.Face the mirror.Place your hands on your hips.Place your hands on your hips.Take your fingers and locate Take your fingers and locate the bony portion of your hips the bony portion of your hips that face forward. This is that face forward. This is going to be your reference going to be your reference point.point.Are these points level, or is Are these points level, or is one side higher then the one side higher then the other?other?Note your findings on your Note your findings on your drawing.drawing.
****This picture reveals that the right hip is higher This picture reveals that the right hip is higher then the left.then the left.
HipsHips
Turn to the side.Turn to the side.
Use the same reference Use the same reference points.points.
Do these points appear to Do these points appear to be level, or is one hip be level, or is one hip rotated forward?rotated forward?
Hips can be tilted side-to-Hips can be tilted side-to-side or front-to-back, side or front-to-back, which is called pelvic tilt.which is called pelvic tilt.
Note your findings on Note your findings on your drawing.your drawing.
KneesKnees
Face the mirror.Face the mirror.Is your thigh bone Is your thigh bone angled out and the angled out and the bone below your knee bone below your knee angled in?angled in?This condition is This condition is known as bow-known as bow-legged.legged.Note your findings on Note your findings on your drawing.your drawing.
KneesKnees
Does your thigh bone Does your thigh bone angle in and the bone angle in and the bone below your knee below your knee angle out?angle out?
This condition is This condition is known as knock knee.known as knock knee.
Note your findings on Note your findings on your drawing.your drawing.
KneesKnees
Observe your knee cap.Observe your knee cap.
Is your knee cap pointing Is your knee cap pointing straight ahead or is it straight ahead or is it tilted in/out?tilted in/out?
Are your knee caps level Are your knee caps level or is one higher then the or is one higher then the other?other?
Note your findings on Note your findings on your drawing.your drawing.
KneesKnees
Turn to the side.Turn to the side.
Observe the Observe the alignment of your hip, alignment of your hip, knee and ankle.knee and ankle.
**This picture demonstrates normal **This picture demonstrates normal alignment.alignment.
KneesKnees
If your knee and leg If your knee and leg are curved to the are curved to the back, this is referred back, this is referred to as Genu to as Genu Recurvatum or Recurvatum or commonly known as commonly known as “Back Knee”.“Back Knee”.Note your findings on Note your findings on your drawing.your drawing.
**Genu Recurvatum/Back Knee.**Genu Recurvatum/Back Knee.
Ankle/FootAnkle/Foot
Face the mirror.Face the mirror.
Observe the Observe the alignment of your alignment of your lower leg, ankle and lower leg, ankle and foot.foot.
If your foot and ankle If your foot and ankle roll inward, you have roll inward, you have a pronated or flat foot.a pronated or flat foot.
Ankle/FootAnkle/Foot
Turn so that your Turn so that your back is to the mirror.back is to the mirror.
Observe your Achilles Observe your Achilles Tendons.Tendons.
Do they tilt inward?Do they tilt inward?
Note your findings on Note your findings on your drawing.your drawing.
**Pronated Foot.**Pronated Foot.
Ankle/FootAnkle/Foot
Turn so that you are Turn so that you are facing the mirror.facing the mirror.Observe the Observe the alignment of your alignment of your lower leg, ankle and lower leg, ankle and foot.foot.If your foot and ankle If your foot and ankle roll outward, you have roll outward, you have a Pes Cavus or High a Pes Cavus or High Arch foot.Arch foot.
Ankle/FootAnkle/Foot
Turn so that your Turn so that your back is to the mirror.back is to the mirror.
Observe your Achilles Observe your Achilles Tendons.Tendons.
Do they tilt outward?Do they tilt outward?
Note your findings on Note your findings on your drawing.your drawing.
**Pes Cavus/High Arch Foot.**Pes Cavus/High Arch Foot.
Ankle/FootAnkle/Foot
Face the mirror.Face the mirror.
Observe the Observe the positioning of your positioning of your toes.toes.
Do they toe in?Do they toe in?
Note your findings on Note your findings on your drawing.your drawing.
**Toe In.**Toe In.
Ankle/FootAnkle/Foot
Observe the Observe the positioning of your positioning of your toes.toes.
Do you toe out?Do you toe out?
Note your findings on Note your findings on your drawing.your drawing.
**Toe Out.**Toe Out.
Medical HistoryMedical History
Chief complaintChief complaint --When did the pain start?--When did the pain start? --How long have you had the pain?--How long have you had the pain? --When do you have pain?--When do you have pain? --Have you done any treatment?--Have you done any treatment? --Have you seen a professional medical --Have you seen a professional medical care provider?care provider? --Are you experiencing any other pain?--Are you experiencing any other pain?
Medical HistoryMedical History
Other informationOther information --Has your activity status changed?--Has your activity status changed? --Has your workout schedule changed (i.e.--Has your workout schedule changed (i.e. duration, intensity, terrain)?duration, intensity, terrain)? --Have you changed your foot gear?--Have you changed your foot gear? --Has there been a significant --Has there been a significant increase/decrease in body weight?increase/decrease in body weight? --Do you routinely stretch?--Do you routinely stretch?
Medical HistoryMedical History
Your Next Step…Your Next Step…
Complete assessment.Complete assessment.Complete Medical History.Complete Medical History.
**Printable forms on www.drleecohen.com**Printable forms on www.drleecohen.comSeek out Medical Help. Take your Seek out Medical Help. Take your assessment and medical history form.assessment and medical history form.
**Primary Care Physician.**Primary Care Physician. **Podiatrist—specializes in foot and **Podiatrist—specializes in foot and ankle problems.ankle problems.
Your Next Step…Your Next Step…
Look for the next in this series of self-help Look for the next in this series of self-help presentations.presentations.
It will focus on partner guided It will focus on partner guided observations.observations.
Your Next Step…Your Next Step…
Dr. Lee CohenDr. Lee Cohen
642 East Chester Pike642 East Chester Pike
Ridley Park, PA Ridley Park, PA
1907819078
(610) 522-9200(610) 522-9200
www.drleecohen.comwww.drleecohen.com