1. ClientName Phillipe Dupuy
Screenedby Marta
Trainer(s) Mark
Branch Mayfair
Goals
To lose weight,increasefitness levelandtone up.
Relevantmedical history Implications
Knee:Left Medial MeniscusArthroscopy2years
ago.
ShoulderDislocation:N/A
Lowerback: Disc compressionLevel 4and 5
Liaise withtrainerregardingweightbearing
exercises.
No repetitive flexionorextensionexercises.
Foot / Ankle Footposture instanding:Leftfootpresentedwithflatfeet,rightmoderate with
normal arches.
Knee No issuesafterArthroscopy.Milddiminishingof muscle (VMO) onthe medial side.
Hip Tighthipflexorhowevermoderate range of movementinbothhips.
Lower back Tightmidspine , weakbackmuscle andweakgluts (quadratuslumborum)
Upperback
N/A goodposture,howevertightuppertraps(uppershouldermuscletightness):
deskbasedtightness inthe main.
Shoulder Full range of movement:Shouldersurgerynotedhowevernorestrictions.
Physiotherapist’scomments
Phillipe ismotivatedtoachieve his fitnessgoalsandtoworkon his independentrunninggoals.
I am happywith Phillipe onthe physiotherapyfront. Phillipe hasthree pastinjuriesandhasundergone
some rehabilitationforthese issuesandisaware of hislimitsregardingexercise.
On observationhisinjuredleftknee muscle isslightlydiminished andPhillipe isalsopresentingwitha
leftflatfootwhichiscausinghimto roll infrom the kneeswhensquatting.
It isveryimportantto include some quad(VMO) glutexercisestostabilizeandstrengthenthesetwo
weakerareas.
PHYSIOTHERAPY SCREENING EXECUTIVE SUMMARY

2. Phillipe presentswithnopainandIam happy forhimto start hisfitnesstrainingprogram.
I will liaisewiththe trainersregardingspecific strengtheningexercisesmainlyforstabilityaroundthe
medial leftkneehip,ankle andglutaswell asworkingonhisotherfitnessgoals.
Liaise withtrainersregardingquadstrengtheningandsquatpattern.
Recommendations:Nolunges,single legorplyometric.
Plan:Continue toliaise withtrainersregardingtraining. BringPhillipe backinthree monthsand
reviewleftkneeandleftfoot.
Trainers’ comments
I will adhere toMarta’s advice onthe avoidance of lunges,singlelegworkandplyometrictraining.
Trainingemphasis:
1. VMO work throughthe use of heel elevatedgobletsquats/barbell squats.Lightloaddue to
the back disc compressionwithmore of afocuson time undertension.
2. Isometricwork todevelopmuscularendurance inthe legswill be partof yourski training.
3. Hamstrings work to provide knee andhip stability, particularlyfocusingonthe weakerleft
side.