A netwоrk is а cоllectiоn of two or more connected computers cаpаble of sharing data and resources. The most common computer network, a [LAN], connects devices in a single building or other physical location. The [Internet] is a network of many different [networks] spanning virtually every country in the world.
Instructiоns: Pleаse use the scenаriо аnd infоrmation below to address the questions. Prior knowledge and experience within ATR 7209c should guide the process of formulating a response. The ATR 7519 and ATR 7509 course experience should assist with preparing and communicating the information appropriately for the scenario and associated questions (1 - 4). Scenario: Amy Johnson, a 21-year-old collegiate gymnast, reports to the athletic training clinic as part of pre-season physical examination. She recently completed an orthopedic and functional movement screening with the sports health care performance team. Please review the findings from her screening below. Patient Demographics: 21 years old, female, gymnast – competes in vault, bars, and floor exercise. 63.5 inches tall, 130 pounds, Mesomorphic body type. Nutritional Intake 2500 calories daily. Sleep 7 – 8 hours per night. Hydration 75 ounces of water daily, Coffee 24 – 32 ounces daily. Pescatarian Diet, which includes fruits, vegetables, and whole grains. Limits dairy, but not lactose intolerant. Completes weightlifting program (designed by Strength Coach 3x per week) Completes cardiovascular training sessions 2x per week for 45 – 60 minutes (in and out of season) Previous Injury History: Left ACL reconstruction (4 years prior) with hamstring tendon autograph. Right ankle sprain (18 months earlier) Idiopathic low back pain (ongoing during the past year) Screening Findings (assume anything not listed within the assessment = normal, non-painful): Posture: bilateral forward rounded shoulders, increased lumbar lordosis, right rearfoot valgus, bilateral functional pes planus Flexibility: (+) Thomas Test Right (knee extension, external rotation), (+) Ely’s Test bilaterally, (+) Thomas Test Left (hip flexion, knee extension) Leg Length: 92 cm (Right) and 92.5 cm (Left) Gait Analysis: Bilateral lower leg whip during running gait; bilateral early heel rise during terminal stance FMS: Squat (2), Hurdle Step (2), Inline Lunge (2), Ankle Clearing (Y), Rotary Stability (2) Y-Balance: Lower Extremity asymmetry (Right – anterior and posteriorlateral directions), Upper Extremity – symmetrical. SFMA Top Tier: Cervical Flexion (DN – chin to chest), Cervical Rotation (R and L) (DN – chin to mid clavicle), Shoulder pattern 1 (R and L) (DN – excessive effort), Spine Rotation (R and L) (DN – did not reach 50 degrees upper body), Squat (DN – non uniform spine, heels do not remain on ground) SFMA Breakout: MD (ankle DF, shoulder extension and internal rotation, thoracic spine); SMCD (lumbar spine) Weight Bearing Lunge Test: Right (6cm) and Left (8cm) Landing Error Scoring System: 5/19 (knee flexion at initial contact, trunk flexion displacement not more than initial contact, maximum medial knee position medial to midfoot, asymmetry in foot position at contact, average overall impression). Core Stability: Plank endurance 1.5 minutes. Breathing Assessment: 3000mL Patient Reported Outcome Measures: IdFAI: 12/37 CAIT: 25/30 TSK-11: 16/44 FABQ: 10/66 Quick FAAM: 92/100 HRQoL: 20/80
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