SFMA CASE STUDY
Human movement is a collaborative effort of muscle groups that are interdependent; the use of a movement-based assessment model can help identify weak links affecting overall function. Clinical Impression 1 The subject’s general complaints of LBP for two years and recent left hip pain could be the result of many possible diagnoses; however, he did not present with any red flag signs and therefore had not undergone any diagnostic imaging at the time of evaluation. J Orthop Sports Phys Ther. Touches spine of contralateral scapula Evaluating: These patterns were cleared for mobility issues and pain in the first five sessions using manual therapy techniques and as a result of the subject’s commitment to his HEP. Examination findings confirmed the hypothesis that the subject had functional movement pattern dysfunctions contributing to his LBP. Therapeutic exercises incorporated into the POC included flexibility, strength and power exercises, and breathing strategies.
Emphasis placed on regaining mobility in his hips, mostly through his commitment to the HEP, appeared to be a major contributing factor to his decrease in symptoms. Can serious injury in professional football be predicted by a preseason Functional Movement Screen? STM posterior rotator cuff and pec minor 10 minutes. Appendix C shows all procedural interventions and progressions performed during each visit. Mobility limitations can be categorized as tissue extensibility or joint mobility dysfunction. Functional movement, low back pain, Selective Functional Movement Assessment.
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Non-specific low back pain LBP is a diagnosis frequently encountered in outpatient orthopedic settings that presents a challenge for both patients and healthcare professionals. Van Tulder et al have shown that treatment plans for patients with chronic LBP that focus on a single pathological structure often result in poor outcomes.
American Physical Therapy Association http: Straight Leg Raise Test disc pathology. Medial rotation—extension stretch left figure. Breakouts include active and passive movements, weight-bearing and non-weight-bearing positions, multiple and single-joint functional movement assessments and unilateral and bilateral challenges. Stand feet shoulder width apart caae shoes off and feet pointed forward.
Selective Functional Movement Assessment (SFMA) – Physiopedia
The effects seen after gains in mobility further supports the previously noted relationship between hip ROM restrictions and LBP. Rx Day 7 DN: This may have resulted in his gross increase in tone as a means to restore or impose stability using the global musculature. Motor function training was incorporated into most exercises in the form of neuromuscular re-education for improved postural stabilization. Clinical Impression 1 The subject’s general complaints of LBP for two years and recent left hip pain could be the result of many possible diagnoses; however, he did not present with any red flag signs and therefore had not undergone any diagnostic imaging at the time of evaluation.
Selective Functional Movement Assessment (SFMA)
Javadian Y, et al. Rotate entire body as far as possible hips, shoulders and head Criteria: Rx Day 9 DN: Correlations of hip mobility with degree of back pain and lumbar spinal mobility in chronic stkdy pain patients. The effects of stabilizing exercises on pain and disability of patients with lumbar segmental instability.
The subject was a good candidate for PT due to his age, active lifestyle and motivation. The assessment consists of ten basic movements that are standardized for classification.
Acton, MAPhone: A systematic review of randomized controlled trials of the most common interventions. Top-tier movements and breakout tests are graded with 4 possible notations based on subjective assessment:. Williamson A Hoggart B.
To understand how to use the tool properly, it is important for the clinician to understand the terms “tightness” and “weakness”, within the SFMA framework. Therapists initially prioritized pain relief in the lumbar region for the initial one to three weeks, theorizing that pain would disrupt normal movement patterns and cause continued dysfunction.
Currently, there is no widely accepted, validated standard to assess movement quality. The FMS aims to identify imbalances in mobility and stability during functional movements. Can serious injury in professional football be predicted by a preseason Functional Movement Screen?
Toggle navigation p Physiopedia. Therefore it is not known if other treatments for this patient would have resulted in similar outcomes. Clinical Impression 2 Examination findings confirmed the hypothesis that the subject had functional movement pattern dysfunctions contributing to his LBP.
Orthopedic Physical Assessment, 5 th Edition. The SFMA assesses 10 movement patterns:. J Back Musculoskelet Rehabil. Patellofemoral pain syndrome and its association with hip, ankle and foot function in 16 to 18 year-old high school students: The therapists believed that if the subject could not display effective motor control in foundational lower level developmental positions, he likely would compensate in more complex higher level developmental patterns leading to continued stress on his back.