Results of SFMA and other special tests at initial examination and discharge. High velocity manipulation of T-spine in prone T2—T8. The SFMA may not be practical for use during an acute episode. Whereas the FMS is a screening tool, not intended for diagnosis. Clinical Impression 2 Examination findings confirmed the hypothesis that the subject had functional movement pattern dysfunctions contributing to his LBP.

If you are interested in any of the SMFA courses, please visit their official website. Javadian Y, et al. When performing the assessment the examiner should avoid excessive instructions for form in order to evaluate how the patient moves naturally. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Reliability limits of the Modified Thomas Test for assessing rectus femoris muscle flexibility about the knee joint. Deadlift with neutral spine right figure. As seen in Appendix C, focus was then shifted to UE movement patterns which were limited in the medial rotation and extension pattern, primarily on the right side.

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Touch chin to chest with mouth closed. The content on or accessible through Physiopedia is for informational studt only. 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.

Joint Examination and Basic Treatment.

Functional movement, low back dase, Selective Functional Movement Assessment. Acton, MAPhone: LBP is the most commonly reported musculoskeletal complaint among American adults with greater than one in four reporting symptoms in the previous three months.


sfma case study

Back pain prevalence and visit rates: Therapists assessed core stability using an alternating quadruped bird dog exercise; the subject had difficulty maintaining a neutral spine with dynamic motion suggesting underlying core stability deficits. When refering to evidence in academic writing, you should always try to reference fase primary original source.

sfma case study

Orthopedic Physical Assessment, 5 th Edition. This same rationale was applied to the decision to attain full ROM of all limited patterns, which was the focus of weeks three to six, before performing stability exercises.

Despite patterns being functional, the cwse continued to demonstrate excessive lumbar lordosis with advanced exercises. American Physical Therapy Association http: Results of the Functional Movement Screen performed at discharge. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: The subject was seen for 13 visits over nine weeks.

Selective Functional Movement Assessment (SFMA) – Physiopedia

Touches inferior angle of contralateral scapula Evaluating: Please review our privacy policy. The SFMA helped guide therapists to dysfunctional movements not seen with more conventional examination procedures. Once he demonstrated good control of his pelvis with loading to the spine, he was progressed to double leg squatting and deadlifting with kettlebells, followed by asymmetrical lunging and single leg exercises in order to continue to strengthen his hips and promote core stability in more challenging positions.

The subject demonstrated limited gross spine and hip range of motion ROM and slightly decreased hip strength bilaterally. Stand feet shoulder width apart with shoes off and feet pointed forward.

Selective Functional Movement Assessment (SFMA)

atudy Based on the subject’s inability to maintain and control pelvic tilt and lumbopelvic positioning during exercise activities for example an inability to maintain a neutral spine while performing quadruped stability exercises the therapists believed based on clinical experience there were also underlying core stability deficits contributing to excessive stress at the lumbopelvic junction.


STM posterior rotator cuff and pec minor 10 minutes.

Studies have successfully linked limitations in remote regions to symptoms elsewhere in the system, including limitations of hip mobility to LBP and foot dysfunction causing patellofemoral pain. Norli; Minneapolis, Minnesota; [ Google Scholar ]. The subject displayed limited functional mobility at the hips, thoracic spine and shoulder which, according to this theory, function primarily as mobile joints while the lumbar spine serves primarily as a stable junction between the thoracic spine and pelvis.

The effects of stabilizing exercises on pain and disability of patients with lumbar segmental instability.

sfma case study

Procedural interventions The subject was seen for 13 visits over nine weeks. Swanson 1 University of New England, Dept. Conservative treatment of acute and chronic nonspecific low back pain: Rotate entire body as far as possible hips, shoulders and head Criteria: The purpose of sstudy SFMA is to assess the quality of the movements; it is not about how many repetitions the person caase perform, but rather the quality of the movement pattern.

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.