- No category
SFMA Score Sheet & Flowcharts | Functional Movement
advertisement
SCORE SHEET AND FLOWCHARTS Scoresheets and Flowcharts Web: FunctionalMovement.com | Phone: (434) 432-3677 | Email: info@sfma.com This manual is protected by copyright, 2011 by SFMA, LLC. All rights reserved. Reproduction of this manual or any part thereof without prior written consent from SFMA, LLC is strictly prohibited. - 33 - THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT FN SFMA SCORING Active Cervical Flexion Active Cervical Extension Cervical Rotation Upper Extremity Pattern 1(MRE) Upper Extremity Pattern 2 (LRF) / 5 L R L R Multi-Segmental Flexion Multi-Segmental Extension Multi-Segmental Rotation Single-Leg Stance Overhead Deep Squat SFMA Certification - Ver 16 L R L R FP DP DN - 34 - THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT ! ! ! " (!!" !"! % #!)!! " !$!,+ % #!)!! ! ! ! ! $%# ! ! ! ! $&# ! ! ! ! " " ! " ! !$!*# % #!) &!&!! " ! " ! ! " % #!) &!&!! " ! " ! ! " % #!) &!&!! " !!"! /.+ *" "# !$! ! % #!) &!&!! " " !#!,.+ !! " ! "# % #!)!! " ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! " ! " ! # !!/-+ " !!/-+ )##! % #% % #!) &!&!! " ! " ! & /,+ & /,+ ! % #! &!&!! " !! ! !!! ! ! ! !!! % #!'$! !'!! SFMA Certification - Ver 16 - 53 - CERVICAL SPINE PATTERN BREAKOUTS Limited Cervical Spine Patterns Active Supine Cervical Flexion Test (Chin to Chest) DN, DP or FP FN Passive Supine Cervical Flexion Test FN There is a Postural SMCD affecting Cervical Flexion. This includes Cervical Spine, Thoracic Spine and Shoulder Girdle postural dysfunction. DN, DP or FP Active Cervical Spine Flexion SMCD Active Supine OA Cervical Flexion Test (20Ý) FN Bilateral DP or FP DN If Passive Supine Cervical Flexion (PSCF) was DP or DN then treat as Cervical Spine Flexion JMD &/or TED. If PSCF was FP can also be SMCD - perform segmental testing and soft tissue appraisal. OA Flexion JMD &/or TED &/or possible Cervical Spine Flexion JMD &/or TED Active Supine Cervical Rotation Test (80Ý) FN DN, DP or FP There is a Postural SMCD affecting Cervical Rotation. This includes Cervical Spine, Thoracic Spine and Shoulder Girdle postural dysfunction. Supine Cervical Extension DN FP or DP FN Active Cervical Spine Rotation SMCD DN, DP or FP C1-C2 Cervical Rotation Test (40°) FN FP or DP DN FN Cervical There is Postural &/ Extension JMD or SMCD affecting &/or TED Cervical Extension. SFMA Certification - Ver 16 SFMA Certification - Ver 15 Passive Supine Cervical Rotation Test (80°) If Passive Supine Cervical Rotation (PSCR) was DP or DN then treat as Lower Cervical Rotational JMD &/or TED. If PSCR was FP can also be SMCD - perform segmental testing and soft tissue appraisal. C1-C2 JMD &/or TED &/or possible Lower Cervical Spine JMD &/or TED. - 64 - UPPER EXTREMITY PATTERN BREAKOUTS Limited Upper Extremity Pattern One Active Prone Upper Extremity Pattern One (IR) Active Prone Elbow Flexion Test (Ext.) DN, DP or FP DN, DP or FP Passive Prone Upper Extremity Pattern One (IR) DN, DP or FP DN, DP or FP Passive Prone Shoulder IR Test (60° &/or Total Arc of 150°) FN DN DP or FP Shoulder IR SMCD Shoulder IR JMD or TED Treat Chemical Pain Active Prone Shoulder Extension Test (50°) DN, DP or FP FN Passive Prone Shoulder Extension Test (50°) FN DN Shoulder Extension SMCD Shlder Extension JMD or TED SFMA Certification - Ver 16 SFMA Certification - Ver 15 FN Passive Prone Elbow Flexion Test (Ext.) FN Active Prone Shoulder 90/90 IR Test (60° &/or Total Arc of 150°) FN FN DP or FP Treat Chem Pain FN DP or FP DN Elbow Flexion SMCD Treat Pain Elbow Flexion JMD or TED Active Lumbar Locked (CH) Extension/Rotation Test (50°) DN, DP or FP FN Passive Lumbar Locked (CH) Extension/Rotation Test (50° (50°)) If no previous Orange Boxes consider this a Postural &/ or Shoulder Girdle SMCD. Otherwise treat orange boxes first. FN DP or FP DN Treat Pain Thorax Extension/ Rotation JMD or TED Thorax &/or Shoulder Girdle SMCD - 65 - UPPER EXTREMITY PATTERN BREAKOUTS Limited Upper Extremity Pattern Two Active Prone Upper Extremity Pattern Two (ER) Active Prone Elbow Flexion Test (Flex) DN, DP or FP DN, DP or FP Passive Prone Upper Extremity Pattern Two (ER) DN, DP or FP DN, DP or FP Passive Prone Shoulder ER Test (90° &/or Total Arc of 150°) FN DN DP or FP Shoulder ER SMCD Shoulder ER JMD or TED Treat Chemical Pain Active Prone Shoulder Flexion/ Abduction Test (170°) DN, DP or FP FN Passive Prone Shoulder Flexion/ Abduction Test (170°) FN DN Shoulder Flexion/ Shoulder Flexion/ Abduction SMCD Abducction JMD or TED SFMA Certification - Ver 16 SFMA Certification - Ver 15 FN Passive Prone Elbow Flexion Test (Flex) FN Prone Shoulder 90/90 ER Test (90° &/or Total Arc of 150°) FN FN DP or FP Treat Chem Pain FN DP or FP DN Elbow Flexion SMCD Treat Pain Elbow Flexion JMD or TED Active Lumbar Locked (CH) Extension/Rotation Test (50°) FN DN, DP or FP Passive Lumbar Locked (CH) Extension/Rotation Test (50°) If no previous Orange Boxes consider this a Postural &/ or Shoulder Girdle SMCD. Otherwise treat orange boxes first. FN DP or FP Treat Pain Thorax &/or Shoulder Girdle SMCD DN Thorax Extension/ Rotation JMD or TED - 87 - MULTI-SEGMENTAL FLEXION BREAKOUTS Limited Multi-Segmental Flexion Single Leg Forward Bend Bilateral DN, DP or FP FN Unilateral DN, DP or FP Long Sitting Test 0 FN (80 Sacral Angle) DN, DP or FP Active SLR Test (70°) Weight-Bearing Hip Flexion pattern SMCD 0 FN DN, DP or FP(<70 ) Passive SLR Test (80°) 0 FN>80 DN, DP or FP Core SMCD &/or Active Hip Flexion SMCD Prone Rocking Test FN If no previous mobility findings consider this a Weight-bearing Spine &/or Hip SMCD - otherwise treat orange boxes first. SFMA Certification - Ver 15 SFMA Certification - Ver 16 FP or DP Supine Knee to Chest Test DN FN FP or DP DN Spinal Flexion SLR Hip Flexion Treat JMD &/or TED TED or if PSLR Hip JMD &/ Chemical was FP could or Posterior Pain in be Active Hip Chain TED Hip Flexion SMCD - 101 - MULTI-SEGMENTAL EXTENSION BREAKOUTS Spine Extension Flowchart Backward Bend w/o UE DN, DP or FP FN Go to UB Extension Flowchart Single Leg BB DN, DP or FP FN Press Up Symmetrical Stance Core SMCD or Anterior Torso TED. TED. Go to UB Extension Flowchart Weight-bearing Spine Extension SMCD. Go to Lower & Upper Body Extension Flowcharts FN DN, DP or FP (>1 Airex Pad) Active Lumbar Locked (IR) Extension/Rotation Test(50°) FN DN, DP or FP Passive Lumbar Locked (IR) Extension/Rotation Test(50°) FN DN Thorax Extension/ Rotation SMCD Thorax Extension/Rotataion JMD &/ or TED - Go to Lower Body Extension Flowchart FP or DP Treat Pain - Go to Lower Body Extension Flowchart Active Prone on Elbow Extension/Rotation Test (30°) DN, DP or FP FN If Thorax has SMCD assume L-Spine is normal. normal. Passive Prone on Elbow Extension/Rotation Test(30°) FP or DP DN FN Lumbar Extension/ Treat Pain - Go Rotation JMD &/or to Lower Body then Upper TED - Go to Lower Body Extension Body then Upper Body Flowchart Extension Flowchart SFMA Certification - Ver 16 SFMA Certification - Ver 15 Lumbar Spine Extension/ Rotation SMCD or Anterior Torso TED TED-- Go to Lower Body then Upper Body Extension Ext ension Flowchart - 102 - MULTI-SEGMENTAL EXTENSION BREAKOUTS Lower Body Extension Flowchart FABER Test FN DN, DP or FP Stabilized FABER Test FN DN, DP or FP Hip/Core SMCD Hip/SI JMD &/or TED - Perform Local Biomechanical Testing of the Hip and SI. Modified Thomas Test FN with Knee Straight Lower Anterior Chain TED FN with Hip Abducted & FN with Knee Straight Hip Abducted Lower Lateral Chain TED Lower Anterior and Lateral Chain TED DN DP/FP FN If FABER was DN, DP or FP Hip Extension JMD &/or then stop and TED and/or Core SMCD. SMCD. treat FABER Prone Active Hip Extension Test (10°) DN, DP or FP FN (> or = 10 degrees Extension) Prone Passive Hip Extension Test (10°) If Spine Extension was dysfunctional consider Hip normal. If not - there is a Weightbearing Hip Extension SMCD &/or Limited Ankle Dorsiflexion (Refer to ODS & SLS). SFMA SFMA Certification Certification -- Ver Ver 16 15 DN Hip Extension JMD &/or TED FP or DP FN Core SMCD &/ or Active Hip Extension SMC SMCD - 103 - MULTI-SEGMENTAL EXTENSION BREAKOUTS Upper Body Extension Flowchart Unilateral Shoulder Backward Bend DN, DP or FP FN Supine Lat Stretch Hips Flexed Potential Anterior Torso TED or Cervical Spine involvement - Double Check Cervical Patterns FN DN, DP or FP If no previous Hip or Spine extension mobility dysfunctions consider this a Weight-bearing Upper Quarter Extension SMCD - otherwise treat hips and spine first. Supine Lat Stretch Hips Extended FN Shoulder Flexion improves but not Full DN, DP or FP Posterior/Lateral Chain TED &/or Possible Hip Extension dysfunction - Go to Lower Body Extension Flowchart Posterior/Lateral Chain TED &/or Possible Hip Extension dysfunction Make sure you also run Lower Body Extension Flowchart Active Lumbar Locked (ER) Extension/Rotation Test(50°) FN DN, DP or FP Shoulder Girdle SMCD Active Lumbar Locked (IR) Extension/Rotation Test (50°) Passive Lumbar Locked (IR) Extension/Rotation Test (50°) DN FP or DP Thorax Extension/ Rotation JMD &/or TED possible Shoulder JMD/TED as well SFMA Certification - Ver 16 15 DN, DP or FP FN Thorax Extension/Rotation SMCD &/or possible Shoulder Girdle dysfunction FN Shoulder Girdle JMD &/or TED - 132 - MULTI-SEGMENTAL ROTATION BREAKOUTS Limited Multi-Segmental Rotation Seated Rotation Test (50°) FN DN, DP or FP Go to Hip Rotation Flowchart I Active Lumbar Locked (ER) Extension/Rotation Test (50°) FN DN, DP or FP & Switches Sides DN, DP or FP Active Lumbar Locked (IR) Extension/Rotation Test (50°) DN, DP or FP FN Passive Lumbar Locked (IR) Extension/Rotation Test (50°) Shoulder Girdle Rot. JMD &/or TED DN FP or DP FN Thorax Extension/ Rotation JMD &/ or TED - Go to Hip Rotation Flowchart I Treat Pain - Go to Hip Rotation Flowchart I Thorax Rotation SMCD Active Prone on Elbow Extension/Rotation Test (30°) FN DN, DP or FP Passive Prone on Elbow Extension/ Rotation Test (30°) FP or DP Treat Pain - Go to Hip Rotation Flowchart I 16 SFMA Certification - Ver 15 DN Lumbar Spine Extension/Rotation JMD &/or TED - Go to Hip Rotation Flowchart I FN If Thorax Extension/Rotation SMCD exists lumbar spine is normal. If not consider this a Weight-bearing Spine or Shoulder Girdle Rotation SMCD Go to Hip Rotation Flowchart 1 - 133 - MULTI-SEGMENTAL ROTATION BREAKOUTS Hip Rotation Flowchart (Part 1) Active Seated External Hip Rotation (40°) (40°) FN (>400)) DN, DP or FP Passive Seated External Hip Rotation (40°) (40°) FP or DP DN Hip JMD &/or TED for External Rotation with Hip Flexed FN Treat Pain - Go to Hip Rotation Part 2 Flowchart Active Prone External Hip Rotation (40°) (40°) DN, DP or FP FN (>400)) Passive Prone External Hip Rotation (40°) (40°) DN FP or DP FN Hip JMD &/ or TED for Extension Rotation with Hip Extended - Go to Hip Rotation 2 Flowchart and Lower-body Extension Breakout Treat Pain - Go to Hip Rotation 2 Flowchart If Seated Passive Rotation was DN stop and treat the DN. If not consider this a Weight-bearing or Active External Hip Rotation SMCD - Go to Hip Rotation 2 Rotation Flowchart. 16 SFMA Certification - Ver 15 If Seated Passive Rotation was DN stop and treat the DN. If no previous signs of hip rotation dysfunction consider the hips normal and go to Tibial Rotation Flowchart. If not consider this a Weightbearing or Active External Hip Rotation SMCD - Go to Hip Rotation 2 Flowchart. - 134 - MULTI-SEGMENTAL ROTATION BREAKOUTS Hip Rotation Flowchart (Part 2) Active Seated Internal Hip Rotation (30°) (30°) FN (>300)) DN, DP or FP Passive Seated Internal Hip Rotation (30°) (30°) FP or DP DN Hip JMD &/or TED for Medial Rotation with Hip Flexed FN Treat Pain Go to Tibia Rotation Flowchart Active Prone Internal Hip Rotation (30°) (30°) DN, DP or FP FN (>300)) Passive Prone Internal Hip Rotation (30°) (30°) DN FP or DP Hip JMD &/or TED for Medial Rotation with Hip Extended - Go to Tibial Rotation Flowchart and Lower-body Extension Breakout Treat Pain Go to Tibia Rotation Flowchart SFMA Certification Certification -- Ver Ver 16 15 SFMA FN If Seated Passive Rotation was DN stop and treat the DN. If not consider this a Weightbearing or Active Internal Hip Rotation SMCD - Go to Tibial Rotation Flowchart. If Seated Passive Rotation was DN stop and treat the DN. If no previous signs of hip rotation dysfunction consider the hips normal and go to Tibial Rotation Flowchart. If not, consider this a Weightbearing or Active Internal Hip Rotation SMCD - Go to Tibial Rotation Flowchart. - 135 - MULTI-SEGMENTAL ROTATION BREAKOUTS Tibial Rotation Flowchart Active Seated Internal Tibial Rotation (20°) (20°) FN DN, DP or FP Passive Seated Internal Tibial Rotation (20°) (20°) DP or FP FN DN Tibial Internal Rotation SMCD Tibial Internal Rotation TED &/or JMD Active Seated External Tibial Rotation (20°) (20°) FN Tibia External Rotation Mobility is Normal (If no previous Rotation findings Go to Lower-body Extension Flowchart) DN, DP or FP Passive Seated External Tibial Rotation (20°) (20°) FN DP or FP Tibial Extenal Rotation SMCD SFMA Certification - Ver 15 16 DN Tibial External Rotation TED &/ or JMD - 157 - SINGLE-LEG STANCE BREAKOUTS Vestibular & Core Flowchart Vestibular Test - CTSIB (Static Head) DN, DP or FP Potential Static Vestibular Dysfunction FN CTSIB (Dynamic Head Movement) FN Half-Kneeling Narrow Base Test Dysfunctional Dynamic Vestibular Dysfunction DN, DP, or FP FN Go to SLS Ankle Flowchart Quadruped Diagonals Test FN DP or FP DN Weight-bearing Spine &/or Core SMCD - (If Hip Extension is DN treat it first). Go to SLS Ankle Flowchart. Treat Pain - Go to SLS Ankle Flowchart. Weight-bearing Hip &/or Core SMCD (If Hip Extension &/or Shoulder Flexion are DN treat those first) Go to SLS Ankle Flowchart. SFMA Certification - Ver 15 SFMA Certification - Ver 16 - 158 - SINGLE-LEG STANCE BREAKOUTS Ankle Flowchart Heel Walk Test FN DN, DP or FP Passive Prone Dorsiflexion Test DP or FP FN DN Treat Pain Dorsiflexion SMCD Dorsiflexion TED &/or JMD Toe Walk Test DN, DP or FP FN Passive Prone Plantarflexion Test FN DN DP or FP Plantarflexion SMCD Plantarflexion TED &/or JMD Treat Pain Active Seated Ankle Inversion/Eversion Test FN DN, DP or FP Passive Ankle Inversion/Eversion Test DN DP or FP Ankle (Eversion or Inversion) JMD, TED * Perform local foot/ ankle exam 15 SFMA Certification - Ver 16 FN Ankle (Eversion or Inversion) SMCD - * Perform local foot/ankle exam If no Red, Orange or Positive Blue Boxes so far = Proprioceptive Deficit - 173 - OVERHEAD DEEP SQUATTING PATTERN BREAKOUTS Limited Overhead Deep Squat Deep Squat DN, DP or FP If Squat is now FN - Go to MultiSegmental Extension Breakout. Half-Kneeling Dorsiflexion Test FP or DP DN FN Dorsiflexion TED &/Or Ankle JMD Treat Pain Supine Knees to Chest Holding Shins Test DN, DP or FP FN w/ DP or FP Dorsiflexion FN w/ DN Dorsiflexion Treat Dorsiflexion Chemical Pain Treat Dorsiflexion Consider Knee & Hip Flexion Normal Supine Knees to Chest Holding Thighs Test FN Knee Flexion JMD &/or TED FP or DP Treat Chemical Pain SFMA SFMA Certification Certification -- Ver Ver 15 16 DN Hip Flexion JMD &/or TED, but still can have Knee Flexion JMD FN w/ FN Dorsiflexion Assisted Squat Test FN DN DP or FP Weight-bearing Ankle, Knee Treat Weightand/or Hip/Core Chemical bearing Ankle, Flexion SMCD Pain in Hip, Knee and/ &/or Normal Knee or or Hip/Core Anatomical Ankle Flexion SMCD Variances. Go to MSE Breakouts
0
advertisement
Download
advertisement
Add this document to collection(s)
You can add this document to your study collection(s)
Sign in Available only to authorized usersAdd this document to saved
You can add this document to your saved list
Sign in Available only to authorized users