THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT
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- 27 - 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) L R L R L R Multi-Segmental Flexion Multi-Segmental Extension Multi-Segmental Rotation Single Leg Stance Overhead Deep Squat L R L R FP DP DN - 28 - THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT Name: Cervical Flexion Date: Total Score: o Painful o Can’t touch Sternum to Chin o Excessive effort and/or lack of motor control Cervical Extension o Painful o Not within 10 degrees of parallel o Excessive effort and/or lack of motor control Cervical Rotation o Right o Right o Left o Left Pattern #1 – MRE o Right o Right o Left o Left Pattern #2 – LRF o Right o Right o Left o Left o Painful Right o Painful Left Nose not in line with mid-­‐clavicle Excessive effort and/or appreciable asymmetry or lack of motor control o Painful Right o Painful Left Does not reach inferior angle of scapula Excessive effort and/or appreciable asymmetry or lack of motor control o Painful Right o Painful Left Does not reach spine of scapula Excessive effort and/or appreciable asymmetry or lack of motor control Multi-­‐Segmental Flexion o Painful o Cannot touch toes o Sacral angle <70 degrees o Non-­‐uniform spinal curve o Lack of posterior weight shift o Excessive effort and/or appreciable asymmetry or lack of motor control Multi-­‐Segmental Extension o Painful o UE does not achieve or maintain 170 o ASIS does not clear toes o Spine of scapula does not clear heels o Uniform spinal curve o Excessive effort and/or lack motor control Multi-­‐Segmental Rotation o Right o Right o Right o Right o Right o Left o Left o Left o Left o Left Single Leg Stance o Right o Right o Right o Right o Left o Left o Left o Left o Painful Right o Painful Left Pelvis Rotation <50 degrees Shoulders rotation <50 degrees Spine/pelvic deviation Excessive Knee flexion Excessive effort and/or lack of symmetry or motor control o Painful Right o Painful Left Eyes open <10 seconds Eyes closed < 10 seconds Loss of Height Excessive effort or lack of symmetry or motor control Overhead Deep Squat o Painful o Loss of UE start position o Tibia and Torso are not parallel or better o Thighs do not break parallel o Right o Left Loss of sagittal plane alignment o Excessive effort, weight shift, or motor control - 43 - 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 and/or SMCD affecting Cervical Flexion. This includes Cervical Spine, Thoracic Spine and Shoulder Girdle postural dysfunction. DN, DP or FP Active Supine OA Cervical Flexion Test (20˚) Active Cervical Spine Flexion SMCD FN Bilat. 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 (80˚) FN DN, DP or FP If Cervical Flexion is DN - Treat flexion first. If not, there is a Postural and/or SMCD affecting Cervical Rotation. This includes Cervical Spine, Thoracic Spine and Shoulder Girdle postural dysfunction. Supine Cervical Extension Passive Supine Cervical Rotation Test FN Active Cervical Spine Rotation SMCD DN, DP or FP C1-C2 Cervical Rotation Test FN DN Cervical Extension JMD &/or TED FP or DP FP or DP DN FN There is Postural &/ or SMCD affecting Cervical Extension. 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. - 54 - UPPER EXTREMITY PATTERN BREAKOUTS Limited Upper Extremity Pattern One Active Prone Upper Extremity Pattern One (IR) DN, DP or FP FN Passive Prone Upper Extremity Pattern One (IR) Supine Reciprocal Upper Extremity Pattern Test FN DN, DP or FP FN DN, DP or FP Passive Prone Shoulder IR Test Act. Prone Elbow Flex. Test (Ext.) DN, DP or FP FN DN DP or FP Shoulder IR SMCD Shoulder IR JMD orTED Treat Chemical Pain Active Prone Shoulder Ext. Test (50°) FN DN DP or FP Shoulder Ext SMCD Shlder Ext JMD or TED Treat Chem Pain FN Passive Prone Elbow Flexion Test (Ext.) FN DN, DP or FP Passive Prone Shoulder Ext. Test DN Functional Shoulder Pattern SMCD for Pattern 1. Go to Spine Extension Breakouot. Isolated Postural &/or Shoulder Girdle SMCD for Pattern 1. Go to Spine Extension Breakouot. Active Prone Shoulder 90/90 IR Test (60° &/or Total Arc of 150°) FN DP or FP FN DP or FP DN Elbow Flex SMCD Treat Pain Elbow Flex JMD or TED Active Lumbar Locked Ext./Rot. Chest FN DP or FP DN If no findings so far then Combined Pattern One JMD &/or TED Treat Pain Thoracic Spine Ext. JMD, TED, or SMCD. Use passive to differentiate. - 55 - UPPER EXTREMITY PATTERN BREAKOUTS Limited Upper Extremity Pattern Two Active Prone Upper Extremity Pattern Two (ER) DN, DP or FP FN Passive Prone Upper Extremity Pattern One (ER) Supine Reciprocal Upper Extremity Pattern Test FN DN, DP or FP FN DN, DP or FP Passive Prone Shoulder ER Test Act. Prone Elbow Flex. Test (Flex) DN, DP or FP FN DN DP or FP Shoulder ER SMCD Shoulder ER JMD orTED Treat Chemical Pain Active Prone Shldr Flx/Abd Test (170°) FN DN DP or FP Shoulder Fl/ Ab SMCD Shlder Fl/Ab JMD or TED Treat Chem Pain FN Passive Prone Elbow Flexion Test (Flex) FN DN, DP or FP Passive Prone Shoulder Fl/Ab Test DN Functional Shoulder Pattern SMCD for Pattern 2. Go to Spine Extension Breakouot. Isolated Postural &/or Shoulder Girdle SMCD for Pattern 2. Go to Spine Extension Breakouot. Prone Shoulder 90/90 ER Test (90° &/or Total Arc of 150°) FN DP or FP FN DP or FP DN Elbow Flex SMCD Treat Pain Elbow Flex JMD or TED Active Lumbar Locked Ext./Rot. Chest FN DP or FP DN If no findings so far then Combined Pattern One JMD &/or TED Treat Pain Thoracic Spine Ext. JMD, TED, or SMCD. Use passive to differentiate. - 77 - MULTI-SEGMENTAL FLEXION BREAKOUTS Limited Multi-Segmental Flexion Single Leg Forward Bend Both Functional and Non-Painful Bilateral Dysfunctional or Painful Unilateral Dysfunctional or Painful Long Sitting 0 FN (80 Sacral Angle) DN, DP or FP Active SLR Rolling Breakout Outcome 0 FN FN FP or DP D (<70 ) or P DN Passive SLR Weight Bearing Hip Flexion pattern SMCD Fundamental Flexion pattern SMCD 0 FN>80 Core SMCD &/or Active Hip Flexion SMCD Supine Knee to Chest (T) Prone Rocking FN FP or DP Rolling Outcome FN DN, DP or FP FP or DP If no previous Orange Box, they have a Weight Bearing Spine SMCD - otherwise assume spine flexion is normal. DN Spinal Flexion JMD &/or TED DN Fundamental Flexion Pattern SMCD FN FP or DP Posterior Chain TED &/or Active Hip Flexion SMCD DN Hip JMD &/or Posterior Chain TED - 91 - MULTI-SEGMENTAL EXTENSION BREAKOUTS Spine Extension Flowchart Backward Bend w/o UE FN - Go to UB Ext. Flowchart Dysfunctional or Painful Single Leg BB Dysfunctional or Painful Both Functional and Non-Painful Press Up Symmetrical Stance Core SMCD or Anterior Torso TED. Go to UB Ext. Flowchart If Extension is Functional and NonPainful - May have Weight Bearing DN, DP or FP (>1 Airex Pad) Spinal Extension SMCD, but still move to Lower & Upper Body Ext. Flowcharts Lumbar Locked (IR) - Active Extension/Rotation (50°) FP, DP or DN FN Lumbar Locked (IR) - Passive Extension/Rotation (50°) FP or DP FN Unilateral DN Bilateral DN Thorax Extension SMCD Thorax Unilateral Ext. JMD &/or TED - Go to Upper & Lower Body Ext. Flowchart Thorax Bilateral Ext. JMD &/or TED - Go to Upper & Lower Body Ext. FC Prone on Elbow Unilateral Extension/Rotation (30°) FN DN, DP or FP Passive Prone on Elbow Uni. Rot. (30°) Unilateral DN FP or DP Bilateral DN Uni. Lumbar Ext./Rot Bilateral Lumbar JMD &/or TED * Perform Ext./Rot JMD &/or TED * Local Lumbar Spine Perform Local Lumbar Spine Exam - Go to Upper & Exam - Go to Upper & Lower Body Ext. FC Lower Body Ext. FC FN Rolling Pattern Outcomes FN FP or DP If Thor. Ext. SMCD exists assume Lumbar is normal. If not - Weight Bearing Spine Ext. SMCD - Go to Upper & Lower Body Ext. FC DN Fund. Spine Ext. SMCD - Go to Upper & Lower Body Ext. FC - 92 - MULTI-SEGMENTAL EXTENSION BREAKOUTS Lower Body Extension Flowchart FABER Test DN, DP or FP FN Hip/SI JMD &/or TED &/or Core SMCD * (Use Stabilized FABER to differentiate) Perform Local Biomechanical Testing of the Hip and SI. Modified Thomas 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 FN DP/FP DN Hip Ext. JMD &/or TED and/or Core SMCD. Prone Active Hip Extension DP, FP, or DN > or = 10 degrees Extension (FN) Prone Passive Hip Extension Rolling Pattern Outcomes FN FP or DP If there were previous signs of Hip Extension Dysfunction assume a Weight Bearing Hip &/ or Spine Lower Quarter Ext. SMCD &/or Limited Ankle Dorsiflexion. If not, Hip Ext. is Normal (Check ODS & SLS) DN DN Hip Extension JMD &/or TED FP or DP Rolling Pattern Outcomes FN Fundamental Extension Pattern SMCD FN FP or DP Core SMCD &/ or Active Hip Extension SMCD DN Fundamental Extension Pattern SMCD - 93 - MULTI-SEGMENTAL EXTENSION BREAKOUTS Upper Body Extension Flowchart Unilateral Shoulder Backward Bend Both Functional and Non-Painful Dysfunctional or Painful Double check Press Up on Spine Ext. Flowchart for possible T-Spine involvement and make sure you rule out C-Spine Involvement. Supine Lat Stretch Hips Flexed Functional and Non-Painful Shoulder Flexion Dysfunctional or Painful Shoulder Flexion Rolling Pattern Outcomes FN FP or DP Weight Bearing Upper Quarter Ext. SMCD DN Supine Lat Stretch Hips Extended FN Fundamental Extension SMCD DN, DP or FP Lat/Posterior Chain TED &/or Possible Hip Extension dysfunction - Make sure you run Lower Body Extension Flowchart Shoulder Flexion Improves but not Full Lat/Posterior Chain TED &/or Possible Hip Extension dysfunction - Make sure you also run Lower Body Extension Flowchart Lumbar Locked (ER) - Unilateral Extension/Rotation (50°) Both Sides Functional and Non-Painful Dysfunctional or Painful Scapular &/or Gleno-Humeral SMCD Lumbar Locked (IR) - Active Extension/Rotation (50°) Lumbar Locked (IR) - Passive Extension/Rotation One Side Dysfunctional and Non-Painful Both Dysfunctional and Non-Painful FP or DP FN DN, DP or FP FN Shoulder Girdle JMD or TED Thorax Unilateral Extension / Thorax Bilateral Extension Thorax Bilateral Extension / Rotation SMCD Rotation JMD &/or TED / Rotation JMD &/or TED - 118 - MULTI-SEGMENTAL ROTATION BREAKOUTS Limited Multi-Segmental Rotation Seated Rotation (50°) DN, DP or FP FN Go to Hip Rotation Flowcharts Lumbar Locked (ER) - Unilateral Ext./Rot. (50°) FN DN, DP or FP & Switches Sides DN, DP or FP Lumbar Locked (IR) - Active Ext./Rot. (50°) DN, DP or FP Rolling Pattern Outcomes Shoulder Girdle TED &/or JMD FN FN Lumbar Locked (IR) - Passive Ext./Rot. (50°) Unilateral DN Bilateral DN Thorax Unilateral Rot./Ext. JMD &/or TED - Go to Hip Rotation Flowcharts FP or DP Thorax Bilateral Rot./Ext. JMD &/or TED - Go to Hip Rotation Flowcharts DP or FP Weight Bearing Spine Rotational SMCD FN DN Fundamental Rotational Pattern SMCD Thorax Rotation SMCD Prone on Elbow Unilateral Ext./Rot. (30°) FN DN, DP or FP Pass. Prone on Elb. Uni. Ext./Rot (30°) Unilateral DN FP or DP Unilateral Lumbar Rotation JMD &/or TED * Perform Local Lumbar Spine Exam Go to Hip Rotation & Lower Body Extension Flowcharts Bilateral DN FN Rolling Pattern Outcomes FN FP or DP DN If Thorax Rotation SMCD Fundamental Bilateral Lumbar Spine exists assume lumbar Rot./Ext. JMD &/or TED * Rotational Perform Local Lumbar Spine spine is normal. If not - Weight Bearing Spine SMCD - Go to Exam - Go to Hip Rotation Rotational SMCD - Go to Hip Rotation & Lower Body Extension Flowcharts Hip Rotation Flowcharts Flowcharts - 119 - MULTI-SEGMENTAL ROTATION BREAKOUTS Hip Rotation Flowchart (Part 1) Seated Active External Hip Rotation Dysfunctional &/or Painful FN (>400)) Seated Passive External Hip Rotation DN DP or FP FN Hip JMD &/or TED with Ext. Rot. & w/ Hip Flexed Prone Active External Hip Rotation Dysfunctional &/or Painful FN (>400)) - If Seated Passive Rotation was DN stop and Treat the DN. If not Continue Flowchart Prone Passive External Hip Rotation DN DP or FP Hip JMD &/or TED with Ext. Rot. & Hip Extended - Go to Tibial Rotation Flowchart and Lower Body Extension Breakout FN - If Seated Passive Rotation was DN stop and Treat the DN. If not Continue Flowchart Rolling Pattern Outcomes FN Weight Bearing External Hip Rotation SMCD - Go to Tibial Rotation Flowchart and Lower Body Extension Breakout DP or FP DN Fundamental Hip Rotation SMCD - Go to Tibial Rotation Flowchart and Lower Body Extension Breakout - 120 - MULTI-SEGMENTAL ROTATION BREAKOUTS Hip Rotation Flowchart (Part 2) Seated Active Internal Hip Rotation Dysfunctional &/or Painful FN (>300)) Seated Passive Internal Hip Rotation DN DP or FP FN Hip JMD &/or TED with Med. Rot. & w/ Hip Flexed Prone Active Internal Hip Rotation Dysfunctional &/or Painful FN (>300)) - If Seated Passive Rotation was DN stop and Treat the DN. If not Continue Flowchart Prone Passive Internal Hip Rotation DN DP or FP Hip JMD &/or TED with Med. Rot. & Hip Extended - Go to Tibial Rotation Flowchart and Lower Body Extension Breakout FN - If Seated Passive Rotation was DN stop and Treat the DN. If not Continue Flowchart Rolling Pattern Outcomes FN Weight Bearing Internal Hip Rotation SMCD - Go to Tibial Rotation Flowchart and Lower Body Extension Breakout DP or FP DN Fundamental Hip Rotation SMCD - Go to Tibial Rotation Flowchart and Lower Body Extension Breakout - 121 - MULTI-SEGMENTAL ROTATION BREAKOUTS Tibial Rotation Flowchart Seated Act Internal Tibial Rot. FN FN DN, DP or FP DN, DP or FP Tibia External Rotation Mobility is Normal - Double Check LB Extension Flowchart Tibia Internal Rotation Mobility is Normal - Double Check LB Extension Flowchart Seated Passive Internal Tibial Rotation FN Seated Act External Tibial Rot. DN FN Tibial Int. Rot. TED &/or JMD Tibial Rotation SMCD DP or FP Tibial Rotation SMCD Seated Passive External Tibial Rotation DP or FP DN Tibial Ext.Rot. TED &/or JMD If spine, hips, and tibia are all functional and non-painful, double check Rolling for Spine SMCD, LB Extension and Single Leg Stance Breakouts - 143 - SINGLE LEG STANCE BREAKOUTS FLOWCHART Vestibular & Core Flowchart Vestibular Test - CTSIB (Static Head) Functional and NonPainful Balance DN, DP or FP Potential Static Vestibular Dysfunction CTSIB (Dynamic Head Movement) Functional and NonPainful Balance Dynamic Vestibular Dysfunction Half-Kneeling Narrow Base DN, DP, or FP FN Go to SLS Ankle Flowchart Rolling Breakouts Outcome FN DP or FP DP or FP DN Treat Pain - Go Fundamental Hip &/or Core SMCD - Go to to SLS Ankle SLS Ankle Flowchart. Flowchart. Quadruped Diagonals FN Dysfunctional DN Weight Bearing Spine Weight Bearing Hip &/or &/or Hip/Core SMCD Treat Pain - Go Core SMCD (If Hip Extension to SLS Ankle - (If Hip Extension is DN &/or Shoulder Flexion are Flowchart. treat it first). Go to SLS DN treat those first) Go to Ankle Flowchart. SLS Ankle Flowchart. - 144 - SINGLE LEG STANCE BREAKOUTS FLOWCHART Ankle Flowchart Heel Walks FN DN, DP or FP Prone Passive Dorsiflexion DP or FP FN DN Treat Pain Dorsiflexion SMCD Lower Posterior Chain TED &/or JMD Toe Walks DN, DP or FP FN Prone Passive Plantarflexion FN DN DP or FP Plantarflexion SMCD Lower Anterior Chain TED &/or JMD Treat Pain Seated Active Ankle Inversion/Eversion FN DN, DP or FP Seated Passive Ankle Inversion/Eversion DN Ankle (Eversion or Inversion) JMD, TED * Perform local foot/ ankle exam DP or FP FN Ankle (Eversion or Inversion) SMCD - * Perform local foot/ankle exam If no Red, Orange or Positive Blue Boxes so far = Proprioceptive Deficit - 159 - OVERHEAD DEEP SQUATTING PATTERN BREAKOUTS Limited Overhead Deep Squat Interlocked Fingers Behind Neck Deep Squat DN, DP or FP If Squat is now Functional and Non-Painful - Go recheck all Extension Breakout Flowcharts. Assisted Squat FN DN, DP or FP Core SMCD (Can Use Rolling to Further Grade), Plus make sure Multi-Segmental Extension Breakouts is clear. Half Kneeling Dorsiflexion DN FN, FP or DP Lower Posterior Chain TED &/Or Ankle JMD, Plus make sure MSE and SLS Breakouts are clear. Supine Knees to Chest Holding Shins FN DN, DP or FP Supine Knees to Chest Holding Thighs FN FP or DP Knee JMD (Flexion) &/or Lower Anterior Chain TED, Go to MultiSegmental Extension Breakouts If Dorsiflexion was FN = Weight Bearing Core, Knee and/or Hip Flexion SMCD. If Dorsiflexion was DN, consider knees, hips and core normal. If Dorsiflexion was DP or FP then consider this a red box and treat dorsiflexion. Go to Multi-Segmental Extension Breakouts. DN Hip JMD &/or Posterior Chain TED - Proceed to Multi-Segmental Flexion for Hips, but still can be Knee JMD - Go to Multi-Segmental Extension Breakout. Name: R Cervical Flexion Active Supine Cervical Flexion Passive Supine Cervical Flexion Active Supine OA Flexion Cervical Extension Supine Cervical Extension Shoulder Pattern One Active Prone Shoulder Pattern One Passive Prone Shoulder Pattern One Supine Reciprocal Shoulder Active Prone 90/90 Shoulder IR (60°) Passive Prone 90/90 Shoulder IR (60°) Active Prone Shoulder Extension (50°) Passive Prone Shoulder Extension (50°) Active Prone Elbow Flexion (touches) Passive Prone Elbow Flexion (touches) Lumbar Lock Chest (50°) Shoulder Pattern Two Active Prone Shoulder Pattern Two Passive Prone Shoulder Pattern Two Supine Reciprocal Shoulder Active Prone 90/90 Shoulder ER (90°) Passive Prone 90/90 Shoulder ER (90°) Active Prone Shoulder Flex/Abd (170°) Passive Prone Shoulder Flex/Abd (170°) Active Prone Elbow Flexion (touches) Passive Prone Elbow Flexion (touches) Lumbar Lock Chest (50°) Multi-­‐Segmental Flexion Single Leg Forward Bend Long Sitting Active Straight Leg Raise Passive Stragiht Leg Raise Prone Rocking Supine Knee to Chest Holding Thighs UB Rolling -­‐ Supine to Prone LB Rolling -­‐ Supine to Prone Multi-­‐Segmental Extension Spine Extension Backward Bend w/o UE Single Leg Backward Bend Prone Press Up Lumbar Lock (IR) -­‐ Active Rot./Ext. (50°) Lumbar Lock (IR) -­‐ Passive Rot./Ext. (50°) Prone on Elbow Unilateral Extension (30°) Lower Body Extension Faber Modified Thomas Prone Active Hip Extension (10°) Prone Passive Hip Extension (10°) UB Rolling -­‐ Prone to Supine LB Rolling -­‐ Prone to Supine Upper Body Extension Unilateral Shoulder Backward Bend Supine Lat Stretch Hips Flexed Supine Lat Stretch Hips Extended Lumbar Lock (ER) -­‐ Unilateral Ext (50°) Lumbar Lock (IR) -­‐ Active Rot./Ext. (50°) Lumbar Lock (IR) -­‐ Passive Rot./Ext. (50°) L R L R L FN DP FP m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m FN DP FP m m m m m m m m m m m m m m m m m m m m m m m m m m FN DP FP m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m FN m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m DP m m m m m m m m m m FP m m m m m m R L DN - 187 m Date: m m R L R L R L R L FN DP FP DN m m Cervical Rotation m m m m m m m m Active Supine Cervical Rotation m m m m m m m m m Passive Supine Cervical Rotation m m m m m m m m m m C1-­‐C2 Cervical Rotation m m m m m m m m m m Multi-­‐Segmental Rotation m m m m m m m m m m Spine Rotation FN DP FP DN m Seated Rotation (50°) m m m m m m m m m m Lumbar Lock (ER) -­‐ Unilateral Ext (50°) m m m m m m m m m m m m Lumbar Lock (IR) -­‐ Active Rot./Ext. (50°) m m m m m m m m m m Lumbar Lock (IR) -­‐ Passive Rot./Ext. (50°) m m m m m m m m m m Prone on Elbow Unilateral Extension (30°) m m m m m m m m UB Rolling -­‐ Supine to Prone m m m m m m m m m m LB Rolling -­‐ Supine to Prone m m m m m m m m m m UB Rolling -­‐ Prone to Supine m m m m m m m m m m LB Rolling -­‐ Prone to Supine m m m m m m m m m m Hip Rotation FN DP FP DN m m Seated Active External Hip Rotation (40°) m m m m m m m m m m m Seated Passive External Hip Rotation (40°) m m m m m m m m m m Prone Active External Hip Rotation (40°) m m m m m m m m m m Prone Passive External Hip Rotation (40°) m m m m m m m m m m Seated Active Internal Hip Rotation (30°) m m m m m m m m m m Seated Passive Internal Hip Rotation (30°) m m m m m m m m m m Prone Active Internal Hip Rotation (30°) m m m m m m m m m m Prone Passive Internal Hip Rotation (30°) m m m m m m m m Tibia Rotation FN DP FP DN m Seated A ctive I nternal T ibia R otation ( 20°) m m m m m m m m m m Seated Passive Internal Tibia Rotation (20°) m m m m m m m m m m m Seated Active External Tibia Rotation (20°) m m m m m m m m m m Seated Passive External Tibia Rotation (20°) m m m m m m m m Single Leg Stance m m m m m Vestibular & Core FN DP FP DN m m CTSIB (Static Head Movement) m m m m CTSIB (Dynamic Head Movement) m m m m Half-­‐Kneeling Narrow Base m m m m m UB Rolling -­‐ Supine to Prone m m m m m m m m DN LB Rolling -­‐ Supine to Prone m m m m m m m m m UB Rolling -­‐ Prone to Supine m m m m m m m m m m LB Rolling -­‐ Prone to Supine m m m m m m m m m Quadruped Diagonals m m m m m m m m m m Ankle FN DP FP DN m m Heel W alks m m m m m m m m m m Prone Passive Dorsiflexion m m m m m m m m DN Toe Walks m m m m m m m m m m Prone P assive P lantarflexion m m m m m m m m m m Seated Ankle Inversion/Eversion m m m m m m m m m m m m Seated Passive Ankle Inversion/Eversion m m m m m m m m m m Overhead Deep Squat m m m m m m Interlocking Fingers Behind the Neck Squat m m m m Assisted Squat m DN m m m Half Kneeling Dorsiflexion m m m m m m m m m m Supine Knee to Chest Holding Shins m m m m m m Supine Knee to Chest Holding Thighs m m m m m m m m m m m m
