SFMA Top Tier - Movement Exam 1

what allows us to observe and assess movement patterns?

SFMA

what does SFMA testing and re-testing allow us to do?

measure and document change/progress

The SFMA begins with top tier assessments. What are the next steps within the SFMA system?

breakout tests and special testing

SFMA scoring

-functional non painful

-functional painful

-dysfunctional painful

-dysfunctional non painful

what SFMA score do we care the most about or breakout first?

dysfunctional non-painful

which SFMA score do we care the least about or not breakout at all?

functional non-painful

any unlimited or unrestricted movement which meets the criteria as defined

funcional

any movement that does not meet the criteria as defined

dysfunctional

any movement which reproduces symptoms, increases symptoms, or brings about secondary symptoms

painful

what are the basic rules of the SFMA?

-no warmup

-looks like a dog, smells like a dog, its a dog

-be picky

-no shoes

-monkey see monkey do

SFMA Tests

cervical flexion, cervical extension, cervical rotation, upper extremity pattern 1, upper extremity pattern 2, multi-segmental flexion, multi-segmental extension, multi-segmental rotation, single-leg stance, arms down deep squat

functional cervical flexion SFMA

touch chin to sternum, uniform curve

dysfunctional cervical flexion SFMA

thorax flexion, hinging from lower cervical spine

functional cervical extension SFMA

line of face within 10 degrees of horizontal (80 degree extension), uniform curve

dysfunctional cervical extension SFMA

thorax/lumbar extension, head deviation

functional cervical rotation SFMA

nose-to-chin line over mid-clavicle bilaterally (80 degrees)

dysfunctional cervical rotation SFMA

cervical extension/side bend, torso rotation, shoulder elevation

functional upper extremity pattern 1 SFMA

touches inferior angle of opposite scapula

dysfunctional upper extremity pattern 1 SFMA

radial deviation, scapular winging, 2 movements

functional upper extremity pattern 2 SFMA

touches spine of opposite scapula

dysfunctional upper extremity pattern 2 SFMA

torso rotation, cervical flexion/rotation, opposite shoulder elevation

functional multi-segmental flexion SFMA

touch toes, posterior weight shift, uniform spine, sacral angle of 70 degrees

dysfunctional multi-segmental flexion SFMA

knee bend

functional multi-segmental extension SFMA

shoulder reach and maintain 170 degrees of shoulder flexion, ASIS clears toes, spine of scapula clears heels, uniform curve

dysfunctional multi-segmental extension SFMA

greater than 5 degrees knee flexion

functional multi-segmental rotation SFMA

100 degrees of rotation, maintain posture, maintain foot position

dysfuctional multi-segmental rotation SFMA

hip/knee flexion, spine/pelvis deviation, protraction/retraction of shoulder girdle, loss of foot/ankle position

functional single-leg stance SFMA

maintain balance for 10 seconds with eyes open and closed, maintain posture, maintain foot position

dysfunctional single-leg stance SFMA

pelvic deviation, flails arms, moves original foot position

functional arms down deep squat SFMA

thighs break parallel, touches fist to floor within footprint, maintain sagittal plane

dysfunctional arms down deep squat SFMA

ankles externally rotate, heels lift off the ground, falls over

what is present when the underlying mobility to complete the desired movement is present, but because of an input or processing problem the coordination of the movement is not demonstrated ?

stability/motor control dysfunction (SMCD)

breakouts help you determine if the dysfunction observed during the top tier is due to:

stability motor control dysfunction (SMCD) or mobility dysfunction (MD)

what is a decrease or limitation in full range of motion?

mobility dysfunction

do mobility dysfunctions stay consistent or change when you make accommodations?

stay consistent

logical step 1 during a breakout

remove body parts

logical step 2 during a breakout

change the stability requirements

logical step 3 during a breakout

active vs passive

breakouts are used to determine what?

if one's movement deficiencies have mobility or stability origin