Movement Science - Exam 1

Movement is our

vital sign

Baselines demonstrate (3)

missing, deficient, or dysfunctional patterns

Standard Operation Procedures for long-term movement development (4)

1) assess structural integrity

2) screen functional patterns

3) test movement capacity

4) evaluate movement complexity

Systems are build on

interaction

What color is FN in SFMA

red (stop)

What color is FP in SFMA

yellow (caution)

What color is DP in SFMA

yellow (caution)

What color is DN in SFMA

green (breakout)

Definition of functional

any unlimited/unresistricted movement which meets the criteria

Definition of painful

any movement which reproduces symptoms, increases symptoms, or brings about secondary symptoms (numbness, tingling)

Definition of dysfunctional

any movement that does not meet the criteria + asymmetries

5 Rules of SFMA

1 - no warmup

2 - looks like a dog, smells like a dog, its a dog (not bad doesn’t mean good)

3 - be picky (unsure mark dysfunctional)

4 - no shoes

5 - monkey see, monkey do

Cervical spine flexion - functional criteria (3)

touch chin to sternum

uniform spine curve

without excessive effort and/or loss of motor control

Cervical spine flexion - common compensations (2)

thorax flexion

hinging from lower cervical spine

Is Tech neck a diagnosis

NO

Cervical spine extension - functional criteria (3)

line of the face within 10 deg of horizontal (80 deg of cervical extension)

uniform spine curve

without excessive effort and/or loss of motor control

Cervical spine extension - common compensations (2)

thorax/lumbar extension

head deviation right/left

Cervical spine extension - one skin fold means

dysfunctional

Cervical spine rotation - function criteria (2)

nose-to-chin line over mid-clavicle bilaterally (80 deg of rotation)

without excessive effort and/or loss of motor control

Cervical spine rotation - common compensations (3)

cervical extension and/or sidebend

torso rotation

shoulder elevation

Upper extremity pattern 1 - functional criteria (2)

touches inferior angle of opposite scapula

without excessive effort and/or loss of motor control

Upper extremity pattern 1 - common compensations (3)

radial deviation

scapular winging

two movements rather than one fluid movement

Upper extremity pattern 2 - functional criteria (2)

touches spine of the opposite scapula

without excessive effort and/or loss of motor control

Upper extremity pattern 2 - common compensations (3)

torso rotation

cervical flexion and/or rotation

opposite shoulder elevation

Multi-segmental flexion - functional criteria (5)

touches toes

posterior weight shift

uniform spine curve (no cervical extension)

sacral angle of at least 70 deg

without excessive effort and/or loss of motor control

Multi-segmental flexion - common compensations (1)

knee bend

Multi-segmental extension - functional criteria (5)

shoulder reach and maintain 170 deg of shoulder flexion

ASIS clears toes

spine of scapula clears heels

uniform spine curve

without excessive effort and/or loss of motor control

Multi-segmental extension - common compensations (1)

greater than 5 deg of knee flexion

Multi-segmental rotation - functional criteria (3)

100 deg of total rotation (50 pelvis, 50 torso)

maintains posture and foot position

without excessive effort and/or loss of motor control

Multi-segmental rotation - common compensations (4)

hip and/or knee flexion

spine and/or pelvis deviation

protraction/retraction of shoulder girdle

loss of foot/ankle position

Single-leg stance - functional criteria (4)

maintains balance for 10sec eyes open

maintains balance for 10sec eyes closed

maintains posture and foot position

without excessive effort and/or loss of motor control

In order to move onto the 10 seconds eyes closed in the single-leg stance SFMA, what does the patient have to do first

pass with their eyes open

Single-leg stance - common compensations (3)

pelvic deviation

flails arms

moves original foot position

Arms down deep squat - functional criteria (4)

thighs break parallel

touches fists to floor within footprint

maintains sagittal plane

without excessive effort and/or loss of motor control

Arms down deep squat - common compensations (3)

ankles externally rotate

heels life off ground

falls over

Stability/motor control dysfunctions (SMCD) is what type of issue

brain issue

What is the general rule to determine a true SMCD

decreased active ROM with functional passive ROM

Definition of SMCD

underlying mobility to complete the desired movement, but b/c of an input or processing problem, the coordination of the movement isn’t demonstrated

Examples of SMCD

mechanical breathing dysfunction, poor static stabilization, postural control

Mobility dysfunctions (MD) are what type of issues

tissue issue

What is the general rule to determine a true MD

decreased active and passive ROM

Definition of MD

a decrease or limitation in full range of motion

Examples of MD

neural tension, fusion, osteoarthritis

Mobility dysfunction will ________ no matter what accommodation you make

stay consistent

How do we start an SFMA breakout

logic

What are the 3 Logics of SFMA breakouts

1 - remove body parts

2 - change the stability requirements

3 - active vs passive

Where does SFMA fit

history

postural-neuro exam

breathing

SFMA

local biomechanical exam

What are three things that impact our movements

motor control and NS tone

mental health

morphology of body tissues

Considerations to movement science

variety of mvnt

previous mvnt experience

beliefs about mvnt

enjoyment of mvnt

What is the best exercise to give a patient

whatever the patient is willing to do

What are the three roles movement plays in patient care

general health and wellness

assessment

treatment and management

Movement as part of patient care has

better short and long term outcomes

ACSM guidelines for aerobic training

moderate intensity - 150min/week

vigorous intensity - 75min/week

ACSM guidelines for resistance training

2x a week

Muscular strength is inversely related to

insulin resistance, cardiometabolic markers, inflammatory proteins in children

Aerobic and Resistance training tertiary benefits

coronary heart disease, stroke, T2DM, cancer, musculoskeletal conditions

What is the potent and effective drug for health, performance, and longevity

exercise

What is the predictor of all-cause mortality

ability to sit and rise from the floor

Hierarchy of Movement - Movement evaluation (order of 3)

1 - functional patterning

2 - motor control

3 - mobility

Hierarchy of Movement - Management (order of 3)

1 - mobility

2 - motor control

3 - functional patterning

What are other predictors of mortality (3)

push-ups, grip strength, toe strength

Mobility in real life

toe touches

Motor control in real life

hip hinge

Functional patterning in real life

dead lift

What is the single best predictor of senior citizen falling

toe strength

What is the second best predictor of senior citizen falling

leg strength

What is the most common injury that occurs from falling

hip fractures

Falls are the MC cause of

TBI

Fall prevention is about (3)

strength, coordination, proprioceptive stimulation

Sensory motor training

toe and foot strength, standing progressions, training sit-to-stand and initiation of gait

Importance of the hip hinge

generates lumbar stability

allows hip joint increased movement

pre-requisite pattern to being able to pick any object up from the floor

Sagittal plane

flexion/extension

dorsi/plantar flexion

forward/backward bending

Transverse/horizontal plane

internal/external rotation

horizontal abduction/adduction

Frontal plane

abduction/adduction

lateral flexion

ulnar/radial deviation

eversion/inversion

Kinetic chain

groups of body segments, connecting joints, muscles and fascia are all linked in segments across different regions

What is functionally the only tissue that can mediate the kinetic chain responsiveness

connective tissue

Regional interdependence

unrelated impairments in a remote anatomical region may contribute to the patient’s primary complaint

Joint-by-Joint Approach

mobile → stable → mobile

**always need both

Mobile joints produce movement in how many planes

3 planes

Mobile joint list

upper cervical, thoracic, glenohumeral, wrist, hip, ankle

Stabile joints produce movement in how many planes

one plane

Stabile joint list

lower cervical, lumbar, scapula, elbow, knee

Nociception ____ afferent/sensory activity and altered somatosensory processing

reduces

Nociception ______ efferent/motor activity of corresponding muscles

reduces

Compensation patterns are

inefficient and energy costly

Optimal neuromuscular efficiency (3)

optimal length-tension relationship (muscular system)

optimal force couple relationship (NS)

optimal arthrokinematics (skeletal system)

We ____ for symptoms, then value the signs we think contribute to the problem

wait

Source

location the individual is feeling pain

Cause

what is creating pain in the individual’s system

*may or may not be the same location as the source

What is the #1 predictor of injury

previous injury

Why is previous injury the #1 predictor of injury

protective mechanisms, underlying dysfunction that led to initial injury, resultant dysfunction present following injury

Motor control

necessary input, sufficiently processed, with an acceptable output

Altered motor control

poor timing, sequencing, coordination and synergy of the neuromuscular systems which manifests in dysfunctional movement

What is the average musculoskeletal tissue healing time

4-8 weeks

Standard operating procedure

start by categorizing human movement patterns (NOT by measuring parts)

Does a parts-based movement model work?

NO

If we look at parts first, what do we miss

the perspective that patterns give us

When do we have justification to look at parts

when a pattern is dysfunctional

What is the ONE way your body and brain can get all of your parts working together without a fitness load

human movement patterns

Global movement screens

any movement (or series of movements) that involves multiple joints/tissues to complete