So, what are you waiting for? The subject was an avid weight lifter and participated on his college soccer team. We believe that this approach may help avoid falling into a continued cycle of recurring dysfunction and chronic pain by identifying the cause of pain rather than dealing with local symptoms. As a sports physical therapist, it never ceases to amaze me how athletes can perform at high levels despite often times having huge deficits. In this article, Zach refers to training an athlete experiencing pain.

It was determined that the patient had mobility limitations remote to the site of pain thoracic spine and hips which therapists hypothesized were leading to compensatory hypermobility at the lumbar spine. Guided by the SFMA, initial interventions focused on local lumbar symptom management, progressing to remote mobility deficits, and then addressing the local stability deficit. Dysfunctional movement in these patterns can suggest mobility limitations, stability dysfunction or both. Manual Mobilization of the Joints: 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 SFMA consists of a series of ten functional movements designed to assess fundamental movement patterns of individuals with known musculoskeletal pain.

sfma case study 2016

The subject reported increased pain and stiffness following weight lifting and sports which were reduced with Ibuprofen and activity modifications. Physical Rehabilitation, 5 th Edition.

Find More Posts by thefox Correlations of hip mobility with degree of back pain and lumbar spinal mobility in chronic low-back pain patients. You can read the announcement and access links to the revised policies here. After three visits, the gymnast was pain free and his coach even reached out to say that he looked a full skill-level higher after two weeks of this regressed core training.


The subject demonstrated limited gross spine and hip range of motion ROM and slightly decreased hip strength bilaterally. Although this tool is useful with any patient, those with non-specific LBP are particularly good candidates for being evaluated using the SFMA because they lack a clear diagnosis or clearly identified anatomic source for their pain.

At discharge, the patient demonstrated increased soft tissue extensibility of hip musculature and joint mobility of the thoracic spine along with normalization of lumbopelvic motor control. The drop down menu at the top will help you find a topic of interest or you can browse the full index of Topics. Swanson 1 University of New England, Dept. Orthopedic Physical Assessment, 5 th Edition.

Support Center Support Center. Based on history, it was suspected that the subject may have had muscle imbalances in the lumbopelvic region leading to LBP with activity.

CAP 2 SFMA CAse Study / –

Went well enough but time pressure versus presentation was my issue, as well as forgetting a bloody ruler and tippex! Best of luck to everyone on the January assessments in advance and Happy “studying very hard and not partying at all” Christmas. This article stjdy originally posted on thebarbellphysio.

Deemanfe1manualsshanmoTgt Massage therapy has short-term benefits for people stuey common musculoskeletal disorders compared to no treatment: Thoracic spine extension over a foam roller was incorporated to address general thoracic vertebral joint hypomobility.

His injury was overuse of his psoas muscle to compensate for poor core control. Results of systems review at initial examination. Touches spine of contralateral scapula Evaluating: By continuing to browse this site you are agreeing to our use of cookies.


LBP is the most commonly reported musculoskeletal complaint among American adults with greater than one in four reporting symptoms in the previous three months.

The Need for Regressed Core Training in Athletes – A Gymnastics Case Study

One of the most frequent weaknesses I see in athletes is poor core control. Originally Posted by davindub Thanks for this, Ill add stuey bit to this over the next couple of days as well. The subject was then challenged to load his spine in this position by shifting his weight into a stability ball and maintaining a neutral pelvis and spine.

sfma case study 2016

Did not test dermatomes or deep tendon reflexes. That was a very brief summary to get started.

sfma case study 2016

Get out there and share your passion with others! When performing the assessment the examiner should avoid excessive instructions for form in order to evaluate how the patient moves naturally.

Despite emphasis on movement and function in physical therapy PTtraditional examination and evaluation procedures tend to be heavily geared toward measurements of motion in a single plane or isolated assessment of strength of one muscle in order to attempt to identify a patho-anatomic source of pain, lacking the qualitative evaluation of movement patterns as a whole.

As a result, each PT may have different approaches for interventions. Functional gait analysis has been found to be moderately reliable. High velocity manipulation of T-spine in supine T2—T8.