Volume II, The Spine. Physical Rehabilitation, 5 th Edition. Rx Day 9 DN: Lower extremity myotomes, transfers, locomotion, balance, coordination all within normal limits. Reach back and up spine with arm to try and touch opposite shoulder blade. The injury occurred in early-March meaning there were less than 7 months until the final game of the Blue Jays regular season. Initially the therapists focused on restoring multi-segmental patterns for flexion and extension as these were most limited.

Int J Sports Phys Ther. Functional movement, low back pain, Selective Functional Movement Assessment. Acton, MA , Phone: Reach behind head and down spine to touch opposite shoulder blade. Top-tier movements and breakout tests are graded with 4 possible notations based on subjective assessment:.

This is great, but the average person cannot afford this level of care even if they live in an area that provides it.

The effects seen after gains in mobility further supports the previously noted relationship between hip ROM restrictions and LBP. The systems review revealed that all systems sfmq unimpaired except the musculoskeletal system. Stability is affected by multiple factors or systems including, but not limited to, the central and peripheral nervous systems, the proprioceptive system, postural alignment, structural integrity, and muscular inhibition, rather than focusing solely on the absolute strength of the stabilizer muscles.

Gabriella Goshtigian 4 Fraser Dr. Another movement that we tested frequently was deep 0215. Rx Day 6 DN: Mobility limitations can be categorized as tissue extensibility or joint mobility dysfunction.

The subject was an avid weight lifter and participated on his college soccer team. Despite emphasis on movement and function in physical therapy PTtraditional examination and evaluation procedures tend to be heavily cxse 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.


sfma case study 2015

Van Tulder et al have shown that treatment plans for patients with chronic LBP that focus on a single pathological structure often result in poor outcomes.

Advances in Functional Training. Isometric break manual muscle tests of the hips sfmz performed bilaterally to assess stability and revealed asymmetrical strength with the right being one-half grade stronger than the left throughout all planes.

Finally, there are always outliers in any statistical analysis. 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 2015

Reach behind head and down spine to touch opposite shoulder blade. The subject was assessed via the SFMA top-tier patterns in order to identify functional movement deficits.

The ICD — 9 code was Lumbago The assessment consists of ten basic movements that are standardized for classification. The working hypothesis was that these limitations had caused this subject to load his lumbar spine in a hyperextended and unstable position when weight training, czse in excessive pressure. When performing the assessment the examiner should avoid excessive instructions for form in order to evaluate how the patient moves naturally.

Data-Driven Rehab: A Case Study

Therefore a stability progression, with a goal of return to power lifting activities, began with cat-camel pelvic tilting to increase proprioceptive sense of a neutral spine. 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.

Validity and reliability of clinical tests of the sacroiliac joint. Results of SFMA and other special tests at initial examination and discharge.

LBP is the most commonly reported musculoskeletal complaint among American adults with greater than one in four reporting symptoms in the previous three months. Therapists communicated to the subject that the plan of care POC was to alleviate symptoms first before progressing to mobility, then stability exercises.


Non-specific low back pain LBP is a diagnosis frequently encountered in outpatient orthopedic settings that presents a challenge for both patients and healthcare professionals. When considering the composition of musculoskeletal examination, the American Physical Therapy Association’s Guide to Physical Therapy practice includes only gross range of motion and strength and lacks specific outcome measures of movement quality.

Data-Driven Rehab: A Case Study | Functional Movement Systems

High velocity manipulation of T-spine in supine T2—T8. Not stud did Stroman return to the mound, he did so in time to make four starts in the regular season, posting a 1. 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 sutdy hypermobility at the lumbar spine.

Rx Day 8 DN: Guided by the SFMA, initial interventions focused on local lumbar symptom management, progressing to remote mobility deficits, and then addressing the local stability deficit.

sfma case study 2015

It comes down to the individual and the ability of his body to heal and also it’s about time and resources. J Am Podiatr Med Assoc. Therapists initially prioritized pain relief in the lumbar region for the initial one to three weeks, theorizing that pain would disrupt casw movement patterns and cause continued dysfunction.