Touches inferior angle of contralateral scapula Evaluating: This neutral position was then progressed and strengthened dynamically with alternating upper and lower extremity motion in quadruped. Reach back and up spine with arm to try and touch opposite shoulder blade. These gains were maintained for all subsequent visits and stability exercises were progressed as previously described. A Case Study Written by Dr.

For those following the MLB Playoffs, the story is familiar. Rx Day 7 DN: Utilizing treatment principles suggested by the creators of the SFMA, this subject made significant improvements over the course of his nine week episode of care which allowed him to return to sports and weight lifting without pain. Rx Day 6 DN: Advances in Functional Training. It is difficult to determine which came first; therefore it was necessary to focus on maintaining a stabile spine once mobility was restored. Rotate entire body as far as possible hips, shoulders and head Criteria:

The subject was sent home to progress his activity over two weeks, then return for a reevaluation.

The purpose of this case report is to illustrate the application of the SFMA as a guide to the examination, evaluation, and management of a patient with non-specific low back pain LBP.

Affect, Cognition, Learning Style, Communication.

sfma case study 2015

Therapists hypothesized that dysfunctional movements identified in basic SFMA patterns indicated a poor fundamental foundation for proper movement, causing excessive compensation at the lumbar spine. The subject demonstrated improved form with deadlifting, with control of his pelvis and decreased lumbar lordosis.

Look forward to returning for MiLB camp. STM erector spinae, posterior rotator cuff 10 minutes. Therapists communicated to the subject that the plan of care POC was to alleviate symptoms first before progressing to mobility, then stability exercises.


sfma case study 2015

Guide to Physical Therapist Practice 3. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: Stand erect with feet together and shoes off then lift knee to hip and 20115 for 10 seconds.

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

Any additional movements deemed to be compensation outside the specified movement pattern is graded as dysfunctional. Advances in Functional Training. Rotate entire body as far as possible hips, shoulders and head Criteria: Rx Day 3 DN: National Center for Biotechnology InformationU.

sfma case study 2015

As a result, each PT may have different approaches for interventions. Not only did Stroman return to the mound, he did so in stuy to make four starts in the regular season, posting a 1. Physical Rehabilitation, 5 th Edition.

Table 1 Table 1. Williamson A Hoggart B. The subject was a 215 candidate for PT due to his age, active lifestyle and motivation. Based on clinical experience and the joint-by-joint theory it was hypothesized that limited motion was promoting compensation with excessive lumbar extension when under a barbell. In February, Butler and his team made their annual trip to Florida to help the Blue Jays training department perform movement screens on every athlete in the organization.

Pitching studt a power activity and requires a level of lower extremity stability that is often under appreciated. Further investigation of the application of the SFMA and associated outcomes in various musculoskeletal injuries is needed.


Despite patterns being functional, the subject continued to demonstrate excessive lumbar lordosis with advanced exercises. Despite the multidirectional quality of human movement, common measurement procedures used in physical therapy examination are often uni-planar and lack the ability to assess functional complexities involved in daily activities.

Data-Driven Rehab: A Case Study

Any movements that provoke pain should be further assessed with caution as pain is known to alter motor control. American Physical Therapy Association http: The therapists also believed that a major contributor to limited UE ROM was restricted thoracic spine extension as the subject was only limited in the functional combined pattern and had full motion for both shoulder extension and internal rotation assessed in isolation. Therefore it is not known if other treatments for this patient would have resulted in similar outcomes.

The subject was assessed via the SFMA top-tier patterns in order to identify functional movement deficits. Rx Day 9 DN: 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.

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