Joint Evaluations: Functional Movement

Question 1

Functional anatomy:

Answer 1

• study of anatomy in relation to it’s function

- an assessment and programming of the integration of systems

Question 2

With injury, normal joint function is ______.

Answer 2

compromised

Question 3

With injury, adaptive changes occur resulting in alterations to systems in:

Answer 3

• biomechanics
• pathology
• movement

Question 4

Injury may affect _____ ____:

Answer 4

• kinetic chain

- proximally or distally

Question 5

Kinetic chain:

Answer 5

• relationship of systems in the body
• relationship between movement of a joint and its affect to the next joint (above and below)
• integrated functional units

Question 6

In the kinetic chain, each system works to provide structural and functional _____ and _____.

Answer 6

• efficiency

- stability

Question 7

Contributing components of function vs dysfunction:

Answer 7

• length-tension relationships
• force couples
• precise arthrokinematics
• optimal neuromuscular control

Question 8

Dysfunction:

Answer 8

malfunctioning systems result in compensatory overload, decreased performance and predictable injury patterns

Question 9

Dysfunction rarely involves ____ _____.

Answer 9

one structure

Question 10

Comprehensive assessment and rehabilitation of dysfunction must examine:

Answer 10

• muscle imbalances
• altered arthrokinematics
• neuromuscular control

Question 11

Goal of dysfunction rehab is to restore optimal movement:

Answer 11

• how one moves

- relative to other joints: kinetic chain functioning

Question 12

Functional movement testing has aims of ____ or _____ movement.

Answer 12

• assessing

- testing

Question 13

Uses of FMT:

Answer 13

• for observation of movement
• to assess ability to perform a specific movement
• to evaluate key movement patterns or correct pathomechanics that may influence ability, or performance

Question 14

Observation of movement:

Answer 14

• to identify limitations, or pain, or dysfunction

- how client is able to control body in movement

Question 15

Evaluating key movement patterns or correct pathomechanics that may influence ability or performance:

Answer 15

• identify adaptive or compensatory actions

- evaluate fundamental movements relevant to activity (ex. squatting, bending)

Question 16

How to assess or evaluate functional movement:

Answer 16

• global observations, ROMs at joint
• select key movements required in your client’s ADL
• identify multi-joint movements (to observe the specific activity, key movement patterns)

Question 17

Purpose of functional movement screening:

Answer 17

• a standardized system that gives scores for movement
• scores may predict injury (injury prevention)
• insight to how to control body (overall coordination)
• identify asymmetries which may influence performance or predict injury
• limitations

Question 18

Example of an established tool or screen for testing functional movement:

Answer 18

FMS (functional movement screen)

Question 19

FMS consists of:

Answer 19

• deep squat
• hurdle step
• in-line lunge
• shoulder mobility
• active straight leg raise
• trunk stability push up
• rotary stability

Question 20

FMS deep squat:

Answer 20

• functional movement

- assess bilateral, symmetrical and functional mobility of the hips, knees, and ankles

Question 21

FMS hurdle step:

Answer 21

• functional movement

- assess the bilateral functional mobility and stability of the hips, knees, and ankles

Question 22

FMS in-line lunge:

Answer 22

• functional movement

- assess torso, shoulder, hip and ankle mobility and stability, quadriceps flexibility and knee stability

Question 23

FMS shoulder mobility:

Answer 23

• fundamental mobility
• assess bilateral shoulder ROM
• combining internal rotation with adduction and external rotation with abduction

Question 24

FMS active straight leg raise:

Answer 24

• fundamental mobility
• assess active hamstring and gastroc-soleus flexibility while maintaining a stable pelvis and active extension of opposite leg

Question 25

FMS trunk stability push up:

Answer 25

• fundamental core strength

- assess trunk stability in the sagittal plane while a symmetrical upper-extremity motion is performed

Question 26

FMS rotary stability:

Answer 26

• fundamental core stability

- assess multi-plane trunk stability during a combined upper and lower extremity motion

Question 27

FMS scoring:

Answer 27

3 = perform pattern as directed (vital sign)
2 = perform pattern with compensation/imperfection (vital sign)
1 = unable to perform pattern (dysfunction)
0 = pain with pattern regardless of quality (dysfunction)

Question 28

Functional exercises in the plan:

Answer 28

• rehab for dysfunctional movement (corrective exercises
• incorporate multi-joint, multi-muscle (stimulate common movement patter, strength)
• for performance