Movement Science 2 (Unit 2) Flashcards
With Functional Movement System (FMS) what are the different stages from the Fundamental Level to the Functional Level?
Fundamental Lvl:
1. Supine
2. Prone
3. Rolling
4. Quadruped
5. Crawling
Transitional Lvl:
6. Sitting
7. Kneeling
8. Squatting
Functional Lvl:
9. Vertical Stance
10. Gait
What is the 1st Principle for FMS?
We should move well, then move often.
- This is the “Natural Principle”
- Moving well enables us to adapt and gives us opportunities to develop and allows us to respond to environmental signals, it sets up the feedback that is vital for progressive movement; Moving often provides us with the ability to explore and expose ourselves to movement opportunities, this add volume across time and allows patterns and tissues to adapt
What is the 2nd Principle for FMS?
Direct us to protect, correct, and develop the movement of those in our care
- This is the “Ethical Principle”
- This can refer to the PT to address pain or avoiding patterns and exercises where pain and dysfunctions are present.
- Protection always precedes correction, which in turn precedes development
– We must protect our clients from themselves and us by removing negatives that are reinforcing poor movement quality
What is the 3rd Principle for FMS?
Create systems that enforce the philosophy
- This is the “Practical Principle”
- Implementation of standard operating procedures, the practice of intelligent selection, always matching the risk to challenge ration to the growth and development desired
- If movement is below an acceptable standard for a movement vital sign or ability, thats dysfunction
- If some is unable to express physical capacity with a minimum standard of load, energy system response, frequency or volume, that deficiency
What is the Performance Pyramid? What do the rectangles represent?
This is a visual representation and understanding of human movement and movement patterns.
- The first rectangle lvl is the base platform or foundation. It represents that ability to move through fundamental patterns
- The second rectangle represents performance. This is general, measurable power or gross athleticism
- The third rectangle represents sport specific skill
What is the Optimum Performance Pyramid?
This represents a type of athlete whose movement patterns, movement efficiency and sport skill are balanced and adequate
What is Over Powered Performance Pyramid?
This represents an athlete that generates power that exceeds their ability to move freely.
- This pyramid represents the individual who scores poorly on mobility and stability test but very high on power production
What is the Under Powered Performance Pyramid?
This represents those athletes that have excellent freedom of movement but whose efficiency is poor and could stand improvement
What is the Under Skilled Performance Pyramid?
This represents those athletes who have overall weakness or below-average performance.
A training program designed around sports skill fundaments and technique would be best investment of time for this person
What are the 7 FMS exercises?
- Deep Squat
- Hurdle Step
- Inline Lunge
- Shoulder Mobility
- Active Straight-Leg Raise
- Trunk Stability Push-Up
- Rotary Stability
With the Deep Squat Movement Pattern, why the symmetrical stance pattern?
The ability to squat is a fundamental movement ability. The deep squat is both a posture and pattern.
Why should your patient/client do a Deep Squat Screen? What is the scoring for this screen?
This shows whether the person can move symmetrically into a full ROM of the ankles, knee, and hips. Maintaining the overhead position of the arms tells us if the individual can full access lower body mobility without robbing movement from the torso and UE.
- The scoring is a scale of 1-3, 3 being normal, and 1 being asymmetrical/not proper squat
Pain = 0
What does a 3 look like for the Deep Squat?
- The torso is parallel with Tibia or toward vertical
- Femur is below horizontal
- Knees do not track inside of feet
- Dowel aligned over feet
What does a 2 look like for the Deep Squat?
- Torso is parallel with Tibia or toward vertical
- Femur is below horizontal
- Knee do not track inside of feet
- Dowel aligned over feet
- Heels are elevated
What does a 1 look like for a deep squat?
- Tibia and Torso are not parallel
- Femur is not below horizontal
- Knees track inside of feet
- Dowel is not aligned over feet
A score of 0 is given when pain is present
With the Hurdle Step Screen, why should the patient/client do the Double to Single Leg Pattern?
This is fundamental to our ability to walk and is the base of our locomotive mechanisms. Its a display of control of our center of mass with a changing BOS. Rolling, Crawling and other developmental milestones set the stage for this pattern
Why the Hurdle Step Screen?
This looks at single leg stance challenged by a dynamic stepping motion. The pattern demands a higher step then normal to express mobility and ROM with the stepping leg, while requiring stability of the stance leg
What is a 3 in the Hurdle Step?
- Hips, knees and ankle remain aligned in the sagittal plane
- Minimal to no movement in lumbar spine
- Dowel and hurdle remain parallel
What is a 2 in the Hurdle Step?
- Alignment is lost between hips, knees, and ankles
- Movement in lumbar spine
- Dowel and hurdle do no remain parallel
What is a 1 in the Hurdle Step?
- Inability to clear the cord during the hurdle step
- Loss of balance
A score of 0 is given when pain is present
What is a 3 in the Inline Lunge?
- Dowel contact maintained
- Dowel remains vertical
- Minimal to no torso movement
- Dowel and feet remain in sagittal plane
- Knee touches the center of the board
- Front foot remains in start position
What is a 2 in the Inline Lunge?
- Dowel contact not maintained
- Dowel does not remain vertical
- Movement in torso
- Dowel and feet do not remain in sagittal plane
- Knee does not touch center of the board
- Flat front foot does not remain in start position
What is a 1 in the Inline Lunge?
- Loss of balance by stepping off the board
- Inability to complete movement pattern
- Inability to get into set up position
A score of 0 is given when pain is present
What is considered “Green” in the Ankle Clearing Screen?
- Knee moves beyond the medial malleolus of the front leg while the heel stays down
- This indicated the ankle has cleared mobility requirements
What is considered “Yellow” in the Ankle Clearing Screen?
- The knee resides within the width of the medial malleolus of the front leg while the heel stays down
- This indicates a potential ankle mobility limitation
- Failure on the ankle clearing screen implies that ankle mobility should be addressed and cleared
What is considered “Red” in the Ankle Clearing Screen?
- The individual’s knee does reach the medial malleolus of the front leg while the heel stays down
- This indicates a potential ankle mobility limitation
- Failure on the ankle clearing screen implies that ankle mobility should be addressed and cleared
What is a 3 with the Shoulder Mobility Screen?
- Fist are within one hand length
What is a 2 with the Shoulder Mobility Screen?
- Fist are within one and a half hand lengths
What is a 1 with the Shoulder Mobility Screen?
- Fist are not within one and a half hand length
After the Shoulder Mobility Screen, what other test should you do, what is it for?
The shoulder clearing test is at the end of the Shoulder mobility test. If there is pain if this clearing test a 0 is given to the entire test.
- This clearing test is done bilaterally and it is necessary because shoulder impingement will sometimes go undetected by shoulder mobility test alone
What is a 3 in the Active-Straight Leg Raise?
- Vertical line of the malleolus resides between mid-thigh and ASIS
- The non-moving limb remains in neutral position
What is a 2 in the Active-Straight Leg Raise?
- Vertical line of the malleolus resides between mid-thigh and joint line
- The non-moving limb remains in neutral position
What is a 1 in the Active-Straight Leg Raise?
- Vertical line of the malleolus resides below the joint line
- The non-moving limb remains in neutral position
A score of 0 is given when pain is present
What is a 3 in the Trunk Stability Push-Up Screen?
- Men perform a repetition with thumbs aligned with the top of the forehead
- Women perform a repetition with thumbs aligned with the chin
- The body lifts as a unit with no lag in the spine
What is a 2 in the Trunk Stability Push-up Screen?
- Men perform a repetition with thumbs aligned with the chin
- Women perform a repetition with thumbs aligned with the clavicle
- The body lifts as a unit with no lag in the spine
What is a 1 in the Trunk Stability Push-Up Screen?
- Men are unable to perform a repetition with thumbs aligned with the chin
- Women are unable to perform a repetition with thumbs aligned with the clavicle
A score of 0 is given when pain is present
What test is done after the Trunk Stability Push-Up Screen?
- Extension Clearing Test, if there is pain give a (+) score with a final 0 score and perform a more thorough evaluation or refer out
What is a 3 in the Rotary Stability Screen?
- Hand and knee leave ground at the same time
- Ability to perform this pattern while keeping the arm and leg moving in-line and parallel with the board
- Fingers touch the lateral malleolus
- Knee and elbow achieve full extension
What is a 2 in the Rotary Stability Screen?
- Hand and knee did not leave ground at same time
- Inability to keep the arm and leg moving in-line and parallel with the board
- Fingers touch the lateral malleolus
- Knee and elbow achieve full extension
What is a 1 in the Rotary Stability Screen?
- Loss of balance
- Hand does not touch the lateral malleolus
- Knee and elbow do not fully extend
- Inability to get into set-up position
A score of 0 is given when pain is present
What test is done after the Rotary Stability Screen?
- The Flexion Clearing Test, Flexion can be cleared by first assuming quadruped position, then rocking back and touching the buttocks to the heels and chest to thighs. If (+) a final score of 0 is given
