movement screening Flashcards
purpose of the SFMA
assess the quality of movements, it is not about how many reps but rather the quality of the movement
the SFMA helps to expose
possible asymmetric and pathological movement patterns as the root cause of a painful problem
functional
meets defined standards (F)
dysfunctional
does not meet defined standards (D)
not painful
no increase in pain due to the movement/position
pain unchanged or decreased (N)
painful
increase in pain due to movement/position (P)
the SFMA categorical and criterion scoring methods demonstrated
moderate to good reliability with experienced, certified raters
scoring of the 10 functional movements of the SFMA is most reliable
between sessions when performed by a single experienced rater
rule 1 of SFMA
no warm up
rule 2 of SFMA
if it looks like a dog….
rule 3 of SFMA
be picky
rule 4 of SFMA
no shoes
rule 5 of SFMA
monkey see monkey do
the SFMA screen is intended to be an ______ of the movement pattern
extreme exaggeration
top tier movement pattern screen
cervical flexion
cervical extension
cervical rotation
UE pattern I
UE pattern II
multi-segmental flexion
multisegmental extension
multisegmental rotation
SLS
arms down deep squat
downward looking pattern
cervical flexion
functional criteria of active cervical flexion
touch chin to sternum
uniform curve
no excessive effort and/or lack of motor control
upward looking pattern
active cervical extension
functional criteria upward looking pattern
within 10 degrees of parallel
uniform curve
no excessive effort and/or lack of motor control
rotational looking pattern
cervical rotation
cervical rotation functional criteria
nose in line with mid-clavicle
no excessive effort and/or appreciable asymmetry or lack of motor control
unilateral underneath reaching
UE pattern 1, MRE
UE pattern 1 (MRE) functional criteria
able to reach inferior angle of scapula
no scapular winging
no excessive effort and/or appreciable asymmetry or lack of control
unilateral overhead reaching
UE pattern 2 (LRF)
UE pattern 2 (LRF) functional criteria
able to reach spine of scapula
no scapular winging
no excessive effort, asymmetry, lack of control
forward bending pattern
multi-segmental flexion
multi-segmental flexion functional criteria
can touch toes
sacral angle >70 degrees
uniform spinal curve
presence of posterior weight shift
backward bending pattern
multi-segmental extension
multi-segmental extension functional criteria
UE achieves and maintains 170 degrees shoulder flexion
ASIS clears toes
spine of scap clears heels
uniform spinal curve
full body rotational pattern
multi-segmental rotation
multi-segmental rotation functional criteria
pelvis rotation >50 degrees
torso rotation >50 degrees
multi-segmental rotation is best viewed from
behind
2 to 1 balance pattern
single leg stance
single leg stance functional criteria
eyes open >10 s
eyes closed >10s
no loss of height or lack of control
squatting pattern
arms down deep squat
arms down deep squat functional criteria
hips able to break parallel
can reach fists to ground within footprint
no loss of sagittal plane alignment
SFMA criterion checklist
50 total
do not count painful
add up total number of checks
divide by 50, multiply by 100
