SFMA

Question 1

Describe movement

Answer 1

• Isolated motion DOES NOT equal movement
• Involves hierarchical (fundamental to specific) motor programs
• Localized path-mechanical assessments do NOT capture the complexities of movement

Question 2

Dysfunctional movement may stem from

Answer 2

• Mobility deficits: tissue extensibility dysfunction (extra-articular) and joint mobility dysfunction (intra-articular)
• Stability deficits: stability motor control dysfunction and refers to reflex involvement over & above strength based stability

Question 3

SFMA proposition is to combine ___________, ____________, and ____________

Answer 3

• Screening
• Testing
• Assessment

Question 4

Define SFMA

Answer 4

• A movement based, diagnostic system for individuals presenting with pain during movement

Question 5

Interpretation of continued provocation during progressively localized levels of movement in the SFMA

Answer 5

• No = stability problem
• Yes = Mobility problem

Question 6

SFMA scores are based on

Answer 6

• Function: 1) functional or 2) Dysfunctional
• Pain: 1) Painful or 2) Nonpainful

Question 7

SFMA scoring

Answer 7

• Functional non painful (FN): unlimited, unrestricted movement that is performed w/o pain or increased sx
• Functional painful (FP): unlimited, unrestricted movement that reproduces or increases sx or brings on secondary sx
• Dysfunctional painful (DP): movement that is limited or restricted in some way bc of lack of mobility, stability, or symmetry; reproduces or increases sx or brings on 2ndy sx
• Dysfunctional non painful (DN): movement that is limited or restricted in some way bc of lack of mobility, stability, or symmetry & is performed w/o pain or increased sx

Question 8

SFMA cervical spine assessment

Answer 8

• Active movement in all 3 degrees of function (DOF)
• Full flexion
• Full extension
• Combined lateral flexion & ipsilateral rotation

Question 9

SFMA shoulder mobility

Answer 9

• ER, flexion, abduction
• IR, extension, adduction

Question 10

Multisegmental flexion assessment

Answer 10

• Combined hip and spine flexion
• Reach for your toes while standing

Question 11

Mutlisegmental extension test

Answer 11

• Combined shoulder, hip, spine extension
• Terminal phase: hands post. to shoulder, elbows over ears, ASIS ant. to toes, scapula anterior to heels

Question 12

Multisegmental rotation test

Answer 12

• Foot to head rotation
• Minimum 50º range at pelvis
• Additional 50º at thorax
• Loss of body “height” with rotation
• Bilateral symmetry

Question 13

Single leg stance assessment

Answer 13

• Unilateral stance, 90– hip and knee flexion for 10 sec
• Repeat with eyes closed
• Check foot position throughout & loss of posture or loss of height

Question 14

Assessment flow for SFMA

Answer 14

• Provoke, distill, recheck
• Follow top tier assessments with breakout tests: active and passive; unilateral and bilateral; weight bearing and non-weight bearing; single and multi-joint

Question 15

Once SFMA is completed the results should facilitate

Answer 15

• Locating sources of dysfunction
• Identifying provoking movement behaviors
• Classifying as mobility or stability problem
• Focus on fixing dysfunction as opposed to pain