Post on 25-Oct-2015
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SFM
AAPPENDIX 3 SFMA SCORE SHEETS AND FLOWCHARTS
We have devised a color system to help guide you through the SFMA. It starts as the same colors found on a traffic light—red, yellow and green. These work well for the top-tier tests. To help you navigate the breakout tests, we added blue and orange, which are described below. Remember, the colors are guides. The hierarchy and severity of DNs ultimately dictate your corrective exercise path.
The Score Sheets
The score sheets use shapes to indicate direction.
The Top-Tier Score Sheet
The top-tier score sheet uses a hexagon to indicate red or stop, a inverted triangle to indicate yellow or proceed with caution, and a circle to indicate green—move forward with a breakout.
The Breakout Score Sheets
The breakout shore sheets provide shapes to indicate findings for documentation. Refer to the flow charts and carefully consider the SFMA hierarchy to guide your breakout decisions.
The Flowcharts
The Top-Tier
A red bar means STOP—you do not have to continue with a breakout. These patterns will be functional and non-painful. Breaking these down will only expose imperfections and not major limitations.
A yellow bar means proceed with caution—you must break out these patterns, but there is pain involved, so be careful. Use these breakout findings as indicators that your treatments are working, and re-test them frequently.
A green bar means go—you need to break these patterns out to their termination and use corrective exercise and treatments appropriately.
The Breakouts
A red bar means you can STOP the breakout. Make note of the painful pattern and only continue that breakout if the flowchart indicates further action. All red box findings should be treated with medical modalities, not exercise progressions.
A yellow bar means proceed with the breakout—you must continue the testing since you need more information before you can treat.
A green bar means GO. You have your answer as to what is causing the dysfunction and should start appropriate treatments and exercise progressions if applicable.
An orange bar is a significant finding, similar to a green bar, only in this case you can’t stop the breakout process. There may be more dysfunctions, so you should note the problem and continue with the breakout. Treat these with corrections as you would treat those with a green bar.
A blue bar can indicate a normal finding and it will direct you to another flowchart or breakout. It can also be dependent on a previous finding. If there is a dysfunction involved, treat this as you would an orange or green bar.
SFMA
SFMA
FN DNDPFP
L
R
Multi-Segmental Flexion
Multi-Segmental Extension
Multi-Segmental Rotation
Single-Leg Stance
Overhead Squat
FN DNDPFP
Cervical Pattern One
Cervical Pattern Two
Cervical Pattern Three
Upper Extremity Pattern One
Upper Extremity Pattern TwoPattern One
Pattern Two
Provocation Assessments
SFMA TOP-TIER ASSESSMENTS
FN DNDPFP
FN DNDPFP
FN DNDPFP
FN DNDPFP
FN DNDPFP
L
R
FN DNDPFP
L
R
FN DNDPFP
L
R
FN DNDPFP
L
R
FN DNDPFP
L
R
FN DNDPFP
L
R
SFM
ASF
MA
Supine OA Cervical Flexion Test (20˚)
Cervical Spine Breakout
Passive Supine Cervical Flexion
Active Supine Cervical Flexion (Chin to Chest)
FN DN
L
R
FN D &/or P
FN D &/or P
L
R
C1-C2 Cervical Rotation Test
Active Supine Cervical Rotation (80˚)
FN D &/or P
L
R
Supine Cervical Extension
Passive Cervical Rotation
FN D &/or P
L
R
FP / DP
FN DN FP / DP
L
R
FN DN FP / DP
Supine Reciprocal Upper Extremity Pattern
Passive Prone Upper Extremity Patterns
Active Prone Upper Extremity Pattern
FN
L
R
Upper Extremity Pattern Breakout
D &/or P
FN DN
L
R
FP / DP
FN DN
L
R
FP / DP
SFMA
SFMA
Bilat FN
L
R
L
R
Single-Leg Forward Bend
Long-Sitting Toe Touch
Active Straight-Leg Raise
Passive Straight-Leg Raise
Supine Knee-to-Chest Holding Thighs
Prone Rocking
Bilat FN Unilat D/PBilat D/P
L
R
FNToe Touch
DP Touches Ltd SA
TouchesLtd SA
DP TouchNSA
L
R
Multi-Segmental Flexion Breakout
D (<70) or P
FP, DP, DN10 > ASLR
DNFN
FN
FP or DP
DNFN FP or DP
Backward Bend without Upper Extremity
Single-Leg Backward Bend
Prone Press-up
Lumbar Locked Unilateral Ext. (IR) 500
Prone-on-Elbow Extension (IR) 1400
Multi-Segmental Extension Breakout
FN D &/or P
Bilat FN Unilat D/PBilat D/P
L
R
FN D &/or P
FN Uni DNBil DN
L
R
FP/DP
FN
L
R
FP/DP
Lumbar Locked Passive Uni. Ext. (IR) 500
FN Uni DNBil DN
L
R
FP/DP
Rolling—FN ____ DN ____ DP____ FP ____
Rolling—FN ____ DN ____ DP____ FP ____
SFM
ASF
MA
L
R
Prone Active Hip Extension (100)
Prone Passive Hip Extension
Modified Thomas Test
Unilateral Shoulder Backward Bend
Supine Lat Hips Flexed Test
L
R
Multi-Segmental Extension Breakout
L
R
FP, DP, DNFN
L
R
D &/or P25% > Active
KneeStrghtTouch
HipAbd
Touch
NeverTouch
Abd & StrghtTouch
FN
D &/or PFN
L
RD &/or PFN
Single-Leg Hip Extension
Bilat >10 Unilat D/PBilat D/P
L
R
FABER
L
R
FP or DPFN DN
DP/FP
Rolling—FN ____ DN ____ DP____ FP ____
Lumbar Locked Unilateral Ext. (ER) 1200
Multi-Segmental Extension Breakout
Seated RotationMulti-Segmental Rotation Breakout
Lumbar Locked Unilateral Rotation
Bilat FN Unilat D/PBilat D/P
L
R
L
R
D &/or P> 45 Bilateral
L
R
DN, DP, FPSwitched
Supine Lat Hips Extended
FN No ChangeImproves
L
R
Lumbar Locked Unilateral Ext. (IR) 500
FN
L
R
FP/DP
FN Uni DNBilat DN
L
R
FP/DP
Lumbar Locked Passive Unilateral Ext. (IR) 500
FN Uni. DNBi. DN
L
R
FP/DP
FN
Rolling—FN ____ DN ____ DP____ FP ____
Rolling—FN ____ DN ____ DP____ FP ____Lumbar Locked Passive Unilateral Ext. (IR) 500
SFMA
SFMA
Prone-on-Elbow Rotation (30)
Seated Active External Hip Rotation 400
Seated Passive External Hip Rotation
Multi-Segmental Rotation Breakout
Prone Active External Hip Rotation 400
Asymm FNBilat DN
L
R
FN D &/or P
FN DP/FP
FN D &/or P
L
R
L
R
L
R
FP/DP
DN
Prone Passive External Hip Rotation
DP/FP DN
L
R
FN
Multi-Segmental Rotation Breakout
Seated Active Internal Hip Rotation 300
Seated Passive Internal Hip Rotation
Prone Active Internal Hip Rotation 300
Prone Passive Internal Hip Rotation
Seated Active External Tibial Rotation 200
FN D &/or P
L
R
L
R
FN D &/or P
L
R
L
R
FN D &/or P
L
R
FN DP/FP DN
DP/FP DN FN
Seated Passive External Tibial Rotation
FN DN
L
R
DP/FP
Rolling—FN ____ DN ____ DP____ FP ____
Rolling—FN ____ DN ____ DP____ FP ____
Rolling—FN ____ DN ____ DP____ FP ____
SFM
A
Seated Passive Internal Tibial Rotation
Multi-Segmental Rotation Breakout
Single-Leg Stance Breakout
L
R
Vestibular Shake Test
FN D &/or P
L
R
FN D &/or P
L
R
Half-Kneeling Narrow Base
FN DN, DP, FP
L
R
Prone Passive Plantar—FN ___ DN ___ DP/FP ___
Seated Active Internal Tibial Rotation 200
FN D &/or P
L
R
FN DNDP/FP
Quadruped Diagonals
FN DP or FP
L
RDN
FN
L
RD &/or P
Fingers Interlocked Behind Head
Assisted Deep Squat
Half Kneeling Dorsiflexion
Supine Knee to Chest Holding Shins
Supine Knee to Chest Holding Thighs
Overhead Deep Squat Breakout
Seated Ankle Inversion/Eversion
Can’t Invrt DP/FP
L
R
FNBoth DN
FN D &/or P
FN D &/or P
FN D &/or P
L
R
FN D &/or P
L
R
FN FP/DP
L
R
Single-Leg Stance Breakout
Can’t Evrt
DN
Rolling—FN ____ DN ____ DP____ FP ____
Heel Walks
Toe WalksProne Passive Dorsifl—FN ___ DN ___ DP/FP ___