FUNCTIONAL MOVEMENT SCREENING

FUNCTIONAL MOVEMENT SCREENING1Gross limitation of fundamental movement patterns, even if pain free, can cause compensation and substitution leading to poor efficiency , secondary problems and increased injury risk.2Basic principles of functional movement systemsBasic bodyweight movement patterns should not provoke pain. If pain is present in movement, activity and exercise should be modified, interrupted or stopped as additional information is gathered. If not compensation and altered movement patterns can result, and these are likely to aggravate the problem and cause secondary movement problems if left unaddressedPain regardless of its origin affects motor control.

3Basic principles of functional movement systemsFundamental movement patterns involving the bodys left and right sides should be mostly symmetrical. Fundamental movement capability should precede performance based capability. dont load up dysfunction4Basic principles of functional movement systemsFundamental movement capability should mostly precede complex activity or complex skill training. These movements form a neuromuscular foundation for advanced lifters/athletes and reduce the need for compensation and substitution often observed when fundamental movement is limited.5Top risk factor for injury?Previous injuryA lot of physical therapist treat their client until the pain is gone but may not correct the movement pattern that caused the pain.Valgus collapse could be pain free but dysfunction still exist6Movement screening testDeep squat Hurdle stepInline lungeShoulder mobilityActive straight leg raiseTrunk stability pushupRotary stability7http://graycookmovement.com/?p=68 Programming based on your movement profile All of your clients can do this8Deep squatDemonstrates fully coordinated extremity mobility and core stability, with the hips and shoulders functioning in symmetrical positionsUsed to test bilateral, symmetrical, functional mobility and stability of the hips, knees and anklesThe dowel held overhead calls on bilateral symmetrical mobility and stability of the shoulders, scapular region and the thoracic spine.9ImplicationsLimited mobility in the upper torso can be attributed to poor glenohumeral or thoracic spine mobility, or bothLimited mobility in the lower extremities, including poor closed kinetic chain dorsiflexion of the ankles or poor flexion of the knees and hips can cause poor test performancePoor stabilization and control10HURDLE STEPChallenges the bodys step and stride mechanics, while testing stability and control in a single leg stance.Excessive upper body movement in basic stepping is viewed as compensation; it is not seen when proper mobility, stability, posture and balance are available.11http://www.youtube.com/watch?v=fxJUPRmugvw&feature=related

12ImplicationsProblems may be due to poor stability of the stance leg or poor mobility of the step leg.13INLINE LUNGERequires appropriate starting stability and continued dynamic control of the pelvis and core within an asymmetrical hip position.Challenges hip, knee, ankle, and foot mobility and stability.

http://www.youtube.com/watch?v=-XF7HqnFNwc&NR=1&feature=endscreen 14Implicationsankle, knee and hip mobility may be inadequate for either the front or rear leg.Dynamic stability may not be adequate to complete the patternThere may also be limitations in the thoracic spine region, inhibiting the client from performing well.15Shoulder mobilityDemonstrates the natural complementary rhythm of the scapular thoracic region, thoracic spine and rib cage during reciprocal upper extremity shoulder movements.This pattern observes bilateral range of motion, combining extension, internal rotation and adduction in one extremity, and flexion, external rotation and abduction of the other.16ImplicationsScapular stability depends on thoracic mobility. This should be the primary focusExcessive development and shortening of the pectoralis minor, latissimus dorsi and rectus abdominus muscles (CAUSED BY SITTING ALL DAY) can cause the postural alterations of forward or rounded shoulders. This postural problem leaves unrestricted mobility of the glenohumeral joint and scapula at a disadvantageLook for scapulothoracic dysfunctionCLEARING EXAM.

17Active straight leg raiseIdentifies the active mobility of the flexed hip and includes the initial and continuous core stability within the pattern as well as the available hip extension of the alternate hip.Challenges the ability to dissociate the lower extremities while maintaining stability in the pelvis and core. Also challenges active hamstring and gastroc-soleus flexibility, while maintaining a stable pelvis and active extension of the opposite leg.18http://www.youtube.com/watch?v=EWNk7itK9oc&feature=related Client lies supine with the arms by the sides, palms up and head flat on the floor. A board is placed under the knees. Soles of the feet should be perpendicular to the floor. Find the point between the anterior and superior iliac spine and the joint line of the knee and place the dowel in the position. Instruct the client to lift the test leg while maintaining the opposite leg in the starting positionIf the malleolus passes the dowel the client gets a full score.19

20ImplicationsPelvic control may not be sufficient for the execution of the patternThe client may have inadequate mobility of the opposite hip, stemming from inflexibility associated with limited hip extensionThe client may have poor functional hamstring flexibility in the moving limbWhen the pattern is correct, the non moving limb demonstrates stability, an automatic task, while the moving limb demonstrates mobility, a conscious task.21Trunk stability pushupObservation of reflex core stabilizationGoal is to initiate movement with the upper extremities in a pushup pattern without allowing movement in the spine or hips.Extension and rotation are the two most common compensatory movements. These compensations indicate the prime movers within the pushup incorrectly engage before the stabilizers.Test the ability to stabilize the spine in the sagittal plane.Men with thumbs at the top of the foreheadWomen with thumbs at chin level.22ImplicationsLimited performance during the test can be attributed to poor reflex stabilization of the coreCompromised upper body strength or scapular stability or both- an also be a cause of poor performanceLimited hip and thoracic spine mobility can affect an clients ability to achieve the optimal start position, also leading to poor performance.Clearing exam- extension (cobra)23Rotary Stability PatternObserves multi-plane pelvis, core and shoulder girdle stability during a combined upper and lower extremity movement.Demonstrates reflex stabilization and weight shifting in the transverse plane, and represents the coordinated efforts of mobility and stability observed in fundamental climbing patterns.Implications in compromised scapular and hip stabilityLimited knee, hip, spine, and shoulder mobility.24NEXT CLASS- DISCUSSION ON VALIDITY 25