The Functional Movement Screen was developed to help clinicians and health care professions screen individuals for risk of injury and / or a dysfunctional or performance-limiting movement pattern.
The FMS is a tool used to identify asymmetries which result in functional movement deficiencies. The FMS aims to identify imbalances in mobility and stability during seven fundamental movement patterns. These movement patterns are designed to provide observable performance of basic locomotor, manipulative and stabilising movements by placing an individual in extreme positions where weaknesses and imbalances become noticeable if appropriate mobility and motor control is not utilised. Once these deficiencies have been identified through the FMS, a program of corrective exercises is then developed with the goal of preventing musculoskeletal injuries.
The FMS consists of seven movement patterns which require mobility and stability. The seven following movement patterns are scored from 0-3 points, with the sum creating a score ranging from 0-21 points.
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The Selective Functional Movement Assessmnet (SFMA) is meant to be used in a diagnostic capacity for musculoskeletal assessment when pain is present. The SFMA is a clinical model used to assist diagnosis and treatment of musculoskeletal disorders by identifying dysfunctions in movement patterns.
The SFMA is meant to be used by chiropractors, physiotherapists, athletic therapists, and physicians. It was created to measure the status of movement-pattern related pain and dysfunction using bodily regional interdependent movement to aggravate symptoms and expose the limitations and dysfunctions.
It uses a series of full-body movements to identify possible movement dysfunctions. The purpose of the SFMA is to assess the quality of the movements; it is not about how many repetitions the person can perform, but rather the quality of the movement pattern. The SFMA helps to expose possible asymmetries and pathological movement patterns, as the root cause of a painful problem. This will in turn, help guide a treatment plan to restore pain-free movement and function.
To understand how to use the tool properly, it is important for the clinician to understand the terms "tightness" and "weakness", within the SFMA framework. The SFMA system understands "tightness" as an issue with tissue extensibility and / or a joint mobility dysfunction. "Weakness", on the other hand, refers to the stability of the joint and it's associated motor control.
The SFMA tool is helpful to be used during the initial physical evaluation of a patient, but the clinician should be aware of the acuteness or irritability of the presenting signs and symptoms. The SFMA may not be practical for use during an acute episode.
The SFMA enables the evaluating clinician or therapist to identify and treat regions in the body that lack mobility (range of motion), or stability (motor control), allowing for an accurate treatment to restore pain-free function and movement.
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