Today's post
is the fourth part of my self-SFMA(Selective Functional Movement Assessment)
case study series. Specifically, We will look at and break out my
dysfunctional Multi-segmental Flexion movement pattern from my SFMA Top
Tier Post.
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| I'm jealous of those that can do this. |
Here are the links
for the first three posts of this series:
SFMA Top Tier Pattern Assessment
SFMA Top Tier Pattern Assessment
Assessment:
The SFMA works
by assessing 7 general top tier movement tests. All tests are rated and ranked
by two broad categories of dysfunctional or functional, and then two
sub-categorizations of painful or non-painful. This means there are four basic
appraisals of FN, DN, FP or DP. From there you perform a "breakout"
of each dysfunctional pattern to determine the cause of dysfunction.
Dysfunctional movement patterns are broken down using an algorithm that funnels
and filters the problem into either a mobility dysfunction or a stability
&/or motor control dysfunction (SMCD).
This video
will look at the dysfunctional multi-segmental flexion pattern. Here is the latest breakout video:
Results:
Multi-Segmental
Flexion Top Tier = DN (Unable to touch toes. Why? We don't know yet. Other
Criteria for passing: Uniform Spinal Curve, Posterior Weight Shift, < 70
degree Sacral Angle)
Single Leg Forward Bend Test =
Bilateral DN, yet symmetrical (Still Unable to reach the toes or floor. Why? We
don't know yet. Proceed to the next test.)
This test helped to determine if the forward bend was an
asymmetrical or symmetrical dysfunction…in the presence of pain with the top
tier assessment we could also use this test to check for symmetry with pain
provocation.
Long Sitting Test = DN (Still unable to reach toes. Why? I don’t
know yet but we did pick up on a few things.)
We still do not have a clear cause of dysfunction yet, however we do know that I cannot touch my toes and I do have < 80 degree Sacral Angle. This would indicate limited hip flexion and/or limited spinal flexion, or both.
If I had been
FN with this test we would have proceeded to the rolling patterns to check for
a fundamental motor control dysfunction.
Active Straight Leg Raise Test: Right=DN, Left=DN (Looking for
at least 70 degrees of Hip Flexion)
Passive Straight Leg Raise
Test: Right=DN, Left=DN (Looking for at least 80 degrees Hip Flexion and
to be within 10 degrees of the Active SLR)
It is observed
that my passive SLR has more than a 10 degree difference from the active SLR.
This would indicate a possibility of a core stability, hip flexion strength
problem, excessive hamstring tone, guarding or a hip mobility dysfunction.
Supine Knee to Chest Holding
Thighs Test = DN (Unable to bring knees and
thighs to chest while supine.) This test is used to check the mobility of the
hips while they are in an unloaded or non-weight-bearing position. Doing this
also helps to differentiate a difference between hamstring mobility and hip
mobility dysfunctions.
Breakout Findings: If we follow the breakouts one would deduce
that I have a hip joint mobility dysfunction or a posterior chain tissue
extensibility dysfunction or both…as well as a possible hip flexion strength or
SMCD dysfunction. But that isn’t as important considering that we would need to
treat the mobility dysfunction before addressing any SMCDs.
Do you have any ideas/suggestions/thoughts? Let me know in the comments below!
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