The effects of stabilizing exercises on pain and disability of patients with lumbar segmental instability. The diagnostic accuracy of the Kemp’s test: Low back pain in the adolescent athlete. The subject reported increased pain and stiffness following weight lifting and sports which were reduced with Ibuprofen and activity modifications. However, it was decided this was a secondary dysfunction that would be addressed at a later point once proximal and distal mobility had been restored. Typical of case reports, the single subject design limits the relevance of these results when considering similar patients.

The subject signed an informed consent to allow use of his personal medical information for this case report. Once he demonstrated good control of his pelvis with loading to the spine, he was progressed to double leg squatting and deadlifting with kettlebells, followed by asymmetrical lunging and single leg exercises in order to continue to strengthen his hips and promote core stability in more challenging positions. After ruling out hip, SI, facet and disc pathology, the therapists hypothesized that the subject’s pain was due to improper movement patterns as a result of the muscular and ROM imbalances identified during examination. Both tools are a part of the same Functional Movement System created by Cook and colleagues, but their fundamental purposes are quite different. To see an example of the scoring sheet, click here.

The subject was then challenged to load his spine in this position by shifting his weight sfm a stability ball and maintaining a neutral pelvis and spine.

sfma case study

The effects seen after gains in mobility further supports the previously noted relationship between hip ROM restrictions and LBP. Further investigation of the application of the SFMA and associated outcomes in various musculoskeletal injuries is needed. J Man Manip Ther. Sfna, the subject was given an initial home exercise zfma HEP which included foam rolling for the hamstrings and quadriceps, a standing hamstring stretch, and half kneeling rear foot elevated hip flexor stretch stuyd address soft tissue extensibility limitations present at the hip.

The subject was sent home to progress his activity over two weeks, then return for a reevaluation. Despite the multidirectional quality of human movement, common measurement procedures used in physical therapy examination are often uni-planar and lack the ability to assess functional complexities involved in daily activities.


sfma case study

Chin touches sternum with mouth closed Evaluating: The primary hypothesis was that improved motor control and core stability in addition to the subject’s newly acquired functional mobility, would allow him to return to athletics without risk of re-injury.

Dysfunctional movement in these patterns can suggest mobility limitations, stability dysfunction or both. The subject was an avid weight lifter and participated on his college soccer team.

Selective Functional Movement Assessment (SFMA) – Physiopedia

Reliability of observational kinematic gait analysis. High velocity manipulation of T-spine in prone Caase. The subject demonstrated limited gross spine and hip range of motion ROM and slightly decreased hip strength bilaterally. STM erector spinae, T-L junction, posterior rotator cuff 15minutes. When considering the composition of musculoskeletal examination, the American Physical Therapy Association’s Guide to Physical Therapy practice includes only gross range of motion and strength and lacks specific outcome measures of movement quality.

Stand feet shoulder width apart with shoes off and feet pointed forward. Advances in Functional Training.

Rx Day 2 DN: His stability and mobility limitations were consistent with the joint-by-joint theory which argues that joints alternate in their primary role from stability to mobility and when a joint isn’t able to carry out it’s typical mobility or stability role, the next joint in the chain eventually will.

Human movement is a collaborative effort of muscle groups that are interdependent; the use of a movement-based assessment model can help identify weak links affecting overall function. Despite emphasis on movement and function in physical therapy PTtraditional examination and evaluation procedures tend to be heavily geared toward measurements of motion in a single plane or isolated assessment of strength of one muscle in order to attempt to identify a patho-anatomic source of pain, lacking the qualitative evaluation of movement patterns as a whole.

Raise arms over head and squat as deep as possible keeping heels on floor and hands over head. Affect, Cognition, Learning Style, Communication.


Any movements that provoke pain should be further assessed with caution as pain is known to alter motor control. Based on history, it was suspected that the subject may have had muscle imbalances in the lumbopelvic region leading to LBP with activity.

Selective Functional Movement Assessment (SFMA)

Typical of case reports, the single subject design limits the relevance of these results when considering similar patients. Rx Day 1 exam.

Any movement wtudy that results in labored breathing is graded as dysfunctional. The caze also believed that a major contributor to limited UE ROM was restricted thoracic spine extension as the subject was only limited in the functional combined pattern and had full motion for both shoulder extension and internal rotation assessed in isolation. The subject was an 18 year-old male who had just finished his first year of college and was referred to outpatient PT by his primary care provider with a chief wfma was intermittent low back pain.

J Orthop Sports Phys Ther. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: All special tests and measures were performed according to O’Sullivan and Magee. A detailed explanation of the administration and interpretation of the SFMA top-tier movements can be found in Appendix A.

Therapists assessed afma stability using an alternating quadruped bird dog exercise; the subject had difficulty maintaining a neutral spine with dynamic motion suggesting underlying core stability deficits.

He reported that the pain had been present for the prior two years, and had become worse in the last three months, including new onset of symptoms in the posterolateral left hip.