This may have resulted in his gross increase in tone as a means to restore or impose stability using the global musculature. Developing and progressing a plan of care for an otherwise healthy and active adolescent with non-specific LBP can be challenging. The therapists 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. At discharge, the patient demonstrated increased soft tissue extensibility of hip musculature and joint mobility of the thoracic spine along with normalization of lumbopelvic motor control. 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. Therapists hypothesized that dysfunctional movements identified in basic SFMA patterns indicated a poor fundamental foundation for proper movement, causing excessive compensation at the lumbar spine. Br J Gen Pract.

Rx Day 6 DN: This method of strength testing has been shown to be both reliable and valid. Breakouts include active and passive movements, weight-bearing and non-weight-bearing positions, multiple and single-joint functional movement assessments and unilateral and bilateral challenges. Based on the subject’s inability to maintain and control pelvic tilt and lumbopelvic positioning during exercise activities for example an inability to maintain a neutral spine while performing quadruped stability exercises the therapists believed based on clinical experience there were also underlying core stability deficits contributing to excessive stress at the lumbopelvic junction. STM erector spinae, T-L junction, posterior rotator cuff 15minutes.

Data-Driven Rehab: A Case Study | Functional Movement Systems

Any movements that provoke pain should be further assessed with caution as pain is known to stidy motor control. Did not test dermatomes or deep tendon reflexes. Functional gait analysis has been found to be moderately reliable. A regional interdependence model of musculoskeletal dysfunction: Br J Gen Pract. Guide to Physical Therapist Practice 3.


Based on the subject’s inability to maintain and control pelvic tilt and lumbopelvic positioning during exercise activities for example an inability to maintain a neutral spine while performing quadruped stability exercises the therapists believed based on clinical experience there were also underlying core stability deficits sthdy to excessive stress at the lumbopelvic junction. Volume II, The Spine.

Therapists initially prioritized pain relief in the lumbar region for the initial one to three weeks, theorizing that pain would disrupt normal movement patterns and cause continued dysfunction. These patterns were cleared for mobility issues and pain in the first five sessions using manual therapy techniques and as a result of the subject’s commitment to his HEP.

On the reliability and validity of manual muscle testing: Maintains for 10 seconds No loss of height bending of knee Evaluating: The subject was sent home to progress his activity over two weeks, then return for a reevaluation. Non-specific low back pain LBP is a diagnosis frequently encountered in outpatient orthopedic settings that presents a challenge for both patients and healthcare professionals.

Pitching is a power activity and requires a level of lower extremity stability that is often under appreciated. In considering prognostic factors for recovery, chronicity was a negative factor, but the subject’s young age was a positive factor.

Stma spine of contralateral scapula Evaluating: At the time of evaluation he had decreased his lifting frequency from sgma days a week to two and had significantly adjusted his exercise routine due to his pain; however, he was still playing soccer two to three times a week. Mobility limitations can be categorized as tissue extensibility or joint mobility dysfunction.

Diagnostic modalities for the evaluation of pediatric back pain: By eliminating a bias towards a specific calendar of events, the doctors are able to progress Stroman when his body told them it was ready, not when a calendar did. Stand erect with feet together, shoes off, toes pointing forward. Patellofemoral pain syndrome and its association with hip, ankle and foot function in 16 to 18 year-old high school students: Interventions, based on categories put forth by the Guide to Physical Therapist Practice, included manual therapy, motor function training, and therapeutic exercises.


sfma case study 2015

The subject was then challenged to load his spine in this position by shifting his weight into a stability ball and maintaining a neutral pelvis and spine. Stability is affected by multiple factors or systems including, but not limited to, the central and peripheral nervous systems, the proprioceptive system, postural alignment, structural integrity, and muscular inhibition, rather than focusing solely on the absolute strength of the stabilizer muscles.

The SFMA helped guide therapists to dysfunctional movements not seen with more conventional examination procedures. Stand erect with feet together and shoes off then lift knee to hip and hold for 10 seconds.

sfma case study 2015

The subject reported his primary goal was to be pain-free with activity so he could return to his full pre-season lifting schedule and full participation in collegiate-level soccer. Based on findings from the examination, therapists determined the subject’s primary PT diagnosis was impaired muscle performance pattern 4C due to chronic musculoskeletal dysfunction as well as a secondary diagnosis of impaired posture pattern 4B.

Touch chin to chest with mouth closed. The subject of this case report showed significant improvements in pain exceeding MCIDROM based on special tests and movement patternsstrength, and subjective motor control, achieving his long-term goal of a full pain-free return to weight lifting and soccer Table 2. Please login to leave a comment.

The subject was educated on what therapists hypothesized was contributing to his LBP.

Data-Driven Rehab: A Case Study

Full details of each breakout is beyond the scope of this manuscript, however, specific follow-up testing using parts of each break out was performed in order to assess mobility and stability impairments Appendix B. Without y’all, nothing was possible. Support Center Support Center.