First Comes FMS, and Then Comes SFMA
If You Have Pain During The Functional Movement Screen? The Selective Functional Movement Assessment (SFMA) will diagnosis the cause of the pain.
You’ve heard of Functional Movement Screen (FMS) from the previous blog post and the importance of identifying those dysfunctional movement patterns during the screen. But, what if during one of tests the patient notices pain or significant discomfort caused by certain movement patterns? If this occurs, a more in-depth and detailed assessment needs to be conducted known as Selective Functional Movement Assessment (SFMA). The main difference between the FMS & SFMA is that FMS is done by health and fitness professionals on normal populations, whereas the SFMA is performed by a medical or rehabilitation professional to patients that are in pain or already have an abnormal condition. Pain is usually the primary complaint, which may or may not be complicated by movement dysfunction.
When athletes are in pain, the human system will naturally migrate toward predictable patterns of movement in response to that pain or in the presence of weakness, tightness, or structural abnormality. Over time, these pained and weakened movement patterns lead to protective movement patterns as well as fear of movement, resulting in impairments such as decreased range of motion, muscle length changes, and reduced strength. These impaired patterns typically involve postural issues and dysfunctional compensation movements that lead to acute strains and chronic injuries.
During the SFMA, the clinician will:
- Identifying dysfunctional movement patterns.
- Determine whether the patterns involve a disability, dysfunction, and impairment.
- Determine if the pain is altering motor control, stability, and mobility.
- Select key impairments to assess from the assessment and design appropriate interventions to normalize dysfunctional movement.
- Develop a therapeutic exercise strategy and initiate treatment.
One of the most important aspects of the SFMA and the functional movement systems philosophy is to gain an understanding that an isolated or regional approach to either evaluation or treatment will not restore the whole of function. Functional restoration requires a map of dysfunctional patterns and a working knowledge of functional patterns to gain clinical perspective and design an effective treatment strategy.
If you have pain while moving or had pain during a functional movement screen give our office a call at (703) 912-7822 for your Selective Functional Movement Assessment or visit us at Chiropractors in Burke, VA.