Lower extremity myotomes, transfers, locomotion, balance, coordination all within normal limits. Systems Review The systems review revealed that all systems were unimpaired except the musculoskeletal system. This neutral position was then progressed and strengthened dynamically with alternating upper and lower extremity motion in quadruped. Therapists communicated to the subject that the plan of care POC was to alleviate symptoms first before progressing to mobility, then stability exercises. Visits ranged from 45 minutes to one hour in duration and began with one to two visits per week initially, then one visit per week during the last three weeks. While we appreciated that these asymmetries were likely caused by his sport that was not a reason to avoid correcting them. Norli; Minneapolis, Minnesota; [ Google Scholar ].
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. Swanson 1 University of New England, Dept. The effects of stabilizing exercises on pain and disability of patients with lumbar segmental instability. Once the subject could consistently perform these activities with a stabile pelvis, and without excessive lumbar extension, he was progressed to powerlifting with a barbell and finally to sport-specific training for soccer. Rx Day 5 DN: Reliability limits of the Modified Thomas Test for assessing rectus femoris muscle flexibility about the knee joint.
Data-Driven Rehab: A Case Study
Stand erect with feet together, shoes off, toes pointing forward. Therapists assessed core stability using an alternating quadruped bird dog exercise; the subject had difficulty stjdy a neutral spine with dynamic motion suggesting underlying core stability deficits.
Swanson 1 University of New England, Dept. Stand erect with feet together, toes pointing forward. A review of the literature. Medial rotation—extension stretch left figure.
Interventions, based on categories put forth by the Guide to Physical Therapist Practice, cae manual therapy, motor function training, and therapeutic exercises.
Patient rotates the head as far as possible, then flexes the neck moving chin to collarbone. The ICD — 9 code was Lumbago Rx Day 2 DN: Utilizing treatment principles suggested by the creators of the SFMA, this subject made significant improvements over stucy course of his nine week episode of care which allowed him to return to sports and weight lifting without pain.
The subject reported his primary goal was to be pain-free with activity so he could return to his full sfudy lifting schedule and full participation in collegiate-level soccer. When performing the assessment the examiner should avoid excessive instructions for form in order to evaluate how the patient moves naturally.
Data-Driven Rehab: A Case Study | Functional Movement Systems
Currently only one study has looked at psychometric properties of the SFMA and it demonstrated poor to good reliability among novice evaluators and very good reliability in experienced users. Stma patterns being functional, the subject continued to demonstrate excessive lumbar lordosis with advanced exercises. Finally, there are always outliers in any statistical analysis. The assessment consists of ten basic movements that are standardized for classification.
Despite emphasis on movement and function in physical therapy PTtraditional examination and evaluation procedures tend to be heavily geared toward measurements of cse 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.
And then we would just keep moving down, down, down. 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.
In this case, the SFMA helped therapists to recognize dysfunctional movements that were present in subsequent regions that were not seen with more conventional examination procedures. To accomplish this, therapists sought to establish basic functional movement patterns which serve as the foundation for higher movement skills such as weight lifting and soccer. Rx Day 6 DN: Based on SFMA and special test findings of stdy mobility in the hips, thoracic spine and shoulder girdle, therapists hypothesized that the lumbar spine was moving excessively as cas for this lack of motion.
The subject was assessed via the SFMA top-tier patterns in order to identify functional movement deficits. Rx Shudy 8 DN: STM erector spinae, posterior rotator cuff 10 minutes. 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.
Touch chin to chest stjdy mouth closed. Pitching stud a power activity and requires a level of lower extremity stability that is often under appreciated. Once mobility was normalized, as determined by a re-evaluation of special testing, limitations in lumbopelvic control during movement became more apparent; likely due to a loss of secondary stability that was being provided by tightness in hip musculature.
STM erector spinae, T-L junction, posterior rotator cuff 15minutes. 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.
Based on history, it was suspected that the subject may have had muscle imbalances in the lumbopelvic region leading to LBP with activity. The subject demonstrated limited gross spine and hip range of motion ROM and slightly decreased hip strength bilaterally. 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.