Many conditions or injuries occur as the result of biomechanical dysfunction in or around joints. Many of these dysfunctions occur as the result of decreased mobility or tension. When we assess and treat, we develop an exercise program specifically for that individual to address these dysfunctions or tensions that are unique to them. These exercise programs are utilized to augment the treatments that we provide in the clinic and help the client to recover more quickly.



The SFMA (Selective Functional Movement Assessment) is an assessment tool used by the therapist to classify fundamental movement patterns and therefore direct manual therapy and most importantly to prescribe therapeutic exercise interventions. It offers the opportunity to identify meaningful impairments that may be seemingly unrelated to the main musculoskeletal complaint, but contribute to the associated disability.

It is a system used regularly by the NFL, U.S. A. Special Forces, PGA and LPGA, MLB, NHL, FIFA
and the U.S. Olympic Teams.

The SFMA is used to identify individual movement pattern deficiencies, and potentially, the provocation of pain within movement patterns, that is unique to each individual. Therefore, if an individual isn't experiencing any pain, the test can also be used as a predictor of injury potential. Also, if movement pattern deficiencies exist, performance is negatively affected and the individual may not be reaching his or her potential.

The end result of the assessment is determining whether movement pattern deficiencies are the result of mobility issues at specific joints and/or stability (strength) issues that control those joints. For example, is a person unable to get into a full squat position due to

1) lack of core stability (strength)
2) lack of leg strength
3) lack of mobility of the spine
4) lack of mobility of the hip(s)
5) lack of mobility of the knee(s)
6) lack of mobility of the ankle or
7) lack of balance?
Or why is someone unable to touch their toes?

The answer to these questions can be determined by combining the results of the SFMA with the facts determined by taking an extensive history added to any medical diagnoses and results of conventional orthopaedic tests. Exercises are then given to try to restore the body to "normal" functioning. This assessment also offers the opportunity for re-appraisal, meaning that, after certain exercises are prescribed and practiced, we can use the same tests to determine if that intervention changed only the local movement competency or had an effect on the whole body movement proficiency, thereby preventing future injury and increasing performance potential.

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