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Selective Functional Movement Assessment: An Evidence-Based Clinical Model to Address Regional Interdependence

The Selective Functional Movement Assessment (SFMA) is a comprehensive assessment that classifies movement patterns. This system helps the clinician recognize meaningful impairments and integrate the current best evidence (manual therapy and therapeutic exercise) for treating musculoskeletal conditions. This course is designed for musculoskeletal healthcare professionals who routinely treat patients with orthopedic and sports conditions. This course utilizes lectures and extensive labs to present the model of movement assessment and interventions designed to target dysfunctional movement patterns. Functional Movement Assessment, popularized in sports medicine research by the Functional Movement Screen and Y-Balance Test, has taught us that capturing injury risk must include the assessment of body relative movement patterns. When the clinical assessment is initiated from the perspective of full body movement patterns, the clinician has the opportunity to identify meaningful impairments that may be seemingly unrelated to the main musculoskeletal diagnosis but are contributing to the primary complaint (regional interdependence). The SFMA extends beyond the traditional kinematic chain approach to explore the current best evidence explaining how pain and injury adversely affect motor control. The assessment and exercise intervention model incorporate the basic tenets of human movement from a neuro-developmental perspective. The participant will learn how to identify a patient’s most dysfunctional movement pattern and break that pattern down into its fundamental parts. This will reveal the most meaningful impairment (mobility or stability deficit) to be addressed.

Objectives

Following completion of this course, you will be able to:

  1. Understand the importance of identifying dysfunctional movement patterns and appreciate that pain alters motor control
  2. Link assessment information from the tests to prescribe therapeutic exercise and manual therapy intervention
  3. Describe the importance of identifying the most meaningful impairments contributing to dysfunctional movement from a neuro-developmental and regional interdependence perspective
  4. Utilize the SFMA, FMS, and Y-Balance Test in the comprehensive functional evaluation of a patient

2009 SFMA Level 1 Course Fee: $425

This course is taught in partnership with Gray Cook and functionalmovement.com

Solving the Mystery of the Injured Athlete: An Evidence-Based Approach to Movement Assessment and Functional Exercise
  • Why does an athlete in peak physical condition sustain non-contact injuries?
  • Why is an athlete so frequently re-injured and those injuries become chronic?
  • Why is it so difficult to treat “overuse” injuries in the athlete?

The current best evidence suggests movement asymmetry and previous injury are two of the most prominent risk factors in sports. This course will explore these risk factors in detail and the participant will learn how objectively assess these risk factors in the individual athlete.  The participants will also advance their hands-on qualitative movement assessment skills which serves as the basis for corrective functional exercise prescription.  Further, this course will guide the participant through the research regarding pre-participation examination, post-injury evaluation, functional exercise, return to sport testing, and injury prevention. This course serves as a foundation for the Selective Functional Movement Assessment™ and Functional Movement Screen™ courses.

Approach

The learner will gain an understanding of epidemiological injury studies and how to translate this information into his/her current practice. Through lecture presentations, active learning, and hands-on laboratory sessions the participant will learn how to perform movement oriented testing for athletes preparing to return to sport as well as tests which we suggest implementing into the pre-participation examination.  Through extensive laboratory time, the participant will be exposed to a model of neuromuscular-based functional exercise designed to correct identified movement deficits.  The movement oriented testing covered in this course provides a basis for both injury prevention and performance enhancement programming for the athlete.  The information is immediately applicable and can be used to develop and foster relationships with area school systems, sports teams, coaches, and parents.  As a concluding activity, the participants will problem-solve barriers to implementation and develop a sport-specific examination that fits the unique needs of their practice setting.

Objectives

Upon completing this course, you’ll be able to:

  1. Describe the components of a well executed epidemiological injury study. 
  2. Identify the current most prominent modifiable risk factors for injury in field and court sports.
  3. Perform evidence-based functional movement testing. 
  4. Design a comprehensive treatment plan to correct dysfunctional movements, reduce injury risk, and prepare the athlete for the rigors of a comprehensive performance enhancement program. 
  5. Perform and interpret return to sport testing in a reliable and valid manner. 
  6. Stay current on research related to injury prediction and prevention.

Click here to register through Evidence in Motion

Acute Low Back Pain: Evidence-Based Management for the Physical Therapist

In this course, we will present evidence to dispel the myth that an acute low back pain (ALBP) episode will spontaneously resolve if left untreated. We will cover the importance of classifying patients with ALBP into appropriate categories for both research and clinical practice. The concept of Clinical Prediction Rules (CPR) will be introduced and the CPR for spinal manipulation will be taught in detail. The motor control model of spinal stabilization will be introduced, and examination techniques to identify and intervention strategies to correct both insufficient and excessive muscular responses will be covered in this lecture/lab format. 

Objectives

Following completion of this course, you will be able to:

  1. Recognize the limitations of current practice guidelines for ALBP.

  2. Evaluate the evidence that identifiable sub-classes of ALBP exist and respond differently to treatment.

  3. Identify the need for early intervention for select sub-classes of ALBP patients.

  4. Identify indications and perform spinal manipulation for patients with ALBP.

  5. Recognize that emerging evidence suggests motor control strategies are dysfunctional in patients with LBP and appropriate intervention is required to restore normal motor control.

Integrating Rehabilitative Ultrasound Imaging into Lumbar Stabilization Training for Patients with Low Back Pain

The motor control model of spinal stabilization with be introduced and the current best evidence related to the function/dysfunction of the Transverse Abdominis and Lumbar Multifidus muscles will be covered in detail.  The emerging concept of excessive global muscle activity known as a "High Threshold Strategy" will be presented.  Examination techniques to identify and intervention strategies to correct both insufficient and excessive muscular responses will be covered in this lecture/lab format.  The use of Rehabilitative Ultrasound Imaging (RUSI) for measurement and biofeedback training for patients with lumbopelvic pain will be taught and ultrasound units will be available for live demonstration of the measurement and biofeedback techniques.   

Objectives

Following completion of this course, you will be able to:

1.  Understand the basic principles of real-time ultrasound imaging including its proper use by rehabilitative professionals and safety considerations.

2.  Understand the qualitative and quantitative information that can be obtained with the clinical use of RUSI for patients with LBP 

3.  Recognize that emerging evidence suggests motor control strategies are dysfunctional in patients with LBP.

4.  Perform appropriate interventions required to restore normal motor control.    

5.  Integrate an evidence-based lumbar stabilization program into routine clinical care for patients with LBP. 

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