Joint Evaluations: Functional Movement Flashcards
Functional anatomy:
- study of anatomy in relation to it’s function
- an assessment and programming of the integration of systems
With injury, normal joint function is ______.
compromised
With injury, adaptive changes occur resulting in alterations to systems in:
- biomechanics
- pathology
- movement
Injury may affect _____ ____:
- kinetic chain
- proximally or distally
Kinetic chain:
- relationship of systems in the body
- relationship between movement of a joint and its affect to the next joint (above and below)
- integrated functional units
In the kinetic chain, each system works to provide structural and functional _____ and _____.
- efficiency
- stability
Contributing components of function vs dysfunction:
- length-tension relationships
- force couples
- precise arthrokinematics
- optimal neuromuscular control
Dysfunction:
malfunctioning systems result in compensatory overload, decreased performance and predictable injury patterns
Dysfunction rarely involves ____ _____.
one structure
Comprehensive assessment and rehabilitation of dysfunction must examine:
- muscle imbalances
- altered arthrokinematics
- neuromuscular control
Goal of dysfunction rehab is to restore optimal movement:
- how one moves
- relative to other joints: kinetic chain functioning
Functional movement testing has aims of ____ or _____ movement.
- assessing
- testing
Uses of FMT:
- for observation of movement
- to assess ability to perform a specific movement
- to evaluate key movement patterns or correct pathomechanics that may influence ability, or performance
Observation of movement:
- to identify limitations, or pain, or dysfunction
- how client is able to control body in movement
Evaluating key movement patterns or correct pathomechanics that may influence ability or performance:
- identify adaptive or compensatory actions
- evaluate fundamental movements relevant to activity (ex. squatting, bending)
How to assess or evaluate functional movement:
- global observations, ROMs at joint
- select key movements required in your client’s ADL
- identify multi-joint movements (to observe the specific activity, key movement patterns)
Purpose of functional movement screening:
- a standardized system that gives scores for movement
- scores may predict injury (injury prevention)
- insight to how to control body (overall coordination)
- identify asymmetries which may influence performance or predict injury
- limitations
Example of an established tool or screen for testing functional movement:
FMS (functional movement screen)
FMS consists of:
- deep squat
- hurdle step
- in-line lunge
- shoulder mobility
- active straight leg raise
- trunk stability push up
- rotary stability
FMS deep squat:
- functional movement
- assess bilateral, symmetrical and functional mobility of the hips, knees, and ankles
FMS hurdle step:
- functional movement
- assess the bilateral functional mobility and stability of the hips, knees, and ankles
FMS in-line lunge:
- functional movement
- assess torso, shoulder, hip and ankle mobility and stability, quadriceps flexibility and knee stability
FMS shoulder mobility:
- fundamental mobility
- assess bilateral shoulder ROM
- combining internal rotation with adduction and external rotation with abduction
FMS active straight leg raise:
- fundamental mobility
- assess active hamstring and gastroc-soleus flexibility while maintaining a stable pelvis and active extension of opposite leg
