![]() ![]() Passive prone elbow flexion test (thumb to shoulder) FN: Move on to active lumbar locked extension (#9).Ĩ.Active prone elbow flexion test (thumb to shoulder) DN: Shoulder extension JMD/TED note this and move on.ħ.FN: Shoulder extension SMCD note this and move on.Passive prone shoulder extension (50 degrees) Active prone shoulder extension test (50 degrees)Ħ. DN: Shoulder IR JMD/TED note this and move on.ĥ.FN: Shoulder IR SMCD note this and move on.Passive prone shoulder IR (60 degrees &/or total arc of 150 deg) FN: Move on to shoulder extension (#5).Ĥ.Active prone shoulder 90/90 IR test (60 degrees &/or total arc of 150 degrees) FN: Move to supine reciprocal upper extremity pattern test shown above.ģ.Passive prone upper extremity pattern one (touch inferior angle) FN: Mid-range SMCD check spine extension breakout.If the supine reciprocal upper extremity pattern test is… FN: Move to supine reciprocal upper extremity pattern test shown below.Active prone upper extremity pattern one (touch inferior angle) DN: C1-C2 JMD/TED &/or possible lower cervical spine JMD/TED.ġ.FN: If test 2 was DP/DN, treat as lower cervical JMD/TED if FP, could be an SMCD.Passive supine cervical rotation test (80 degrees) Active supine cervical rotation test (80 degrees)Ģ. FP/DP: Stop treat with modalities over exercise.ġ.DP/FP: Stop treat with modalities over exercise.DN: OA flexion JMD/TED &/or possible cervical flexion JMD/TED.FN Bilaterally: If passive cervical flexion was DP/DN – TED/JMD if FP – potential SMCD.Active supine OA flexion test (20 degrees) Passive supine cervical flexion (chin to chest)ģ. Start with supine cervical flexion (looking for chin to chest)Ģ. These are the official breakouts from the current (6/2013) SFMA course. You will notice that the breakouts are a little different than what is presented in the book. The SFMA generally also follows these basic ideas of testing, which can help assist you through the breakouts Here are some basic rules to implement when utilizing the SFMA that I picked up from there course.Ģ) If it looks like a dog and smells like a dog – it’s a dog.ĥ) Monkey see, monkey do…perform the movement. Tissue tension testing (so…painful…to…write).Though the following testing protocols did not make the SFMA, they should still be tested per Gray: However, the progression remains the same-restore mobility, then improve stability. Conversely, if I lack motor control, abnormal mobility may occur to compensate. If I were to lose mobility at one segment, motor control can be distorted at nearby segments. Mobility and stability can influence one another. Poor dynamic stability, alignment, postural control, asymmetry, and structural integrity.Poor static stability, alignment, postural control, asymmetry, and structural integrity. ![]() Prime mover or global muscle compensation behavior or asymmetry.There are several examples of SMCD problems. When something works reflexively, how can we train something volitionally and expect changes? To train these muscles we must focus on proprioceptive and timing-based training. ![]() ![]() Most conventional therapies would treat these complaints by strengthening the stabilizers, but this is problematic. These issues are also known as stability or motor control dysfunction (SMCD).
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