PREPARED BY: Kat Stewart
The ClientThe client is a 28 year old Personal Trainer not complaining of pain, but wanting to improve their mobility. He has had previous injuries, but mainly coming in complaining of being ‘as stiff as a board’. He can complete a 20km run with ease, and trains 7 days a week, every morning, using a variety of training styles.
The AssessmentThe client was put through the SFMA as it is a better tool for clinicians to determine specific mobility/stability issues. Throughout the initial assessment (the top tier), the client had many dysfunctional findings. Upon further assessment, it was noted that he had significant joint mobility and tissue extensibility dysfunctions (JMD/TED). These include but weren’t limited to:
- Shoulder External Rotation, Flexion, abduction JMD/TED
- Bilateral Thoracic Extension.Rotation JMD/TED
- Lumbar Extension/Rotation JMD/TED
- Hip Flexion posterior chain TED
- Left Hip 2 position internal/external rotation JMD/TED
- Right Hip seated external rotation SMCD, prone internal/external rotation JMD/TED
- Bilateral Tibial Internal Rotation JMD/TED
- Ankle Inversion JMD/TED
- Dorsiflexion JMD/TED
The TreatmentFollowing the results of the SFMA, the client was treated with Corrective Exercises that would improve his Thoracic Extension/Rotation, Hip extension and Rotation, and ankle dorsiflexion. The Corrective Exercises that were prescribed are taught in the Functional Movement Screen, which have introduced an ‘active treatment style’ to the clinician’s skill set. The Correctives selected were:
- Brettzel: to increase Thoracic and Hip mobility
- Active Straight Leg Raise with Core Activation: to increase hip mobility
- Dorsiflexion from half kneeling: to increase ankle mobility
The ResultsAs this is the client’s initial consult, it was suggested that he maintain this active treatment style until his next consultation in a couple of weeks time. Then a re-assessment will be completed.
DiscussionThe SFMA proved useful at identifying the Dysfunctional patterns in the client. The clinician was then able to determine which Corrective Exercises were most likely to best treat the mobility issues of the client. It was discovered by the Therapist that Corrective Exercises throughout the treatment, as well as encouraging the client to perform the exercises at home, has made them more aware of themselves between treatments. After educating the client, they realise the importance of taking care of themselves between treatments. Ensuring that the client achieves the results that they want, it’s important for them to understand the role that they have in helping themselves reach this goal- Therapists can’t perform ‘magic’.
Throughout Q Academy’s Myotherapy course students are taught how to use the SFMA (Selective Functional Movement Assessment). This tool has the potential to alter the way that Myotherapists create treatment plans for their clients. Remedial Therapists often find that their clients rely on them to resolve all of their issues during their treatment time. But, by educating clients on the corrective exercises they should perform between treatments, it gives some of the responsibility to the client. In order for the client to achieve the results that they require, they become aware of the importance of continuing with these exercises between treatments. This will help to improve or change their SFMA diagnosis, and to see improved results sooner.