Transcription
- 27 -THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENTFNSFMA SCORINGActive Cervical FlexionActive Cervical ExtensionCervical RotationUpper Extremity Pattern 1(MRE)Upper Extremity Pattern 2 (LRF)LRLRLRMulti-Segmental FlexionMulti-Segmental ExtensionMulti-Segmental RotationSingle Leg StanceOverhead Deep SquatLRLRFPDPDN
- 28 -THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENTName:CervicalFlexionDate:TotalScore:o Painfulo Can’ttouchSternumtoChino ensiono Painfulo Notwithin10degreesofparallelo ationo Righto Righto Lefto LeftPattern#1–MREo Righto Righto Lefto LeftPattern#2–LRFo Righto Righto Lefto Lefto PainfulRighto PainfulLeftNosenotinlinewithmid- ryorlackofmotorcontrolo PainfulRighto ontrolo PainfulRighto lti- ‐SegmentalFlexiono Painfulo Cannottouchtoeso Sacralangle 70degreeso Non- ‐uniformspinalcurveo Lackofposteriorweightshifto otorcontrolMulti- ‐SegmentalExtensiono Painfulo UEdoesnotachieveormaintain170o ASISdoesnotcleartoeso Spineofscapuladoesnotclearheelso Uniformspinalcurveo Excessiveeffortand/orlackmotorcontrolMulti- ‐SegmentalRotationo Righto Righto Righto Righto Righto Lefto Lefto Lefto Lefto LeftSingleLegStanceo Righto Righto Righto Righto Lefto Lefto Lefto Lefto PainfulRighto PainfulLeftPelvisRotation 50degreesShouldersrotation Excessiveeffortand/orlackofsymmetryormotorcontrolo PainfulRighto PainfulLeftEyesopen 10secondsEyesclosed ryormotorcontrolOverheadDeepSquato Painfulo LossofUEstartpositiono TibiaandTorsoarenotparallelorbettero Thighsdonotbreakparallelo Righto LeftLossofsagittalplanealignmento Excessiveeffort,weightshift,ormotorcontrol
- 43 -CERVICAL SPINE PATTERN BREAKOUTSLimited Cervical Spine PatternsActive Supine Cervical Flexion Test (Chin to Chest)DN, DP or FPFNPassive Supine Cervical Flexion TestFNThere is a Postural and/or SMCD affectingCervical Flexion. This includes CervicalSpine, Thoracic Spine and Shoulder Girdlepostural dysfunction.DN, DP or FPActive Supine OA Cervical Flexion Test (20 )Active CervicalSpine FlexionSMCDFN Bilat.DP or FPDNIf Passive Supine Cervical Flexion (PSCF) was DP orDN then treat as Cervical Spine Flexion JMD &/orTED. If PSCF was FP can also be SMCD - performsegmental testing and soft tissue appraisal.OA Flexion JMD &/or TED&/or possible CervicalSpine Flexion JMD &/orTEDActive Supine Cervical Rotation Test (80 )FNDN, DP or FPIf Cervical Flexion is DN - Treat flexion first.If not, there is a Postural and/or SMCDaffecting Cervical Rotation. This includesCervical Spine, Thoracic Spine andShoulder Girdle postural dysfunction.Supine Cervical ExtensionPassive Supine Cervical Rotation TestFNActiveCervical SpineRotation SMCDDN, DP or FPC1-C2 Cervical Rotation TestFNDNCervicalExtension JMD&/or TEDFP or DPFP or DPDNFNThere is Postural &/or SMCD affectingCervical Extension.If Passive Supine Cervical Rotation(PSCR) was DP or DN then treat asLower Cervical Rotational JMD &/orTED. If PSCR was FP can also beSMCD - perform segmental testingand soft tissue appraisal.C1-C2 JMD&/or TED &/orpossible LowerCervical SpineJMD &/or TED.
- 54 -UPPER EXTREMITY PATTERN BREAKOUTSLimited Upper Extremity Pattern OneActive Prone Upper Extremity Pattern One (IR)DN, DP or FPFNPassive Prone Upper ExtremityPattern One (IR)Supine Reciprocal UpperExtremity Pattern TestFNDN, DP or FPFNDN, DP or FPPassive Prone Shoulder IR TestAct. Prone Elbow Flex. Test (Ext.)DN, DP or FPFNDNDP or FPShoulderIR SMCDShoulder IRJMD orTEDTreatChemicalPainActive Prone Shoulder Ext. Test (50 )FNDNDP or FPShoulderExt SMCDShlder ExtJMD or TEDTreatChem PainFNPassive Prone ElbowFlexion Test (Ext.)FNDN, DP or FPPassive Prone Shoulder Ext. TestDNFunctionalShoulder PatternSMCD forPattern 1. Go toSpine ExtensionBreakouot.Isolated Postural&/or ShoulderGirdle SMCD forPattern 1. Go toSpine ExtensionBreakouot.Active Prone Shoulder 90/90 IR Test(60 &/or Total Arc of 150 )FNDP or FPFNDP or FPDNElbowFlexSMCDTreatPainElbow FlexJMD or TEDActive Lumbar Locked Ext./Rot. ChestFNDP or FPDNIf no findings so farthen CombinedPattern One JMD&/or TEDTreatPainThoracic Spine Ext.JMD, TED, or SMCD.Use passive todifferentiate.
- 55 -UPPER EXTREMITY PATTERN BREAKOUTSLimited Upper Extremity Pattern TwoActive Prone Upper Extremity Pattern Two (ER)DN, DP or FPFNPassive Prone Upper ExtremityPattern One (ER)Supine Reciprocal UpperExtremity Pattern TestFNDN, DP or FPFNDN, DP or FPPassive Prone Shoulder ER TestAct. Prone Elbow Flex. Test (Flex)DN, DP or FPFNDNDP or FPShoulderER SMCDShoulderER JMDorTEDTreatChemicalPainActive Prone Shldr Flx/Abd Test (170 )FNDNDP or FPShoulder Fl/Ab SMCDShlder Fl/AbJMD or TEDTreatChem PainFNPassive Prone ElbowFlexion Test (Flex)FNDN, DP or FPPassive Prone Shoulder Fl/Ab TestDNFunctionalShoulder PatternSMCD forPattern 2. Go toSpine ExtensionBreakouot.Isolated Postural&/or ShoulderGirdle SMCD forPattern 2. Go toSpine ExtensionBreakouot.Prone Shoulder 90/90 ER Test (90 &/or Total Arc of 150 )FNDP or FPFNDP or FPDNElbowFlexSMCDTreatPainElbow FlexJMD or TEDActive Lumbar Locked Ext./Rot. ChestFNDP or FPDNIf no findings so farthen CombinedPattern One JMD&/or TEDTreatPainThoracic Spine Ext.JMD, TED, or SMCD.Use passive todifferentiate.
- 77 -MULTI-SEGMENTAL FLEXION BREAKOUTSLimited Multi-Segmental FlexionSingle Leg Forward BendBoth Functionaland Non-PainfulBilateral Dysfunctional or PainfulUnilateral Dysfunctional or PainfulLong Sitting0FN (80 Sacral Angle)DN, DP or FPActive SLRRolling Breakout Outcome0FNFNFP or DPD ( 70 ) or PDNPassive SLRWeightBearing HipFlexionpatternSMCDFundamentalFlexionpattern SMCD0FN 80Core SMCD &/orActive Hip Flexion SMCDSupine Knee to Chest (T)Prone RockingFNFP or DPRolling OutcomeFNDN, DP or FPFP or DPIf no previous OrangeBox, they have aWeight Bearing SpineSMCD - otherwise assumespine flexion is normal.DNSpinal FlexionJMD &/or TEDDNFundamentalFlexion PatternSMCDFNFP or DPPosterior ChainTED &/or ActiveHip FlexionSMCDDNHip JMD &/orPosterior ChainTED
- 91 -MULTI-SEGMENTAL EXTENSION BREAKOUTSSpine Extension FlowchartBackward Bend w/o UEFN - Go toUB Ext. FlowchartDysfunctional or PainfulSingle Leg BBDysfunctional or PainfulBoth Functional andNon-PainfulPress UpSymmetrical Stance CoreSMCD or Anterior Torso TED. Go to UB Ext. FlowchartIf Extension is Functional and NonPainful - May have Weight BearingDN, DP or FP ( 1 Airex Pad)Spinal Extension SMCD, but still move toLower & Upper Body Ext. FlowchartsLumbar Locked (IR) - Active Extension/Rotation (50 )FP, DP or DNFNLumbar Locked (IR) - Passive Extension/Rotation (50 )FP or DPFNUnilateral DNBilateral DNThorax Extension SMCDThorax Unilateral Ext. JMD&/or TED - Go to Upper &Lower Body Ext. FlowchartThorax Bilateral Ext. JMD&/or TED - Go to Upper &Lower Body Ext. FCProne on Elbow Unilateral Extension/Rotation (30 )FNDN, DP or FPPassive Prone on Elbow Uni. Rot. (30 )Unilateral DNFP or DPBilateral DNUni. Lumbar Ext./RotBilateral LumbarJMD &/or TED * PerformExt./Rot JMD &/or TED *Local Lumbar SpinePerform Local Lumbar SpineExam - Go to Upper &Exam - Go to Upper &Lower Body Ext. FCLower Body Ext. FCFNRolling Pattern OutcomesFNFP or DPIf Thor. Ext. SMCD existsassume Lumbar is normal. Ifnot - Weight Bearing SpineExt. SMCD - Go to Upper &Lower Body Ext. FCDNFund. Spine Ext.SMCD - Go toUpper & LowerBody Ext. FC
- 92 -MULTI-SEGMENTAL EXTENSION BREAKOUTSLower Body Extension FlowchartFABER TestDN, DP or FPFNHip/SI JMD &/or TED &/or Core SMCD * (UseStabilized FABER to differentiate) Perform LocalBiomechanical Testing of the Hip and SI.Modified ThomasFN withKnee StraightLower AnteriorChain TEDFN with Hip Abducted &FN withKnee StraightHip AbductedLower LateralChain TEDLower Anterior andLateral Chain TEDFNDP/FPDNHip Ext. JMD &/or TEDand/or Core SMCD.Prone Active Hip ExtensionDP, FP, or DN or 10 degrees Extension (FN)Prone Passive Hip ExtensionRolling Pattern OutcomesFNFP or DPIf there were previoussigns of Hip ExtensionDysfunction assume aWeight Bearing Hip &/or Spine Lower QuarterExt. SMCD &/or LimitedAnkle Dorsiflexion. Ifnot, Hip Ext. is Normal(Check ODS & SLS)DNDNHip ExtensionJMD &/or TEDFP or DPRolling Pattern OutcomesFNFundamentalExtensionPattern SMCDFNFP or DPCore SMCD &/or Active HipExtension SMCDDNFundamentalExtensionPattern SMCD
- 93 -MULTI-SEGMENTAL EXTENSION BREAKOUTSUpper Body Extension FlowchartUnilateral Shoulder Backward BendBoth Functionaland Non-PainfulDysfunctional or PainfulDouble check Press Upon Spine Ext. Flowchartfor possible T-Spineinvolvement and makesure you rule outC-Spine Involvement.Supine Lat Stretch Hips FlexedFunctional and Non-PainfulShoulder FlexionDysfunctional or PainfulShoulder FlexionRolling Pattern OutcomesFNFP or DPWeightBearingUpperQuarter Ext.SMCDDNSupine Lat Stretch Hips ExtendedFNFundamentalExtension SMCDDN, DP or FPLat/Posterior Chain TED&/or Possible Hip Extensiondysfunction - Make sure you runLower Body Extension FlowchartShoulder FlexionImproves butnot FullLat/Posterior Chain TED&/or Possible Hip Extensiondysfunction - Make sureyou also run Lower BodyExtension FlowchartLumbar Locked (ER) - Unilateral Extension/Rotation (50 )Both Sides Functionaland Non-PainfulDysfunctional orPainfulScapular &/or Gleno-Humeral SMCDLumbar Locked (IR) - Active Extension/Rotation (50 )Lumbar Locked (IR) - Passive Extension/RotationOne Side Dysfunctionaland Non-PainfulBoth Dysfunctional andNon-PainfulFP or DPFNDN, DP orFPFNShoulder GirdleJMD or TEDThorax Unilateral Extension / Thorax Bilateral Extension Thorax Bilateral Extension/ Rotation SMCDRotation JMD &/or TED/ Rotation JMD &/or TED
- 118 -MULTI-SEGMENTAL ROTATION BREAKOUTSLimited Multi-Segmental RotationSeated Rotation (50 )DN, DP or FPFNGo to HipRotationFlowchartsLumbar Locked (ER) - Unilateral Ext./Rot. (50 )FNDN, DP or FP & Switches SidesDN, DP or FPLumbar Locked (IR) - Active Ext./Rot. (50 )DN, DP or FPRolling Pattern OutcomesShoulder GirdleTED &/or JMDFNFNLumbar Locked (IR) - Passive Ext./Rot. (50 )Unilateral DNBilateral DNThorax UnilateralRot./Ext. JMD&/or TED - Goto Hip RotationFlowchartsFP or DPThorax BilateralRot./Ext. JMD &/orTED - Go to HipRotation FlowchartsDP or otationalPattern SMCDThoraxRotationSMCDProne on Elbow Unilateral Ext./Rot. (30 )FNDN, DP or FPPass. Prone on Elb. Uni. Ext./Rot (30 )Unilateral DNFP or DPUnilateral LumbarRotation JMD &/orTED * Perform LocalLumbar Spine Exam Go to Hip Rotation &Lower Body ExtensionFlowchartsBilateral DNFNRolling Pattern OutcomesFNFP or DPDNIf Thorax Rotation SMCD FundamentalBilateral LumbarSpineexists assume lumbarRot./Ext. JMD &/or TED *RotationalPerform Local Lumbar Spine spine is normal. If not- Weight Bearing Spine SMCD - Go toExam - Go to Hip RotationRotational SMCD - Go to Hip Rotation& Lower Body ExtensionFlowchartsHip Rotation FlowchartsFlowcharts
- 119 -MULTI-SEGMENTAL ROTATION BREAKOUTSHip Rotation Flowchart (Part 1)Seated Active External Hip RotationDysfunctional &/orPainfulFN ( 400))Seated Passive External Hip RotationDNDP or FPFNHip JMD &/or TED with Ext.Rot. & w/ Hip FlexedProne Active External Hip RotationDysfunctional &/orPainfulFN ( 400)) - If Seated Passive Rotation was DN stop and Treat the DN.If not Continue FlowchartProne Passive External Hip RotationDNDP or FPHip JMD &/or TED withExt. Rot. & Hip Extended- Go to Tibial RotationFlowchart and LowerBody Extension BreakoutFN - If SeatedPassive Rotationwas DN stop andTreat the DN. Ifnot ContinueFlowchartRolling Pattern OutcomesFNWeight Bearing ExternalHip Rotation SMCD- Go to Tibial RotationFlowchart and LowerBody Extension BreakoutDP or FPDNFundamental HipRotation SMCD - Goto Tibial RotationFlowchart and LowerBody ExtensionBreakout
- 120 -MULTI-SEGMENTAL ROTATION BREAKOUTSHip Rotation Flowchart (Part 2)Seated Active Internal Hip RotationDysfunctional &/orPainfulFN ( 300))Seated Passive Internal Hip RotationDNDP or FPFNHip JMD &/or TED with Med.Rot. & w/ Hip FlexedProne Active Internal Hip RotationDysfunctional &/orPainfulFN ( 300)) - If Seated Passive Rotation was DN stop and Treat the DN.If not Continue FlowchartProne Passive Internal Hip RotationDNDP or FPHip JMD &/or TEDwith Med. Rot. & HipExtended - Go to TibialRotation Flowchart andLower Body ExtensionBreakoutFN - If SeatedPassive Rotationwas DN stop andTreat the DN. Ifnot ContinueFlowchartRolling Pattern OutcomesFNWeight Bearing InternalHip Rotation SMCD- Go to Tibial RotationFlowchart and LowerBody Extension BreakoutDP or FPDNFundamental HipRotation SMCD - Goto Tibial RotationFlowchart and LowerBody ExtensionBreakout
- 121 -MULTI-SEGMENTAL ROTATION BREAKOUTSTibial Rotation FlowchartSeated Act Internal Tibial Rot.FNFNDN, DP or FPDN, DP or FPTibia External RotationMobility is Normal- Double Check LBExtension FlowchartTibia Internal RotationMobility is Normal- Double Check LBExtension FlowchartSeated Passive InternalTibial RotationFNSeated Act External Tibial Rot.DNFNTibial Int. Rot.TED &/or JMDTibial RotationSMCDDP or FPTibial RotationSMCDSeated Passive ExternalTibial RotationDP or FPDNTibial Ext.Rot.TED &/or JMDIf spine, hips, and tibia are all functional and non-painful, double check Rolling forSpine SMCD, LB Extension and Single Leg Stance Breakouts
- 143 -SINGLE LEG STANCE BREAKOUTS FLOWCHARTVestibular & Core FlowchartVestibular Test - CTSIB (Static Head)Functional and NonPainful BalanceDN, DP or FPPotential StaticVestibularDysfunctionCTSIB (Dynamic Head Movement)Functional and NonPainful BalanceDynamicVestibularDysfunctionHalf-Kneeling Narrow BaseDN, DP, or FPFNGo toSLS AnkleFlowchartRolling Breakouts OutcomeFNDP or FPDP or FPDNTreat Pain - Go Fundamental Hip &/orCore SMCD - Go toto SLS AnkleSLS Ankle Flowchart.Flowchart.Quadruped DiagonalsFNDysfunctionalDNWeight Bearing SpineWeight Bearing Hip &/or&/or Hip/Core SMCD Treat Pain - Go Core SMCD (If Hip Extensionto SLS Ankle- (If Hip Extension is DN&/or Shoulder Flexion areFlowchart.treat it first). Go to SLSDN treat those first) Go toAnkle Flowchart.SLS Ankle Flowchart.
- 144 -SINGLE LEG STANCE BREAKOUTS FLOWCHARTAnkle FlowchartHeel WalksFNDN, DP or FPProne Passive DorsiflexionDP or FPFNDNTreat PainDorsiflexion SMCDLower PosteriorChain TED &/or JMDToe WalksDN, DP or FPFNProne Passive PlantarflexionFNDNDP or FPPlantarflexion SMCDLower Anterior Chain TED &/or JMDTreat PainSeated Active Ankle Inversion/EversionFNDN, DP or FPSeated Passive Ankle Inversion/EversionDNAnkle (Eversion orInversion) JMD, TED * Perform local foot/ankle examDP or FPFNAnkle (Eversion orInversion) SMCD- * Perform localfoot/ankle examIf no Red, Orange orPositive Blue Boxes so far Proprioceptive Deficit
- 159 -OVERHEAD DEEP SQUATTING PATTERN BREAKOUTSLimited Overhead Deep SquatInterlocked Fingers Behind Neck Deep SquatDN, DP or FPIf Squat is now Functional andNon-Painful - Go recheck allExtension Breakout Flowcharts.Assisted SquatFNDN, DP or FPCore SMCD (Can Use Rolling to Further Grade), Plus makesure Multi-Segmental Extension Breakouts is clear.Half Kneeling DorsiflexionDNFN, FP or DPLower Posterior Chain TED &/Or Ankle JMD,Plus make sure MSE and SLS Breakouts are clear.Supine Knees to Chest Holding ShinsFNDN, DP or FPSupine Knees to Chest Holding ThighsFNFP or DPKnee JMD (Flexion) &/or LowerAnterior Chain TED, Go to MultiSegmental Extension BreakoutsIf Dorsiflexion was FN Weight BearingCore, Knee and/or Hip Flexion SMCD. IfDorsiflexion was DN, consider knees, hipsand core normal. If Dorsiflexion was DPor FP then consider this a red box andtreat dorsiflexion. Go to Multi-SegmentalExtension Breakouts.DNHip JMD &/or Posterior Chain TED - Proceed toMulti-Segmental Flexion for Hips, but still can beKnee JMD - Go to Multi-Segmental ExtensionBreakout.
0/90ShoulderIR(60 )PassiveProne90/90ShoulderIR(60 )ActiveProneShoulderExtension(50 )PassiveProneShoulderExtension(50 Flexion(touches)LumbarLockChest(50 erActiveProne90/90ShoulderER(90 )PassiveProne90/90ShoulderER(90 )ActiveProneShoulderFlex/Abd(170 )PassiveProneShoulderFlex/Abd(170 Flexion(touches)LumbarLockChest(50 )Multi- RockingSupineKneetoChestHoldingThighsUBRolling- ‐SupinetoProneLBRolling- ‐SupinetoProneMulti- UESingleLegBackwardBendPronePressUpLumbarLock(IR)- ‐ActiveRot./Ext.(50 )LumbarLock(IR)- ‐PassiveRot./Ext.(50 )ProneonElbowUnilateralExtension(30 ipExtension(10 )PronePassiveHipExtension(10 )UBRolling- ‐PronetoSupineLBRolling- tretchHipsExtendedLumbarLock(ER)- ‐UnilateralExt(50 )LumbarLock(IR)- ‐ActiveRot./Ext.(50 )LumbarLock(IR)- ‐PassiveRot./Ext.(50 )LRLRLFNDPFPm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m FNDPFPm m m m m m m m m m m m m m m m m m m m m m m m m m FNDPFPm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m FNm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m DPm m m m m m m m m m FPm m m m m m RLDN- 187 m Date:m m RLRLRLRLFNDPFPDNm m CervicalRotationm m m m m m m m ActiveSupineCervicalRotation m m m m m m m m m PassiveSupineCervicalRotation m m m m m m m m m m C1- ‐C2CervicalRotation m m m m m m m m m m Multi- ‐SegmentalRotationm m m m m m m m m m SpineRotationFNDPFPDNm SeatedRotation(50 ) m m m m m m m m m m LumbarLock(ER)- ‐UnilateralExt(50 ) m m m m m m m m m m m m LumbarLock(IR)- ‐ActiveRot./Ext.(50 ) m m m m m m m m m m LumbarLock(IR)- ‐PassiveRot./Ext.(50 ) m m m m m m m m m m ProneonElbowUnilateralExtension(30 ) m m m m m m m m UBRolling- ‐SupinetoProne m m m m m m m m m m LBRolling- ‐SupinetoPronem m m m m m m m m m UBRolling- ‐PronetoSupine m m m m m m m m m m LBRolling- ‐PronetoSupine m m m m m m m m m m HipRotationFNDPFPDNm m SeatedActiveExternalHipRotation(40 ) m m m m m m m m m m m SeatedPassiveExternalHipRotation(40 ) m m m m m m m m m m ProneActiveExternalHipRotation(40 ) m m m m m m m m m m PronePassiveExternalHipRotation(40 ) m m m m m m m m m m SeatedActiveInternalHipRotation(30 ) m m m m m m m m m m SeatedPassiveInternalHipRotation(30 ) m m m m m m m m m m ProneActiveInternalHipRotation(30 ) m m m m m m m m m m PronePassiveInternalHipRotation(30 ) m m m m m m m m TibiaRotationFNDPFPDNm SeatedActiveInternalTibiaRotation(20 )m m m m m m m m m m SeatedPassiveInternalTibiaRotation(20 ) m m m m m m m m m m m SeatedActiveExternalTibiaRotation(20 ) m m m m m m m m m m SeatedPassiveExternalTibiaRotation(20 ) m m m m m m m m SingleLegStancem m m m m Vestibular&CoreFNDPFPDNm m CTSIB(StaticHeadMovement) m m m m CTSIB(DynamicHeadMovement) m m m m Half- ‐KneelingNarrowBase m m m m m UBRolling- ‐SupinetoProne m m m m m m m m DNLBRolling- ‐SupinetoPronem m m m m m m m m UBRolling- ‐PronetoSupine m m m m m m m m m m LBRolling- ‐PronetoSupine m m m m m m m m m QuadrupedDiagonals m m m m m m m m m m AnkleFNDPFPDNm m HeelWalksm m m m m m m m m m PronePassiveDorsiflexion m m m m m m m m DNToeWalks m m m m m m m m m m PronePassivePlantarflexionm m m m m m m m m m SeatedAnkleInversion/Eversion m m m m m m m m m m m m SeatedPassiveAnkleInversion/Eversion m m m m m m m m m m OverheadDeepSquatm m m m m m InterlockingFingersBehindtheNeckSquat m m m m AssistedSquat m DNm m m HalfKneelingDorsiflexion m m m m m m m m m m SupineKneetoChestHoldingShins m m m m m m SupineKneetoChestHoldingThighs m m m m m m m m m m m m
THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT Single Leg Stance Multi-Segmental Rotation Multi-Segmental Extension FN FP DP L R L R Active Cervical Extension Cervical Rotation Active Cervical Flexion L R . There is a Postural and/or SMCD affecting Cervical Flexion. This in
