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SCORE SHEET AND FLOWCHARTSScoresheetsand FlowchartsWeb: FunctionalMovement.com Phone: (434) 432-3677 Email: info@sfma.comThis manual is protected by copyright, 2011 by SFMA, LLC. All rights reserved.Reproduction of this manual or any part thereof without prior written consent from SFMA, LLC is strictly prohibited.

- 33 -THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENTFNSFMA SCORINGActive Cervical FlexionActive Cervical ExtensionCervical RotationUpper Extremity Pattern 1(MRE)Upper Extremity Pattern 2 (LRF)/5LRLRMulti-Segmental FlexionMulti-Segmental ExtensionMulti-Segmental RotationSingle-Leg StanceOverhead Deep SquatSFMA Certification - Ver 16LRLRFPDPDN

- 34 -THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT ! ! ! " (! ! " ! " ! % # ! ) ! ! " ! ! , % # ! ) ! ! ! ! ! ! % # ! ! ! ! & # ! ! ! ! " " ! " ! ! ! * # % # ! ) & ! & ! ! " ! " ! ! " % # ! ) & ! & ! ! " ! " ! ! " % # ! ) & ! & ! ! " ! ! " ! /. *" " # ! ! ! % # ! ) & ! & ! ! " " ! # ! ,. ! ! " ! " # % # ! ) ! ! " ! ! ! ! ! " ! " ! # ! ! /- " ! ! /- ) # # ! % # % % # ! ) & ! & ! ! ! ! ! ! " ! " ! & /, & / , ! % # ! & ! & ! ! ! ! ! ! ! ! ! ! ! " ! ! ! ! !! ! ! ! !! ! % # !' ! !' ! ! SFMA Certification - Ver 16

- 53 -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 SMCD affecting CervicalFlexion. This includes Cervical Spine,Thoracic Spine and Shoulder Girdlepostural dysfunction.DN, DP or FPActive CervicalSpine FlexionSMCDActive Supine OA Cervical Flexion Test (20Ý)FN BilateralDP 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 (80Ý)FNDN, DP or FPThere is a Postural SMCD affectingCervical Rotation. This includesCervical Spine, Thoracic Spine andShoulder Girdle postural dysfunction.Supine Cervical ExtensionDNFP or DPFNActiveCervicalSpineRotationSMCDDN, DP or FPC1-C2 Cervical Rotation Test (40 )FNFP or DPDNFNCervicalThere is Postural &/Extension JMDor SMCD affecting&/or TEDCervical Extension.SFMA Certification - Ver 16SFMA Certification - Ver 15Passive Supine Cervical Rotation Test (80 )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.

- 64 -UPPER EXTREMITY PATTERN BREAKOUTSLimited Upper Extremity Pattern OneActive Prone Upper Extremity Pattern One (IR)Active Prone Elbow Flexion Test (Ext.)DN, DP or FPDN, DP or FPPassive Prone Upper ExtremityPattern One (IR)DN, DP or FPDN, DP or FPPassive Prone Shoulder IR Test(60 &/or Total Arc of 150 )FNDNDP or FPShoulderIR SMCDShoulder IRJMD or TEDTreatChemicalPainActive Prone Shoulder Extension Test (50 )DN, DP or FPFNPassive Prone Shoulder Extension Test(50 )FNDNShoulderExtension SMCDShlder ExtensionJMD or TEDSFMA Certification - Ver 16SFMA Certification - Ver 15FNPassive Prone ElbowFlexion Test (Ext.)FNActive Prone Shoulder 90/90 IRTest (60 &/or Total Arc of 150 )FNFNDP or FPTreatChem PainFNDP or FPDNElbowFlexionSMCDTreatPainElbowFlexionJMD or TEDActive Lumbar Locked (CH)Extension/Rotation Test (50 )DN, DP or FPFNPassive Lumbar Locked (CH)Extension/Rotation Test (50 (50 ))If no previousOrange Boxesconsider thisa Postural &/or ShoulderGirdle SMCD.Otherwisetreat orangeboxes first.FNDP or FPDNTreatPainThoraxExtension/RotationJMD or TEDThorax &/orShoulder GirdleSMCD

- 65 -UPPER EXTREMITY PATTERN BREAKOUTSLimited Upper Extremity Pattern TwoActive Prone Upper Extremity Pattern Two (ER)Active Prone Elbow Flexion Test (Flex)DN, DP or FPDN, DP or FPPassive Prone Upper ExtremityPattern Two (ER)DN, DP or FPDN, DP or FPPassive Prone Shoulder ER Test(90 &/or Total Arc of 150 )FNDNDP or FPShoulderER SMCDShoulderER JMD orTEDTreatChemicalPainActive Prone Shoulder Flexion/Abduction Test (170 )DN, DP or FPFNPassive Prone Shoulder Flexion/Abduction Test (170 )FNDNShoulder Flexion/ Shoulder Flexion/Abduction SMCD Abducction JMDor TEDSFMA Certification - Ver 16SFMA Certification - Ver 15FNPassive Prone ElbowFlexion Test (Flex)FNProne Shoulder 90/90 ER Test(90 &/or Total Arc of 150 )FNFNDP or FPTreatChem PainFNDP or FPDNElbowFlexionSMCDTreatPainElbowFlexionJMD or TEDActive Lumbar Locked (CH)Extension/Rotation Test (50 )FNDN, DP or FPPassive Lumbar Locked(CH) Extension/Rotation Test(50 )If no previousOrange Boxesconsider thisa Postural &/or ShoulderGirdle SMCD.Otherwisetreat orangeboxes first.FNDP or FPTreatPainThorax &/orShoulder GirdleSMCDDNThoraxExtension/RotationJMD orTED

- 87 -MULTI-SEGMENTAL FLEXION BREAKOUTSLimited Multi-Segmental FlexionSingle Leg Forward BendBilateral DN, DP or FPFNUnilateral DN, DP or FPLong Sitting Test0FN (80 Sacral Angle)DN, DP or FPActive SLR Test (70 )Weight-Bearing HipFlexion pattern SMCD0FNDN, DP or FP( 70 )Passive SLR Test (80 )0FN 80DN, DP or FPCore SMCD &/orActive Hip Flexion SMCDProne Rocking TestFNIf no previous mobility findingsconsider this a Weight-bearingSpine &/or Hip SMCD - otherwisetreat orange boxes first.SFMA Certification - Ver 15SFMA Certification - Ver 16FP or DPSupine Knee to Chest TestDNFNFP or DPDNSpinal Flexion SLR Hip FlexionTreatJMD &/or TEDTED or if PSLRHip JMD &/Chemicalwas FP couldor PosteriorPain inbe Active HipChain TEDHipFlexion SMCD

- 101 -MULTI-SEGMENTAL EXTENSION BREAKOUTSSpine Extension FlowchartBackward Bend w/o UEDN, DP or FPFNGo toUB ExtensionFlowchartSingle Leg BBDN, DP or FPFNPress UpSymmetrical Stance CoreSMCD or Anterior Torso TED.TED. Go to UB Extension FlowchartWeight-bearing Spine ExtensionSMCD. Go to Lower & UpperBody Extension FlowchartsFNDN, DP or FP ( 1 Airex Pad)Active Lumbar Locked (IR) Extension/Rotation Test(50 )FNDN, DP or FPPassive Lumbar Locked (IR) Extension/Rotation Test(50 )FP or DPDNFNThorax Extension/Rotation SMCDTreat Pain - Go to LowerBody Extension FlowchartThorax Extension/Rotataion JMD &/or TED - Go to Lower Body ExtensionFlowchartActive Prone on Elbow Extension/Rotation Test (30 )DN, DP or FPFNIf Thorax has SMCDassume L-Spine is normal.normal.Passive Prone on Elbow Extension/Rotation Test(30 )FP or DPDNFNLumbar Extension/Treat Pain - GoRotation JMD &/orto Lower Bodythen UpperTED - Go to LowerBody ExtensionBody then Upper BodyFlowchartExtension FlowchartSFMA Certification - Ver 16SFMA Certification - Ver 15Lumbar Spine Extension/Rotation SMCD or AnteriorTorso TEDTED-- Go to LowerBody then Upper BodyExtensionExtension Flowchart

- 102 -MULTI-SEGMENTAL EXTENSION BREAKOUTSLower Body Extension FlowchartFABER TestFNDN, DP or FPStabilized FABER TestFNDN, DP or FPHip/Core SMCDHip/SI JMD &/or TED - PerformLocal Biomechanical Testingof the Hip and SI.Modified Thomas TestFN withKnee StraightLower AnteriorChain TEDFN with Hip Abducted &FN withKnee StraightHip AbductedLower LateralChain TEDLower Anterior andLateral Chain TEDDNDP/FPFNIf FABER wasDN,DP or FPHip Extension JMD &/orthenstopandTED and/or Core SMCD.SMCD.treat FABERProne Active Hip Extension Test (10 )DN, DP or FPFN ( or 10 degrees Extension)Prone Passive Hip Extension Test (10 )If Spine Extension wasdysfunctional considerHip normal. If not- there is a Weightbearing Hip ExtensionSMCD &/or LimitedAnkle Dorsiflexion (Referto ODS & SLS).SFMASFMA CertificationCertification -- VerVer 1615DNHip ExtensionJMD &/or TEDFP or DPFNCore SMCD &/or Active HipExtension SMCSMCD

- 103 -MULTI-SEGMENTAL EXTENSION BREAKOUTSUpper Body Extension FlowchartUnilateral Shoulder Backward BendFNDN, DP or FPPotential Anterior TorsoTED or Cervical Spineinvolvement - DoubleCheck CervicalPatternsSupine Lat Stretch Hips FlexedFNDN, DP or FPIf no previous Hip or Spineextension mobility dysfunctionsconsider this a Weight-bearingUpper Quarter Extension SMCD- otherwise treat hips andspine first.Supine Lat Stretch Hips ExtendedFNShoulder Flexionimproves butnot FullDN, DP or FPPosterior/Lateral Chain TED&/or Possible Hip Extensiondysfunction - Go to Lower BodyExtension FlowchartPosterior/Lateral ChainTED &/or Possible HipExtension dysfunction Make sure you also runLower Body ExtensionFlowchartActive Lumbar Locked (ER) Extension/Rotation Test(50 )FNDN, DP or FPShoulder Girdle SMCDActive Lumbar Locked (IR) Extension/Rotation Test (50 )Passive Lumbar Locked (IR) Extension/Rotation Test (50 )DNFP or DPThorax Extension/ Rotation JMD &/or TED possible Shoulder JMD/TED as wellSFMA Certification - Ver 1615DN, DP or FPFNThorax Extension/RotationSMCD &/or possible ShoulderGirdle dysfunctionFNShoulder GirdleJMD &/or TED

- 132 -MULTI-SEGMENTAL ROTATION BREAKOUTSLimited Multi-Segmental RotationSeated Rotation Test (50 )FNDN, DP or FPGo to HipRotationFlowchart IActive Lumbar Locked (ER) Extension/Rotation Test (50 )FNDN, DP or FP & Switches SidesDN, DP or FPActive Lumbar Locked (IR) Extension/Rotation Test (50 )DN, DP or FPFNPassive Lumbar Locked (IR) Extension/Rotation Test (50 )Shoulder Girdle Rot.JMD &/or TEDDNFP or DPFNThorax Extension/Rotation JMD &/or TED - Go to HipRotation Flowchart ITreat Pain - Goto Hip RotationFlowchart IThorax RotationSMCDActive Prone on Elbow Extension/Rotation Test (30 )FNDN, DP or FPPassive Prone on Elbow Extension/Rotation Test (30 )FP or DPTreat Pain- Go to HipRotationFlowchart I16SFMA Certification - Ver 15DNLumbar SpineExtension/RotationJMD &/or TED - Goto Hip RotationFlowchart IFNIf Thorax Extension/RotationSMCD exists lumbar spine isnormal. If not consider thisa Weight-bearing Spine orShoulder Girdle Rotation SMCD Go to Hip Rotation Flowchart 1

- 133 -MULTI-SEGMENTAL ROTATION BREAKOUTSHip Rotation Flowchart (Part 1)Active Seated External Hip Rotation (40 )(40 )FN ( 400))DN, DP or FPPassive Seated External Hip Rotation (40 )(40 )FP or DPDNHip JMD &/or TED for ExternalRotation with Hip FlexedFNTreat Pain- Go to HipRotation Part 2FlowchartActive Prone External Hip Rotation (40 )(40 )DN, DP or FPFN ( 400))Passive Prone External Hip Rotation (40 )(40 )DNHip JMD &/or TED forExtensionRotation withHip Extended- Go to HipRotation 2Flowchart andLower-bodyExtensionBreakoutFP or DPFNTreat Pain- Go to HipRotation 2FlowchartIf Seated PassiveRotation was DNstop and treatthe DN. If notconsider this aWeight-bearing orActive External HipRotation SMCD - Goto Hip Rotation 2Rotation Flowchart.16SFMA Certification - Ver 15If Seated Passive Rotation was DN stopand treat the DN. If no previous signsof hip rotation dysfunction consider thehips normal and go to Tibial RotationFlowchart. If not consider this a Weightbearing or Active External Hip RotationSMCD - Go to Hip Rotation 2 Flowchart.

- 134 -MULTI-SEGMENTAL ROTATION BREAKOUTSHip Rotation Flowchart (Part 2)Active Seated Internal Hip Rotation (30 )(30 )FN ( 300))DN, DP or FPPassive Seated Internal Hip Rotation (30 )(30 )FP or DPDNHip JMD &/or TED for MedialRotation with Hip FlexedFNTreat Pain Go to TibiaRotationFlowchartActive Prone Internal Hip Rotation (30 )(30 )DN, DP or FPFN ( 300))Passive Prone Internal Hip Rotation (30 )(30 )DNHip JMD &/orTED for MedialRotation withHip Extended- Go to TibialRotationFlowchart andLower-bodyExtensionBreakoutFP or DPTreat Pain Go to TibiaRotationFlowchartSFMA CertificationCertification -- VerVer 1615SFMAFNIf Seated PassiveRotation was DNstop and treat theDN. If not considerthis a Weightbearing or ActiveInternal Hip RotationSMCD - Go to TibialRotation Flowchart.If Seated Passive Rotation was DN stopand treat the DN. If no previous signsof hip rotation dysfunction consider thehips normal and go to Tibial RotationFlowchart. If not, consider this a Weightbearing or Active Internal Hip RotationSMCD - Go to Tibial Rotation Flowchart.