Touches spine of contralateral scapula Evaluating: Full details of each breakout is beyond the scope of this manuscript, however, specific follow-up testing using parts of each break out was performed in order to assess mobility and stability impairments Appendix B. Therefore it is not known if other treatments for this patient would have resulted in similar outcomes. The injury occurred in early-March meaning there were less than 7 months until the final game of the Blue Jays regular season. Thoracic spine extension over a foam roller was incorporated to address general thoracic vertebral joint hypomobility.
The subject demonstrated limited gross spine and hip range of motion ROM and slightly decreased hip strength bilaterally. Chin touches mid-clavicle Evaluating: Massage therapy has short-term benefits for people with common musculoskeletal disorders compared to no treatment: In February, Butler and his team made their annual trip to Florida to help the Blue Jays training department perform movement screens on every athlete in the organization. While the ability to establish a cause-and-effect relationship is limited in this single subject, in this instance the SFMA presented an effective framework for the evaluation and treatment of an athlete with non-specific low back pain.
Typical of case reports, the single subject design limits the relevance of these results when considering similar patients.
Another movement that we tested frequently was deep squat. Author information Copyright and License information Disclaimer. Daily testing identified the correctives and RNT work that needed to be completed that day prior to loading the lower extremity. Postural function of the diaphragm in persons with and without chronic low back pain. Did not test dermatomes or deep tendon reflexes Musculoskeletal Impaired Hip Strength: Stability is affected by multiple factors or systems including, but not limited to, the central and peripheral nervous systems, the proprioceptive system, postural alignment, structural integrity, and muscular inhibition, rather than focusing solely on the absolute strength of the stabilizer muscles.
High velocity manipulation of T-spine in supine T2—T8. Stand erect with feet together, toes pointing forward. As seen in Appendix C, focus was then shifted to UE movement patterns which were limited in the medial rotation and extension pattern, primarily on the right side. ABSTRACT Background Despite the multidirectional quality of human movement, common measurement procedures used in physical therapy examination are often uni-planar and lack the ability to assess functional complexities involved in daily activities.
The subject was then challenged to load his spine in this position by shifting his weight into a stability ball and maintaining a neutral pelvis and spine. Despite the multidirectional quality of human movement, common measurement procedures used in physical therapy examination are often uni-planar and lack the ability to assess functional complexities involved in daily activities.
Physical Rehabilitation, 5 th Edition. Physical Therapy Diagnosis Based on findings from the examination, therapists determined the subject’s primary PT diagnosis was impaired muscle performance pattern 4C due to chronic musculoskeletal dysfunction as well as a secondary diagnosis of impaired posture pattern 4B.
Significant results from initial exam and discharge can be seen in Table 2. The subject was seen for 13 visits over nine weeks. Developing and progressing a plan of care for an otherwise healthy and active adolescent with non-specific Sudy can be challenging.
Data-Driven Rehab: A Case Study
Therefore it is not known if other treatments for this patient would have resulted in similar outcomes. His stability and mobility limitations were consistent with the joint-by-joint theory which argues that joints alternate in their primary role from stability to mobility and when a joint isn’t able to carry out it’s typical mobility or stability role, the next sstudy in the chain eventually will.
Affect, Cognition, Learning Style, Communication. It is difficult to determine which came first; therefore it was necessary to focus on maintaining a stabile spine once mobility was restored.
Data-Driven Rehab: A Case Study | Functional Movement Systems
While he deserves all of the credit for working tirelessly, his comeback relied heavily sma careful programming and diligent oversight from a talented team of FMS providers. Therefore a stability progression, with a goal of return to power lifting activities, began with cat-camel pelvic tilting to increase proprioceptive sense of a neutral spine.
The subject displayed limited functional mobility at the hips, thoracic spine and shoulder which, according to this theory, function primarily as mobile joints while the lumbar spine serves primarily as a stable junction between the thoracic spine and pelvis. J Orthop Sports Phys Ther.
Congratulations to Stroman, Dr. This case report demonstrates the effective use of the SFMA as a method or system used to qualitatively analyze movement at initial examination, and throughout the treatment process, and to direct subsequent intervention choices.
At discharge, the patient demonstrated increased soft tissue extensibility of hip musculature and joint mobility of the thoracic spine along with normalization of lumbopelvic motor control.
Based on clinical experience the therapists believed attempting exercises with limited range would also result in altered movement patterns. What i enjoy reading about cases like these is that an ACL rupture once was a career ender but advances in orthopeadic surgery and rehab can give the athelete a second chance which is a real blessing. Acton, MAPhone: American Physical Therapy Association http: Nikki Huffman to comment on the process and how the FMS was incorporated.
Joint mobility restrictions were treated with high velocity spinal manipulation of the upper thoracic spine in supine or grade IV P-A glides 2105 the vertebrae throughout the thoracic spine in prone. Self soft tissue massage to posterior rotator cuff and pec minor with lacrosse ball 5 minutes.