FMS

Question 1

DO people move poorly bc they are in pain or are people in pain bc they move poorly?

Answer 1

FMS believe pain bc they move poorly

Question 2

What is the FMS?

Answer 2

• series of 7 fundamental human movements
• provides simple grading system to assess movement
• predictor of durability not performance
• young children move very well
• unnecessary at the turn of the centiry and in 3rd world countries
• poor movement patterns are learned and progress overtime

Question 3

What are the generla points the FMS looks at?

Answer 3

• significant imbalances
• right and left side weakness

these limitations may distort motor learning, movement perception, body awareness and mechanics

compensation is then used to complete the movement

Question 4

Mobility VS Stability

Answer 4

• Stability includes ability to maintain postire and/control motion
• From a joint sense, there needs to be a balance of mobilitu and stabilitu at each segment
• lack of mobility in one segment may create increased mobility in another and vice-versa

Mobility: the ability to access ROM

Question 5

Static vs dynamic

Answer 5

• Static stability is commonly assesed in orthopedic testing (romberg, and SL balance) (remain in one spot)
• Dynamic stability is often overlooked but is utilized during functional movements (adds a challenge)
• When dynamic stabilizers are weak, compensation takes place

Question 6

Where does core tranfer energy from and what 3 positions does it work in?

Answer 6

Core transfers energy from upper body to lower body and vice versa
1. Symetrical stance (squat)
2. SLS (pitch)
3. Asymetrical stance (lunge)

Question 7

What 7 tests are done in the FMS?

Answer 7

1. Deep squat
2. hurdle step
3. in-line lunge
4. shoulder mobility
5. active staright leg raise
6. trunk stability push-up
7. rotary stability

Question 8

Deep squat

Answer 8

• fundamental movement (sets up up for all athletic movements)
• ready position/power movements in LE
• challenges total body mehcnaics
• Assesses: bilateral, symetrical, functional mobility of hips, knees, ankles, shouldes, and hips

Clinical implications of poor perfromnace due to limited mobility of upper torso (t-spine, gelnohumeral) and lower body (ankle dorsiflexion, hip flexion)

Question 9

Hurdle Step

Answer 9

• challenges body’s proper stride mechanics, coordination, and stability of hips and torso
• SL stance stability
• functional mobility/stability of LE
• also assesses asymetry of hip mobilitu/stability

Factors:
- poor stability of stance leg or poor mobility of step leg
- asymmetrical hip mobility/stability

Question 10

In-line lunge

Answer 10

• stimulates stresses duing roational, deceleration, and lateral movements
• tests hip/ankle mobility/stability
• quadraceps flexibility
• knee and core stability

factors:
- bad hip mobility
- stance leg or/and ankle lacking stability in movement
- imbalance in relative adductor weakness and abductor tightness in one or both hips
- t-spine limitations

Question 11

Shoulder mobility

Answer 11

• assesses bilateral shoulder ROM
• requires normal scapular mobility
• t-spine extension

Factors: throwing athlete, rounded shoulderd due to – excessive development
scapulothoracic dysfunction
t-spine mobility
active impingement

Question 12

Active straight leg raise

Answer 12

• ability to disassociate the LE while maintaining stability in the torso
• asses active HS?gastroc flex, while maintaining stable pelvis

Factors:
- poor functional hamstrings flexibility
- inadequate mobility of contralateral hip stemming from hip flexors tightness or an anteriorly rotated pelvis

Question 13

Trunk stability push-up

Answer 13

• test ability to stabilize spine in ant/post plane duing CC UE movements
• trunk stability in the sagital plane while symetrical UE motion is performed

factors:
- symetrical sagital plane stability
- asymetrical energy transfer from upper and lower body (can lead to microtraumas)
- prone press up

Question 14

Rotary stability

Answer 14

• requires proper neuromuscular coordination and energy tranfer from one segment to another through the torso
• multi-plane trunk stabilitu duing combined UE/LE movement

Factors:
- poor asymetrical stability of trunk stabilizers in sagital and transverse planes
- asymetrical energy transfer between Upper and lower body (can cause micro trauama)
- prayer flexion position

Question 15

How is FMS scored?

Answer 15

• 21 points possible
• each test os 3, 2, 1, or 0
• 3 = perfect
• 2 = compensation
• 1 = inability to perform
• 0 = pain

Question 16

How to analyze FMS results?

Answer 16

• 0 must be evaluated and treated
• Address asymetrical 1’s first, then symetric 1’s next
• RETEST
• then adress asymetrical 2’s, then symetrical 2’s