SFMA

Question 1

What is SFMA?

Answer 1

Comprehensive assessment used to classify movement patters and direct manual therapy and therapeutic exercise interventions

Question 2

SFMA focuses on treating dysfunction _____ area of pain.

Answer 2

AWAY from the area of pain.

Question 3

What 4 areas of the body provide MOBILITY to the kinetic chain?

Answer 3

1. Glenohumeral joint
2. Thoracic spine
3. Hip
4. Ankle

Question 4

What 4 areas of the body provide STABILITY to the kinetic chain?

Answer 4

1. Scapulothoracic
2. Lumbar spine
3. Knee
4. Foot

Question 5

What are the 4 scores a patient can receive for movements on the SFMA?

Answer 5

Functional Non-painful
Functional painful
Dysfunctional painful
Dysfunctional Non-painful

Question 6

Explain the SFMA traffic light system.

Answer 6

RED LIGHT: Stop; you do not have to continue w/ breakout (Function, Non-painful)

YELLOW LIGHT: Proceed w/ caution; must breakout these patterns but w/ pain be careful (functional/dysfunctional painful)

GREEN LIGHT: Go; break these patterns out and treat at terminal points (dysfunctional non painful)

Question 7

List the 5 rules for screening using the SFMA.

Answer 7

1. No warm up
2. Go by what you see
3. Be picky
4. No shoes
5. Monkey see, monkey do

Question 8

What 10 movements make up the SFMA?

Answer 8

1. Cervical Flexion
2. Cervical Extension
3. Cervical rotation (Right and left)
4. Shoulder IR
5. Shoulder ER
6. Multi-segmental flexion (forward bend)
7. Multi-segmental extension (backward bend)
8. Multi-segmental rotation (left and right)
9. Single leg stance
10. Overhead deep squat

Question 9

What should the PT look for when examining the cervical patterns of the SFMA? (4)

Answer 9

1. Pattern 1 (C/S Flexion): should be able to touch chin to sternum w/o pain
2. Pattern 2 (C/S Extension): should be able to get w/in 10 degrees of parallel w/o pain
3. Pattern 3 (C/S Rotation): normal ROM is nose in line w/ mid-clavicle bilaterally
4. ALL Patterns: no excessive effort and/or lack of symmetry or motor control

Question 10

What should the PT look for when examining the UE movement patterns of the SFMA? (3)

Answer 10

1. Pattern 1 (Sh. IR): should reach inferior angle of scapula w/o pain
2. Pattern 2 (Sh. ER): should be able to reach spine of scapula w/o pain
3. ALL Patterns: no excessive effort and/or lack of symmetry or motor control

Question 11

What are the 5 criteria to look for during multi-segmental flexion?

Answer 11

1. Touch toes
2. Posterior weight-shift occurs
3. Uniform spinal curve
4. Sacral angle > 70 degrees
5. No excessive effort and/or lack of symmetry or motor control

Question 12

What are the 5 criteria to look for during multi-segmental extension?

Answer 12

1. UEs reach and maintain 170
2. ASIS clear toes
3. Spine of scapula clears heels
4. Uniform spinal curve
5. No excessive effort and/or lack of symmetry or motor control

Question 13

What are the 5 criteria to look for during multi-segmental rotation?

Answer 13

1. Pelvis rotation > 50 degrees
2. Shoulder rotation > 50 degrees
3. No spine/pelvic deviation
4. No excess knee flexion
5. No excessive effort and/or lack of symmetry or motor control

Question 14

What are the 4 criteria to look for during the single leg stance?

Answer 14

1. Remains stable w/ eyes open for >10 seconds
2. Remains stable w/ eyes closed for >10 seconds
3. No loss of height when lifting leg
4. No excessive effort and/or lack of symmetry or motor control

Question 15

What are the 5 criteria to look for during the overhead deep squat?

Answer 15

1. No loss of UE start position
2. Tibia and torso are parallel or better at end of squat
3. Thighs break parallel
4. No loss of sagittal plane alignment
5. No excessive effort and/or lack of symmetry or motor control

Question 16

What are the 3 terms that the SFMA uses to describe dysfunction?

Answer 16

1. Tissue Extensibility Dysfunction (TED): identifies multi articular tissues
2. Joint Mobility Dysfunction (JMD): identifiers articular segments with reduced mobility
3. Stability/Motor Control Dysfunction (SMCD): identifies instability

Question 17

Patterns with pain should be _____ and not _____. Dysfunctional patterns without pain should be ____.

Answer 17

Patterns with pain should be TREATED and NOT EXERCISED.

Dysfunctional patters without pain should be EXERCISED.