SCORE SHEET AND FLOWCHARTS

Scoresheets
and Flowcharts

Web: FunctionalMovement.com | Phone: (434) 432-3677 | Email: [email protected]

This 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 ASSESSMENT

SFMA SCORING FN FP DP DN

Active Cervical Flexion

Active Cervical Extension

/
Cervical Rotation
5

L
Upper Extremity Pattern 1(MRE)
R

L
Upper Extremity Pattern 2 (LRF)
R

Multi-Segmental Flexion

Multi-Segmental Extension

L
Multi-Segmental Rotation R

L
Single-Leg Stance
R

Overhead Deep Squat

SFMA Certification - Ver 16

 - 34 -

THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT

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SFMA Certification - Ver 16
 - 53 -

CERVICAL SPINE PATTERN BREAKOUTS

Limited Cervical Spine Patterns

Active Supine Cervical Flexion Test (Chin to Chest)

DN, DP or FP FN

There is a Postural SMCD affecting Cervical

Passive Supine Cervical Flexion Test Flexion. This includes Cervical Spine,
Thoracic Spine and Shoulder Girdle
postural dysfunction.
FN DN, DP or FP

Active Cervical Active Supine OA Cervical Flexion Test (20)

Spine Flexion
SMCD
FN Bilateral DN DP or FP

If Passive Supine Cervical Flexion (PSCF) was DP or OA Flexion JMD &/or TED
DN then treat as Cervical Spine Flexion JMD &/or &/or possible Cervical
TED. If PSCF was FP can also be SMCD - perform Spine Flexion JMD &/or
segmental testing and soft tissue appraisal. TED

Active Supine Cervical Rotation Test (80)

FN DN, DP or FP

There is a Postural SMCD affecting Passive Supine Cervical Rotation Test (80)
Cervical Rotation. This includes
Cervical Spine, Thoracic Spine and
Shoulder Girdle postural dysfunction.
FN DN, DP or FP

Active
Cervical C1-C2 Cervical Rotation Test (40)
Spine
Supine Cervical Extension Rotation
SMCD
FN FP or DP DN
DN FP or DP FN
If Passive Supine Cervical Rotation
(PSCR) was DP or DN then treat as C1-C2 JMD
Lower Cervical Rotational JMD &/or &/or TED &/or
Cervical There is Postural &/ possible Lower
Extension JMD or SMCD affecting TED. If PSCR was FP can also be
SMCD - perform segmental testing Cervical Spine
&/or TED Cervical Extension. JMD &/or TED.
SFMA Certification - Ver 16 and soft tissue appraisal.

SFMA Certification - Ver 15

 - 64 -

UPPER EXTREMITY PATTERN BREAKOUTS

Limited Upper Extremity Pattern One

Active Prone Upper Extremity Pattern One (IR) FN

DN, DP or FP Active Prone Elbow Flexion Test (Ext.)

Passive Prone Upper Extremity DN, DP or FP FN

Pattern One (IR)
Passive Prone Elbow
DN, DP or FP FN Flexion Test (Ext.)

Active Prone Shoulder 90/90 IR FN DP or FP DN

Test (60 &/or Total Arc of 150)
Elbow Elbow
Treat
Flexion Flexion
FN DN, DP or FP Pain
SMCD JMD or TED

Passive Prone Shoulder IR Test Active Lumbar Locked (CH)

(60 &/or Total Arc of 150) Extension/Rotation Test (50)

FN DN DP or FP
FN DN, DP or FP

Treat
Shoulder Shoulder IR Chemical Passive Lumbar Locked (CH)
IR SMCD JMD or TED Pain
Extension/Rotation Test (50
(50))

Active Prone Shoulder Extension Test (50) If no previous FN DP or FP DN

Orange Boxes
consider this
DN, DP or FP FN a Postural &/
or Shoulder Thorax
Girdle SMCD. Treat
Pain Extension/
Passive Prone Shoulder Extension Test Otherwise
treat orange Rotation
(50) JMD or TED
boxes first.

FN DN DP or FP Thorax &/or
Shoulder Girdle
SMCD
Shoulder Shlder Extension Treat
Extension SMCD JMD or TED Chem Pain

SFMA Certification - Ver 16

SFMA Certification - Ver 15
 - 65 -

UPPER EXTREMITY PATTERN BREAKOUTS

Limited Upper Extremity Pattern Two

Active Prone Upper Extremity Pattern Two (ER) FN

DN, DP or FP Active Prone Elbow Flexion Test (Flex)

Passive Prone Upper Extremity DN, DP or FP FN

Pattern Two (ER)
Passive Prone Elbow
DN, DP or FP FN Flexion Test (Flex)

Prone Shoulder 90/90 ER Test FN DP or FP DN

(90 &/or Total Arc of 150)
Elbow Elbow
Flexion Treat Flexion
FN DN, DP or FP SMCD Pain
JMD or TED

Passive Prone Shoulder ER Test Active Lumbar Locked (CH)

(90 &/or Total Arc of 150) Extension/Rotation Test (50)

FN DN DP or FP FN DN, DP or FP

Shoulder Treat
Shoulder Passive Lumbar Locked
ER JMD or Chemical
ER SMCD (CH) Extension/Rotation Test
TED Pain
(50)
Active Prone Shoulder Flexion/
Abduction Test (170) If no previous
FN DP or FP DN
Orange Boxes
consider this
DN, DP or FP FN a Postural &/
or Shoulder Thorax
Girdle SMCD. Treat Extension/
Passive Prone Shoulder Flexion/ Otherwise Pain Rotation
Abduction Test (170) treat orange JMD or
boxes first. TED

FN DN DP or FP Thorax &/or
Shoulder Girdle
SMCD
Shoulder Flexion/ Shoulder Flexion/ Treat
Abduction SMCD Abducction JMD Chem Pain
or TED

SFMA Certification - Ver 16

SFMA Certification - Ver 15
 - 87 -

MULTI-SEGMENTAL FLEXION BREAKOUTS

Limited Multi-Segmental Flexion

Single Leg Forward Bend

FN Bilateral DN, DP or FP Unilateral DN, DP or FP

Long Sitting Test

0
FN (80 Sacral Angle) DN, DP or FP

Active SLR Test (70)

Weight-Bearing Hip
Flexion pattern SMCD
0
FN DN, DP or FP(<70 )

Passive SLR Test (80)

0
FN>80 DN, DP or FP

Core SMCD &/or

Active Hip Flexion SMCD

Prone Rocking Test Supine Knee to Chest Test

FN FP or DP DN
FN FP or DP DN

If no previous mobility findings

consider this a Weight-bearing Spinal Flexion SLR Hip Flexion
Spine &/or Hip SMCD - otherwise JMD &/or TED TED or if PSLR Treat Hip JMD &/
treat orange boxes first. was FP could Chemical or Posterior
Pain in
be Active Hip Hip Chain TED
Flexion SMCD

SFMA Certification - Ver 15

SFMA Certification - Ver 16
 - 101 -

MULTI-SEGMENTAL EXTENSION BREAKOUTS

Spine Extension Flowchart

Backward Bend w/o UE

Go to
DN, DP or FP FN UB Extension
Flowchart

Single Leg BB

DN, DP or FP FN

Press Up Symmetrical Stance Core

SMCD or Anterior Torso TED.
TED. -
Go to UB Extension Flowchart
Weight-bearing Spine Extension FN DN, DP or FP (>1 Airex Pad)
SMCD. Go to Lower & Upper
Body Extension Flowcharts

Active Lumbar Locked (IR) Extension/Rotation Test(50)

FN DN, DP or FP

Passive Lumbar Locked (IR) Extension/Rotation Test(50)

FP or DP FN DN

Thorax Extension/ Thorax Extension/Rotataion JMD &/

Treat Pain - Go to Lower Rotation SMCD or TED - Go to Lower Body Extension
Body Extension Flowchart Flowchart

Active Prone on Elbow Extension/Rotation Test (30)

DN, DP or FP FN If Thorax has SMCD

assume L-Spine is normal.
normal.

Passive Prone on Elbow Extension/Rotation Test(30)

FP or DP DN FN Lumbar Spine Extension/

Rotation SMCD or Anterior
Torso TED
TED-- Go to Lower
Treat Pain - Go Lumbar Extension/ Body then Upper Body
to Lower Body Rotation JMD &/or Extension
Ext ension Flowchart
then Upper TED - Go to Lower
Body Extension Body then Upper Body
Flowchart Extension Flowchart
SFMA Certification - Ver 16
SFMA Certification - Ver 15
 - 102 -

MULTI-SEGMENTAL EXTENSION BREAKOUTS

Lower Body Extension Flowchart

FABER Test

FN DN, DP or FP

Stabilized FABER Test

FN DN, DP or FP

Hip/SI JMD &/or TED - Perform

Hip/Core SMCD Local Biomechanical Testing
of the Hip and SI.

Modified Thomas Test

FN with FN with FN with Hip Abducted &

Knee Straight DN DP/FP FN
Hip Abducted Knee Straight

If FABER was
Lower Anterior Lower Lateral Lower Anterior and Hip Extension JMD &/or DN, DP or FP
Chain TED Chain TED Lateral Chain TED TED and/or Core SMCD.
SMCD. then stop and
treat FABER

Prone Active Hip Extension Test (10)

FN (> or = 10 degrees Extension) DN, DP or FP

Prone Passive Hip Extension Test (10)

If Spine Extension was DN FP or DP FN

dysfunctional consider
Hip normal. If not
- there is a Weight-
bearing Hip Extension Core SMCD &/
SMCD &/or Limited Hip Extension or Active Hip
Ankle Dorsiflexion (Refer JMD &/or TED Extension SMC
SMCD
to ODS & SLS).

SFMA
SFMA Certification
Certification -- Ver
Ver 16
15
 - 103 -

MULTI-SEGMENTAL EXTENSION BREAKOUTS

Upper Body Extension Flowchart

Unilateral Shoulder Backward Bend

DN, DP or FP FN

Supine Lat Stretch Hips Flexed Potential Anterior Torso

TED or Cervical Spine
involvement - Double
Check Cervical
FN DN, DP or FP Patterns

If no previous Hip or Spine

extension mobility dysfunctions Supine Lat Stretch Hips Extended
consider this a Weight-bearing
Upper Quarter Extension SMCD
- otherwise treat hips and Shoulder Flexion
spine first. FN DN, DP or FP
improves but
not Full

Posterior/Lateral Chain TED Posterior/Lateral Chain

&/or Possible Hip Extension TED &/or Possible Hip
dysfunction - Go to Lower Body Extension dysfunction -
Extension Flowchart Make sure you also run
Lower Body Extension
Flowchart

Active Lumbar Locked (ER) Extension/Rotation Test(50)

DN, DP or FP FN

Shoulder Girdle SMCD

Active Lumbar Locked (IR) Extension/Rotation Test (50)

Passive Lumbar Locked (IR) Extension/Rotation Test (50) DN, DP or FP FN

DN FP or DP FN Shoulder Girdle
JMD &/or TED

Thorax Extension/ Rotation JMD &/or TED - Thorax Extension/Rotation

possible Shoulder JMD/TED as well SMCD &/or possible Shoulder
Girdle dysfunction
SFMA Certification - Ver 16
15
 - 132 -

MULTI-SEGMENTAL ROTATION BREAKOUTS

Limited Multi-Segmental Rotation

Seated Rotation Test (50)

DN, DP or FP FN

Go to Hip
Active Lumbar Locked (ER) Extension/Rotation Test (50) Rotation
Flowchart I

FN DN, DP or FP DN, DP or FP & Switches Sides

Active Lumbar Locked (IR) Extension/Rotation Test (50)

FN DN, DP or FP

Passive Lumbar Locked (IR) Extension/Rotation Test (50)

Shoulder Girdle Rot. FN

JMD &/or TED DN FP or DP

Thorax Extension/ Thorax Rotation

Rotation JMD &/ Treat Pain - Go
to Hip Rotation SMCD
or TED - Go to Hip
Flowchart I
Rotation Flowchart I

Active Prone on Elbow Extension/Rotation Test (30)

DN, DP or FP FN

Passive Prone on Elbow Extension/ FN If Thorax Extension/Rotation

Rotation Test (30) SMCD exists lumbar spine is
normal. If not consider this
a Weight-bearing Spine or
Shoulder Girdle Rotation SMCD -
FP or DP DN Go to Hip Rotation Flowchart 1

Lumbar Spine
Treat Pain Extension/Rotation
- Go to Hip JMD &/or TED - Go
Rotation
Flowchart I to Hip Rotation
Flowchart I

16
SFMA Certification - Ver 15
 - 133 -

MULTI-SEGMENTAL ROTATION BREAKOUTS

Hip Rotation Flowchart (Part 1)

Active Seated External Hip Rotation (40)

(40)

DN, DP or FP FN (>400))

Passive Seated External Hip Rotation (40)

(40)

DN FP or DP FN

Treat Pain
Hip JMD &/or TED for External - Go to Hip
Rotation with Hip Flexed Rotation Part 2
Flowchart

Active Prone External Hip Rotation (40)

(40)

DN, DP or FP FN (>400))

Passive Prone External Hip Rotation (40)

(40) If Seated Passive Rotation was DN stop
and treat the DN. If no previous signs
of hip rotation dysfunction consider the
hips normal and go to Tibial Rotation
DN FP or DP FN Flowchart. If not consider this a Weight-
bearing or Active External Hip Rotation
SMCD - Go to Hip Rotation 2 Flowchart.
Hip JMD &/ Treat Pain If Seated Passive
or TED for - Go to Hip Rotation was DN
Extension Rotation 2 stop and treat
Rotation with Flowchart the DN. If not
Hip Extended consider this a
- Go to Hip Weight-bearing or
Rotation 2 Active External Hip
Flowchart and Rotation SMCD - Go
Lower-body to Hip Rotation 2
Extension Rotation Flowchart.
Breakout

16
SFMA Certification - Ver 15
 - 134 -

MULTI-SEGMENTAL ROTATION BREAKOUTS

Hip Rotation Flowchart (Part 2)

Active Seated Internal Hip Rotation (30)

(30)

DN, DP or FP FN (>300))

Passive Seated Internal Hip Rotation (30)

(30)

DN FP or DP FN

Treat Pain -
Hip JMD &/or TED for Medial Go to Tibia
Rotation with Hip Flexed Rotation
Flowchart

Active Prone Internal Hip Rotation (30)

(30)

DN, DP or FP FN (>300))

Passive Prone Internal Hip Rotation (30)

(30) If Seated Passive Rotation was DN stop
and treat the DN. If no previous signs
of hip rotation dysfunction consider the
hips normal and go to Tibial Rotation
DN FP or DP FN Flowchart. If not, consider this a Weight-
bearing or Active Internal Hip Rotation
SMCD - Go to Tibial Rotation Flowchart.
Hip JMD &/or Treat Pain -
TED for Medial Go to Tibia If Seated Passive
Rotation with Rotation Rotation was DN
Hip Extended Flowchart stop and treat the
- Go to Tibial DN. If not consider
Rotation this a Weight-
Flowchart and bearing or Active
Lower-body Internal Hip Rotation
Extension SMCD - Go to Tibial
Breakout Rotation Flowchart.

SFMA Certification
SFMA Certification -- Ver
Ver 16
15
 - 135 -

MULTI-SEGMENTAL ROTATION BREAKOUTS

Tibial Rotation Flowchart

Active Seated Internal Tibial Rotation (20)

(20)

FN DN, DP or FP

Passive Seated Internal Tibial Rotation (20)

(20)

DP or FP FN DN

Tibial Internal Tibial Internal

Rotation Rotation TED
SMCD &/or JMD

Active Seated External Tibial Rotation (20)

(20)

FN DN, DP or FP

Tibia External Rotation Passive Seated External Tibial Rotation (20)

(20)
Mobility is Normal
(If no previous
Rotation findings -
Go to Lower-body FN DP or FP DN
Extension Flowchart)

Tibial External
Tibial Extenal Rotation TED &/
Rotation SMCD or JMD

SFMA Certification - Ver 15

16
 - 157 -

SINGLE-LEG STANCE BREAKOUTS

Vestibular & Core Flowchart

Vestibular Test - CTSIB (Static Head)

DN, DP or FP FN

Potential Static CTSIB (Dynamic Head Movement)

Vestibular
Dysfunction

FN Dysfunctional

Dynamic
Half-Kneeling Narrow Base Test Vestibular
Dysfunction

FN DN, DP, or FP

Go to
SLS Ankle
Flowchart Quadruped Diagonals Test

FN DP or FP DN

Weight-bearing Spine Weight-bearing Hip &/or

&/or Core SMCD - (If Treat Pain - Go Core SMCD (If Hip Extension
Hip Extension is DN to SLS Ankle &/or Shoulder Flexion are
treat it first). Go to SLS Flowchart. DN treat those first) Go to
Ankle Flowchart. SLS Ankle Flowchart.

SFMA Certification - Ver 15

SFMA Certification - Ver 16
 - 158 -

SINGLE-LEG STANCE BREAKOUTS

Ankle Flowchart

Heel Walk Test

FN DN, DP or FP

Passive Prone Dorsiflexion Test

DP or FP FN DN

Treat Pain Dorsiflexion

Dorsiflexion SMCD TED &/or JMD

Toe Walk Test

DN, DP or FP
FN

Passive Prone Plantarflexion Test

FN DN DP or FP

Plantarflexion SMCD Plantarflexion TED &/or JMD Treat Pain

Active Seated Ankle Inversion/Eversion Test

DN, DP or FP FN

Passive Ankle Inversion/Eversion Test

DN DP or FP FN

Ankle (Eversion or Ankle (Eversion or

Inversion) SMCD If no Red, Orange or
Inversion) JMD, TED - Positive Blue Boxes so far =
* Perform local foot/ - * Perform local
foot/ankle exam Proprioceptive Deficit
ankle exam

15
SFMA Certification - Ver 16
 - 173 -

OVERHEAD DEEP SQUATTING PATTERN BREAKOUTS

Limited Overhead Deep Squat

Deep Squat

DN, DP or FP If Squat is now FN - Go to Multi-

Segmental Extension Breakout.

Half-Kneeling Dorsiflexion Test

FP or DP DN
FN

Treat Pain Dorsiflexion TED &/Or Ankle JMD

Supine Knees to Chest Holding Shins Test

DN, DP or FP FN w/ DP or FP FN w/ DN FN w/ FN
Dorsiflexion Dorsiflexion Dorsiflexion

Treat Dorsiflexion Treat Dorsiflexion -

Chemical Pain Consider Knee & Hip
Flexion Normal

Supine Knees to Chest Holding Thighs Test Assisted Squat Test

FN FP or DP DN FN DN DP or FP

Weight-bearing
Ankle, Knee
Hip Flexion JMD Weight- Treat
Treat and/or Hip/Core Chemical
Knee Flexion &/or TED, but still bearing Ankle, Flexion SMCD
Chemical can have Knee Knee and/ Pain in Hip,
JMD &/or TED &/or Normal
Pain Flexion JMD or Hip/Core Knee or
Anatomical
Flexion SMCD Variances. Go to Ankle
MSE Breakouts

SFMA
SFMA Certification
Certification -- Ver
Ver 15
16