If the spine or hips move during the push-up movement, this is usually an indication of other muscles compensating for the lack of core stability. The actual purpose of this assessment is to measure the stability of the core. Trunk Stability Push-up: This test often gets mistaken as being an assessment for upper-body strength.If they are not able to keep their back flat on the floor, this lets me know that the person is not able to own that position and needs help with core stability. Another variable that I like to look at is how well their core stability is. On the leg that stays down, we typically look for how good the range of hip extension is. With the leg that is coming up, we typically want to see a good range of hip flexion. Active Straight-Leg Raise: This test helps demonstrate many things, even though it might seem very basic.One side should demonstrate internal rotation and extension and adduction, and the other side should demonstrate external rotation, flexion, and abduction. A person with good thoracic extension typically does well on this test. Shoulder Mobility: This test helps show the relationship between the scapular-thoracic region, thoracic spine, and rib cage.Since this test requires the person to be in a split stance, the tester can also see how well a person is able to get into hip, knee, and ankle flexion when lunging down and determine whether there is a mobility or stability issue. Pelvic and core control and stability is extremely important to be able to perform this movement properly. It also allows the tester to observe the rotational and lateral movement capacity of someone. This is important because we as humans need to be able to decelerate every day, whether that be in sports or just daily living activities. Inline Lunge: This test helps demonstrate the ability that one has to decelerate.If pelvic and core control is lacking with this, the person will not be able to stabilize themselves properly and will most likely begin to shift too much or lose alignment. This movement also lets us know how well a person is able to stabilize and control oneself while in a single-leg stance. The hurdle step is a great assessment to determine any kind of compensation the body performs while you take a step forward. Hurdle Step: This test demonstrates how well someone is able to walk (locomotion) as well as accelerate.When the dowel is overhead, this requires mobility and stability of the shoulders, and the pelvis must provide stability and control while performing the squatting motion. If you think about it, everyone at some time in the day performs a squat, whether that is sitting down, playing sports, picking up something off the ground, and so on. The reason is that it allows us to see total extremity mobility, postural control, and pelvic and core stability. Deep Squat: This test shows us the most about how a person moves.Here is more detail on each of the exercises that are part of this screening: The reason is that we want to see what a person’s movement capacity is at its natural state. The FMS consists of seven movement patterns that are performed without warmup. Being able to determine asymmetries in the body will help the tester figure out which movement has the greatest deficiency and which movement needs the most help. The FMS was created to measure motor control of movement patterns, quickly identify pain or limitations that need to be addressed, and to set a baseline for movement competency within the body. In this blog I will go more in depth about the actual purpose of each test of the FMS, what the scores mean, and the reliability of the FMS. The score that an individual receives determines whether they are ready for certain movements. To learn more about how a Functional Movement Screen may help you achieve optimal motion, contact Polishuk Physical Therapy to determine how testing may best serve you.In my last blog I briefly described the importance of the Functional Movement Screen to determine where one should begin with their workout program. The results may then be used to prescribe a post-rehabilitative exercise program as well as supplemental exercises to be utilized alongside a previously established strength or fitness routine. The FMS is best utilized near the end of a rehabilitation program when pain is no longer present. Our trained physical therapists are dedicated to helping you achieve a pain-free life. In addition, the test can be repeated at specific intervals to determine the effectiveness of the prescribed program as well as make new recommendations. Each movement pattern is given a score from 1 (low) to 3 (high), with the overall screening results then utilized to create a corrective exercise program aimed at maximizing both mobility and stability throughout the body.
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