If You Aren't Assessing, Then You're Guessing!
In order to deliver effective treatment, a thorough assessment and evaluation of functional movement must be done. However, simply looking at where the patient hurts will not get us the best results. At Elite Chiropractic and Performance, we involve functional movement testing to not only help diagnose a condition, but to also assess an individual's capabilities. Standard orthopedic, neurological, and range of motion examinations are also done when a patient is in pain to help accurately diagnose them. Once a patient is pain free, further testing is done to begin a performance based regimen.
Selective Functional Movement Assessment (SFMA)
The SFMA is used heavily for our patients that are in pain. By using the joint by joint approach, we are assessing total body movement via the Top Tier and then we subsequently break each movement down into its individual parts. Commonly, pain in a joint is often a product of dysfunction elsewhere in the body. For example, many individuals with shoulder pain often have a restricted upper back and a weak shoulder blade complex. If we focus solely on the shoulder, we are missing valuable information that can limit the amount of progress that can be achieved.
Functional Movement Screen (FMS)
The FMS is the cousin to the SFMA. Where the SFMA is used for individuals in pain, the FMS is utilized to assess people that are pain free. It evaluates the person's ability to move and coordinate the body in several different tests. Each test is rated on a scale of 0 to 3 based on how well they perform and whether or not there is pain present. The purpose of the screen is to indicate potential problem areas for the individual that may correlate with potential injury and lack of performance.. The FMS is currently utilized at the NFL and NHL combine to assess players before they get drafted.
Y-Balance Test (YBT)
The Y-Balance Test is a research backed evaluation of motor control and functional symmetry. It allows us to quarter the body – left versus right and upper versus lower body - to test how the core and each extremity function under bodyweight loads. It is a helpful tool to determine an athletes return to play status after an injury. It is also useful in identifying key weaknesses that can be targeted via functional rehabilitation and strength and conditioning.
Other Performance Based Tests
In addition to the functional movement based tests, we incorporate standard strength and conditioning tests to assess an individuals strength, power, speed, agility, an balance. Tests such as the Star Excursion Test can also determine the proper return to play protocol for injured athletes.