![]() ![]() If this weak link is not identified, the body will compensate, causing inefficient movements. This will enable the medical professional to focus on that area. By looking at the movement patterns and not just one area, a weak link can be identified. Thus, the authors suggest that screening an individual's fundamental movements prior to beginning a rehabilitative or strength and conditioning program is important. Most people do not begin strength and conditioning or rehabilitative programs by determining if they have adequate movement patterns. In order to isolate the weak link, the body's fundamental movement patterns should be considered. This weak link is a physical or functional limitation. The goal is to individualize each workout program based on the person's weak link. In today's evolving training and rehabilitation market, athletes and medical professionals have access to a huge arsenal of equipment and workout programs however, the best equipment and programs cannot improve fitness and health if fundamental weaknesses are not exposed. Many individuals train around a pre‐existing problem or simply do not train their weaknesses during strength and conditioning (fitness) programs. It is the belief of the authors that many athletes and individuals are performing high‐level activities despite being inefficient in their fundamental movements thus, without knowing it, these individuals are attempting to add fitness to dysfunction. Today's individuals are working harder to become stronger and healthier, by working to improve their flexibility, strength, endurance, and power. The rehabilitation professional must realize that in order to prepare individuals for a wide variety of activities, screening of fundamental movements is imperative. It is important to inspect and understand common fundamental aspects of human movement realizing that similar movements occur throughout many athletic activities. Likewise, these clinicians often perform sports performance and specific skill assessments without first examining functional movement. Often, rehabilitation professionals in sports settings are far too anxious to perform specific isolated, objective testing for joints and muscles. However, it is difficult to develop and refer to protocols or movement approaches as “functional” when a functional evaluation standard does not exist. Being functional is of utmost importance to excellent and comprehensive rehabilitation. 3, p.18 Attention to optimal movement in patients and clients is important for all physical therapists, and especially for those who treat athletes.įunction is a common term in current physical therapist practice, and what is defined as functional varies greatly between patients and clients. 1, 2 In fact, the American Physical Therapy Association House of Delegates adopted the following vision statement for the profession of physical therapy in 2013: “Transforming society by optimizing movement to improve the human experience”. Over the last 20 years the profession of sports rehabilitation has undergone a trend away from traditional, isolated assessment and strengthening toward an integrated, functional, movement‐based approach, incorporating the principles of proprioceptive neuromuscular facilitation (PNF), muscle synergy, and motor learning. Such a functional assessment should be incorporated into pre‐participation screening and return to sport testing in order to determine whether the athlete has the essential movements needed to participate in sports activities at a level of minimum competency. The intent of this two part series is to present the concepts associated with screening of fundamental movements, whether it is the FMS™ system or a different system devised by another clinician. Part II of this series which will be provided in the August issue of IJSPT, will provide a detailed description of the four additional patterns that complement those presented in Part I (to complete the seven total fundamental movements): Shoulder Mobility, the Active Straight Leg Raise, the Trunk Stability Push‐up, and Rotary Stability, as well as a discussion about the utility of functional movement screening, and the future of functional movement. Three of the seven fundamental movement patterns that comprise the FMS™ are described in detail in Part I: the Deep Squat, Hurdle Step, and In‐Line Lunge. The Functional Movement Screen (FMS™) will be described, and any evidence related to its use will be presented. In a series of two articles, the background and rationale for the analysis of fundamental movement will be provided. To prepare an athlete for the wide variety of activities needed to participate in or return to their sport, the analysis of fundamental movements should be incorporated into screening in order to determine who possesses, or lacks, the ability to perform certain essential movements. ![]()
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