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What are the most effective assessment tools for developing a comprehensive client profile in SFMA?

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If you are a functional trainer, you know how important it is to assess your clients' movement patterns, mobility, stability, and pain before designing a personalized program. One of the most comprehensive and evidence-based methods to do this is the Selective Functional Movement Assessment (SFMA), which is a set of seven top-tier tests that evaluate the whole body in different functional positions. But how do you use the SFMA results to create a detailed client profile that guides your intervention and progressions? In this article, we will explore some of the most effective assessment tools that complement the SFMA and help you understand your clients' functional anatomy, strengths, weaknesses, and goals.

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Larry Castro

Founder at StealthGrid.com/ USGFA /PGFA/ Golf Fitness Magazine/ iZZ Media

1 SFMA scoring system

The first tool you need to master is the SFMA scoring system, which consists of four categories: functional and non-painful (FN), functional and painful (FP), dysfunctional and non-painful (DN), and dysfunctional and painful (DP). These categories help you identify the quality and quantity of movement, as well as the presence and location of pain. The SFMA scoring system also helps you prioritize your intervention based on the following hierarchy: pain, mobility, stability, and motor control. You should always address pain first, then restore mobility, then enhance stability and motor control.

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Larry Castro

Founder at StealthGrid.com/ USGFA /PGFA/ Golf Fitness Magazine/ iZZ Media
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The Selective Functional Movement Assessment (SFMA) develops a comprehensive client profile using a multi-faceted approach. It begins with a top-tier assessment of fundamental movement patterns to identify dysfunctional areas, followed by detailed breakout assessments for a deeper understanding of mobility or stability issues. Pain responses during these movements are closely monitored. Complementary tools like the Functional Movement Screen (FMS), joint mobility and muscle flexibility tests, and motor control assessments are used to gain further insights. A thorough evaluation of the client's history, posture, pain provocation tests, and possibly neurological screenings are also integral.

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2 Breakout tests

The second tool you need to use is the breakout tests, which are a series of more specific tests that follow the top-tier tests and help you pinpoint the exact source of dysfunction or pain. For example, if your client scores DP on the multi-segmental flexion test, which assesses the ability to touch the toes, you can use the breakout tests to determine if the problem is in the hips, lumbar spine, thoracic spine, or hamstrings. The breakout tests also help you differentiate between joint mobility, soft tissue extensibility, and neural tension issues, which require different strategies and techniques.

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3 Functional movement screen

The third tool you can use to complement the SFMA is the Functional Movement Screen (FMS), which is a set of seven tests that measure the basic movement competency of your clients. The FMS is designed for asymptomatic individuals who do not have pain or injury, so it is not a substitute for the SFMA, but rather a supplement. The FMS can help you identify movement patterns that may predispose your clients to injury, as well as areas that need improvement in terms of stability, mobility, or symmetry. The FMS can also help you monitor your clients' progress and readiness for more complex or demanding exercises.

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4 Goal setting and outcome measures

The fourth tool you need to use is goal setting and outcome measures, which are essential for creating a meaningful and motivating client profile. Goal setting helps you and your client establish realistic and specific objectives that are aligned with their needs, preferences, and values. Outcome measures help you and your client track and evaluate the results of your intervention, using quantitative and qualitative indicators that are relevant and valid. Some examples of outcome measures are pain scales, range of motion measurements, functional tests, performance tests, satisfaction surveys, and self-reported questionnaires.

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5 Client education and communication

The fifth tool you need to use is client education and communication, which are crucial for building trust, rapport, and adherence with your clients. Client education helps you explain the rationale and benefits of your assessment and intervention, using simple and clear language that matches your client's level of understanding and interest. Communication helps you listen to your client's feedback, concerns, and expectations, as well as provide positive reinforcement, encouragement, and support. Client education and communication also help you empower your client to take an active role in their own health and wellness, by teaching them self-care strategies, home exercises, and lifestyle modifications.

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Pascal Gaudreault DC BSc RCCSS CPE

Founder & CEO @ NRESPEC| Health & Wellness Expert
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It is impressive to see how emphasizing on effective communication in conveying health information can be beneficial to patient compliance. The Pmotion injury prediction model is a valuable tool for providing patients with a clear understanding of their musculoskeletal condition. Visualizing ranges of motion and areas at risk can indeed enhance patient comprehension and engagement in the treatment process.

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6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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What are the most effective assessment tools for developing a comprehensive client profile in SFMA?

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1 SFMA scoring system

2 Breakout tests

3 Functional movement screen

4 Goal setting and outcome measures

5 Client education and communication

6 Here’s what else to consider

Functional Training

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What are the most effective assessment tools for developing a comprehensive client profile in SFMA?

1

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4

5

6

1 SFMA scoring system

2 Breakout tests

3 Functional movement screen

4 Goal setting and outcome measures

5 Client education and communication

6 Here’s what else to consider

Functional Training

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