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How can you customize SFMA exercises for different populations?

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Functional training is a popular and effective approach to improve movement quality, performance, and injury prevention. But how can you apply the same principles to different populations, such as athletes, older adults, or people with chronic pain? One tool that can help you customize your functional training programs is the Selective Functional Movement Assessment (SFMA), a comprehensive system that identifies movement dysfunctions and guides corrective exercises. In this article, you'll learn how to use the SFMA to design functional training exercises for different populations, based on their goals, needs, and abilities.

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Albert Vallès

Fundador y Director en Clínica Can Calau
La?titia LOHBRUNNER

Sophrologue psycho-comportementale ?? SEXOTHERAPEUTE ?? formatrice

1 What is the SFMA?

The SFMA is a clinical model that evaluates seven fundamental movement patterns: cervical spine, upper extremity, multi-segmental flexion, multi-segmental extension, multi-segmental rotation, single-leg stance, and overhead deep squat. The SFMA helps you determine if a movement problem is caused by a mobility issue (joint range of motion or soft tissue extensibility) or a stability issue (motor control or strength). Based on the results, you can classify the movement patterns as functional or dysfunctional, and as painful or non-painful. Then, you can use the SFMA algorithm to select the most appropriate corrective exercises for each movement pattern.

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Albert Vallès

Fundador y Director en Clínica Can Calau
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El SFMA, o Evaluación Selectiva del Movimiento Funcional, es un enfoque integral en fisioterapia que evalúa patrones de movimiento para identificar disfunciones musculoesqueléticas. Desarrollado por Gray Cook, utiliza pruebas de movimientos básicos para evaluar la movilidad, estabilidad y control motor en diversas áreas del cuerpo. Este enfoque busca identificar limitaciones y asimetrías en lugar de solo evaluar síntomas específicos. Los resultados del SFMA ayudan a los profesionales de la salud a dise?ar planes de tratamiento personalizados, abordando las causas subyacentes de los problemas musculoesqueléticos y mejorando la función global del paciente. Es una herramienta complementaria para una evaluación holística.

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2 How to customize SFMA exercises for athletes?

Athletes require high levels of functional movement to perform optimally and prevent injuries. The SFMA can help you identify and address any movement dysfunctions that may limit their performance or increase their risk of injury. For example, if an athlete has a dysfunctional and painful multi-segmental flexion pattern, you can use the SFMA to find the source of the pain and the mobility or stability deficit. Then, you can prescribe specific exercises to improve the movement pattern, such as foam rolling, joint mobilizations, stretching, core activation, or dynamic stability drills. You can also progress the exercises to challenge the athlete's movement quality, speed, power, and agility in different planes of motion and contexts.

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La?titia LOHBRUNNER

Sophrologue psycho-comportementale ?? SEXOTHERAPEUTE ?? formatrice
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En tant que sophrologue psycho comportementale et praticienne en massage Amma assis , je vous préconise au travail surtout lorsque vous exercez assis ou assise pendant des heures, des exercices de relaxation dynamique tels que l étirement de tout le corps, vous imaginez que deux élastiques étirent votre corps l’un au sommet de votre tête l’autre au bout des orteils, vous inspires, vous bloquez votre respiration, vous étirez votre corps puis vous souffrez et reprenez une position agréable; sans tension, vous effectuez cet exercice 3 fois avec un temps d’intégration des sensations entre chaque exercice. Vous pouvez soulagez vos tensions du cou ou des épaules par l’exercice de RD du cou ou du pompage des épaules .

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Albert Vallès

Fundador y Director en Clínica Can Calau
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Adaptar los ejercicios SFMA para atletas implica entender las demandas deportivas, identificar disfunciones con SFMA y dise?ar ejercicios específicos. Integra movimientos que replican las exigencias del deporte, enfocándote en fortalecimiento, movilidad o estabilidad. Progresiona desde ejercicios básicos a complejos y ajusta según la retroalimentación del atleta. Monitorea constantemente el progreso y personaliza el programa para abordar necesidades individuales, asegurando una mejora funcional y un rendimiento óptimo.

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Jacques desormiere

PODOLOGISTE ORTHESISTE chez C.O.M.S.A.
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La personnalisation commence par une évaluation de l'autonomie générale et des appuis du corps en statiques et en mobilité Chercher des défauts au sol pouvant avoir des répercussions dans le mouvement

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3 How to customize SFMA exercises for older adults?

Older adults often experience declines in functional movement due to aging, sedentary lifestyles, or chronic conditions. The SFMA can help you assess and improve their movement quality and function, as well as prevent falls and disability. For example, if an older adult has a dysfunctional and non-painful single-leg stance pattern, you can use the SFMA to determine the mobility or stability impairment that affects their balance and coordination. Then, you can prescribe specific exercises to improve the movement pattern, such as ankle mobility, hip stability, proprioception, or gait training. You can also adapt the exercises to suit the older adult's level of fitness, health status, and functional goals.

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Albert Vallès

Fundador y Director en Clínica Can Calau
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Adaptar ejercicios SFMA para adultos mayores implica considerar su capacidad funcional. Identifica limitaciones con SFMA y selecciona movimientos seguros que mejoren equilibrio, movilidad y fuerza. Ajusta la intensidad según la condición física, priorizando la seguridad. Incorpora ejercicios específicos para mejorar la funcionalidad diaria, enfocándote en la prevención de caídas y la movilidad articular. Monitorea de cerca la respuesta del individuo y ajusta el programa según sus necesidades y progresión. La personalización se centra en mantener la salud funcional y promover la independencia en el envejecimiento.

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La?titia LOHBRUNNER

Sophrologue psycho-comportementale ?? SEXOTHERAPEUTE ?? formatrice
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Dans le cadre de l’accompagnement de seniors suite à des AVC, J’intègre la sophrologie, des exercices de relaxation dynamique en axant le travail sur l’ancrage avec l??utilisation de métaphores telles que l’arbre ou la montagne. Je fais appel aussi à des exercices de brain gym travaillant sur les deux hémisphères cérébraux favorisant équilibre, mémorisation…

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Jacques desormiere

PODOLOGISTE ORTHESISTE chez C.O.M.S.A.
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j'évalue les amplitudes de mouvements, les préemptions, les reflexes et le champs visuel je les entraine à prendre consciences de leurs nouvelles capacités dans les situations du quotidien

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4 How to customize SFMA exercises for people with chronic pain?

People with chronic pain often develop compensatory movement patterns that worsen their pain and function. The SFMA can help you identify and correct these maladaptive patterns, as well as address the underlying mobility or stability issues that contribute to their pain. For example, if a person with chronic low back pain has a dysfunctional and painful multi-segmental extension pattern, you can use the SFMA to locate the pain generator and the mobility or stability restriction. Then, you can prescribe specific exercises to improve the movement pattern, such as spinal decompression, thoracic mobility, lumbar stability, or hip extension. You can also modify the exercises to respect the person's pain threshold, tolerance, and preference.

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Albert Vallès

Fundador y Director en Clínica Can Calau
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Adaptar ejercicios SFMA para personas con dolor crónico implica una evaluación cuidadosa. Selecciona movimientos de baja intensidad, considerando la tolerancia al dolor. Enfócate en mejorar la movilidad, estabilidad y fuerza gradualmente. Individualiza el programa según los desencadenantes del dolor y ajusta la intensidad conforme evoluciona la tolerancia. Incorpora ejercicios de respiración y relajación para reducir el estrés. Monitorea constantemente la respuesta del individuo, adaptando el programa para aliviar el dolor sin exacerbarlo. La personalización se centra en mejorar la funcionalidad y calidad de vida, respetando las limitaciones del dolor crónico.

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La?titia LOHBRUNNER

Sophrologue psycho-comportementale ?? SEXOTHERAPEUTE ?? formatrice
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Pour les personnes souffrant de douleurs chroniques, il me semble nécessaire de les outiller via des exercices d’hypnose antalgique,

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Jacques desormiere

PODOLOGISTE ORTHESISTE chez C.O.M.S.A.
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je fais l'évaluation des situations provoquant ces douleurs. J'explique mes conclusions en le donnant les possibilités de comprendre pourquoi ces douleurs et quoi faire pour les limiter. J explique pour qu'ils prennent conscience du pourquoi

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5 How to monitor and progress SFMA exercises?

The SFMA is not a one-time assessment, but a dynamic and ongoing process that requires regular monitoring and progression. You should retest the movement patterns after each exercise session to evaluate the effectiveness of the corrective exercises and the changes in pain and function. You should also progress the exercises according to the SFMA algorithm, which follows a logical sequence from local to global, and from basic to complex. The progression criteria include increasing the range of motion, improving the motor control, reducing the pain, enhancing the stability, and integrating the movement into functional activities.

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Jacques desormiere

PODOLOGISTE ORTHESISTE chez C.O.M.S.A.
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pour qu'ils progressent je fais tout mon qu'ils acceptent et se prennent en charge en toutes connaissances de leurs problèmatiques physiques , émotionnelles. Un "malade" doit se comprendre pour avoir la chance de trouver une collaboration constructive avec ceux qui l'aident et l'entourent

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6 How to learn more about the SFMA?

The SFMA is a valuable tool for functional training professionals who want to customize their exercises for different populations. However, the SFMA is not a simple or easy system to learn and apply. It requires a thorough understanding of anatomy, biomechanics, pain science, and exercise prescription. The best way to learn more about the SFMA is to take an official SFMA course, which consists of online and live components, and provides certification upon completion. You can also access additional resources, such as videos, articles, podcasts, and books, from the SFMA website and other reputable sources.

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7 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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How can you customize SFMA exercises for different populations?

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1 What is the SFMA?

2 How to customize SFMA exercises for athletes?

3 How to customize SFMA exercises for older adults?

4 How to customize SFMA exercises for people with chronic pain?

5 How to monitor and progress SFMA exercises?

6 How to learn more about the SFMA?

7 Here’s what else to consider

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How can you customize SFMA exercises for different populations?

1

2

3

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5

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1 What is the SFMA?

2 How to customize SFMA exercises for athletes?

3 How to customize SFMA exercises for older adults?

4 How to customize SFMA exercises for people with chronic pain?

5 How to monitor and progress SFMA exercises?

6 How to learn more about the SFMA?

7 Here’s what else to consider

Functional Training

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