Regional interdependence is a concept regularly being taught currently, that describes how a limitation in one region can affect the movement and pain in another region. For example, limited thoracic rotation may limit overall shoulder elevation mobility and result in excessive wear/pain. With a standardized mobility examination (like the Selective Functional Movement Assessment - SFMA), we are better able to pick up some of these deficiencies.
While a system like the SFMA is built more on musculoskeletal limitations, it can be useful for other systems as well. Some of you may have seen my post a couple weeks ago on my experience with visceral therapy. It is said that there is a visceral component in 80% of musculoskeletal injuries. Some of my thoracic extension mobility restrictions were secondary to visceral issues. The concept makes sense generally speaking if you think about how any tissue can theoretically resist motion. With referral patterns for pain as well, they can present with a sort of pattern. That doesn't mean visceral restrictions cannot improve without visceral treatment. However, it does mean we need to be extremely thorough with our examination. If cervical mobility is limited due to a restriction in the liver, there will unlikely be much improvement if only the neck and upper quarter observed. A system like the SFMA forces you to look at the entire body and possibly have some success through treatment. In being forced to be thorough, you will be much less likely to miss significant findings, that at first glance, appear minimal.
Be sure to check out my post on my experience with visceral therapy from a couple weeks ago. I'm excited to be signed up or the level 1 course in April! Check out www.barralinstitute.com for more details on their methods of treatment/evaluation.
-Dr. Chris Fox, PT, DPT, OCS
James Heafner PT, DPT, OCS:
Owner and lead physical therapist at Heafner Health, cash-based physical therapy in Boulder, CO. Areas of expertise include orthopedic and manual therapy, functional movement, pain science, and movement science.
In May 2013, I earned my Doctorate in Physical Therapy from Saint Louis University. After graduating from the Harris Health Systems Orthopedic Residency in October 2014, I moved to Boulder, CO. Since living in Boulder, I have started my own cash-based PT practice, earned my OCS certification, and teach for the OPTIM Fellowship and COMT program in Houston TX and Scottsdale, AZ.
Chris Fox PT, DPT, OCS: Physical therapist at Foothills Sports Medicine & Physical Therapy in Scottsdale, AZ and regularly lectures at the Phoenix Campus for NAU's DPT program and for Optim Manual Therapy's COMT program. Completed multiple advanced manual therapy courses implementing aspects of biomechanical analysis. He received his DPT from Saint Louis University in 2013. Completed Scottsdale Healthcare's Orthopaedic Residency (now Honor Health) in July 2014. He became a Board Certified Orthopaedic Specialist in 2015. Level I Expert in FMS and SFMA , Kinetacore FDN Level 1 certification, and IASTM Technique course completion. He would like to pursue further education in McKenzie Technique, Dry Needling, Strength & Conditioning, Orthopaedic and Manual Therapy.
Brian Schwabe PT, DPT, SCS, CSCS:
- Board Certified Sports Physical Therapist (SCS) at Elite OrthoSport in Santa Monica, CA which specializes in treating collegiate/professional athletes and clientele from the Beverly Hills, Hollywood, and Santa Monica areas.
- USC Sports Residency Trained Physical Therapist (<1% of all PT's residency trained)
- DPT from Saint Louis University
- Future plans/interest include:
1. USAW, SFMA & Catapult Systems technology for NBA teams
2. Pursuing a position as a sports physical therapist &/or Strength coach for a Division 1 athletic medicine department or professional sport team.
|The Student Physical Therapist||
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