The Student​ Physical Therapist
  • Home
  • About Us
  • Insider Access
    • About Insider Access
  • Online Courses
    • Hooper's Knee
    • Physical Therapist Entrepreneur Course
    • Physical Therapist Consultant Course
    • Orthopedic Management of the Cervical Spine
    • Return to Sport Essentials Course
  • Resources
    • Newsletter
    • Business Minded Sports Physio Podcast
    • Day in the Life of a Sports PT
    • Residency Corner
    • Special Tests >
      • Cervical Spine >
        • Alar Ligament Test
        • Bakody's Sign
        • Cervical Distraction Test
        • Cervical Rotation Lateral Flexion Test
        • Craniocervical Flexion Test (CCFT)
        • Deep Neck Flexor Endurance Test
        • Posterior-Anterior Segmental Mobility
        • Segmental Mobility
        • Sharp-Purser Test
        • Spurling's Maneuver
        • Transverse Ligament Test
        • ULNT - Median
        • ULNT - Radial
        • ULNT - Ulnar
        • Vertebral Artery Test
      • Thoracic Spine >
        • Adam's Forward Bend Test
        • Passive Neck Flexion Test
        • Thoracic Compression Test
        • Thoracic Distraction Test
        • Thoracic Foraminal Closure Test
      • Lumbar Spine/Sacroiliac Joint >
        • Active Sit-Up Test
        • Alternate Gillet Test
        • Crossed Straight Leg Raise Test
        • Extensor Endurance Test
        • FABER Test
        • Fortin's Sign
        • Gaenslen Test
        • Gillet Test
        • Gower's Sign
        • Lumbar Quadrant Test
        • POSH Test
        • Posteroanterior Mobility
        • Prone Knee Bend Test
        • Prone Instability Test
        • Resisted Abduction Test
        • Sacral Clearing Test
        • Seated Forward Flexion Test
        • SIJ Compression/Distraction Test
        • Slump Test
        • Sphinx Test
        • Spine Rotators & Multifidus Test
        • Squish Test
        • Standing Forward Flexion Test
        • Straight Leg Raise Test
        • Supine to Long Sit Test
      • Shoulder >
        • Active Compression Test
        • Anterior Apprehension
        • Biceps Load Test II
        • Drop Arm Sign
        • External Rotation Lag Sign
        • Hawkins-Kennedy Impingement Sign
        • Horizontal Adduction Test
        • Internal Rotation Lag Sign
        • Jobe Test
        • Ludington's Test
        • Neer Test
        • Painful Arc Sign
        • Pronated Load Test
        • Resisted Supination External Rotation Test
        • Speed's Test
        • Posterior Apprehension
        • Sulcus Sign
        • Thoracic Outlet Tests >
          • Adson's Test
          • Costoclavicular Brace
          • Hyperabduction Test
          • Roos (EAST)
        • Yergason's Test
      • Elbow >
        • Biceps Squeeze Test
        • Chair Sign
        • Cozen's Test
        • Elbow Extension Test
        • Medial Epicondylalgia Test
        • Mill's Test
        • Moving Valgus Stress Test
        • Push-up Sign
        • Ulnar Nerve Compression Test
        • Valgus Stress Test
        • Varus Stress Test
      • Wrist/Hand >
        • Allen's Test
        • Carpal Compression Test
        • Finkelstein Test
        • Phalen's Test
        • Reverse Phalen's Test
      • Hip >
        • Craig's Test
        • Dial Test
        • FABER Test
        • FAIR Test
        • Fitzgerald's Test
        • Hip Quadrant Test
        • Hop Test
        • Labral Anterior Impingement Test
        • Labral Posterior Impingement Test
        • Long-Axis Femoral Distraction Test
        • Noble Compression Test
        • Percussion Test
        • Sign of the Buttock
        • Trendelenburg Test
      • Knee >
        • Anterior Drawer Test
        • Dial Test (Tibial Rotation Test)
        • Joint Line Tenderness
        • Lachman Test
        • McMurray Test
        • Noble Compression Test
        • Pivot-Shift Test
        • Posterior Drawer Test
        • Posterior Sag Sign
        • Quad Active Test
        • Thessaly Test
        • Valgus Stress Test
        • Varus Stress Test
      • Foot/Ankle >
        • Anterior Drawer
        • Calf Squeeze Test
        • External Rotation Test
        • Fracture Screening Tests
        • Impingement Sign
        • Navicular Drop Test
        • Squeeze Test
        • Talar Tilt
        • Tarsal Tunnel Syndrome Test
        • Test for Interdigital Neuroma
        • Windlass Test
Picture

A Potential Deficit in the Use of Movement Impairment Syndrome

7/5/2016

0 Comments

 
One of the components of my residency education at Honor Health and a component that we teach  in Optim Manual Therapy COMT/Fellowship programs is Sahrmann's Movement Impairment Syndromes (MIS). For those of you unfamiliar with the topic, MIS involves assessing a painful region for a consistent regular abnormal movement pattern. The theory is established on the premise that normal movement requires a starting point of neutral posture. Should abnormal posture or abnormal repetitive motions be imposed, degenerative conditions may develop in a joint secondary to Wolff's Law. The last part here is definitely debatable with what we now know about pain science.

Another potential issue with MIS usage is the case of Double Crush Syndrome or radicular symptoms. While some may think a painful MIS will easily be picked up in the cervical spine upon examination, we must remember that there are cases of Double Crush Syndrome and cervical radiculopathy where no cervical pain is present. The same applies for other regions. Now a therapist using MIS in their assessment and treatment likely would do a thorough evaluation up the chain in order to spot these contributing MIS, but we must remember pain should not necessarily dictate our treatment.
Picture
Even though the use of MIS may have difficulty with certain diagnoses and the fact that there is a lack of correlation between degenerative conditions and pain, I believe using MIS can be incredibly useful in managing many conditions. While I don't typically treat via a pathoanatomical approach, I do believe that abnormal movement patterns can contribute to the development of pain. For example, an individual who displays lumbar rotation with extension, may show a hypersensitivity to loading the involved side. This pain may be a result of the abnormal movement pattern. This can be addressed with repeated motions, manual therapy, corrective exercises and more. Regardless, ensuring proper movement can decrease the likelihood of reinjur.

-Chris

If you are looking to improve upon your clinical skills and orthopaedic knowledge, consider joining OPTIM's COMT program. With OPTIM, you can expect a residency-like learning experience without breaking the bank, all while learning from highly skilled physical therapists. Check out optimfellowship.com for more information!
Picture

Picture
0 Comments



Leave a Reply.

    Picture
    Dr. Brian Schwabe's NEW Book in partner with PaleoHacks!
    Picture
    Learn residency-level content on our
    Insider Access pages
    Picture

    Picture

    We value quality PT education & CEU's.  Click the MedBridge logo below for TSPT savings!


    Archives

    July 2019
    June 2019
    May 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    April 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    April 2013
    March 2013
    February 2013
    January 2013
    December 2012
    November 2012
    October 2012
    September 2012
    August 2012

    Categories

    All
    Chest
    Core Muscle
    Elbow
    Foot
    Foot And Ankle
    Hip
    Knee
    Manual Therapy
    Modalities
    Motivation
    Neck
    Neural Tension
    Other
    Research
    Research Article
    Shoulder
    Sij
    Spine
    Sports
    Therapeutic Exercise


    RSS Feed

Home

Contact Us

Copyright © The Student Physical Therapist LLC 2022
Photos used under Creative Commons from dsearls, moo.review, liverpoolhls, matturick, lwpkommunikacio, Lake Clark NPS, Tobyotter, Charly Meunier, Vincent Albanese, CNBP, Zepfanman.com, aotaro, sportEX journals, jillccarlson, Yann07, US Department of Education, osseous, TheeErin, ajy591, Mark P / PIX41, Thomas Fisher Rare Book Library, UofT, teresatrimm, donnierayjones, NNelumba, Tobyotter, Frédéric de Villamil, Jordanhill School D&T Dept, danabooo, cadillacjr2002, ingridkreuz, RDECOM, U.S. Naval Forces Central Command/U.S. Fifth Fleet, Wonderlane, hectorir, Jeffrey, Chris Hunkeler, quillons, COD Newsroom, Alan Cleaver, CCFoodTravel.com, liverpoolhls, Dr.Farouk, Jeffrey, Sten Dueland, Håkan Dahlström, PPGWings, Parker Michael Knight, MLazarevski, dno1967b, Fimb, Jim Larrison, infomatique, U.S. Naval Forces Central Command/U.S. Fifth Fleet, Idhren, iwona_kellie, AnEternalGoldenBraid, quinn.anya, jlk.1, Villainette, mlsaero, roelandpype, Defence Images, CiscoANZ, istolethetv, Our Dream Photography (Personal), BraNewbs, Meg Stewart, phalinn, akeg, hectorir, philcampbell, MilitaryHealth, akeg, Army Medicine, Shar Ka, Subconsci Productions, Eric Kilby, Anonymous9000, quinn.anya, COD Newsroom, UMN Department of Plant Pathology, familymwr, all of olive., Keith Allison, JD Hancock, Synergy by Jasmine, roger_mommaerts, John-Morgan, a.drian, Instant Vantage, Beshef, markhillary, Vegar S Hansen Photography, DEC International, kaolin fire, smith_cl9, cinnamon_girl, jillccarlson, Extra Ketchup, brain_blogger, heyjoewhereyougoinwiththatguninyourhand, tv42, COMSALUD, Nicholas_T, Ano Lobb. @healthyrx, kaibara87, mlinksva, smbuckley23, sappsnap, Menage a Moi, brain_blogger, MaloMalverde, One Way Stock, ethet., ~ggvic~, MAClarke21, Keith Allison, pictures of money, mendolus shank, HotlantaVoyeur, Mr. T in DC, abbamouse, HystericalMark, Travis Hornung, jenny downing, shock264, Peter Mooney, Futurilla, sfslim, Emily Carlin, PFX Photo, ITU Pictures, TP studio, akunamatata, Magdalena Roeseler, osseous, smith_cl9, warrenski, Sh4rp_i, mrbichel, Renaud Camus, sicamp, GreenFlames09, infomatique, mark i geo, Volker Davids, TerryJohnston, Daniela Vladimirova, CJS*64, VarsityLife, Quentin Verwaerde, Annie Mole, US Army Africa, RLHyde, openBIT e. V., Vox Efx, fabola, Gerry Dincher, mlsaero, Infomastern, N4n0, Wonderlane, TheeErin, Nanagyei, gogogadgetscott, Pulmonary Pathology, PELeCON, Elvert Barnes, @RunRockPrincess, woodleywonderworks, Asbestos Bill, Joelk75, otisarchives4, jillccarlson, sportEX journals, The Wandering Angel, perpetualplum, V31S70, colecamp, jpalinsad360, JulyYu, Andres Rueda, Whenleavesfall, melloveschallah, Pink Sherbet Photography, canonim, BrianHenry ////|//, Leonard John Matthews, mikecogh, Zepfanman.com, Kevin M. Gill, Claire L. Evans, afunkydamsel, The Official CTBTO Photostream, cyOFdevelin fame, dok1, Pam loves pie, hoshi7, opensourceway
  • Home
  • About Us
  • Insider Access
    • About Insider Access
  • Online Courses
    • Hooper's Knee
    • Physical Therapist Entrepreneur Course
    • Physical Therapist Consultant Course
    • Orthopedic Management of the Cervical Spine
    • Return to Sport Essentials Course
  • Resources
    • Newsletter
    • Business Minded Sports Physio Podcast
    • Day in the Life of a Sports PT
    • Residency Corner
    • Special Tests >
      • Cervical Spine >
        • Alar Ligament Test
        • Bakody's Sign
        • Cervical Distraction Test
        • Cervical Rotation Lateral Flexion Test
        • Craniocervical Flexion Test (CCFT)
        • Deep Neck Flexor Endurance Test
        • Posterior-Anterior Segmental Mobility
        • Segmental Mobility
        • Sharp-Purser Test
        • Spurling's Maneuver
        • Transverse Ligament Test
        • ULNT - Median
        • ULNT - Radial
        • ULNT - Ulnar
        • Vertebral Artery Test
      • Thoracic Spine >
        • Adam's Forward Bend Test
        • Passive Neck Flexion Test
        • Thoracic Compression Test
        • Thoracic Distraction Test
        • Thoracic Foraminal Closure Test
      • Lumbar Spine/Sacroiliac Joint >
        • Active Sit-Up Test
        • Alternate Gillet Test
        • Crossed Straight Leg Raise Test
        • Extensor Endurance Test
        • FABER Test
        • Fortin's Sign
        • Gaenslen Test
        • Gillet Test
        • Gower's Sign
        • Lumbar Quadrant Test
        • POSH Test
        • Posteroanterior Mobility
        • Prone Knee Bend Test
        • Prone Instability Test
        • Resisted Abduction Test
        • Sacral Clearing Test
        • Seated Forward Flexion Test
        • SIJ Compression/Distraction Test
        • Slump Test
        • Sphinx Test
        • Spine Rotators & Multifidus Test
        • Squish Test
        • Standing Forward Flexion Test
        • Straight Leg Raise Test
        • Supine to Long Sit Test
      • Shoulder >
        • Active Compression Test
        • Anterior Apprehension
        • Biceps Load Test II
        • Drop Arm Sign
        • External Rotation Lag Sign
        • Hawkins-Kennedy Impingement Sign
        • Horizontal Adduction Test
        • Internal Rotation Lag Sign
        • Jobe Test
        • Ludington's Test
        • Neer Test
        • Painful Arc Sign
        • Pronated Load Test
        • Resisted Supination External Rotation Test
        • Speed's Test
        • Posterior Apprehension
        • Sulcus Sign
        • Thoracic Outlet Tests >
          • Adson's Test
          • Costoclavicular Brace
          • Hyperabduction Test
          • Roos (EAST)
        • Yergason's Test
      • Elbow >
        • Biceps Squeeze Test
        • Chair Sign
        • Cozen's Test
        • Elbow Extension Test
        • Medial Epicondylalgia Test
        • Mill's Test
        • Moving Valgus Stress Test
        • Push-up Sign
        • Ulnar Nerve Compression Test
        • Valgus Stress Test
        • Varus Stress Test
      • Wrist/Hand >
        • Allen's Test
        • Carpal Compression Test
        • Finkelstein Test
        • Phalen's Test
        • Reverse Phalen's Test
      • Hip >
        • Craig's Test
        • Dial Test
        • FABER Test
        • FAIR Test
        • Fitzgerald's Test
        • Hip Quadrant Test
        • Hop Test
        • Labral Anterior Impingement Test
        • Labral Posterior Impingement Test
        • Long-Axis Femoral Distraction Test
        • Noble Compression Test
        • Percussion Test
        • Sign of the Buttock
        • Trendelenburg Test
      • Knee >
        • Anterior Drawer Test
        • Dial Test (Tibial Rotation Test)
        • Joint Line Tenderness
        • Lachman Test
        • McMurray Test
        • Noble Compression Test
        • Pivot-Shift Test
        • Posterior Drawer Test
        • Posterior Sag Sign
        • Quad Active Test
        • Thessaly Test
        • Valgus Stress Test
        • Varus Stress Test
      • Foot/Ankle >
        • Anterior Drawer
        • Calf Squeeze Test
        • External Rotation Test
        • Fracture Screening Tests
        • Impingement Sign
        • Navicular Drop Test
        • Squeeze Test
        • Talar Tilt
        • Tarsal Tunnel Syndrome Test
        • Test for Interdigital Neuroma
        • Windlass Test