The purpose of the Functional Movement Screen (FMS) is to assess and evaluate an individual's movement patterns and identify any limitations or asymmetries that may increase the risk of injury or decrease performance. It is used as a screening tool to identify areas of dysfunction and guide the development of an individualized exercise program.
The Functional Movement Screen (FMS) assesses movement patterns through a series of seven fundamental movement tests. These tests evaluate mobility, stability, and motor control in various positions and movements such as squatting, lunging, and reaching. Each movement is scored on a scale of 0 to 3, with 3 being the highest score indicating optimal movement quality.
Andrew is back talking about a colleague's recent case. This is a new grad, only practicing for 5 weeks or so, but kudos to his differential diagnosis skills and applying the Wells Criteria for Pulmonary Embolism. If you're not familiar with it, its something you should keep in the back of your mind, especially with post op patients, those who have been recently immobilized, or with history of Cancer or PE. Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-26
Collagen Supplementation for Joint Pain and Arthritis: Does it Really Work?By Dr. Sean M.Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DNRecently I was presenting at the annual conference of Athletic Trainers' Association of Florida (ATAF) and I was overwhelmed by one consistent question: why didn't you talk about collagen supplementation? My talk was specifically on orthopedics for older adults and naturally I focused on osteoarthritis (OA) and how important exercise and diet are for that condition. I did touch on some supplementation, but I left off collagen because my last examination of this supplement, using one of my favorite websites Examine.com, yielded mediocre results. However the participants at the sports medicine conference piqued my interest and convinced me that perhaps I had missed something -- almost every single one of these participants had some form of joint pain or stiffness and felt significantly better after taking collagen daily. So, back to the literature, and asking some of my clients, I went!What is Collagen?Collagen is a protein found in the body that provides structure and support to various tissues, including joints, bones, tendons, and ligaments. It may play a role in maintaining joint health and may have potential benefits for individuals with joint pain. A few small-scale studies have shown positive results in reducing joint pain and improving joint function when individuals with osteoarthritis took collagen supplements. These studies often used specific collagen formulations, such as collagen peptides or hydrolyzed collagen, which are broken down into smaller peptides for better absorption by the body. However, it's important to note that the findings of these studies are not yet conclusive, and more robust research is necessary.The ResearchIt's worth mentioning that joint pain can have various causes, and collagen supplementation may not be effective for everyone. Factors like age, underlying health conditions, overall diet, and lifestyle habits can also influence joint health. For instance, a meta-analysis on collagen supplementation for OA showed improvements in the WOMAC, a functional score for knee arthritis, but it didn't yield significant results for knee pain. Meanwhile, another review article looking at collagen supplementation for joint pain, muscle protein synthesis, and body composition found that collagen did significantly reduce joint pain (it had effect on the other metrics). Here's a nice table listed in the article:The joint pain included in the review included knee pain and Achilles tendinopathy, all predominately in an athletic population. Another glaring observation is several of these studies included physical therapy and exercise prescriptions with the supplementation (Yay! Nutrition and Physical Therapy), which can also alter the results and effects of collagen as well. It's important to see the doses varied in the studies from 5, 10, to 40 grams per day; moreover, the collagen can come in varying form from peptides, hydrolyzed proteins, to denatured collagen. Having such variability in the type of collagen also likely explains the variability in responses and data.DosingSo, roughly how much and what type of collagen should a client take? Well, many studies have used dosages ranging from 8 to 12 grams of collagen peptides or hydrolyzed collagen per day for joint-related benefits. Research suggests that type II collagen supplementation may help reduce joint pain and improve joint function in individuals with arthritis, particularly osteoarthritis. It is believed to work by helping to restore and support cartilage health, potentially reducing inflammation and promoting joint mobility. It's important to note that collagen supplements are available in various forms, such as powders, capsules, and liquids, and their concentration of collagen can vary. Therefore, it's crucial to follow the manufacturer's instructions and consult with a healthcare professional to determine the appropriate dosage for your specific needs.It's also worth mentioning that collagen supplements are often combined with other ingredients, such as vitamins, minerals, or herbal extracts, which may influence their effectiveness. If you decide to try collagen supplementation for joint pain, it's a good idea to choose a reputable brand and look for products that have been tested for quality and safety. I suggest using Labdoor.com to help you or your client find a high-quality collagen supplement, if and when appropriate.SummaryIn the end, perhaps the participants at the ATAF conference were right -- there is something to say about collagen and joint pain. Not every study is exact and more research needs to be done on what dose, what age, what condition, and what exercises should be done with the collagen -- but that's why we practice physical therapy! Love to hear your thoughts and maybe some of your clients' responses to collagen. If you like what you see here then know there is more in our 3 board-approved continuing education courses on Nutrition specific for Physical Therapists. Enroll today in our new bundled course offering and save 20%, a value of $60! Earn CEUs in most states for PTs! Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
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Posted by on 2023-07-24
In this episode, Erson goes over a tough case of constant and flared up cervical pain with radiating complaints. What do you think of his solution? Have you ever had a similar case that responded to sustained holds better than repeated loading or traditional techniques? Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-17
Erson tells a story of getting back to rock climbing after a 20 year break. After a finger injury that wasn't healing, he got some totally unexpected great advice from another climber. What do you think of the solution and has anything similar ever happened to you? Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-06
The key components of the Functional Movement Screen (FMS) include the seven fundamental movement tests: deep squat, hurdle step, inline lunge, shoulder mobility, active straight leg raise, trunk stability push-up, and rotary stability. These tests assess different aspects of movement such as mobility, stability, and motor control in order to provide a comprehensive evaluation of an individual's movement patterns.
Yes, the Functional Movement Screen (FMS) can be used for injury prevention. By identifying movement limitations and asymmetries, the FMS helps to highlight areas of dysfunction that may increase the risk of injury. With this information, targeted exercises and corrective strategies can be implemented to address these issues and improve movement quality, reducing the risk of injury.
The Functional Movement Screen (FMS) helps identify movement asymmetries by comparing the left and right sides of the body during the movement tests. Any significant differences in movement quality or limitations between the two sides can indicate an imbalance or asymmetry. These asymmetries can be indicative of underlying issues that may increase the risk of injury or affect performance.
While the Functional Movement Screen (FMS) is a valuable tool, it does have limitations and contraindications. It may not be suitable for individuals with acute injuries or pain, as it involves performing movements that could exacerbate their condition. Additionally, the FMS may not be appropriate for individuals with certain medical conditions or physical limitations that prevent them from safely performing the movement tests.
The results of the Functional Movement Screen (FMS) can be used to develop an individualized exercise program by identifying areas of dysfunction and providing a roadmap for corrective strategies. Based on the FMS scores and movement patterns, specific exercises and interventions can be prescribed to address any limitations or asymmetries. This individualized approach helps to improve movement quality, reduce the risk of injury, and optimize performance. Regular reassessment with the FMS can also track progress and guide adjustments to the exercise program as needed.
Taping techniques can be beneficial in the management of Achilles tendinopathy when certain indications are present. These indications include pain and inflammation in the Achilles tendon, limited range of motion in the ankle joint, and instability in the lower leg. Taping can help provide support and stability to the affected area, reducing stress on the tendon and allowing for proper healing. Additionally, taping can help improve proprioception and neuromuscular control, which can aid in the rehabilitation process. By using taping techniques, healthcare professionals can effectively manage Achilles tendinopathy and promote optimal recovery for their patients.
High-velocity thrust manipulation in spinal manipulation therapy carries potential risks that should be carefully considered. One of the main concerns is the risk of injury to the spinal cord or nerves, which can result in neurological complications such as paralysis or sensory deficits. Additionally, there is a risk of fractures or dislocations of the vertebrae, especially in individuals with pre-existing spinal conditions or osteoporosis. Other potential risks include muscle strains, ligament sprains, and soft tissue injuries. It is important for practitioners to have a thorough understanding of the patient's medical history and to perform a comprehensive examination before administering high-velocity thrust manipulation to minimize these risks.
The Feldenkrais Method is a somatic educational approach that aims to improve movement efficiency and coordination through increased body awareness and exploration of movement patterns. By engaging in gentle, slow, and mindful movements, individuals can develop a deeper understanding of their own movement habits and limitations. This increased self-awareness allows for the identification and release of unnecessary tension and effort, leading to more efficient movement patterns. Additionally, the Feldenkrais Method emphasizes the integration of the whole body, promoting coordination and fluidity in movement. Through the exploration of different movement possibilities and variations, individuals can expand their movement repertoire and enhance their overall coordination. By addressing the underlying neuromuscular patterns that contribute to inefficient movement, the Feldenkrais Method offers a holistic approach to improving movement efficiency and coordination.
Taping techniques can be used as part of the management of patellofemoral pain syndrome in individuals who experience anterior knee pain during activities such as running, jumping, or squatting. These techniques may be indicated for patients who have been diagnosed with patellofemoral pain syndrome and are looking for non-invasive treatment options. Taping can help provide immediate pain relief by altering the alignment and tracking of the patella, reducing excessive lateral patellar tilt and glide. It can also help improve patellar stability and proprioception, allowing for better control of the knee joint during movement. Additionally, taping techniques can be beneficial for individuals with patellofemoral pain syndrome who are undergoing rehabilitation exercises, as it can provide additional support and stability to the knee joint, allowing for more effective strengthening and conditioning. Overall, taping techniques can be a valuable adjunct to the management of patellofemoral pain syndrome, providing pain relief and improving functional outcomes for individuals with this condition.
Electrical muscle stimulation (EMS) is a technique used in post-surgical rehabilitation to enhance muscle recruitment. EMS involves the use of electrical impulses to stimulate the muscles, causing them to contract and relax. This stimulation helps to activate and strengthen the muscles, which is particularly beneficial in the context of post-surgical rehabilitation where muscle weakness and atrophy may be present. By targeting specific muscles or muscle groups, EMS can help improve muscle recruitment and function, leading to enhanced recovery and rehabilitation outcomes. Additionally, EMS can also help improve blood circulation and reduce pain, further aiding in the rehabilitation process. Overall, EMS is a valuable tool in post-surgical rehabilitation as it effectively enhances muscle recruitment and promotes optimal recovery.