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SFMA SCORE SHEETS AND FLOWCHARTS We have devised a color system to help guide you through the SFMA. It starts as the same colors found on a traffic light—red, yellow and green. These work well for the top-tier tests. To help you navigate the breakout tests, we added blue and orange, which are described below. Remember, the colors are guides. The hierarchy and severity of DNs ultimately dictate your corrective exercise path.
The Score Sheets The score sheets use shapes to indicate direction.
The Top-Tier Score Sheet The top-tier score sheet uses a hexagon to indicate red or stop, a inverted triangle to indicate yellow or proceed with caution, and a circle to indicate green—move forward with a breakout.
The Breakout Score Sheets The breakout shore sheets provide shapes to indicate findings for documentation. Refer to the flow charts and carefully consider the SFMA hierarchy to guide your breakout decisions.
The Flowcharts The Top-Tier A red bar means STOP—you do not have to continue with a breakout. These patterns will be functional and nonpainful. Breaking these down will only expose imperfections and not major limitations. A yellow bar means proceed with caution—you must break out these patterns, but there is pain involved, so be careful. Use these breakout findings as indicators that your treatments are working, and re-test them frequently. A green bar means go—you need to break these patterns out to their termination and use corrective exercise and treatments appropriately.
SFMA
The Breakouts A red bar means you can STOP the breakout. Make note of the painful pattern and only continue that breakout if the flowchart indicates further action. All red box findings should be treated with medical modalities, not exercise progressions. A yellow bar means proceed with the breakout—you must continue the testing since you need more information before you can treat. A green bar means GO. You have your answer as to what is causing the dysfunction and should start appropriate treatments and exercise progressions if applicable. An orange bar is a significant finding, similar to a green bar, only in this case you can’t stop the breakout process. There may be more dysfunctions, so you should note the problem and continue with the breakout. Treat these with corrections as you would treat those with a green bar. A blue bar can indicate a normal finding and it will direct you to another flowchart or breakout. It can also be dependent on a previous finding. If there is a dysfunction involved, treat this as you would an orange or green bar.
Excerpted from the book, Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.
SFMA TOP-TIER ASSESSMENTS Multi-Segmental Extension
Cervical Pattern One
FN
FP
DP
FN
DN
FP
DP
DN
Multi-Segmental Rotation
Cervical Pattern Two
L R
FN
FP
DP
DN
FN
FP
DP
DN
FN
FP
DP
DN
DP
DN
Single-Leg Stance
Cervical Pattern Three
L L R R
FN
FP
DP
DN
Overhead Squat
Upper Extremity Pattern One L
FN
FP
R
FN
FP
DP
DN Provocation Assessments Pattern One
Upper Extremity Pattern Two L R
FN
FP
DP
R
DN
Multi-Segmental Flexion
FN
FP
DP
DN
FN
FP
DP
DN
Pattern Two L
FN
FP
DP
DN
R
Excerpted from the book, Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.
SFMA
L
Cervical Spine Breakout
Active Supine Cervical Flexion (Chin to Chest)
Upper Extremity Pattern Breakout
Active Prone Upper Extremity Pattern L
FN
D &/or P
R FN
Passive Supine Cervical Flexion
D &/or P
Passive Prone Upper Extremity Patterns L
FN
D &/or P R FN
Supine OA Cervical Flexion Test (20˚)
DN
FP / DP
Supine Reciprocal Upper Extremity Pattern
L
L
R FN
DN
FP / DP
R FN
Active Supine Cervical Rotation (80˚)
DN
L R FN
D &/or P
FN
D &/or P
Passive Cervical Rotation L
SFMA
R
C1-C2 Cervical Rotation Test L R FN
DN
FP / DP
DN
FP / DP
Supine Cervical Extension L R FN
Excerpted from the book, Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.
FP / DP
Multi-Segmental Flexion Breakout
Single-Leg Forward Bend
Multi-Segmental Extension Breakout
Backward Bend without Upper Extremity
L R
FN
D &/or P
Bilat FN Bilat D/P Unilat D/P
Long-Sitting Toe Touch
Single-Leg Backward Bend L
FN DP Toe Touch Touch NSA
Touches DP Ltd SA Touches Ltd SA
R Bilat FN Bilat D/P Unilat D/P
Rolling—FN ____ DN ____ DP____ FP ____
Prone Press-up
Active Straight-Leg Raise L
FN
D &/or P
R Bilat FN
D ( ASLR
FP/DP
FP, DP, DN
Lumbar Locked Passive Uni. Ext. (IR) 500 Rolling—FN ____ DN ____ DP____ FP ____ Supine Knee-to-Chest Holding Thighs
L R FN Bil DN Uni DN FP/DP
R FN
DN
FP or DP
Prone Rocking
Prone-on-Elbow Extension (IR) 1400 L R FN Bil DN Uni DN FP/DP
FN
DN
FP or DP
Excerpted from the book, Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.
SFMA
L
Multi-Segmental Extension Breakout Single-Leg Hip Extension
Multi-Segmental Extension Breakout Supine Lat Hips Extended L
L
R
R
FN
Bilat >10 Bilat D/P Unilat D/P
Improves No Change
Lumbar Locked Unilateral Ext. (ER) 1200
Prone Active Hip Extension (100)
L L
R R
Bilat FN Bilat D/P Unilat D/P FN
FP, DP, DN
Lumbar Locked Unilateral Ext. (IR) 500
Prone Passive Hip Extension
L
L
R
R 25% > Active
FN
D &/or P
Lumbar Locked Passive Unilateral Ext. (IR) 500
Rolling—FN ____ DN ____ DP____ FP ____ FABER
L
L
R FN
R FN
DN
FP or DP
L
L
R
R
SFMA
FN
Unilateral Shoulder Backward Bend
Bilat DN
Uni DN FP/DP
Multi-Segmental Rotation Breakout Seated Rotation
Modified Thomas Test
Abd & Knee Hip Never Strght Strght Abd Touch Touch Touch Touch
FP/DP
DP/ FP
> 45 Bilateral
D &/or P
Lumbar Locked Unilateral Rotation L
L R R
Switched DN, DP, FP
FN
FN
D &/or P
Rolling—FN ____ DN ____ DP____ FP ____
Supine Lat Hips Flexed Test
Lumbar Locked Passive Unilateral Ext. (IR) 500
L L R FN
D &/or P
R FN
Rolling—FN ____ DN ____ DP____ FP ____
Bi. DN Uni. DN FP/DP
Excerpted from the book, Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.
Multi-Segmental Rotation Breakout
Prone-on-Elbow Rotation (30)
Multi-Segmental Rotation Breakout
Seated Active Internal Hip Rotation 300 L
L
R
R
FN
Asymm Bilat DN FN FP/DP
Rolling—FN ____ DN ____ DP____ FP ____ Seated Active External Hip Rotation 400
D &/or P
Seated Passive Internal Hip Rotation L
L R R
FN
FN
D &/or P
DP/FP
DN
Prone Active Internal Hip Rotation 300
Seated Passive External Hip Rotation
L L R R
FN FN
DP/FP
D &/or P
DN
Prone Passive Internal Hip Rotation Prone Active External Hip Rotation 400 L L
R
DP/FP
R
FN
FN
DN
D &/or P
Rolling—FN ____ DN ____ DP____ FP ____ Prone Passive External Hip Rotation
Seated Active External Tibial Rotation 200 L
R
R
DP/FP
DN
FN
Rolling—FN ____ DN ____ DP____ FP ____
FN
D &/or P
Seated Passive External Tibial Rotation L R
FN
DP/FP
Excerpted from the book, Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.
DN
SFMA
L
Multi-Segmental Rotation Breakout Seated Active Internal Tibial Rotation 200 L
Single-Leg Stance Breakout
Seated Ankle Inversion/Eversion L
R FN
D &/or P
Seated Passive Internal Tibial Rotation L
R Can’t Evrt
Can’t Invrt
DP/FP
FN
Overhead Deep Squat Breakout
R FN
DP/FP
DN
Fingers Interlocked Behind Head
Single-Leg Stance Breakout Vestibular Shake Test L R FN
D &/or P
FN
D &/or P
FN
D &/or P
Assisted Deep Squat
Half-Kneeling Narrow Base L R
FN
DN, DP, FP
Rolling—FN ____ DN ____ DP____ FP ____ Quadruped Diagonals
Half Kneeling Dorsiflexion L R
L
FN
D &/or P
R FN
DP or FP
DN
Heel Walks
SFMA
Both DN
Supine Knee to Chest Holding Shins L
L R R FN
FN
D &/or P
D &/or P
Prone Passive Dorsifl—FN ___ DN ___ DP/FP ___ Toe Walks
Supine Knee to Chest Holding Thighs L
L R R FN
FN
DN FP/DP
D &/or P
Prone Passive Plantar—FN ___ DN ___ DP/FP ___
Excerpted from the book, Movement: Functional Movement Systems—Screening, Assessment, Corrective Strategies Copyright © 2010 Gray Cook.