APPENDIX 3 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 lightred, 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 greenmove 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 STOPyou 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 cautionyou 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 goyou need to break these patterns out to their termination and use corrective exercise and treatments appropriately.

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 breakoutyou 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 cant 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.

SFMA

SFMA TOP-TIER ASSESSMENTS

Cervical Pattern One Multi-Segmental Extension

FN
Cervical Pattern Two

FP

DP

DN

FN
Multi-Segmental Rotation
L R

FP

DP

DN

FN

FP

DP

DN
Single-Leg Stance
L

FN

FP

DP

DN

Cervical Pattern Three

L

R R

FN FN FP DP DN
Overhead Squat

FP

DP

DN

Upper Extremity Pattern One

L

FN
R

FP

DP

DN

FN
Upper Extremity Pattern Two
L R

FP

DP

DN Provocation Assessments Pattern One

L

SFMA

FN
Multi-Segmental Flexion

FP

DP

DN
Pattern Two

FN

FP

DP

DN

FN

FP

DP

DN

FN

FP

DP

DN

Cervical Spine Breakout

Upper Extremity Pattern Breakout

Active Supine Cervical Flexion (Chin to Chest)

Active Prone Upper Extremity Pattern

L

FN

D &/or P

R FN D &/or P

Passive Supine Cervical Flexion

Passive Prone Upper Extremity Patterns

L

FN

D &/or P R FN DN FP / DP

Supine OA Cervical Flexion Test (20)

L R FN DN FP / DP

Supine Reciprocal Upper Extremity Pattern

L R FN DN FP / DP

Active Supine Cervical Rotation (80)

L R FN D &/or P

Passive Cervical Rotation

L R FN D &/or P

SFMA

C1-C2 Cervical Rotation Test

L R FN DN FP / DP

Supine Cervical Extension

L R FN DN FP / DP

Multi-Segmental Flexion Breakout

Multi-Segmental Extension Breakout

Single-Leg Forward Bend

L R Bilat FN Bilat D/P Unilat D/P

Backward Bend without Upper Extremity

FN

D &/or 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

RollingFN ____ DN ____ DP____ FP ____ Active Straight-Leg Raise

L R Bilat FN D (<70) or P

Prone Press-up

FN

D &/or P

Lumbar Locked Unilateral Ext. (IR) 500

L

Passive Straight-Leg Raise

L R
FN 10 > ASLR FP, DP, DN

R FN FP/DP

Lumbar Locked Passive Uni. Ext. (IR) 500 RollingFN ____ DN ____ DP____ FP ____ Supine Knee-to-Chest Holding Thighs
L R FN DN FP or DP L R FN Bil DN Uni DN FP/DP

SFMA

Prone-on-Elbow Extension (IR) 1400

L R FN Bil DN Uni DN FP/DP

Prone Rocking

FN

DN

FP or DP

Multi-Segmental Extension Breakout Single-Leg Hip Extension

L R Bilat >10 Bilat D/P Unilat D/P

Multi-Segmental Extension Breakout Supine Lat Hips Extended

L R FN Improves No Change

Prone Active Hip Extension (100)

L

Lumbar Locked Unilateral Ext. (ER) 1200

L R

R
FN FP, DP, DN

Bilat FN Bilat D/P Unilat D/P

Prone Passive Hip Extension

L R 25% > Active D &/or P

Lumbar Locked Unilateral Ext. (IR) 500

L R FN FP/DP

RollingFN ____ DN ____ DP____ FP ____ FABER

L R FN DN FP or DP

Lumbar Locked Passive Unilateral Ext. (IR) 500

L R FN Bilat DN

Uni DN FP/DP

Modified Thomas Test

L R
Abd & Knee Hip Never Strght Strght Abd Touch Touch Touch Touch

Multi-Segmental Rotation Breakout Seated Rotation

L R

FN

DP/ FP

> 45 Bilateral

D &/or P

SFMA

Unilateral Shoulder Backward Bend

L

Lumbar Locked Unilateral Rotation

L

R R FN D &/or P
Switched DN, DP, FP

FN

Supine Lat Hips Flexed Test

L

RollingFN ____ DN ____ DP____ FP ____ Lumbar Locked Passive Unilateral Ext. (IR) 500
L

R FN D &/or P

R FN Bi. DN Uni. DN FP/DP

RollingFN ____ DN ____ DP____ FP ____

Multi-Segmental Rotation Breakout

Multi-Segmental Rotation Breakout

Prone-on-Elbow Rotation (30)

L R

Seated Active Internal Hip Rotation 300

L R

Asymm Bilat DN FN FP/DP

FN

D &/or P

RollingFN ____ DN ____ DP____ FP ____ Seated Active External Hip Rotation 400
L

Seated Passive Internal Hip Rotation

L R

FN

D &/or P

FN

DP/FP

DN

Seated Passive External Hip Rotation

L

Prone Active Internal Hip Rotation 300

L R

FN FN DP/FP DN

D &/or P

Prone Passive Internal Hip Rotation Prone Active External Hip Rotation 400
L L R R

DP/FP FN D &/or P

DN

FN

RollingFN ____ DN ____ DP____ FP ____ Prone Passive External Hip Rotation
L R

Seated Active External Tibial Rotation 200

L R

SFMA

DP/FP

DN

FN

FN

D &/or P

RollingFN ____ DN ____ DP____ FP ____

Seated Passive External Tibial Rotation

L R

FN

DP/FP

DN

Multi-Segmental Rotation Breakout Seated Active Internal Tibial Rotation 200

L R FN D &/or P

Single-Leg Stance Breakout

Seated Ankle Inversion/Eversion

L R
Cant Evrt Cant Invrt DP/FP FN Both DN

Seated Passive Internal Tibial Rotation

L R FN DP/FP DN

Overhead Deep Squat Breakout

Fingers Interlocked Behind Head

Single-Leg Stance Breakout Vestibular Shake Test

L R FN D &/or P FN D &/or P

Assisted Deep Squat

Half-Kneeling Narrow Base

L R DN, DP, FP FN D &/or P

FN

Half Kneeling Dorsiflexion

L R FN D &/or P

RollingFN ____ DN ____ DP____ FP ____ Quadruped Diagonals

L R FN DP or FP DN

Supine Knee to Chest Holding Shins

L

Heel Walks

SFMA

L R R FN D &/or P FN D &/or P

Prone Passive DorsiflFN ___ DN ___ DP/FP ___ Toe Walks

L

Supine Knee to Chest Holding Thighs

L R

R FN D &/or P

FN

DN FP/DP

Prone Passive PlantarFN ___ DN ___ DP/FP ___