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Bridging The Gap

From Rehab to Performance

2

MOVEMENTMOVEMENTMOVEMENTMOVEMENT

PERFORMANCEPERFORMANCEPERFORMANCEPERFORMANCE

SKILLSKILLSKILLSKILL

FMS

Skill

Performance Testing + YBT

SFMA - Top Tier

Impairments

SFMA - Breakouts

Pain

Entry PointEntry Point

Performance

{

Parts

{

Patterns

{

4

WHAT CREATES THE PROBLEMS?

5

Functional Movement Screen

Seek Out RED FLAGS

EVALUATION AND ASSESSMENT

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Selective Functional Movement Assessment (SFMA)

EVALUATION AND ASSESSMENT

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Establish a Movement Diagnosis

EVALUATION AND ASSESSMENT

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ESTABLISH A MOVEMENT DIAGNOSIS

• Joint-Capsular Restrictions

• Soft Tissue Restrictions

• Motor Control Dysfunctions

EVALUATION AND ASSESSMENT

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Establish a Global

Movement Pattern From

the Ground Up

Progressive Weight Bearing

Simple to Complex

Mimic Higher Level Activity

THERAPEUTIC EXERCISE

PROGRESSION

EVALUATION AND ASSESSMENT

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DEVELOPMENTAL SEQUENCE EXPANDED

12

0 -> No Lift

1 -> Fundamental Stabilization; Isometric;

Corrective in Nature

2 -> Low Intensity and/or Body Weight; General Strength; Foundational

3 -> General Preparation; Increase

Load/Volume/Intensity; Hypertrophy/Work

Capacity

4 -> No Restrictions; Performance Themes Based Off Individual/Sport Specific Goals

and Demands

RESISTANCE TRAINING

Lifting Progressions

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ESD PROGRESSIONS

ENERGY SYSTEMS DEVELOPMENT

• 0 -> No ESD

• 1 -> Aerobic Base; No impact

• 2 -> Anaerobic Base; No Impact; Intro to

Interval

• 3 -> Intro to impact; Linear focus; progress

duration and intensity

• 4 -> Progressive impact; multi-planar;

Varying W:R ratio; change of direction;

reactive 14

0 -> No Movement

1 -> Pillar Prep/Movement Prep Only; No

impact

2 -> PP/MP; No/Low impact;

Linear/Lateral Direction; Technical Focus

3 -> Pre-Programmed;

Linear/Lateral/Multi Direction; Progress

Impact

4 -> No Restrictions; Random/Reactive

Agility

MOVEMENT PROGRESSIONS

MOVEMENT SKILLS

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Communication Amongst

Staff is Imperative

Know How You Want to Progress/Regress/Lateraliz

e

Athlete Centric Approach

Make it Sustainable

KEY CONSIDERATIONS

16© 2014 Athletes’ Performance, Inc.

APPENDIX

Cook, Gray. Athletic body in balance. Human Kinetics, 2003.

Cook, Gray. Movement: Functional movement systems: screening, assessment, corrective strategies. On Target Publications, 2010.

Kiesel, K., Plisky, P. J., & Voight, M. L. (2007). Can serious injury in professional football be predicted by a preseason functional movement screen?.North American journal of sports physical therapy: NAJSPT, 2(3), 147.

Minick, Kate I., et al. "Interrater reliability of the functional movement screen."The Journal of Strength & Conditioning Research 24.2 (2010): 479-486.

Lisman, Peter, et al. "Functional movement screen and aerobic fitness predict injuries in military training." Medicine and science in sports and exercise 45.4 (2013): 636-643.

Brown, Matthew. The ability of the functional movement screen in predicting injury rates in Division I female athletes. Diss. University of Toledo, 2011.

Knapik, Joseph, et al. "Strength, flexibility and athletic injuries." Sports Medicine 14.5 (1992): 277-288.

Peate, W. F., et al. "Core strength: A new model for injury prediction and prevention." J Occup Med Toxicol 2.3 (2007): 1-9.

Cook, Gray, Lee Burton, and Barb Hoogenboom. "Pre-participation screening: The use of fundamental movements as an assessment of function–part 1."North American journal of sports physical therapy: NAJSPT 1.2 (2006): 62.

Cook, Gray, Lee Burton, and Barb Hoogenboom. "Pre-participation screening: The use of fundamental movements as an assessment of function–Part 2."North American journal of sports physical therapy: NAJSPT 1.3 (2006): 132.

Kiesel, K., P. Plisky, and R. Butler. "Functional movement test scores improve following a standardized off‐season intervention program in professional football players." Scandinavian journal of medicine & science in sports 21.2 (2011): 287-292.