Why Utilize a Movement System?

Don Reagan DPT CSCS USAW

Concepts:

• “First move well, then move often.” – Gray Cook

• “Time spent in assessment will save time in treatment.” – Dr. Vladimir Janda

• “In this age of specialization, few clinicians are broad enough to see the whole patient and their problem.” – Dr. Janet G. Travell

Guiding Principles:

• Movement Symmetry is Good

• Pain alters Motor Control

• Differentiate Painful from Non-painful Movement Patterns

• Mobility is a prerequisite to Stability

• Motor Developmental Sequence is the framework for Corrective Exercise Prescription

What is a Movement System?

• Using movement assessment as a test/retest

• Qualitative & Quantitative

• Static & Dynamic

• Establish a baseline of Function

• Patterns before localized testing

• Correlate with Patient’s Value & Goals

Commercial Examples:

• Functional Movement Systems

• McKenzie Method

• Movement Impairment Syndromes

• Applied Functional Science

• Mobility WOD

• Fusionetics

• Movement Restoration

• Original Strength

Chiastic Paradigm

Reset

Reinforce

Reload

Performance

Patterns

Parts

Examination

Intervention

Terminal Diagnosis

Movement Examination

PARTS PATTERNS PERFORMANCE

• Orthopedics • Biomechanics • mobility

• Neurology • Brain • Stability

• Strength & Conditioning

• Pedagogy • Power

Movement Intervention

• Reset = passive intervention

• Reinforce = support the effects of the previous intervention

• Reload = facilitate or challenge the most important movement pattern

Clinical Reasoning:

• Identifying Relationships between Signs and Symptoms

• Diagnostics

– Bilateral Comparison

• Metrics

– Measure Part & Pattern Health

• Feedback Loops

– Multi Layered

Terminology

• Mobility - consistent finding

• Stability - inconsistent finding

• Motor Control - adaptability

TASK

ENVIRONMENT INDIVIDUAL

M

MOVEMENT

MOTOR CONTROL THEORY

Shumway-Cook, Woollacott. Motor Control,

Communication

• Locus of Control

• Therapeutic Alliance

• Collegial Accountability

Mastery

• Standard Operating Procedure (SOP)

• Critical Thinking

• Problem Identification & Solving

• Thoughtful Experience

• Justin Kiger PT DPT – Team Leader

– St. Clairsville WV

• Joe Leaman MS, ATC,

– Team Leader Sports Medicine/Athletic Training

– Parkersburg, WV

• Karen Kline LAT – Athletic Trainer

– Ocala, WV

Core Values:

• Testimonial

– Humility

– Caring

– Fun

– Passion

“Experience the Difference”

@DonReagan