SFM

AAPPENDIX 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 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 non-painful. 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.

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.

SFMA

SFMA

FN DNDPFP

L

R

Multi-Segmental Flexion

Multi-Segmental Extension

Multi-Segmental Rotation

Single-Leg Stance

Overhead Squat

FN DNDPFP

Cervical Pattern One

Cervical Pattern Two

Cervical Pattern Three

Upper Extremity Pattern One

Upper Extremity Pattern TwoPattern One

Pattern Two

Provocation Assessments

SFMA TOP-TIER ASSESSMENTS

FN DNDPFP

FN DNDPFP

FN DNDPFP

FN DNDPFP

FN DNDPFP

L

R

FN DNDPFP

L

R

FN DNDPFP

L

R

FN DNDPFP

L

R

FN DNDPFP

L

R

FN DNDPFP

L

R

SFM

ASF

MA

Supine OA Cervical Flexion Test (20˚)

Cervical Spine Breakout

Passive Supine Cervical Flexion

Active Supine Cervical Flexion (Chin to Chest)

FN DN

L

R

FN D &/or P

FN D &/or P

L

R

C1-C2 Cervical Rotation Test

Active Supine Cervical Rotation (80˚)

FN D &/or P

L

R

Supine Cervical Extension

Passive Cervical Rotation

FN D &/or P

L

R

FP / DP

FN DN FP / DP

L

R

FN DN FP / DP

Supine Reciprocal Upper Extremity Pattern

Passive Prone Upper Extremity Patterns

Active Prone Upper Extremity Pattern

FN

L

R

Upper Extremity Pattern Breakout

D &/or P

FN DN

L

R

FP / DP

FN DN

L

R

FP / DP

SFMA

SFMA

Bilat FN

L

R

L

R

Single-Leg Forward Bend

Long-Sitting Toe Touch

Active Straight-Leg Raise

Passive Straight-Leg Raise

Supine Knee-to-Chest Holding Thighs

Prone Rocking

Bilat FN Unilat D/PBilat D/P

L

R

FNToe Touch

DP Touches Ltd SA

TouchesLtd SA

DP TouchNSA

L

R

Multi-Segmental Flexion Breakout

D (<70) or P

FP, DP, DN10 > ASLR

DNFN

FN

FP or DP

DNFN FP or DP

Backward Bend without Upper Extremity

Single-Leg Backward Bend

Prone Press-up

Lumbar Locked Unilateral Ext. (IR) 500

Prone-on-Elbow Extension (IR) 1400

Multi-Segmental Extension Breakout

FN D &/or P

Bilat FN Unilat D/PBilat D/P

L

R

FN D &/or P

FN Uni DNBil DN

L

R

FP/DP

FN

L

R

FP/DP

Lumbar Locked Passive Uni. Ext. (IR) 500

FN Uni DNBil DN

L

R

FP/DP

Rolling—FN ____ DN ____ DP____ FP ____

Rolling—FN ____ DN ____ DP____ FP ____

SFM

ASF

MA

L

R

Prone Active Hip Extension (100)

Prone Passive Hip Extension

Modified Thomas Test

Unilateral Shoulder Backward Bend

Supine Lat Hips Flexed Test

L

R

Multi-Segmental Extension Breakout

L

R

FP, DP, DNFN

L

R

D &/or P25% > Active

KneeStrghtTouch

HipAbd

Touch

NeverTouch

Abd & StrghtTouch

FN

D &/or PFN

L

RD &/or PFN

Single-Leg Hip Extension

Bilat >10 Unilat D/PBilat D/P

L

R

FABER

L

R

FP or DPFN DN

DP/FP

Rolling—FN ____ DN ____ DP____ FP ____

Lumbar Locked Unilateral Ext. (ER) 1200

Multi-Segmental Extension Breakout

Seated RotationMulti-Segmental Rotation Breakout

Lumbar Locked Unilateral Rotation

Bilat FN Unilat D/PBilat D/P

L

R

L

R

D &/or P> 45 Bilateral

L

R

DN, DP, FPSwitched

Supine Lat Hips Extended

FN No ChangeImproves

L

R

Lumbar Locked Unilateral Ext. (IR) 500

FN

L

R

FP/DP

FN Uni DNBilat DN

L

R

FP/DP

Lumbar Locked Passive Unilateral Ext. (IR) 500

FN Uni. DNBi. DN

L

R

FP/DP

FN

Rolling—FN ____ DN ____ DP____ FP ____

Rolling—FN ____ DN ____ DP____ FP ____Lumbar Locked Passive Unilateral Ext. (IR) 500

SFMA

SFMA

Prone-on-Elbow Rotation (30)

Seated Active External Hip Rotation 400

Seated Passive External Hip Rotation

Multi-Segmental Rotation Breakout

Prone Active External Hip Rotation 400

Asymm FNBilat DN

L

R

FN D &/or P

FN DP/FP

FN D &/or P

L

R

L

R

L

R

FP/DP

DN

Prone Passive External Hip Rotation

DP/FP DN

L

R

FN

Multi-Segmental Rotation Breakout

Seated Active Internal Hip Rotation 300

Seated Passive Internal Hip Rotation

Prone Active Internal Hip Rotation 300

Prone Passive Internal Hip Rotation

Seated Active External Tibial Rotation 200

FN D &/or P

L

R

L

R

FN D &/or P

L

R

L

R

FN D &/or P

L

R

FN DP/FP DN

DP/FP DN FN

Seated Passive External Tibial Rotation

FN DN

L

R

DP/FP

Rolling—FN ____ DN ____ DP____ FP ____

Rolling—FN ____ DN ____ DP____ FP ____

Rolling—FN ____ DN ____ DP____ FP ____

SFM

A

Seated Passive Internal Tibial Rotation

Multi-Segmental Rotation Breakout

Single-Leg Stance Breakout

L

R

Vestibular Shake Test

FN D &/or P

L

R

FN D &/or P

L

R

Half-Kneeling Narrow Base

FN DN, DP, FP

L

R

Prone Passive Plantar—FN ___ DN ___ DP/FP ___

Seated Active Internal Tibial Rotation 200

FN D &/or P

L

R

FN DNDP/FP

Quadruped Diagonals

FN DP or FP

L

RDN

FN

L

RD &/or P

Fingers Interlocked Behind Head

Assisted Deep Squat

Half Kneeling Dorsiflexion

Supine Knee to Chest Holding Shins

Supine Knee to Chest Holding Thighs

Overhead Deep Squat Breakout

Seated Ankle Inversion/Eversion

Can’t Invrt DP/FP

L

R

FNBoth DN

FN D &/or P

FN D &/or P

FN D &/or P

L

R

FN D &/or P

L

R

FN FP/DP

L

R

Single-Leg Stance Breakout

Can’t Evrt

DN

Rolling—FN ____ DN ____ DP____ FP ____

Heel Walks

Toe WalksProne Passive Dorsifl—FN ___ DN ___ DP/FP ___