What Is the Relationship Between Injury and Future Injury?

by | Mar 20, 2013 | Blog, Education, What's New | 1 comment |

When a patient comes in our office with the chief complaint of a musculoskeletal injury, a detailed history needs to be taken to determine if this is something that’s totally new, or an injury where there has been? reoccurring incidence. There is most certainly a relationship between injury and future injury in that previous injury is the number one risk factor leading to future injury. At the time of initial presentation,? we perform a Selective Functional Movement Assessment or SFMA. The SFMA is a full musculoskeletal examination which helps analyze an individual?s movement patterns for flaws or provocation of pain ( SFMA 8 ) and describes the critical points of assessment needed for clinical application to identify dysfunctional movement. There are multiple studies indicating that once there is a motor control deficit, the potential for injury is not far to follow. When the body perceives pain due to an injury it will begin to reprogram the neuromuscular system to work around that injury. This compensation in function leads to recruitment of secondary muscles that are not necessarily designed to control a given movement and therefore, with the injury, we not only have perceived pain but also a break down in motor patterns. Depending on how long these compensatory patterns persist or go unchecked by a licensed practitioner,? the longer it takes the body to relearn the fine motor control it once had prior to injury.

So, shrugging off those little aches and pains you put up with on a daily basis can really be causing you more harm than you may realize. We screen all our patients with the SFMA and depending on their activity level, we may also perform a Functional Movement Screen (FMS). FMS is a ranking and grading system that documents movement patterns that are key to normal function. By screening these patterns, the FMS readily identifies functional limitations and asymmetries. These are issues that can reduce the effects of functional training and physical conditioning and distort the body.? ?The FMS is only done once the patient has been cleared from pain and no longer presents with faulty movement patterns.

Dr. Matthew Clay, DC, ART?

Dr. Clay is the Clinic Director of Sport and Spine Rehab of Sterling.? He is a Doctor of Chiropractic with a Board Certification in Physiotherapy, Certified in Active Release Technique? and Certified in Graston Technique?

If you have any questions or if you would like more information, please contact Sport and Spine Rehab by visiting our website today!

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