Classification Of Low Back Pain Using Shirley Sahrmann’s Movement System Impairments, An Overview Of The Concept: Difference between revisions

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== "Movement System" and the Movement System Balance approach ==


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Movement is the action of an entire physiologic system and its component parts, this includes musculoskeletal, neurologic, cardiopulmonary, and metabolic components. They therefore have a fundamental role in movement impairment syndromes.<br>
 
Humans move in patterns, these patterns tend to be exaggerated in the musculoskeletal patient. Patterns can be organised into specific principles that best explain the movement patterns characteristics.These characteristics have been fundamentally drawn from the clinical observations of Dr. Shirley Sahrmann, however they are based on established concepts of anatomy, kinesiology and physiology, are established.
 
<br>The Movement System Balance (MSB) approach regards precise and balanced movement as fundamental to the wellbeing of the movement system and its component parts. Microtrauma to tissue caused by repeated lack of balanced or precise movements will ultimately progress into macrotrauma. As a physiotherapist restoration or maintenance of precise movements is therefore elementary to preventing musculoskeletal pain.
 
Typically an examination should consist of two elements; observation of movement based on movement principles including identification of the patients Directional Susceptibility to Movement (DSM), and testing muscular strength and length. The MSB approach organises movement patterns into syndromes or diagnostic categories, and also identifies contributing factors. The name of the syndrome outlines the movement impairment and also provides a guide for treatment.
 
<br>Ideal alignment facilitates optimal movement in both muscle and nervous systems, this reduces likelihood of repeated microtrauma. When movement deviates from the ideal degenerative change can occur, an analogy of an automobile can be used to explain this concept, to allow optimal rotation, the wheels require balance and alignment, this way both tyres wear evenly with time. <br>


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Revision as of 01:56, 30 November 2012

Welcome to the Nottingham University Spinal Rehabilitation Project. This space was created by and for the students at Nottingham University. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

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"Movement System" and the Movement System Balance approach[edit | edit source]

Movement is the action of an entire physiologic system and its component parts, this includes musculoskeletal, neurologic, cardiopulmonary, and metabolic components. They therefore have a fundamental role in movement impairment syndromes.

Humans move in patterns, these patterns tend to be exaggerated in the musculoskeletal patient. Patterns can be organised into specific principles that best explain the movement patterns characteristics.These characteristics have been fundamentally drawn from the clinical observations of Dr. Shirley Sahrmann, however they are based on established concepts of anatomy, kinesiology and physiology, are established.


The Movement System Balance (MSB) approach regards precise and balanced movement as fundamental to the wellbeing of the movement system and its component parts. Microtrauma to tissue caused by repeated lack of balanced or precise movements will ultimately progress into macrotrauma. As a physiotherapist restoration or maintenance of precise movements is therefore elementary to preventing musculoskeletal pain.

Typically an examination should consist of two elements; observation of movement based on movement principles including identification of the patients Directional Susceptibility to Movement (DSM), and testing muscular strength and length. The MSB approach organises movement patterns into syndromes or diagnostic categories, and also identifies contributing factors. The name of the syndrome outlines the movement impairment and also provides a guide for treatment.


Ideal alignment facilitates optimal movement in both muscle and nervous systems, this reduces likelihood of repeated microtrauma. When movement deviates from the ideal degenerative change can occur, an analogy of an automobile can be used to explain this concept, to allow optimal rotation, the wheels require balance and alignment, this way both tyres wear evenly with time.

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