The Selective Functional Movement Assessment (SFMA) is a series of 7 full-body movement tests designed to assess fundamental patterns of movement such as bending and squatting in those with known musculoskeletal pain. When the clinical assessment is initiated from the perspective of the movement pattern, the clinician has the opportunity to identify meaningful impairments that may be seemingly unrelated to the main musculoskeletal complaint, but contribute to the associated disability. This concept, known as Regional Interdependence, is the hallmark of the SFMA.
The assessment guides the clinician to the most dysfunctional non-painful movement pattern, which is then assessed in detail. This approach is designed to complement the existing exam and serve as a model to efficiently integrate the concepts of posture, muscle balance and the fundamental patterns of movement into musculoskeletal practice. By addressing the most dysfunctional non-painful pattern, the application of targeted interventions (manual therapy and therapeutic exercise) is not adversely affected by pain.
SFMA offers doctors and physical therapists a new approach to the treatment of pain and dysfunction. Our standardized clinical model ensures isolating the cause of injury and efficient care.
I was referred to Dr. McNally for evaluation and treatment of pain due to patellofemoral syndrome that was refactory to several rounds of physical therapy and three arthroscopies. Her approach has been more comprehensive, holistic & preventive than that of any other clinician I have seen, as she has focused on areas outside of the knee (foot, ankle, hip) that have been contributing to, and in some cases causing my knee pain. In addition to focused treatments, I have worked with her personal trainer in her practice who has not only developed a personalized corrective exercise routine, but has taken the time to ensure that my technique is correct. I am happy to say that due to Dr. McNally's care & expertise, my symptoms have greatly improved and I have been able to return to work without restriction. Dr. McNally's outstanding clinical skills as well as her professional, caring and encouraging demeanor make her a special and unique clinician. Her approach is simple, but effective - educate the patient about his/her ailment and empower the patient to be an active participant to his/her treatment. Her practice is efficient and her staff is always courteous and welcoming.
Assistant Professor of Medicine, Alpert Medical School
Jason Aliotta, MD