FMS and Corrective Exercise for Pain Relief
Natalie Foster, Corrective Exercise Specialist
12 May 2019
Corrective exercises are different than typical strength exercises you might be doing at the gym. Aimed at correcting dysfunctional movements and postures that are causing you pain, corrective exercises improve deficits in the body’s kinetic chains. This blog post will shed some understanding to how your pain may be related to your movement and compensation patterns and how corrective exercise may be the solution you have been looking for.
What is corrective exercise?
A corrective exercise is a movement chosen based on an individual assessment, that improves a specific dysfunction or movement compensation. Based on the teachings of Gray Cook, a highly respected orthopedic physical therapist and creator of the Functional Movement Screen (FMS), a movement compensation is when a “weak energy link” in a movement pattern in one part of the body causes unnecessary work in another part of the body. This places added stress on certain muscles, tendons, joints and ligaments. Effective corrective exercise focuses on these weak links and according to Cook, targets 3 main components of fundamental movement that build upon each other to create a solid foundation. Those are mobility, stability and motor control and lastly movement pattern retraining.
Mobility, What is it and Why it’s Important
Mobility is the ability to move a limb through its full range of motion (ROM), focusing on tissue length and muscle flexibility within that joint ROM. Mobility exercises are prescribed when a decreased joint ROM and/or pain are identified within a specific movement pattern. For example, when you lift your arm above your head you must have adequate mobility within the joints and muscles in order to complete the full ROM. Limitations in mobility can be caused by tight and weak muscle imbalances, poor posture, previous injuries, incorrect biomechanics, and overuse of repetitive muscle actions. When mobility is compromised, there is not enough sensory input to develop efficient stability and motor control.
Next Up — Stability and Motor Control
Stability is the ability to maintain control of joint movement by coordinating the actions of surrounding tissues and the neuromuscular system. Mobility and stability usually occur together naturally. In the same example of having adequate mobility to raise your arm over your head, you must also have adequate stability for your shoulder blade to anchor your shoulder to your body in order to hold it in a stable position so that the muscles of your arm can contract and complete the motion efficiently.
Motor control involves the basic timing and sequencing of movement and includes mobility, alignment, balance, coordination, and muscle quickness. Think of motor control as a habit, an automatic movement that happens over and over again creating a hard wired conditioning response. If poor movement habits are developed with a lack of stability, it will lead to pain and injury.
“Without this final conditioning step, these new motor patterns would not become automatic enough to create a healthy habit of efficient movement.“
What the Heck is Movement Pattern Retraining?
Basically, movement pattern retraining combines the use of fundamental mobility and stability training to reinforce coordination and timing in order to help improve poor motor patterns. This retraining incorporates pain free repetition and reactive drills to ensure appropriate conditioning of the new learned pattern of movement. Without this final conditioning step, these new motor patterns would not become automatic enough to create a healthy habit of efficient movement.
Corrective Exercise Bridges the Gap Between Fitness and Pain Rehab
When it comes to pain, our bodies are intuitive and intelligent. Pain is a warning sign that something is wrong. Often times we try to distract ourselves from the pain, ignore it completely hoping it will just go away, or try to find the quickest fix possible so we can move on with our lives.
Speaking from clinical massage and exercise specialist stand point, it is far too common to also see practitioners focusing on the pain symptoms instead of the cause. At The Anatomy of Wellness, we focus on the whole body so we can appropriately treat the causes of your pain instead of just the symptoms.
Corrective exercise screening is an effective tool we use that helps to identify possible causes of faulty movement patterns that might be contributing to pain and/or injury. If any pain is identified within the movement screening, further assessment will be necessary for a specific treatment plan to be prescribed.
As a general rule in pain relief treatment, corrective exercise focuses on improving form and quality of movement versus external overload. This is a key component in strength training fitness programs. Pain free movement relies on building and conditioning a solid foundation of efficient mobility, stability, and motor control before progressing to traditional strength training in a regular fitness program. If you are experiencing pain, then implementing a corrective exercise treatment program will be a game changer for your pain relief and long term wellness.
Functional Movement Screen
PT Boulder, 2015
What is a Functional Movement Screen (FMS)?
Functional Movement Screen (FMS) was developed as a way to identify movement compensations that occur due to asymmetries in the body. The FMS aims to identify imbalances in mobility and stability during seven basic movement patterns. The full program is intended to reduce the risk of injury, improve performance and reduce chronic pain. FMS was created to serve many different populations to reduce the risk of injury and improve movement patterns. Participating in the program benefits anyone from a competitive athlete or weekend warrior to youth and aging populations alike.
We use the FMS screen to identify your specific movement dysfunctions and design an exercise program to correct your compensations thereby reducing reoccurring pain patterns and restoring functional movement to reduce the risk of further injury. We believe you must first move right, then you must move often to maintain longevity and optimal physical wellbeing.