Movement Paradigm Scoring 5.0 at Move Better

We consistently update and improve our Movement Paradigm Scoring to best evaluate peoples functional capabilities that are most pertinent to completing activities of daily living, as well as to excel in performance and reduce risk of falls and injury. This not only gives us a blueprint of a person’s movement patterns, but also guides us on what areas to focus on in their treatment plan.

Total Possible Score: 65

Breathing Pattern

10 – Diaphragmatic
5 – Mixed
0 – Apical

Shoulder flexion creates spinal motion

Shoulder Flexion Test. Performed free standing. Patient instructed to keep elbows straight and palms up, and raise arms towards the ceiling. Clinician to observe both from the front and the side of the patient. Place your hand on the spine if necessary.

5 – None
4 – Minimal. Occurs past 150 degrees.
3 – Moderate. Occurs between 150 – 120 degrees.
0 – Severe. Occurs at less than 120 degrees.

Single leg balance is hip or knee dominant for elevation of leg

5 – Hip dominant
3 – Knee dominant
0 – Inability to balance

Lateral Flexion Compensation during Single Leg Stance

5 – No lateral flexion compensation
3 – Lateral flexion compensation on the left
3 – Lateral flexion compensation on the right
1 – Lateral flexion compensation on both legs
0 – Inability to balance

Eyes Closed Single Leg Balance

STAND NEAR PATIENT IN CASE THEY LOSE BALANCE. Instruct patient to stand with hip flexion and then close eyes. Patient has 1 reattempt per side. Hopping is not allowed.

10 – 30 seconds each side
7 – 30 seconds on one side but not the other
3 – Attempted both sides but did not make 30 seconds
0 – No ability either side

Load Management When Sitting (Hinge Test)

20 – Hip Dominant
10 – Mixed
0 – Knee Dominant

Bracing Pattern

10 – Full intra-abdominal pressure that can be maintained while breathing
8 – Full intra-abdominal pressure that can not be maintained while breathing
6 – Moderate intra-abdominal pressure that can be maintained while breathing
4 – Moderate intra-abdominal pressure that can not be maintained while breathing
2 – Minimal ability create intra-abdominal pressure
0 – No ability create intra-abdominal pressure

Upper Extremities Foundational – Total Possible Score: 16

Scapular Load

4 – Scapular dominant arm motion
2 – GH joint dominant arm motion
0 – Pain with arm motion below 90 degrees of vertical abduction

Grip Pattern

4 – Crush grip dominant
2 – Hook grip dominant
0 – Inability to create grip on either side

Row Pattern

4 – Row is initiated by scapula, wrist remain neutral
2 – Row is initiated by elbow or wrist flexion occurs, scapular motion present
0 – No scapular motion present with row, regardless of wrist position

Kettlebell Bottoms Up Press

4 – Ability to attempt Bottoms Up Press without pain
0 – Inability to attempt Bottoms Up Press due to pain

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