The Movement System: Syndromes of the Foot and Ankle

1. Introduction and Patient Case: Thomas

This chapter describes the background and history of Shirley Sahrmann and colleagues, the developers of the movement system impairment (MSI) model. You will then learn how to integrate the MSI model into the International Classification of Functioning (ICF) model to create a comprehensive model for physical therapist practice. You will analyze a patient’s posture and movement while learning how to utilize symptom modification procedures (SMPs) to correct for excessive foot pronation. You will determine how mobility and muscle performance deficits influence the patient’s posture and movement. You will then use the movement system to create a comprehensive intervention plan to reduce excessive foot pronation.

2. Patient Case: Mike

This chapter will use a patient case to introduce a syndrome of excessive foot supination. You will analyze the patient’s posture and movement while learning how to utilize SMPs to correct for excessive glenohumeral multidirectional hypermobility. You will determine how mobility and muscle performance influence the patient’s posture and movement. You will then use the movement system to create a comprehensive intervention plan to reduce excessive foot supination.

3. Patient Case: Angela

This chapter will use a patient case to introduce a syndrome of insufficient ankle dorsiflexion. You will analyze the patient’s posture and movement while learning how to utilize SMPs to correct for excessive glenohumeral multidirectional hypermobility. You will determine how mobility and muscle performance influence the patient’s posture and movement. You will then use the movement system to create a comprehensive intervention plan to treat a patient with insufficient ankle dorsiflexion.