Tag: Shirley Sahrmann

The Complexities of Movement Specific Diagnosis in the Spine

Shirley Sahrmann’s (2002) movement diagnosis approach is undoubtedly one of the most clinically useful orthopedic medicine study I have read. She states that the patient’s directional susceptibility to movement or the path of least resistance is the direction the patient is most likely to get injured in. For example a patient with an increased lumbar curve, or extension dysfunction is more likely to get inflammation in the  lumbar spine facet joints than a patient with a reduced lumbar curve who is more likely to suffer intervertebral disc related pathology. In practical application there are...

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Femoral Anterior Glide Syndrome

What is it?   Femoral anterior glide syndrome of the hip is a term coined and popularised by Shirley Sahrmann (2002). The diagnosis asserts that the femur is most susceptible to moving anteriorly. This is what Sahrmann (2002) refers to as the directional susceptibility to movement, or more simply the path of least resistance. A central tenant of her working philosophy is that it is these structures that have less relative stiffness that are most likely to get injured both acutely and chronically. Sahrmann (2002) asserts that femoral anterior glide syndrome most commonly occurs in concert with...

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