The Movement system Impairment (MSI) approach to injury rehabilitation

Short Answer

Movement impairments can be a major hindrance to your daily life, causing musculoskeletal pain and limiting your ability to move freely and comfortably. But there's no need to let movement impairments hold you back! With the right treatment approach, you can improve your movement and get back to living your best life.

One such approach is the Movement System Impairment (MSI) approach, developed by physical therapist Shirley Sahrmann. This approach focuses on identifying and correcting specific movement impairments through a combination of manual therapy and targeted exercises. By addressing the underlying causes of your movement impairments, you can improve your movement efficiency and reduce the risk of musculoskeletal pain and functional limitations.

In addition to the MSI approach, there are also a couple of other therapies that can be helpful in improving movement and reducing the risk of pain and limitations. These therapies are known as soft tissue therapies and dry needling.

Soft tissue therapies involve manipulating the soft tissues in your body, including your muscles, tendons, and connective tissue. These therapies can include massage, myofascial release, and trigger point therapy, and they're all designed to improve flexibility, reduce muscle tension, and alleviate musculoskeletal pain.

Dry needling, on the other hand, involves the use of fine needles to stimulate specific points in your muscles known as trigger points. These trigger points are areas of muscle that have become tight and irritable, often as a result of overuse or injury. By stimulating these trigger points with needles, it's believed that the muscle can be reset and returned to a state of balance, which can help to improve muscle function and reduce muscle pain.

So there you have it - the MSI approach, along with soft tissue therapies and dry needling, are all potential tools in your treatment toolkit for improving movement and reducing the risk of musculoskeletal pain and functional limitations. If you're struggling with movement impairments, consider talking to a musculoskeletal therapist about how these therapies can be incorporated into your treatment plan. Together, you can work on improving your movement and getting back to living your best life. Don't let movement impairments hold you back - take control of your health and improve the way you move!

Long Answer

The Movement system Impairment (MSI) approach to injury rehabilitation, developed by physical therapist Shirley Sahrmann, has revolutionized the way physical therapists assess and treat musculoskeletal injuries. By utilizing the principles of MSI, physical therapists are identified and treat patients with a combination of impairments from all of the movement system components rather than just the injured part alone. This paper will explore the MSI approach, it's effectiveness in treating musculoskeletal pain and other injury rehabilitation designs, the components of the MSI approach, the criteria employed to apply the MSI approach, and its advantages over traditional injury rehabilitation designs.

The development of a Movement System Impairment (MSI) approach is a concept first introduced in 2002 by Shirley Sahrmann, PT, PhD. This concept focuses on physical impairments as the primary cause of impairment, as opposed to looking at the diagnosis as the primary cause of impairment. According to Sahrmann (2008),"The focus of the MSI approach is to identify impairments in the biomechanics of locomotion, posture or combinations of them. This includes impairments in the individual segments, joints, or regions of a segment, along with impairments in the neuromotor control strategies used to organize movement during functional activities". The MSI approach then, seeks to target the underlying impairments in order to eliminate any movement pattern impairments, resulting in improved function and quality of life (Sahrmann, 2008).

The Movement System Impairment Approach (MSIA) is a method of analyzing and diagnosing human movement developed by physical therapist Shirley Sahrmann (Green and Preston, 2018). MSIA is comprised of three components, observations of movement patterns, analysis of impairments resulting in incorrect movement patterns, and rehabilitation of impairments through corrective exercises and strategies (Bell, 2017). MSIA focuses on the whole person, both their impairments and the individual’s history and environment, to develop a comprehensive treatment plan (Green and Preston, 2018). This approach has been widely adopted by physical therapists, allowing them to better identify impairments and develop tailored treatments to improve movement and functioning (Bell, 2017).

Green, Amanda P., and Mark J. Preston. "The Movement System Impairment Approach to the Shoulder Control Assessed in Low-Back Pain Patients." Human Movement Science, vol. 61, 2018, pp. 65-72. Bell, Joanne. "Movement System Impairment: New Approach to Physical Therapy." WebPT, 30 Aug. 2017, https://www.webpt.com/blog/bid/235286/Movement-System-Impairment-New-Approach-to-Physical-Therapy.