This book presents a comprehensive system for the assessment and retraining of movement control. It has been in evolution for the last 25 years. Uncontrolled movement has a significant impact on the development of movement disorders and pain.
The scientific support for the process of the assessment and retraining of uncontrolled movement has been steadily expanding particularly in the last 10 years. The influence of uncontrolled movement on symptoms, especially pain, movement function, recurrence of symptoms and disability is now well established.
We believe that in the next 10 years the literature will support that the presence of uncontrolled movement will also be recognised as a predictor of injury risk and as having an influence on performance.
Uncontrolled movement can be identified by movement control tests. People with pain demonstrate aberrant movement patterns during the performance of these movement control tests.
A growing body of evidence supports the use of movement control tests in the assessment and management of chronic and recurrent pain. The identification of uncontrolled movement in terms of the site, direction and threshold of movement impairment is a unique subclassification system of musculoskeletal disorders and pain. The movement testing process proposed enables the classification of uncontrolled movement into diagnostic subgroups that can be used to develop client-specific retraining programs.
This process can determine management priorities and optimise the management of musculoskeletal pain and injury recurrence. Subclassification is now recognised as being the cornerstone of movement assessment and the evidence for subclassification of site, direction and threshold is growing.