What is the Dynamic Movement Assessment™?
- The Dynamic Movement Assessment™ (DMA™) and the Fatigue DMA™ are movement assessments designed to objectively quantify pathological human movement that is associated with increased risk for injury and decreased athletic performance. Both of these are progressive assessments that use Dartfish video technology to film and objectively quantify the 6 essential movements of the DMA™.
- The DMA™ and the Fatigue DMA™ both progressively increase in difficulty as the test progresses. The tests are designed to place the athlete in progressively more challenging situations so that the evaluator can get an idea of the athlete's strength, endurance as well as end of the game performance. This design also allows us to make predictions on risk of injury based on performance earlier in the test vs. later in the test.
- The DMA™ is designed to identify mechanics we know impact lower extremity injuries and have the greatest influence on athletic performance.
- The DMA™ will:
- Capture the mechanics we "know" are related to injury and decreases in performance
- Tax the body in ways similar to sport
- Improve inter-rater reliability using Dartfish video technology
- Test performance in single limb activities
- The DMA™ is different in several facets.
- Calculates the magnitude of the deviation - important as we know this is directly correlated to increased risk of injury
- Considers the number of deviations - also important as we know increase number of deviations equates to increased risk
- Provides visual feedback to the athlete - this is vital to motor learning and correcting pathological movement
- Creates a "competitive, sport like" condition for the athlete when used with the fatigue protocol
- It is flexible and easily integrated into current training programs and methodology
- The two major differences with the DMA™ are:
- The DMA™ utilizes single limb testing. 50% of the DMA™ is performed in single limb. We know from the literature that single limb testing has a much higher reliability for capturing pathokinematics than bilateral testing and that the correlation to sport performance is much higher.
- When an athlete actually "sees" how they are moving during the DMA™ they get it. They can see the correlation to injury, performance and their "buy-in" to their role is profound.
- The DMA™ and Fatigue DMA™ were developed by myself and my partner. As physical therapist and founder of A.C.L., LLC, it has been a calling for me. After seeing a sharp rise in ACL injuries in my clinic 15 years ago, I felt a calling to personally and professionally do something about it. The mission statement for our company encompasses this. A.C.L., LLC is uncompromisingly driven by our mission to profoundly reduce injuries and dramatically improve performance in athletics using the most technologically advanced, research based movement assessment techniques and interventions. This vision resulted in me seeking a higher education in biomechanics and motor learning, performing clinical research in the area, writing a college textbook (co-authored by my partner) on this subject as well as learning from some of the thought leaders in the profession and field on ACL injuries and research. I always felt that if could find a way to assess something clinically, the I could treat it. Hence why we the development of the DMA™.
- The movements of the DMA™ came directly from the research. All of the movements are the same movements used in the biomechanics, physical therapy and sports medicine research to evaluate pathokinematics we know are associated with increased risk for injury. All of these tests have been performed in isolation. A.C.L., LLC has simply brought these together as a battery of tests along with a scoring methodology to quantify the movements.
- On Tuesday April 23rd at 12 CST, we will be hosting a live webinar on the DMA™, the research behind it and how we are integrating into a variety of settings (clinics, colleges, teams, military, etc). For more information and to register, log onto https://www1.gotomeeting.com/register/276694705 Even if you can not attend the live webinar, you can view it at anytime by registering.
Bibliography
- Ahmad,
C.; Clark, M.; Heilman, N.; Schoeb, S.; Gardner, T; Levine, W. “Effect of Gender and Maturity on
Quadriceps to Hamstring Ration and Anterior Cruciate Ligament Laxity”. Am J Sports Med. 34:370-374, 2006.
- Brophy,
R; Schmitz, L; Wright, R; Dunn, W; Parker, R; Andrish, J; McCarty, E;
Spindler, K. “Return to Play and Future ACL Injury Risk After ACL
Reconstruction in Soccer Athletes From a Multicenter Orthopaedic Outcomes
Network (MOON) Group”. Am j
sports med. 40:2517-2522, 2012.
- Chappell,
J. D., Yu, B., Kirkendall, D. T., and Garrett, W. E.: A comparison of
knee kinetics between male and female recreational athletes in stop-jump
tasks. Am. J. Sports Med. 30:261-267, 2002.
- Chappell,
J. D., Herman, D. C., Knight, B. S., Kirkendall, D. T., Garrett, W. E.,
and Yu, B.: Effect of Fatigue on Knee Kinetics and Kinematics in
Stop-Jump Tasks. American Journal of Sports Medicine. 33:1022-1029,
2005.
- Chaudhari,
A. M., Hearn, B. K., and Andriacchi, T. P.: Sport-Dependent Variations
in Arm Position During Single-Limb Landing Influence Knee Loading:
Implications for Anterior Cruciate Ligament Injury. Am J Sports Med.
33:824-830, 2005.
- Chmielewski,
T; Myer, G; Kauffman, D; Tillman, S.
“Plyometric Exercise in the Rehabilitation of Athletes:
Physiological Reponses and Clinical Application”. JOSPT. 36:308-317, 2006.
- Earl,
J; Hock, A. A Proximal Strengthening Program Improves Pain, Function and
Biomechanics in Women with Patellofemoral Pain Syndrome. Am J Sports Med. 39:154-163, 2011.
- Giphart,
E; Stull, J; LaPrade, R. Recruitment and Activity of the
Pectineus and Piriformis Muscles During Hip Rehabilitation Exercises. Am J Sports Med. 41:1022-1033, 2012.
- Grindem,
H; Eitzen, I; Moksnes, H; Mackler, L; Risberg, M. “A
Pair-Matched Comparison of Return to Pivoting Sports at 1 Year in Anterior
Cruciate Ligament-Injured Patietns After a Nonoperative Versus an
Operative Treatment Course”. Am
j sports med. 40:2509-2516, 2012.
- Grindem,
H; Logerstedt, D; Eitzen, I; Moksnes, H; Axe, M; Mackler, L; Engebresten,
L; Risberg, M. Single-Legged Hop Tests as Predictors of Self-Reported Knee
Function in Nonoperatively Treated Individuals with Anterior Cruciate
Ligament Injury. Am J Sports
Med. 39:2347-2354, 2011.
- Hart,
J; Kerrigan, C; Fritz, J; Ingersoll, C.
Jogging Kinematics After
Lumbar Paraspinal Muscle Fatigue.
Jour Ath Train. 44:475-481, 2009.
- Holm,
I; Oiestad, B; Risberg, M; Gunderson, R; Aune, A. “No
Difference in Prevalence of Osteoarthritis or Function After Open Versus
Endoscopic Technique for Anterior Cruciate Ligament Reconstruction: 12
Year Follow-up Report of Randomized Controlled Trial”. Am j sports med. 40:2492-2498, 2012
- Kristinaslund
E, Krosshaug, T. Comparison of Drop Jumps and Sport
Specific Sidestep Cutting: Implications for Anterior Cruciate Ligament
Injury Risk Screening. Am J
Sports Med. 41:684-688, 2013.
- Konopinski,
M; Jones, H; Jonhson, M. The Effct of Hypermobility on the
Incidence of Injuries in Elite Level Professional Soccer Players. Am J Sports Med. 40: 390-402, 2012
- Lucci,
S; Cortes, N; Van Lunen, B; Lucci, S; Ringleb, S; Onate, J. Knee
and hip sagittal and transverse plane changes after two fatigue protocols. Jour Sci & Med in Sport. 14:453-459, 2011.
- Mandelbaum,
B. R., Silvers, H. J., Watanabe, D. S., Knarr, J. F., Thomas, S. D.,
Griffin, L. Y., Kirkendall, D. T., and Garrett, W., Jr.: Effectiveness
of a Neuromuscular and Proprioceptive Training Program in Preventing
Anterior Cruciate Ligament Injuries in Female Athletes: 2-Year Follow-up.
Am J Sports Med. 33:1003-1010, 2005.
- McCullough,
K; Phelps, K; Spindler, K; Matava, M; Dunn, W; Parker, R; Reinke, E. “Return to High School – and
College-Level Football After Anterior Cruciate Ligament Reconstruction: A
Multicenter Orthopaedic Outcomes Network (MOON) Cohort Study. Am j sports med. 40:2523-2529, 2012
- Myer
G, Stroube, B, Christopher A, DiCesare C, Brent J, Ford K, Heidt R, Hewett
T. Augmented Feedback Supports Skill Transfer and Reduces High-Risk
Injury Landing Mechanics: Double-Blind Randomized Controlled Laboratory
Study. Am J Sports Med. 41:669-677, 2013.
- Myer
G; Ford, K; McLean, S; Hewett, T. “The
effects of plyometric versus dynamic stabilization and balance training on
lower extremity biomechanics”. Am J sports med. 34:445- 455, 2006.
- Padua,
D; DiStefano, L; Marshall, S; Beutler, A; Motte, S; DiStefano, M. Retention
of Movement Pattern Changes After a Lower Extremity Injury Prevention
Program is Affected by Program Duration. Am J Sports Med. 40: 355-368, 2012.
- Quammen,
D; Cortes, N; Van Lunen, B; Lucci, S; Ringleb, S; Onate, J. Two
Fatigue Protocols and Lower Extremity Motion Patterns During a Stop-Jump. Jour Ath Train. 1:32-41, 2012.
- Quatman,
C; Ford, K; Myer, G; Hewett, T. “Maturation
leads to gender differences in landing force and vertical jump performance”. Am J sports med. 34:806-813, 2006.
- Sell,
T; Ferris, C; Abt, J; Shen Tsai, Y; Myers, J; Fu, F; Lephart, S. “The effect of direction and reaction
on the neuromuscular and biomechanical characteristics of the knee during
tasks that simulate the noncontact anterior cruciate ligament injury”.
Am j sports med. 34:43-54, 2006.
- Sheehan,
F; Sipprell, W; Boden, B. Dynamic Sagittal Plane Trunk Control
During Anterior Cruciate Ligament Injury. Am J Sports Med. 42:2145-2153, 2012.
- Thijs,
Y, Pattyn, E; Tiggelen, D; Rombaut, L; Witvrouw, E. Is
Hip Muscle Weakness a Predisposing Factor for Patellofemoral Pain in
Female Novice Runners? A Prospective Study. Am J Sports Med. 39:1877-1890, 2011.
- Westin,
S; Galloway, M; Noyes, F; Corbett, G; Walsh, C. “Assessment of the lower limb
neuromuscular control in prepubescent athletes”. Am j sports med. 33:1853-1858, 2006.
- Westin,S;
Noyes, F; Galloway, M. “Jump-land
characteristics and muscle strength development in your athletes: A gender
comparison of 1140 athletes 9 to 17 years of age”. Am j sports med. 34:375-384, 2006.
- Withrow,
T; Huston, L; Wojtys, E; Miller, J.
“The relationship between quadriceps muscle force, knee flexion,
and anterior cruciate ligament strain in an in vitro simulated jump
landing”. Am j sports med. 34:269-274, 2006.
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