"Dr. Jake has been instrumental in my ongoing recovery. In 1984 I had melanoma skin cancer that required surgery. Unfortunately, the surgeon unnecessarily removed muscle that has resulted in a severe gait problem. Without Dr. Jake, I am not sure if I would be walking today. I cannot fully express my gratitude for Dr. Jake taking me under his wing after so many doctors had abandoned me."
(Hamstring, Neck & Hip Pain)
Selective Functional Movement Assessment (SFMA)
The Selective Functional Movement Assessment (SFMA) is a series of 7 full-body movement tests designed to assess fundamental patterns of movement such as bending and squatting in those with known musculoskeletal pain. When the clinical assessment is initiated from the perspective of the movement pattern, the clinician has the opportunity to identify meaningful impairments that may be seemingly unrelated to the main musculoskeletal complaint, but contribute to the associated disability.
The assessment guides the clinician to the most dysfunctional non-painful movement pattern, which is then assessed in detail. This approach is designed to complement the existing exam and serve as a model to efficiently integrate the concepts of posture, muscle balance and the fundamental patterns of movement into musculoskeletal practice. By addressing the most dysfunctional non-painful pattern, the application of targeted interventions (manual therapy and therapeutic exercise) is not adversely affected by pain. The standardized clinical model ensures isolating the cause of injury and efficient care.
The Pettibon System® was developed to reverse the negative effects that gravity has on the spine. A weighting systems designed for the head, shouler and hips worn by the patient for up to 20 minutes daily until the spine is corrected. Both soft tissue physiology and function along with the spine is realigned.
The Pettibon Rehabilitation System starts with an x-ray examination. Seven views of the spine are routinely taken, more if necessary. X-rays are also used in impairment ratings and 'tests' to determine if and how patients will respond to care. The initial set of examination x-rays are compared to x-rays taken during treatment to assess progress and ultimately to prove the treatment's success. Whether the x-rays are for diagnosis, testing, assessing progress, post-treatment evaluation and/or proof, patients are seated and the x-rays are always taken, marked, and measured the same way, every time.
When we go from a standing to a sitting position, we increase interdiscal pressure by 30%. When we go from lying down to sitting, the pressure is increased by 50%. So Pettibon x-rays are taken seated to increase stress in the spinal para-vertebral soft tissue. Having patients seated for x-rays also eliminates the influence of unequal contraction from the legs' muscles that attach to the spine. Conventional chiropractic x-ray procedures don't consider spinal soft tissue injuries. The Pettibon System's x-ray procedures do.
With The Pettibon System®, patients actively participate in their care—both at the clinic and at home. When patients come to the clinic, they don’t sit passively waiting to see the doctor. They prepare for their examination by doing warm up exercises and stretching their muscles, ligaments and discs using specialized equipment including our patented Therapeutic Wobble Chair™ and Repetitive Cervical Traction™. The Repetitive Cervical Traction and Wobble Chair produce hysteresis in the soft tissues by putting them through loading and unloading cycles. The Repetitive Cervical Traction does this for the neck and the Wobble Chair does this for the low back. Strengthening postural muscles and building endurance is an ongoing process with The Pettibon Rehabilitation System. So patients use the clinic’s rehabilitation equipment—like the Linked Exercise Trainer™—as well as their own equipment twice daily at home.