Biomechanical assessment primarily involves examining joint integrity and mobility. All to often, we see clinicians evaluate patients simply by looking at how joints are positioned or how they move individually, but these clinicians often miss out on a great deal of important information. Biomechanical analysis must be dynamic as well as static. Dynamic assessment involves examining the joint as it is moving to see how it relates to the ground and the other joints around it. Oftentimes, a joint will present as normal when tested alone or observed posturally, but upon further dynamic study, its movement pattern is dysfunctional. This can be caused by inadequate neuromuscular control, dysfunctional mechanics of adjacent joints, or by neurodynamic restrictions.
Our biomechanical assessments at Paradigm are driven by the work of Chris Powers, Brian Mulligan, and Shirley Sahrmann among others. Treatment of joint dysfunction involves static joint mobilization and dynamic mobilization with movement done by the therapist in the clinic and self-mobilization done by the patient as a part of the home program.