# Diagnosis and Treatment Based on Functional Movement Impairment: A New Model of Functional Restoration Directed to Correction of Pathoanatomic and Pathophysiology of Tissues-Part I

## TL;DR

A new model for diagnosing and treating musculoskeletal disorders combines biomechanical and functional assessments to improve treatment effectiveness.

## Contribution

A novel diagnostic model integrating biomechanical, functional, and psychological factors for musculoskeletal disorders.

## Key findings

- Current models for musculoskeletal disorders lack comprehensive data on tissue damage and repair stages.
- The new model identifies biomechanical sources and functional movement impairments to guide treatment.
- A case study demonstrates the application of the model for accurate diagnosis.

## Abstract

One of the most prevalent diseases in humans is musculoskeletal dysfunction. The
source of these problems is usually multifactorial, including mechanical,
psychological, and chemical. A specific diagnosis is rarely achieved for most
musculoskeletal disorders, especially chronic conditions. This can be one of the
reasons for the ineffectiveness of the various treatments offered. Various
models have been proposed to address this problem to make more accurate
diagnoses and effective treatments. Each of these models has its limitations. It
seems that the previous models had limited information, such as the type of
damaged tissue, the stage of tissue repair, the functional aspect of the
disorder, other parts of the movement chain disorder, psychological features,
and a lack of correlation between medical diagnosis and physiotherapy diagnosis.
In the present study, an attempt is made to provide a new and more comprehensive
model by considering the limitations of other models. In the first step, the
therapist or physician identifies the biomechanical source of the disorder. The
patient’s functional movement impairments are identified, and a
Neuro-Musculo-Skeletal disorder related to functional movement impairment is
assessed. Finally, to label the patient’s problem, medical (Patho-Anatomical
Model) and physical therapy (Movement System Classification Models) views are
considered. Therefore, the medical diagnosis of the patient is expressed along
with the joints that play a role in aggravating the patient’s symptoms with
movement. One case study is provided at the end to clarify the method of
diagnosis. Future research is necessary to improve the validity of the
methodology.