The assessment of uncontrolled movement

2nd August 2011

A common feature of movement control faults is reduced control of active movements, or movement control dysfunction, termed MCD by Luomajoki et al. (2007). The movement control dysfunction is identified by a series of clinical tests. These tests have been shown to be reliable in the lumbar spine (Luomajoki et al. 2007, Roussel et al. 2009) and shoulder (Mottram et al 2009) and have been promoted in clinical practice (Comerford & Mottram in press, Mottram 2003). The tests are based on the concept known as dissociation, defined as the inability to control motion at one segment while concurrently producing an active movement at another joint segment (Comerford & Mottram 2001; Sahrmann 2002).


Comerford M and Mottram S Kinetic Control: The management of uncontrolled movement (in press) Elsevier

Comerford MJ and Mottram SL. Functional stability re-training: principles and strategies for managing mechanical dysfunction.  Manual Therapy 2001; 6: 3-14

Luomajoki H, Kool J, de Bruin ED, Airaksinen O. Reliability of movement control tests in the lumbar spine. BMC Musculoskeletal Disorders 2007; 8: 90

Mottram SL, Dynamic stability of the scapula 2003 in Beeton, K. S, (Eds) Manual therapy masterclasses – the peripheral joints Churchill Livingstone, Edinburgh (p 1 - 17)

Mottram S, Warner M, Chappell P, Morrissey D, M Stokes 2009 Impaired control of scapular rotation during a clinical dissociation test in people with a history of shoulder pain.3rd International Conference on Movement Dysfunction Edinburgh, UK, 30 October - 1 November S20

Roussel N A, Nijs J, Mottram S, van Moorsel A, Truijen S, Stassijns G. Altered lumbopelvic movement control but not generalised joint hypermobility is associated with increased injury in dancers. A prospective study. Manual Therapy 2009a; 14(6): 630-635

Sahrmann S A. Diagnosis & Treatment of Movement Impairment Syndromes. Ist ed. Mosby, USA; 2002.

Keywords: Review 2011, Movement Control Impairments