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THE MOVEMENT REASONING FRAMEWORK™

A clearer way to think about movement.


The Movement Reasoning Framework™ provides a clear, repeatable process for understanding the person, exploring movement, making sense of what you find and making interventions decisions with greater purpose.

Rather than starting with a diagnosis or treatment, the framework starts with the person, and uses clinical reasoning to guide what happens next.

Six stages. One continuous reasoning process.

01 Client-Centred Inquiry
02 Observe
03 Interpret
04 Identify the Driver
05 Select Intervention
06 Reassess

EXPLORE THE FRAMEWORK ↓

THE THINKING COMES FIRST

 

Start with the person.

Reason through the movement.

Then choose the intervention.

 

The same presentation does not necessarily require the same intervention.

By placing reasoning before treatment selection, the framework encourages clinicians to consider the individual, their movement and their goals before deciding what may be appropriate.

 

The tool doesn't drive the reasoning.

The reasoning guides the tool.

01 INQUIRY → 02 OBSERVE → 03 INTERPRET → 04 DRIVER → 05 INTERVENTION → 06 REASSESS
01

CLIENT-CENTRED INQUIRY

What matters to this person?

Good clinical reasoning begins with understanding the person in front of us.

Client-centred inquiry is more than collecting a history. It is about asking meaningful questions, listening carefully and allowing the client's experience, goals and context to inform the reasoning process.

 ASK THE RIGHT QUESTIONS.

What the client tells us can change what we observe, how we interpret it and what we choose to do next.

Once we've listened, we need to look.

01 INQUIRY → 02 OBSERVE → 03 INTERPRET → 04 DRIVER → 05 INTERVENTION → 06 REASSESS

02

OBSERVE

What do you see?

 

 Before deciding why a movement is happening, take time to observe what is happening.

Look at the person, the movement, the task and the context. Notice what changes and under what conditions, without deciding on the cause too soon.

 OBSERVE BEFORE YOU EXPLAIN.

 

Start with what is happening before deciding why.

Interpret what you observed

01 INQUIRY → 02 OBSERVE → 03 INTERPRET → 04 DRIVER → 05 INTERVENTION → 06 REASSESS
03

INTERPRET

What does it mean?

Observation tells us what is happening. Interpretation asks what a finding may mean for this person.

Consider the finding in relation to the person, their movement and the task. Compare where useful, connect related observations, and consider more than one possible explanation.

 A FINDING IS A CLUE, NOT A CONCLUSION..

 

Not every finding needs to be changed. Understanding what it may mean helps you decide what to explore next.

What might be driving it?

01 INQUIRY → 02 OBSERVE → 03 INTERPRET → 04 DRIVER → 05 INTERVENTION → 06 REASSESS

04

IDENTIFY THE DRIVER

What may be driving it?

The most obvious finding is not always the factor most relevant to the person’s symptoms or functional goal.

Use what you learned from the person, their movement, capacity and context to consider what may be contributing.

Treat this as a working hypothesis to explore, not a proven cause.

 THE FINDING ISN'T NECESSARILY THE DRIVER..

 

A working hypothesis gives your intervention a clearer purpose.

What could change it?

01 INQUIRY → 02 OBSERVE → 03 INTERPRET → 04 DRIVER → 05 INTERVENTION → 06 REASSESS
 05

SELECT INTERVENTION

What could change it? 

Intervention selection follows clinical reasoning.

Choose an intervention, or a combination that fits the person and the factor you hope to influence.

 LET YOUR REASONING GUIDE YOUR CHOICE ! 

 

Similar presentations can call for different interventions because each person’s goals, capacity and context are different.

 ONE DRIVER.

DIFFERENT WAYS TO INFLUENCE IT.

 

One intervention may influence several aspects of movement.

Different interventions may influence the same driver.

WHY AM I CHOOSING THIS INTERVENTION ?

 

DID I HAVE THE EFFECT I INTENDED? 

01 INQUIRY → 02 OBSERVE → 03 INTERPRET → 04 DRIVER → 05 INTERVENTION → 06 REASSESS

06

REASSESS

Did it change?

Compare the response with the goal you agreed on. Ask the client what has changed in their symptoms, movement or function, and consider what you observe as well.

 REASSESSMENT KEEPS THE REASONING CYCLE MOVING.

 

Use the response to choose your next step:

 

Progress

Builds on gains when the response supports the agreed goal

↓

Refine

Adjust the approach when the response is partial.

↓

Reconsider

Revisit your reasoning when the response is unexpected or the goal has not been met.

↓

RETURN TO CLIENT-CENTRED INQUIRY

 Ask, Listen, and find out what has changed for the client.

e every client must go through.

Reassessment is one part of a connected process. Here’s how all six stages work together.

THE MOVEMENT REASONING FRAMEWORK™

Six stages - One connected reasoning process

01 INQUIRY → 02 OBSERVE → 03 INTERPRET → 04 DRIVER → 05 INTERVENTION → 06 REASSESS

Ready to put the framework into practice?


Explore the learning options designed to help you build confidence in movement assessment, clinical reasoning and intervention planning.

Explore the learning options

Understanding the framework is the beginning

Learning how to apply it changes the conversation

Professional education through The Stabilisation Academy takes clinicians beyond the framework itself and into its practical application.

Explore how to gather meaningful information, analyse movement, develop clinical hypotheses, select interventions with purpose and reassess their effect.

Choose how you’d like to learn

Practical education to build confidence in movement assessment and clinical reasoning.

ONLINE PROFESSIONAL EDUCATION

Learn at your own pace through structured professional education designed to develop movement and clinical reasoning.

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FACE-TO-FACE EDUCATION

Take part in practical workshops and professional development focused on movement assessment, foot and ankle function, and rehabilitation reasoning.

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UNIVERSITIES & ORGANISATIONS

Bring practical movement and clinical movement reasoning education to your students, clinicians or professional team.

Discuss education for your team →

FOR INDIVIDUALS

Looking for support with your own movement?

Explore practical online courses created for individuals, or book a one-to-one appointment with From The Feet Up Sports & Podiatry Clinic.

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" MOVEMENT ISN'T RANDOM.  IT'S A STRATEGY .   UNDERSTAND IT.   RESPECT IT.   IMPROVE IT. "

TRACY-ANN COOKE | CLINICIAN | EDUCATORÂ