Sex-related Differences in Functional Movement Screen Scores Among Reserve Officers’ Training Corps Cadets

2021 ◽  
Author(s):  
Quincy R Johnson ◽  
Jacob Scraper ◽  
Robert Lockie ◽  
Robin M Orr ◽  
J. Jay Dawes

ABSTRACT Introduction The primary aim of Reserve Officers’ Training Corps (ROTC) programs is to prepare cadets for future military service. To successfully complete one of these programs and perform active duty responsibilities, cadets must be able to complete a variety of physical tasks. Therefore, performing movement screening may be useful for identifying potential movement disparities that could lead to injury. The purpose of this investigation was to determine whether sex-related differences in movement patterns exist on the Functional Movement Screen (FMS). The FMS is a tool that uses seven functional movements to assess movement pattern deficits and asymmetries; deep squat, hurdle step, inline lunge (ILL), shoulder mobility, active straight-leg raise (ASLR), trunk stability pushup (TSPU), and rotary stability. Materials and Methods Archived data for 93 (male, n = 69; female n = 24) ROTC cadets were provided to the primary investigators for analysis. Independent t-tests (P < .05) were conducted to analyze differences in assessments between sexes. Results Significant differences between sexes were observed on the ILL (P = .014), ASLR (P < .001), and TSPU (P < .001). Females scored higher on both the ILL (2.13 ± 0.54) and ASLR (2.04 ± 0.69) compared with males (1.81 ± 0.52 and 1.48 ± 0.58). Males scored significantly higher (P ≤ .001) on the TSPU (2.57 ± .581) compared with females (2.00 ± .417). No significant differences were observed in the deep squat (P = .865), hurdle step (P = .829), shoulder mobility (P = .342), and rotary stability (P = .230) assessments. Conclusions Sex differences in the ILL, ASLR, and TSPU may be because of greater mobility in the ankle and hamstrings and reduced upper-body muscle mass for females compared with males. Males performed better than females on the TSPU test. In conclusion, sex-related differences in FMS performance do exist within the ROTC population. Additionally, these differences should be taken into consideration when designing specific exercise programs for ROTC cadets.

Author(s):  
Brett M. Kautzmann ◽  
James B. Kase ◽  
Cheryl A. Coker

The Functional Movement Screen (FMS) is a screening instrument developed to identify basic movement dysfunctions that may increase musculoskeletal injury risk potential. To date there are no published normative values for the FMS in dancers; consequently, this study sought to establish those values in addition to identifying the prevalence and nature of movement dysfunction in collegiate dancers. The functional movement proficiency of 111 collegiate dancers was determined using the FMS, which provides three variables of interest: 1. FMS total score, 2. number of asymmetries (unequal performance of right and left sides), and 3. number of movement pattern dysfunctions. Total FMS scores ranged from 11 to 20 out of 21 possible points, with a mean of 16.42 (SD = 1.72). Forty-four percent of dancers presented with one or more asymmetries and 43% demonstrated one or more dysfunctional movement patterns. The active straight-leg raise was the most proficiently performed movement pattern, while the deep squat, hurdle step, and rotary stability were the least proficient. Functional Movement Screen outcome scores indicated that dysfunctional movement patterns and asymmetries exist in collegiate dancers. Additional research is needed to establish normative FMS scores for the different genres and levels of dance and establish the relationship between FMS scores and injury risk potential, and if that relationship is established, determine the efficacy of the FMS to develop intervention programs for injury prevention.


2015 ◽  
Vol 50 (5) ◽  
pp. 475-485 ◽  
Author(s):  
Nicole J. Chimera ◽  
Craig A. Smith ◽  
Meghan Warren

ContextResearch is limited regarding the effects of injury or surgery history and sex on the Functional Movement Screen (FMS) and Y Balance Test (YBT).ObjectiveTo determine if injury or surgery history or sex affected results on the FMS and YBT.DesignCross-sectional study.SettingAthletic training facilities.Patients or Other ParticipantsA total of 200 National Collegiate Athletic Association Division I female (n = 92; age = 20.0 ± 1.4 years, body mass index = 22.8 ± 3.1 kg/m2) and male (n = 108; age = 20.0 ± 1.5 years, body mass index = 27.0 ± 4.6 kg/m2) athletes were screened; 170 completed the FMS, and 190 completed the YBT.Intervention(s)A self-reported questionnaire identified injury or surgery history and sex. The FMS assessed movement during the patterns of deep squat, hurdle step, in-line lunge, shoulder mobility, impingement-clearing test, straight-leg raise, trunk stability push-up, press-up clearing test, rotary stability, and posterior-rocking clearing test. The YBT assessed balance while participants reached in anterior, posteromedial, and posterolateral directions.Main Outcome Measure(s)The FMS composite score (CS; range, 0–21) and movement pattern score (range, 0–3), the YBT CS (% lower extremity length), and YBT anterior, posteromedial, and posterolateral asymmetry (difference between limbs in centimeters). Independent-samples t tests established differences in mean FMS CS, YBT CS, and YBT asymmetry. The Mann-Whitney U test identified differences in FMS movement patterns.ResultsWe found lower overall FMS CSs for the following injuries or surgeries: hip (injured = 12.7 ± 3.1, uninjured = 14.4 ± 2.3; P = .005), elbow (injured = 12.1 ± 2.8, uninjured = 14.3 ± 2.4; P = .02), and hand (injured = 12.3 ± 2.9, uninjured = 14.3 ± 2.3; P = .006) injuries and shoulder surgery (surgery = 12.0 ± 1.0, no surgery = 14.3 ± 2.4; P < .001). We observed worse FMS movement pattern performance for knee surgery (rotary stability: P = .03), hip injury (deep squat and hurdle: P < .042 for both), hip surgery (hurdle and lunge: P < .01 for both), shoulder injury (shoulder and hand injury: P < .02 for both), and shoulder surgery (shoulder: P < .02). We found better FMS movement pattern performance for trunk/back injury (deep squat: P = .02) and ankle injury (lunge: P = .01). Female athletes performed worse in FMS movement patterns for trunk (P < .001) and rotary (P = .01) stability but better in the lunge (P = .008), shoulder mobility (P < .001), and straight-leg raise (P < .001). Anterior asymmetry was greater for male athletes (P = .02).ConclusionsInjury history and sex affected FMS and YBT performance. Researchers should consider adjusting for confounders.


2021 ◽  
Author(s):  
Kara N Radzak ◽  
Katherine J Hunzinger ◽  
Katelyn M Costantini ◽  
C Buz Swanik ◽  
Thomas A Buckley

ABSTRACT Introduction Military members’ knowledge of concussion signs and symptoms may be critical to appropriate concussion identification and health-seeking behavior, particularly for those in leadership roles. The current study aimed to characterize concussion knowledge and attitudes among future military officers undergoing U.S.-based Reserve Officers’ Training Corps (ROTC) training. Materials and Methods Army and Air Force ROTC cadets at 2 large, public universities were utilized for a survey-based observational study. The study was approved by the institutional review board at both university research sites. Cadets completed a modified Rosenbaum Concussion Knowledge and Attitude Survey to obtain cadets’ Concussion Knowledge Index and Concussion Attitude Index, where higher scores are preferable. Cadets’ concussion knowledge and attitudes were characterized via descriptive statistics. Results Cadets (n = 110) had a mean Concussion Knowledge Index of 18.8 ± 3.2 (range = 9–23, out of 25). Potentially detrimental misconceptions included: belief that typically concussion symptoms no longer persist after 10 days (79.1%) and brain imaging shows visible physical damage following concussion (74.5%). Mean Concussion Attitude Index was 60.6 ± 7.4 (range = 46–75, out of 75). In general, cadets reported higher agreement with safe concussion behavior than what they believe peers would report. Conclusions Cadets were found to have a high concussion knowledge, yet common misconceptions remained. Cadets consistently reported safe choices but were less sure that peers felt similarly; future investigations should evaluate ROTC concussion social norms and education should note peers’ beliefs supporting safe concussion attitudes.


2021 ◽  
Vol 17 (11) ◽  
pp. 103
Author(s):  
Segar A/L A. Maniveloo ◽  
Borhannudin Abdullah ◽  
Shamsulariffin Samsudin

Movement assessments are commonly used to assess athlete’s risk of injury as well as basic and specific skill movement patterns; however, dance is identified to be differing from sports because the average dancer’s training load is higher than the athletes. This study aims to identify the difference in the Functional Movement Screen (FMS) level among traditional dancers in Malaysia. A quasi-experimental study design was adopted, which involved 66 dancers (M = 33; F = 33). The study comprised traditional dancers from three ethnic backgrounds, namely, Malay, Chinese and Indian. The descriptive analysis described the level of the dancers’ FMS, as follows: Malay (M = 16.18, SD = 2.062), Chinese (M = 18.50, SD = 1.102), Indian (M = 18.23, SD = 1.445). The ANOVA analysis found a significant difference in the FMS scores among all three groups of dancers, F (2,63) = 14.026, p >.000. The deep squat, hurdle step, shoulder mobility, active straight leg raise and trunk stability tests for push-up indicated a significant difference, whereas the inline lunges test and rotational stability tests showed no significance difference. However, the Post Hoc analysis showed no significant difference between the Chinese and Indian dancers. It can be concluded that there is a difference in FMS scores between Malay, Chinese and Indian dancers. FMS may be a useful tool to help identify dancers about the risk of injury and improve their movement quality.


2019 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Hendra Rustiawan ◽  
Ruli Sugiawardana ◽  
Muhammad Nurzaman

Penelitian ini bertujuan untuk memberikan informasi tentang  instrument test yang berfungsi untuk mengukur komponen kondisi fisik mobilitas, keseimbangan, dan stabilitas atlet yang mengalami atau yang sudah pernah terkena cedera otot dan tulang sendi. Komponen tes FMS terdiri dari in-line lunge, hurdle step, deep squat, shoulder mobility, active straight-leg raise, trunk stability push-up, rotary stability Berbagai hasil penelitian menunjukkan bahwa: (1) adanya hubungan antara atlet yang mengalami cedera otot dengan tes FMS, (2) tidak adanya hubungan, dan (3) adanya hubungan yang signifikan pada atlet yang mengalami cedera terhadap mobilitas, keseimbangan, dan stabilitas yang diukur dengan FMS, dan  (4) adanya pengaruh tes tersebut akan tetapi dengan sampel tertentu (usia). Hal ini dapat disimpulkan bahwa bahwa perlunya  dilakukan penelitian ulang dengan memperhatikan berbagai aspek (usia, jenis kelamin, dan profesi). Hal tersebut diharapkan FMS dapat digunakan pada penelitian kondisi fisik (strength and conditioning)


2018 ◽  
Vol 33 (3) ◽  
pp. 213-219 ◽  
Author(s):  
Ross Armstrong ◽  
Christopher M Brogden ◽  
Debbie Milner ◽  
Debbie Norris ◽  
Matt Greig

OBJECTIVE: Dance is associated with a high risk of injury, with fatigue identified as a contributing factor. Functional movement screening (FMS) has been used to identify alterations in normal movement which may contribute to injury risk, though this test is not normally performed in a fatigued state. The aim of this study was to determine whether fatigue induced by the dance aerobic fitness test (DAFT) results in changes in FMS scores with implications for performance and injury risk. METHODS: Forty-one university dancers completed the FMS before and immediately after completion of the DAFT. Rate of perceived exertion and heart rate were quantified as measures of fatigue. RESULTS: Post-DAFT, the mean FMS composite score (15.39±1.86) was significantly less (p≤0.01) than the pre-exercise score (16.83±1.83). Element-specific analysis revealed that the deep squat, non-dominant lunge, and dominant inline lunge scores were all significantly impaired post-DAFT (all p≤0.01). CONCLUSION: The identification of changes in quality of movement in a fatigued state suggests that movement screening should also be performed post-exercise to enhance screening for injury risk. The influence of dance-specific fatigue was FMS element-specific. Specifically, the deep squat and inline lunge were most susceptible to fatigue, with implications for injury risk and performance and reflective of the high level of neuromuscular control required.


2021 ◽  
Vol 30 (1) ◽  
pp. 55-61
Author(s):  
Eric P. Scibek ◽  
Matthew F. Moran ◽  
Susan L. Edmond

Context: The deep squat (DS) test is a component of the functional movement screen, which is used to assess the quality of fundamental movement patterns; however, the accuracy of the DS has not been studied. The DS is a complex, total body movement pattern with evaluation required at several points along the kinematic chain. Objective: To assess the accuracy of DS scoring by an athletic trainer, physical therapist, and exercise science professional via a comparative analysis with kinematic data (KD) and to identify scoring criteria that would improve agreement between raters and KD scores. Design: Cross-sectional study. Setting: Motion analysis laboratory. Participants: A rater from each of 3 movement science disciplines rated the DS of 23 male college athletes (20.3 [1.2] y; 70.5 [3.5] kg). Interventions: Subjects were outfitted with reflective markers and asked to perform the DS. The DS performance was scored by 3 raters and kinematic analysis. Subsequently, the optimal set of criteria that minimized the difference between mode rater score and KD was determined via a Nelder–Mead simplex optimization routine. Main Outcome Measures: Intraclass correlation coefficients (ICCs) were calculated using SPSS (version 23; IBM, Armonk, NY) to determine tester agreement with the KD score and between the mode score and KD score. Results: Agreement was poor for the athletic trainer (ICC = .387), physical therapist (ICC = .298), exercise science professional (ICC = .378), and raters’ DS scores when compared with the KD. Agreement was poor for the mode score when compared with KD prior to optimization and good following optimization (ICC = .830), thereby allowing identification of specific scoring errors. Conclusions: Agreement for DS scores is poor when compared with KD; however, it may be improved with optimization of DS scoring criteria.


2014 ◽  
Vol 9 (2) ◽  
pp. 203-211 ◽  
Author(s):  
Robert F. Chapman ◽  
Abigail S. Laymon ◽  
Todd Arnold

Subjects with scores on the Functional Movement Screen (FMS) assessment of ≤14 or with at least 1 bilateral asymmetry have been shown to have greater future injury incidence than subjects with FMS scores >14 or no movement asymmetries.Purpose:To determine if FMS injury risk factors extend to longitudinal competitive performance outcomes in elite track and field athletes.Methods:Elite track and field athletes were examined (N = 121), each completing an FMS before the 2011 competitive season. Best competition marks for the year were obtained from athletes’ actual performances for 2010 and 2011. Performance change between 2010 and 2011 was examined in cohorts of FMS scores ≤14 (LoFMS) vs >14 (HiFMS), athletes with bilateral asymmetry in at least 1 of the 5 FMS movements vs athletes with no asymmetry, and athletes who scored 1 on the deep-squat movement vs athletes who scored 2 or 3.Results:HiFMS had a significantly different change in performance from 2010 to 2011 (0.41% ± 2.50%, n = 80) compared with LoFMS (−0.51% ± 2.30%, P = .03, n = 41). Athletes with no asymmetries had a longitudinal improvement in performance (+0.60% ± 2.86%, n = 50) compared with athletes with at least 1 asymmetry (−0.26% ± 2.10%, P = .03, n = 71). Athletes who scored 1 on the deep-squat movement had a significantly different change in performance (−1.07 ± 2.08%, n = 22) vs athletes who scored 2 (0.13% ± 2.28%, P = .03, n = 87) or 3 (1.98% ± 3.31%, P = .001, n = 12).Conclusion:Functional movement ability, known to be associated with the likelihood of future injury, is also related to the ability to improve longitudinal competitive performance outcomes.


Retos ◽  
2021 ◽  
Vol 41 ◽  
pp. 879-886
Author(s):  
Mercedes Vernetta Santana ◽  
Alicia Salas Morillas ◽  
Eva Mª Peláez-Barrios ◽  
Jesús López-Bedoya

  Objetivo: Valorar la calidad de movimiento aplicando el Functional Movement Screen (FMS) en adolescentes de 12 a 17 años practicantes o no de Gimnasia Acrobática (GA). Método: Estudio descriptivo, comparativo y transversal donde participaron 41 adolescentes (20 practicantes de GA y 21 no practicantes). Se usó la batería FMS, compuesta por siete pruebas: sentadilla profunda, paso de valla, estocada en línea, movilidad de hombro, elevación activa de la pierna recta, estabilidad del tronco en flexiones, estabilidad rotatoria del tronco. Resultados: se observó una relación estadísticamente significativa de signo positivo a través del estadístico R de Spearman, entre la puntuación global del FMS y la práctica de GA (p= .023). Las gimnastas presentan mejor calidad de movimiento que las no practicantes, con diferencias estadísticamente significativas, puntuando mejor en prácticamente todas las pruebas. Conclusión: se corrobora una relación entre la práctica de GA y una mayor puntuación del FMS.  Abstract. Objective: To assess the quality of movement by applying the Functional Movement Screen (FMS) to teenagers aged 12 to 17, whether or not they practice Acrobatic Gymnastics (AG). Methods: Descriptive, comparative and cross-sectional study in which 41 teenagers (20 AG practitioners and 21 non-practitioners) participated. The FMS battery was used, consisting of seven tests: deep squat, fence step, line lunge, shoulder mobility, active straight leg lift, trunk stability in bending, trunk rotation stability. Results: a statistically significant positive relationship was observed through Spearman's R statistic, between the overall FMS score and the AG practice (p= .023). Gymnasts presented better quality of movement than non-gymnastics practitioners, with statistically significant differences, scoring better in practically all tests. Conclusion: a relationship between AG practice and a higher FMS score is corroborated.


2021 ◽  
pp. 759-765
Author(s):  
Caitlyn Heredia ◽  
Robert G. Lockie ◽  
Scott K. Lynn ◽  
Derek N. Pamukoff

It is unclear if the Functional Movement Screen (FMS) scoring criteria identify kinematics that have been associated with lower extremity injury risk. The purpose was to compare lower extremity kinematics of the overhead deep squat (OHDS) during the FMS between individuals who were grouped on FMS scoring. Forty-five adults who were free of injury and without knowledge of the FMS or its scoring criteria (males = 19, females = 26; height = 1.68 0.08 m; mass = 70.7 7 13.0 kg). Three-dimensional lower extremity kinematics during an OHDS were measured using a motion capture system. One-way MANOVA was used to compare kinematic outcomes (peak hip flexion angle, hip adduction angle, knee flexion angle, knee abduction angle, knee internal rotation angle, and ankle dorsiflexion angle) between FMS groups. Those who scored a 3 had greater peak hip flexion angle (F2,42 = 8.75; p = 0.001), knee flexion angle (F2,42 = 13.53; p = 0.001), knee internal rotation angle (F2,42 = 12.91; p = 0.001), and dorsiflexion angle (F2,42 = 9.00; p = 0.001) compared to those who scored a 2 or a 1. However, no differences were found in any outcome between those who scored a 2 and those who scored a 1, or in frontal plane hip or knee kinematics. FMS scoring for the OHDS identified differences in squat depth, which was characterized by larger peak hip, knee, and dorsi- flexion angles in those who scored a 3 compared with those who scored 2 or 1. However, no differences were found between those who scored a 2 or 1, and caution is recommended when interpreting these scores. Despite a different FMS score, few differences were observed in frontal or transverse plane hip and knee kinematics, and other tasks may be needed to assess frontal plane kinematics.


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