The Accuracy of the Functional Movement Screen to Identify Individuals With an Elevated Risk of Musculoskeletal Injury

2014 ◽  
Vol 23 (4) ◽  
pp. 360-364 ◽  
Author(s):  
Kirk Krumrei ◽  
Molly Flanagan ◽  
Josh Bruner ◽  
Chris Durall
Keyword(s):  
Injury Risk ◽  
Assessment Tool ◽  
Elevated Risk ◽  
Functional Movement Screen ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Functional Movement ◽  
Highly Active ◽  
Risk Of Injury ◽  
Increased Risk

Clinical Scenario:Injuries are somewhat commonplace in highly active populations. One strategy for reducing injuries is to identify individuals with an elevated injury risk before participation so that remediative interventions can be provided. Preparticipation screenings have traditionally entailed strength and flexibility measures thought to be indicative of inflated injury risk. Some researchers, however, have suggested that functional movements/tasks should be assessed to help identify individuals with a high risk of future injury. One assessment tool used for this purpose is the Functional Movement Screen (FMS). The FMS generates a numeric score based on performance attributes during 7 dynamic tasks; this score is purported to reflect future injury risk. Expanding interest in the FMS has led researchers to investigate how accurately it can identify individuals with an increased risk of injury.Focused Clinical Question:Can the Functional Movement Screen accurately identify highly active individuals with an elevated risk of injury?

A preliminary study investigating functional movement screen test scores in female collegiate age horse-riders

2019 ◽  
Vol 15 (2) ◽  
pp. 105-112 ◽  
Author(s):  
V. Lewis ◽  
J.L. Douglas ◽  
T. Edwards ◽  
L. Dumbell
Keyword(s):  
Injury Risk ◽  
Screen Test ◽  
Functional Movement Screen ◽  
Data Set ◽  
Functional Movement ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Significant Difference ◽  
Training Programmes ◽  
Movement Asymmetry

The functional movement screen (FMS) is an easily administered and non-invasive tool to identify areas of weakness and asymmetry during specific exercises. FMS is a common method of athlete screening in many sports and is used to ascertain injury risk, but has to be used within an equestrian population. The aim of this study was to establish FMS scores for female collegiate age (18-26 years) riders, to inform a normative data set of FMS scores in horse riders in the future. Thirteen female collegiate horse riders (mean ± standard deviation (sd); age 21.5±1.4 years, height 167.2±5.76 cm, mass 60.69±5.3 kg) and 13 female collegiate non-riders (mean ± sd; age 22.5±2.1 years, height 166.5±5.7 cm, mass 61.5±4.9 kg) were assessed based on their performance on a 7-point FMS (deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg raise, trunk stability and rotary stability). The mean composite FMS scores (± sd) for the rider group was 14.15±1.9 and for the non-riders was 13.15±1.77. There was no statistically significant difference in median FMS composite scores between the rider and non-rider groups (Mann-Whitney U test, z=-1.249, P=0.223). However, 46% of riders and 69% of non-riders scored ≤14, indicating that a non-rider is 1.5 times (odds ratio) more likely to be at increased risk of injury compared to riders. Collegiate female riders scored higher than the non-rider population, but lower than seen in other sports suggesting some riders may be at risk of injury. Riders’ FMS scores demonstrated asymmetric movement patterns potentially limiting left lateral movement. Asymmetry has a potential impact on equestrian performance, limiting riders’ ability to apply the correct cues to the horse. The findings of such screening could inform the development of axillary training programmes to correct asymmetry pattern and target injury prevention.

scholarly journals HURDLE STEP COMPONENT SCORE FROM THE FUNCTIONAL MOVEMENT SCREEN IS ASSOCIATED WITH STRENGTH, SPEED, AND JUMP PERFORMANCE

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0017
Author(s):  
Sophia M. Ulman ◽  
Laura Saleem ◽  
Kirsten Tulchin-Francis
Keyword(s):  
Athletic Performance ◽  
Injury Risk ◽  
Functional Movement Screen ◽  
Jump Performance ◽  
Functional Movement ◽  
Youth Athletes ◽  
Component Score ◽  
Highly Active ◽  
Knee Strength ◽  
Component Scores

Background: The Functional Movement Screen (FMS) is a tool designed to establish a baseline for fundamental movement capacity, highlight limitations and limb asymmetries, and identify potential injury risk. Previous research has shown that individual components of the screen are also indicative of injury risk, as well as potential predictors of athletic performance unlike the FMS composite scores. However, this literature is limited and lacks statistical power. Identifying which component scores are predictive of injury risk and athletic performance would provide a quick, powerful tool for coaches and trainers to evaluate athletes. Purpose: To determine if individual component scores of the FMS are associated with athletic performance in highly-active youth athletes. Methods: Youth athletes participated in the Specialized Athlete Functional Evaluation (SAFE) Program. Data collection was extensive, however, for the purpose of this abstract, only a selection of data was analyzed – age, BMI, years played, total number of past injuries, isokinetic knee strength, 10- and 20-meter sprint, single-leg hop (SLH) distance, and FMS scores. Seated knee flexion/extension strength was collected at 120°/second using a Biodex System 4, and peak torque was normalized by body weight. The maximum distance of three SLHs was recorded for each leg and normalized to leg length. FMS scores used for analysis included the total composite and component scores, including the deep squat, hurdle step, in-line lunge, shoulder mobility, active straight-leg raise, trunk stability push-up, and rotary stability. Wilcoxon Signed Ranks Tests were used to determine side-to-side differences, and Kruskal-Wallis tests were performed to determine differences in athletic performance based on FMS scores ( α<0.05). Results: A total of 38 highly-active, youth athletes (26F; 15.4±2.6 years; BMI 21.0±5.3) were tested. Participants reported playing organized sports for 8.7±3.4 years, having 2.0±1.2 past sports-related injuries, and 74% reported specializing in a single sport. No side-to-side differences were found. While the composite FMS score significantly differed by number of past injuries ( p=0.036), it was not associated with athletic performance. Alternatively, left knee strength, sprint speeds, and right hop distance significantly differed by the hurdle step component score (Table 1). Conclusion: While the composite FMS score was not an indicator of athletic performance, the hurdle step component score was associated with strength, speed, and jump performance. This individual task could be a beneficial tool for coaches and trainers when evaluating athletic ability and injury risk of athletes. Tables/Figures: [Table: see text]

Reliability of Clinician Scoring of the Functional Movement Screen to Assess Movement Patterns

2015 ◽  
Vol 24 (2) ◽  
pp. 219-222 ◽  
Author(s):  
Lisa M. Stobierski ◽  
Shirleeah D. Fayson ◽  
Lindsay M. Minthorn ◽  
Tamara C. Valovich McLeod ◽  
Cailee E. Welch
Keyword(s):  
Real Time ◽  
Health Care Professionals ◽  
Movement Patterns ◽  
Functional Movement Screen ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Clinical Tool ◽  
Physically Active ◽  
Functional Movement ◽  
Active Population

Clinical Scenario:Injuries are inevitable in the physically active population. As a part of preventive medicine, health care professionals often seek clinical tools that can be used in real time to identify factors that may predispose individuals to these injuries. The Functional Movement Screen (FMS), a clinical tool consisting of 7 individual tasks, has been reported as useful in identifying individuals in various populations that may be susceptible to musculoskeletal injuries. If factors that may predispose physically active individuals to injury could be identified before participation, clinicians may be able to develop a training plan based on FMS scores, which could potentially decrease the likelihood of injury and overall time missed from physical activities. However, in order for a screening tool to be used clinically, it must demonstrate acceptable reliability.Focused Clinical Question:Are clinicians reliable at scoring the FMS, in real time, to assess movement patterns of physically active individuals?

The Functional Movement Screen’s Ability to Detect Changes in Movement Patterns After a Training Intervention

2015 ◽  
Vol 24 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Lindsay M. Minthorn ◽  
Shirleeah D. Fayson ◽  
Lisa M. Stobierski ◽  
Cailee E. Welch ◽  
Barton E. Anderson
Keyword(s):  
Injury Prevention ◽  
Movement Patterns ◽  
Movement Pattern ◽  
Standard Test ◽  
Intervention Programs ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Functional Movement ◽  
Rehabilitation Programs ◽  
Increased Risk

Clinical Scenario:Appropriate movement patterns during sports and physical activities are important for both athletic performance and injury prevention. The assessment of movement dysfunction can assist clinicians in implementing appropriate rehabilitation programs after injury, as well as developing injury-prevention plans. No gold standard test exists for the evaluation of movement capacity; however, the Functional Movement Screen (FMS) has been recommended as a tool to screen for movement-pattern limitations and side-to-side movement asymmetries. Limited research has suggested that movement limitations and asymmetries may be linked to increased risk for injury. While this line of research is continuing to evolve, the use of the FMS to measure movement capacity and the development of intervention programs to improve movement patterns has become popular. Recently, additional research examining changes in movement patterns after standardized intervention programs has emerged.Clinical Question:Does an individualized training program improve movement patterns in adults who participate in high-intensity activities?

The Effectiveness of Cervical Strengthening in Decreasing Neck-Injury Risk in Wrestling

2017 ◽  
Vol 26 (4) ◽  
pp. 306-310
Author(s):  
Katherine Lee ◽  
James Onate ◽  
Samar McCann ◽  
Tamerah Hunt ◽  
Wilbert Turner ◽  
...  
Keyword(s):  
Injury Risk ◽  
Vital Role ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Bottom Line ◽  
Level Of Evidence ◽  
Risk Of Injury ◽  
Cervical Musculature ◽  
Based Medicine ◽  
Work Done

Clinical Scenario:In wrestling, athletes often support a large amount of weight on their heads or are forced into extreme ranges of motion. These suboptimal movement conditions lead to a high prevalence of neck injuries in wrestlers. A large portion of the work done by the cervical musculature in wrestling is theorized to be eccentric or isometric types of contractions. Strengthening of these cervical muscles is clinically considered to play a vital role in being competitive on the wrestling mat. The cervical stability provided by strengthening these muscles may also play a part in injury prevention among wrestlers.Focused Clinical Question:Does increased cervical strength lead to a decreased risk of injury in wrestling?Summary of Search, “Best Evidence” Appraised, and Key Findings:The literature was searched for studies of level 4 evidence or higher using the Oxford Centre for Evidence-Based Medicine level of evidence system that investigated the relationship between cervical strength and injury risk in wrestling. No studies were found comparing cervical strength to injury risk in wrestling, but 2 related studies were found and have been included in this critically appraised topic.Clinical Bottom Line:There is poor evidence to support a relationship between cervical strength and injury risk in wrestling.Strength of Recommendation:There is grade C evidence to indicate that increased cervical strength decreases the risk of injury in wrestling.

scholarly journals Effects of a preparatory training protocol on the movement and body stability of handball players

2021 ◽  
pp. 42-56
Author(s):  
Rađević N ◽  
Simović S ◽  
Ponorac N ◽  
Drljačić D
Keyword(s):  
Injury Risk ◽  
Functional Movement Screen ◽  
Exercise Protocol ◽  
Functional Movement ◽  
Risk Of Injury ◽  
Eta Squared ◽  
Deep Squat ◽  
Impact Injury ◽  
Training Protocol ◽  
Initial Measurement

Handball is a sport with a high risk of injury, The prevalence of injury is only obtainable through a thorough and comprehensive analysis. One of the most commonly used test batteries for interpreting the characteristics of an injury is the Functional Movement Screen (FMSTM). It makes possible to possible to identify movement limitations and asymmetries which are believed to impact injury risk in sports. The aim of this study is to use the FMSTM to determine whether an eight-week training protocol can predict and prevent injuries in handball. The study sample comprised the fifteen members of the Borac handball club youth team. The initial measurement showed that most players (80%) had an overall score in the test battery ranging from 15 to 20 points. In addition, three players were found to have asymmetry. Only one of the three players had an overall score in the FMSTM of ≤14. The participants scored the lowest in the initial measurement for Rotary Stability, followed by Deep Squat and Hurdle Step Left. They scored the highest in the Shoulder Mobility. After the implementation of the exercise protocol for improving body mobility and stability, the final measurements showed that all the participants had an overall score in the FMSTM of >14. The value of eta squared showed that training in between the two measurements had a significant impact. At the time of testing and protocol implementation no players sustained any injuries during matches or in training. This study confirmed that the FMSTM can be used to predict injuries in sports.

scholarly journals The Relationship between Dynamic Balance and Jumping Tests among Adolescent Amateur Rugby Players. A Preliminary Study

2021 ◽  
Vol 18 (1) ◽  
pp. 312
Author(s):  
Bartosz Wilczyński ◽  
Jakub Hinca ◽  
Daniel Ślęzak ◽  
Katarzyna Zorena
Keyword(s):  
Injury Risk ◽  
Dynamic Balance ◽  
Study Data ◽  
Balance Test ◽  
Risk Of Injury ◽  
Counter Movement Jump ◽  
Increased Risk ◽  
Positive Correlations ◽  
The Relationship ◽  
Rugby Players

Rugby is a demanding contact sport. In light of research, poor balance, reduced jumping ability, muscle strength, and incorrect landing patterns might contribute to the increased risk of injury in athletes. Investigating the relationship between tests assessing these abilities might not only allow for the skillful programming of preventive training but also helps in assessing the risk of injury to athletes. Thus, the main purpose of this study was to investigate the relationship between dynamic balance, vertical and horizontal jumps, and jump-landings movement patterns. Thirty-one healthy amateur adolescent rugby players (age: 14.3 ± 1.6 years, height 171.4 ± 9.7 cm, body mass 80 ± 26 kg) participated in the study. Data were collected by the Y-balance Test (YBT), Counter Movement Jump (CMJ), Single Leg Hop for Distance (SLHD), and Landing Error Score System (LESS). Significant positive correlations were found between SLHD both legs (SLHDb) and YBT Composite both legs (COMb) (r = 0.51, p = 0.0037) and between SLHDb and CMJ (r = 0.72, p < 0.0001). A relationship was also observed between the CMJ and YBT COMb test (r = 0.51, p = 0.006). Moderate positive correlations were found between the dominant legs in SLHD and the posterolateral (r = 0.40, p = 0.027), posteromedial (r = 0.43, p = 0.014), and composite (r = 0.48, p = 0.006) directions of the YBT. These results indicate that variables that are dependent on each other can support in the assessment of injury-risk and in enhancing sports performance of young athletes.

scholarly journals Protection Against Spikes in Workload With Aerobic Fitness and Playing Experience: The Role of the Acute:Chronic Workload Ratio on Injury Risk in Elite Gaelic Football

2017 ◽  
Vol 12 (3) ◽  
pp. 393-401 ◽  
Author(s):  
Shane Malone ◽  
Mark Roe ◽  
Dominic A. Doran ◽  
Tim J. Gabbett ◽  
Kieran D. Collins
Keyword(s):  
Aerobic Fitness ◽  
Injury Risk ◽  
Perceived Exertion ◽  
Reference Group ◽  
Time Trial ◽  
Rating Of Perceived Exertion ◽  
Football Players ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Injury Protection

Purpose:To examine the association between combined session rating of perceived exertion (RPE) workload measures and injury risk in elite Gaelic footballers.Methods:Thirty-seven elite Gaelic footballers (mean ± SD age 24.2 ± 2.9 y) from 1 elite squad were involved in a single-season study. Weekly workload (session RPE multiplied by duration) and all time-loss injuries (including subsequent-wk injuries) were recorded during the period. Rolling weekly sums and wk-to-wk changes in workload were measured, enabling the calculation of the acute:chronic workload ratio by dividing acute workload (ie, 1-weekly workload) by chronic workload (ie, rolling-average 4-weekly workload). Workload measures were then modeled against data for all injuries sustained using a logistic-regression model. Odds ratios (ORs) were reported against a reference group.Results:High 1-weekly workloads (≥2770 arbitrary units [AU], OR = 1.63–6.75) were associated with significantly higher risk of injury than in a low-training-load reference group (<1250 AU). When exposed to spikes in workload (acute:chronic workload ratio >1.5), players with 1 y experience had a higher risk of injury (OR = 2.22) and players with 2–3 (OR = 0.20) and 4–6 y (OR = 0.24) of experience had a lower risk of injury. Players with poorer aerobic fitness (estimated from a 1-km time trial) had a higher injury risk than those with higher aerobic fitness (OR = 1.50–2.50). An acute:chronic workload ratio of (≥2.0) demonstrated the greatest risk of injury.Conclusions:These findings highlight an increased risk of injury for elite Gaelic football players with high (>2.0) acute:chronic workload ratios and high weekly workloads. A high aerobic capacity and playing experience appears to offer injury protection against rapid changes in workload and high acute:chronic workload ratios. Moderate workloads, coupled with moderate to high changes in the acute:chronic workload ratio, appear to be protective for Gaelic football players.

Assessment of fundamental movement patterns and risk of injury in male soccer players

Physiotherapy ◽  
2017 ◽  
Vol 24 (2) ◽  
Author(s):  
Stanisław Gadziński ◽  
Agata Masłoń ◽  
Dorota Czechowska ◽  
Joanna Golec ◽  
Elżbieta Szczygieł ◽  
...  
Keyword(s):  
Functional Status ◽  
Age Groups ◽  
Soccer Players ◽  
Functional Movement Screen ◽  
Test Results ◽  
Motor Tasks ◽  
Functional Movement ◽  
Risk Of Injury ◽  
The Mean ◽  
Fundamental Movement Patterns

AbstractIntroduction. The aim of the study was to assess the functional status of male soccer players in different age groups who played on different surfaces. Methods. The study included 45 soccer players aged 13-35 years. Among them, 15 were junior players, 15 were players of the senior Silesia-Opole 3rd league (SL), and 15 were senior players in the futsal Extra Class league (SF). The functional status and basic motor skills were assessed according to the results obtained in seven motor tasks included in the Functional Movement Screen™ (FMS) test. Results. The mean total scores in the FMS test were statistically significantly higher among both senior futsal and senior 3

scholarly journals The Level of the Functional Movement Screen Among Traditional Dancers

2021 ◽  
Vol 17 (11) ◽  
pp. 103
Author(s):  
Segar A/L A. Maniveloo ◽  
Borhannudin Abdullah ◽  
Shamsulariffin Samsudin
Keyword(s):  
Descriptive Analysis ◽  
Rotational Stability ◽  
Functional Movement Screen ◽  
Stability Tests ◽  
Functional Movement ◽  
Risk Of Injury ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Difference ◽  
Deep Squat

Movement assessments are commonly used to assess athlete&rsquo;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&rsquo;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&rsquo; 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 &gt;.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.

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