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

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?

2015 ◽  
Vol 24 (2) ◽  
pp. 214-218 ◽  
Author(s):  
Jessica G. Markbreiter ◽  
Bronson K. Sagon ◽  
Tamara C. Valovich McLeod ◽  
Cailee E. Welch

Clinical Scenario:An individual’s movement patterns while landing from a jump can predispose him or her to lower-extremity injury, if performed improperly. The Landing Error Scoring System (LESS) is a clinical tool to assess jump-landing biomechanics as an individual jumps forward from a box. Improper movement patterns, which could predispose an individual to lower-extremity injuries, are scored as errors. However, because of the subjective nature of scoring errors during the task, the consistency and reliability of scoring the task are important. Since the LESS is a newer assessment tool, it is important to understand its reliability.Focused Clinical Question:Are clinicians reliable at scoring the LESS to assess jump-landing biomechanics of physically active individuals?


2015 ◽  
Vol 24 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Lindsay M. Minthorn ◽  
Shirleeah D. Fayson ◽  
Lisa M. Stobierski ◽  
Cailee E. Welch ◽  
Barton E. Anderson

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?


2014 ◽  
Vol 23 (4) ◽  
pp. 360-364 ◽  
Author(s):  
Kirk Krumrei ◽  
Molly Flanagan ◽  
Josh Bruner ◽  
Chris Durall

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?


Author(s):  
Pat R. Vehrs ◽  
Martina Uvacsek ◽  
Aaron W. Johnson

The Functional Movement Screen (FMS) is a screening tool that identifies dysfunctional movements in seven test items requiring an interplay of cognitive, perceptual, proprioceptive, and motor functions that involve muscular strength/endurance, flexibility, mobility, coordination, and balance. The results of the FMS include an overall composite score, scores on the individual test items, and identification of compensatory movement patterns and left-right asymmetries on 5 bilateral test items. Although there is a plethora of literature on the use of the FMS in adults, there is a growing body of evidence indicating its use in children. The available research in children involves school children and young athletes in at least 20 different sports in over 20 countries and comparisons between pre- and post-pubescent children, and normal weight, overweight, and obese children. Studies that include measures of adiposity and physical activity levels, or report prevalence of asymmetries and dysfunctional movement patterns are not well represented in the children’s literature. The purpose of this paper is to synthesize the currently available literature in children and suggest potential uses of the FMS by coaches, physical educators, and other health/fitness professionals, appropriate interpretation of results, and future research in children.


2019 ◽  
Vol 29 (88) ◽  
pp. 85-96
Author(s):  
Iwona Sulowska-Daszyk ◽  
Agnieszka Skiba

Aim: The aim of this study was to evaluate the relationship between the results achieved in the Functional Movement Screen test and various aspects of training as well as injury history in long-distance runners. Basic procedures: The study involved 30 long-distance runners aged 20 to 45 years, training regularly from two to seven days a week and covering a total distance from 10 to 100 km. The subjects completed a questionnaire containing queries about training and past injuries. The Functional Movement Screen test was used to assess the quality of movement patterns. Results: The mean total score in the FMS test was 16.03 points. Results within the range from 18 to 21 points were achieved by 6 subjects, 3 of the subjects suffering injuries in the past. Results in the range from 14 to 17 points were obtained by22 subjects, 14 subjects having a history of injury. Ascore below 14 points was reachedby 2 subjects, both of them suffering injuries in the past. Conclusions: The results of this study indicate that a lower FMS score is associated with a greater number of injuries in the past. Warming up before training is a good way to prevent injury, while stretching after training does not seem reduce the incidence of injury.


2016 ◽  
Vol 25 (4) ◽  
pp. 404-410 ◽  
Author(s):  
Heidi Krueger ◽  
Shannon David

Clinical Scenario:There are 2 approaches available for surgical repair of the Achilles tendon: open or percutaneous. However, there is controversy over which repair is superior.Focused Clinical Question:Which type of surgery is better in providing the best overall patient outcome, open or percutaneous repair, in physically active men and women with acute Achilles tendon ruptures?Summary of Search, “Best Evidence” Appraised, and Key Findings:The literature was searched for studies of level 3 evidence or higher that investigated the effectiveness of open repair versus percutaneous repair on acute Achilles tendon ruptures in physically active men and women. The literature search resulted in 3 studies for possible inclusion. All 3 good-quality studies were included.Clinical Bottom Line:There is supporting evidence to indicate that percutaneous repair is the best option for Achilles tendon surgery when it comes to the physically active population. Percutaneous repair has faster surgery times, less risk of complications, and faster recovery times over having an open repair, although it is acknowledged that every patient has a different situation and best individual option may vary patient to patient.


2020 ◽  
Vol 12 (1) ◽  
pp. 10-16
Author(s):  
Dorota Chałubińska ◽  
Aleksandra Truszczyńska-Baszak ◽  
Agata Reszelewska ◽  
Paweł Targosiński ◽  
Witold Rekowski

SummaryIntroduction: The aim of the study was to evaluate whether our own twelve-week Sensorimotor Exercise Programme (SEP) affected FMS results in canoe slalom athletes. The Functional Movement Screen (FMS) is a tool for detecting asymmetries and movement range limitations in order to prevent sport injuries. The screen evaluates mobility and stability in seven fundamental movement patterns.Material and methods: The study population consisted of 16 athletes from the Canoe Slalom National Team of Poland who competed in three sports categories: kayak single, canoe single, canoe double. The athletes, 13 men and 3 women, undertook the FMS screen twice before the starting season. Between the first and the second screen the athletes undertook a twelve-week long sensorimotor training programme.Results: The result analysis showed a statistically significant difference in FMS results. The mean FMS screen result after twelve weeks of training increased from 16.6 points to 19.6 points.Conclusions: An adequately designed SEP can lead to an improvement in athlete movement patterns. The FMS screen allows for assessment of changes in athlete movement patterns after twelve weeks of SEP training.


2019 ◽  
Vol 29 (87) ◽  
pp. 20-29
Author(s):  
DANUTA UMIASTOWSKA ◽  
URSZULA DOMAŃSKA

Introduction. Handball is a discipline categorised by high intensity of direct opponent contact, which upturns the risk of injuries. Contemporary sports therapy puts a lot of pressure on injury prevention in competitive sports. The key issue is prophylaxis, used to reduce the possibility of injury or the causing factors. An important element of prophylaxis is comprehensive functional physiotherapeutic assessment, which allows for early detection of asymmetry, assessment of the probability of injury and the implementation of proper corrective techniques. One of the tools used for athlete’s comprehensive functional assessment is the Functional Movement Screen test. Aim. A comparison of correct movement patterns among 15-16-year-old handball players from the West Pomeranian Voivodeship in 2016-2018 and definition of changes on the of functional fitness level supported by implemented corrective exercises. Materials and methods. The research material was of a group of 60 girls and 60 boys (15-16-y.o. amateur handball players). The research was carried out during the autumn meetings of the provincial cadre. The Functional Movement Screen test and the questionnaire were used for the study. Results. In the group of girls during the 2016–2018 period, there was a regress of 2.18 points noticed, whereas in the group of boys, this equalled 3.53 points. Considering the results of the FMS test, corrective exercises were introduced. After the 6-month correction period,progress of 1.18 points was noticed in the group of girls and 1.80 points in the boys’ group. Conclusions. 1. In the period of 2016–2018, weaker and slower results of tests assessing correct movement patterns were observed among girls and boys, which is obviously an indicator of high injury risk. 2. Implementation of corrective exercises in the training of handball players resulted in an increase of functional efficiency among the examined players.


2019 ◽  
Vol 33 (7) ◽  
pp. 1848-1854 ◽  
Author(s):  
Eric M. Scudamore ◽  
Sandra L. Stevens ◽  
Dana K. Fuller ◽  
John M. Coons ◽  
Don W. Morgan

2017 ◽  
Vol 26 (3) ◽  
pp. 279-285 ◽  
Author(s):  
Cori Sinnott ◽  
Hayley M. White ◽  
Jennifer W. Cuchna ◽  
Bonnie L. Van Lunen

Clinical Scenario:Achilles tendinopathy is a painful condition commonly affecting the general and athletic population. It presents with localized pain, stiffness, and swelling in the midportion of the Achilles tendon. The physical stress placed on the tendon results in microtrauma, which leads to subsequent inflammation and degeneration. While it is not surprising that this condition affects the physically active, nearly one-third of Achilles tendinopathy cases occur in sedentary individuals. Etiology for this condition stems from a change in loading patterns and/or overuse of the tendon, resulting in microscopic tearing and degenerative changes. There are numerous causes contributing to the maladaptive response in these patients, such as mechanical, age-related, genetic, and vascular factors. The treatment for these patients is typically load management and eccentric strengthening of the gastrocnemius–soleus complex. Unfortunately, conservative treatment can lead to surgical intervention in up to 45% of cases. A relatively new phenomenon in the treatment of this condition is the use of autologous blood injections (ABI) and platelet-rich plasma injections (PRPI). This need for a less invasive treatment fostered more investigation into ABI and PRPI to treat these nonresponsive patients. However, the evidence concerning the effectiveness of these treatments in patients with Achilles tendinopathy has not been synthesized.Focused Clinical Question:In patients with Achilles tendinopathy, how do variations of ABI and PRPI compared with a placebo and/or eccentric training affect pain and function?


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