scholarly journals Evaluation of the Functional Movement Screen (FMS) in Identifying Active Females Who are Prone to Injury. A Systematic Review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mojtaba Asgari ◽  
Shahab Alizadeh ◽  
Anna Sendt ◽  
Thomas Jaitner
Keyword(s):  
At Risk ◽  
Predictive Validity ◽  
Team Sports ◽  
Predictive Ability ◽  
Small Sample ◽  
Cutoff Point ◽  
Functional Movement Screen ◽  
Sample Sizes ◽  
Level Of Evidence ◽  
Functional Movement

Abstract Background The validity of the Functional Movement Screen (FMS) in identifying active females who are predisposed to injury has not been specifically reviewed. This study aims to synthesize the literature on the ability of the FMS to identify at-risk active females. Methods Six online databases, including PubMed, Medline, Web of Science, Science Direct, SPORTDiscus and Google Scholar, were searched for the period of April 2006 to September 2021. Out of the 61 potential references, 17 were reviewed in detail with respect to the inclusion criteria; ten were ultimately included. The risk of bias, applicability and level of the studies were then identified using the QUADAS-2 and a checklist for assessing methodological quality. The following data were obtained from the included studies: year of publication, title, study type, participants’ demographic, sample size, FMS cutoff point, injury definition, statistical analyses used, FMS results and study level. Results Generally, the quality of eight studies was poor to moderate due to both small sample sizes and short follow-up periods. Except for a study on military members, all studies were carried out on team sports players. The overall bias of the studies was low, but there was an unclear amount of bias for participant selection. Two studies reported no predictive validity for the FMS, while three defended its predictive validity; the rest partially supported the FMS as a valid diagnostic tool. The reliability of the recommended cutoff point was confirmed, though cutoffs higher than 14 were significantly associated with the predictive ability of the FMS. Conclusion Although the FMS is reliable for clinical practice, and the current literature shows promise regarding the predictive ability of the FMS among active females, concerns remain regarding its validity in identifying at-risk females. Given the lack of clarity in the literature on the use of the FMS in females, further well-organized studies with larger sample sizes and longer monitoring periods are highly recommended. The sensitivity and specificity of the recommended cutoff of ≤ 14 has considerably decreased , and higher cutoff values should be applied to increase the FMS predictive ability. Level of evidence The level of evidence was determined to be 2b.

scholarly journals Predictive Validity of a Functional Movement Screen in Professional Basketball Players

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 724
Author(s):  
Donald L. Hoover ◽  
Clyde B. Killian ◽  
Rachel A. Tinius ◽  
David M. Bellar ◽  
Steven G. Wilkinson ◽  
...  
Keyword(s):  
Predictive Validity ◽  
Predictive Ability ◽  
National Basketball Association ◽  
Functional Movement Screen ◽  
Linear Regression Models ◽  
Basketball Players ◽  
Functional Movement ◽  
Professional Basketball ◽  
Cut Score ◽  
Specific Incident

Background and objectives: Striking a balance between maximizing performance and preventing injury remains elusive in many professional sports. The purpose of this study was to assess the relative risk of non-contact injuries in professional basketball players based on predictive cut scores on the Functional Movement Screen™ (FMS). Materials and Methods: Thirty-two professional basketball players from the National Basketball Association (NBA) and Women’s National Basketball Association (WNBA) participated in this study. This observational pilot cohort study assessed and scored each participant using the FMS during training camp. Each athlete was then tracked throughout the season while recording the number, type, and time lost due to injuries. Possible exposures, actual exposures, and exposures missed due to non-contact injury (NCI) for each athlete were calculated and then used to determine the crude and specific incident rates for exposures missed due to NCI per 1000 exposures. Results: Linear regression models were used to evaluate the predictive ability of the FMS score for total missed exposures, NCI, and CI missed exposures. In all models, the FMS total score failed to attain significance as a predictor (p > 0.05). FMS scores ranged from 5 to 18. The recommended cut score of 14 showed a sensitivity of 0.474 and a specificity of 0.750. The cut score of 15 showed the best combination, exhibiting a sensitivity of 0.579 and specificity of 0.625. A total of 5784 exposures to NCI were possible for the men and women combined, and 681 possible exposures were missed. Of these, 23.5% were due to NCI, 16.5% were due to contact injuries (CI), and 60% were due to illnesses and personal reasons. Conclusions: The FMS proved to be a measure that was not associated with any injury measure in this sample of professional basketball players, suggesting the instrument lacks predictive validity in this population.

scholarly journals Treatment of Chemotherapy-Induced Peripheral Neuropathy: Systematic Review and Recommendations

2018 ◽  
Vol 1 (21;1) ◽  
pp. 571-592 ◽  
Author(s):  
Salahadin Abdi
Keyword(s):  
Systematic Review ◽  
Peripheral Neuropathy ◽  
Laser Therapy ◽  
Chemotherapeutic Agents ◽  
Small Sample ◽  
Low Level Laser Therapy ◽  
Pharmacologic Therapy ◽  
Sample Sizes ◽  
Level Of Evidence

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a commonly encountered disease entity following chemotherapy for cancer treatment. Although only duloxetine is recommended by the American Society of Clinical Oncology (ASCO) for the treatment of CIPN in 2014, the evidence of the clinical outcome for new pharmaceutic therapies and non-pharmaceutic treatments has not been clearly determined. Objective: To provide a comprehensive review and evidence-based recommendations on the treatment of CIPN. Study Design: A systematic review of each treatment regimen in patients with CIPN. Methods: The literature on the treatment of CIPN published from 1990 to 2017 was searched and reviewed. The 2011 American Academy of Neurology Clinical Practice Guidelines Process Manual was used to grade the evidence and risk of bias. We reviewed and updated the recommendations of the ASCO in 2014, and evaluated new approaches for treating CIPN. Results: A total of 26 treatment options in 35 studies were identified. Among these, 7 successful RCTs, 6 failed RCTs, 18 prospective studies, and 4 retrospective studies were included. The included studies examined not only pharmacologic therapy but also other modalities, including laser therapy, scrambler therapy, magnetic field therapy and acupuncture, etc. Most of the included studies had small sample sizes, and short follow-up periods. Primary outcome measures were highly variable across the included studies. No studies were prematurely closed owing to its adverse effects. Limitations: The limitations of this systematic review included relatively poor homogeneous, with variations in timing of treatment, primary outcomes, and chemotherapeutic agents used. Conclusion: The evidence is considered of moderate benefit for duloxetine. Photobiomodulation, known as low level laser therapy, is considered of moderate benefit based on the evidence review. Evidence did not support the use of lamotrigine and topical KA (4% ketamine and 2% amitriptyline). The evidence for tricyclic antidepressants was inconclusive as amitriptyline showed no benefit but nortriptyline had insufficient evidence. Further research on CIPN treatment is needed with larger sample sizes, long-term follow-up, standardized outcome measurements, and standardized treatment timing. Key words: Chemotherapy-induced neuropathy, peripheral neuropathy, chemotherapy-tumor, neuropathic pain, chronic pain, toxicology, treatment, reduction of pain, level of evidence.

Combining physical performance and Functional Movement Screen testing to identify elite junior Australian Football athletes at risk of injury

2020 ◽  
Vol 30 (8) ◽  
pp. 1449-1456
Author(s):  
Stephen C. Jones ◽  
Joel T. Fuller ◽  
Samuel Chalmers ◽  
Thomas A. Debenedictis ◽  
Andrew Zacharia ◽  
...  
Keyword(s):  
At Risk ◽  
Physical Performance ◽  
Functional Movement Screen ◽  
Functional Movement ◽  
Risk Of Injury ◽  
Australian Football

Assessment of Preschoolers At-Risk with the WPPSI—R and the Stanford-Binet L—M

1992 ◽  
Vol 71 (2) ◽  
pp. 659-664 ◽  
Author(s):  
Kathryn C. Gerken ◽  
Albert F. Hodapp
Keyword(s):  
At Risk ◽  
Predictive Validity ◽  
Psychological Assessment ◽  
Intellectual Functioning ◽  
Small Sample ◽  
Full Scale ◽  
Verbal Iq

The purpose of this study was to provide data on the validity of using the WPPSI—R with 16 preschoolers who had been referred for psychological assessment. A comparison of the preschoolers' performance on the WPPSI—R and the Stanford-Binet L-M was made. Children ranged in age from 3-0 to 6-0 years, with a mean age of 4–5 yr. The correlations between WPPSI—R and Stanford-Binet L-M scores were strong; WPPSI—R Verbal IQ and Stanford-Binet L-M IQ, r = .85; WPPSI—R Performance IQ and Stanford-Binet L-M IQ, r = .75, and WPPSI—R Full Scale IQ and Stanford-Binet L-M IQ, r = .82. For this very small sample of children whose mean IQ was significantly below average, the WPPSI—R appeared to assess validly their current intellectual functioning. Attention should be given concurrent and predictive validity as well as the efficiency of using the WPPSI—R with other and larger samples of referred children.

Significant demographic and geographic differences exist in the reporting of superior labrum from anterior to posterior tear literature: a systematic review

2018 ◽  
Vol 3 (5) ◽  
pp. 298-303
Author(s):  
Neil K Bakshi ◽  
Moin Khan ◽  
Jacob M Kirsch ◽  
Edward Perera ◽  
Giulia Rinaldi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Outcome ◽  
Case Series ◽  
Small Sample ◽  
Diagnosis And Treatment ◽  
Sample Sizes ◽  
Level Of Evidence ◽  
Superior Labrum ◽  
Outcome Scores ◽  
Geographic Differences

ImportanceSuperior labrum from anterior to posterior (SLAP) pathology can result in significant pain and functional limitation for a wide variety of patients. Although many different options have been described for the diagnosis and treatment of SLAP pathology, there is little high-quality evidence to support a given diagnosis/treatment method.ObjectiveThe aim of this study was to review the global demographics and trends of SLAP literature, diagnosis, management and consistency of reported outcomesEvidence reviewWe performed a systematic search for studies addressing SLAP pathology published over the last 10 years. Extracted data included sample size, study location, intervention, outcome measures reported, sex distribution and level of evidence. Management was compared between geographic areas.FindingsWe identified 363 studies reporting on SLAP management over the past decade that met our inclusion and exclusion criteria. The majority of studies originated from North America (50.4%), followed by Asia (22.3%) and Europe (20.9%) with most studies describing results of operative intervention originating from the USA (58.5%). We found the majority of literature related to SLAP pathology was case series level data (44.0%) consisting of sample sizes of less than 40 patients (50.1%). The majority of studies presented clinical outcome scores with the ASES score being the most commonly reported (28.3%). The most common complications reported were pain (32.6%) and stiffness (30.4%) following surgical intervention.ConclusionsCurrent literature related to the management of SLAP pathology demonstrates a predominance of North American studies with low levels of evidence consisting of small sample sizes and variably reported clinical outcome scores. Future research should focus on multicentre, randomised studies to clarify current controversies in the surgical versus non-operative management of SLAP pathology.RelevanceSignificant demographic and geographic differences exist in the diagnosis and treatment of SLAP.Level of evidenceLevel IV, systematic review of level I–IV studies.

scholarly journals Study of the measurement and predictive validity of the Functional Movement Screen

2018 ◽  
Vol 4 (1) ◽  
pp. e000357 ◽  
Author(s):  
Fraser Philp ◽  
Dimitra Blana ◽  
Edward K Chadwick ◽  
Caroline Stewart ◽  
Claire Stapleton ◽  
...  
Keyword(s):  
Real Time ◽  
Predictive Validity ◽  
Three Dimensional ◽  
Measurement Properties ◽  
Measurement Scale ◽  
Functional Movement Screen ◽  
Functional Movement ◽  
Movement Data ◽  
Serious Injury ◽  
Assessing Sensitivity

ObjectiveThe aim of the study was to evaluate the reported measurement capabilities and predictive validity of the Functional Movement Screen (FMS) for injury.MethodsThis was a prospective observational longitudinal study of 24 male footballers from a single team in England, alongside analysis of an existing database over one season (September 2015–May 2016). A preseason FMS was carried out with scores recorded by an experienced assessor and derived, retrospectively, from the three-dimensional movement data that were simultaneously captured. The assessor scores were compared with the photogrammetric system to determine measurement validity, and predictive validity was quantified by assessing sensitivity and specificity (cut-off score of 14).ResultsThe real-time assessor score matched the photogrammetric score awarded for one of the participants, was higher than the photogrammetric system for 22 participants and was lower than the photogrammetric system in 1 participant. There was no discernible relationship between FMS scores and the competencies required to be met as per the rules articulated for the allocation of a score. A higher number of total injuries were associated with higher FMS scores, whether determined through real-time assessment or codification of kinematic variables. Additionally, neither method of score determination was able to prospectively identify players at risk of serious injury.ConclusionThe FMS does not demonstrate the properties essential to be considered as a measurement scale and has neither measurement nor predictive validity. A possible reason for these observations could be the complexity in the instructions associated with the scale. Further work on eliminating redundancies and improving the measurement properties is recommended.

scholarly journals THE NEW INJURIES’ RISK AFTER ACL RECONSTRUCTION MIGHT BE REDUCED WITH FUNCTIONAL TRAINING

2021 ◽  
Vol 29 (1) ◽  
pp. 21-25
Author(s):  
JULIO CESAR GALI ◽  
GUILIA WENDT FADEL ◽  
MARCOS FELIPE MARQUES ◽  
TYAGO ARAÚJO ALMEIDA ◽  
JULIO CESAR GALI FILHO ◽  
...  
Keyword(s):  
Group Performance ◽  
Cruciate Ligament ◽  
Control Group ◽  
Study Group ◽  
Functional Movement Screen ◽  
Level Of Evidence ◽  
Functional Movement ◽  
Functional Training ◽  
Anterior Cruciate ◽  
And Control

ABSTRACT Objective: The objective of our study was to evaluate if functional training with the Functional Movement Screen (FMS) can reduce the risk of a new injury for patients that underwent an anterior cruciate ligament reconstruction (ACLR). Our hypothesis was that the functional training might reduce the risk of a new injury. Methods: Our training protocol consisted of six phases, each one lasting six weeks. It began two months after surgery. The study group was composed of 10 individuals that completed our protocol after ACLR. The control group consisted of 10 people that completed a regular ACLR rehabilitation protocol. The FMS was used to compare the study and control group performance. Patients with a score of 14 or less on the FMS were considered more likely to suffer an injury than those with a score higher than 14. Results: The study group average FMS score was 16.6 compared to the control group at 12.3. Functional training for ACLR rehabilitation added a statistically significant benefit (p < 0.0002) to reduce the risk of a new injury compared to regular protocol. Conclusion: Functional training may be considered an alternative to the regular ACLR rehabilitation to reduce the risk of a new injury before returning to sports. Level of Evidence III, Case control study.

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