scholarly journals Assessment of Dysfunctional Movements and Asymmetries in Children and Adolescents Using the Functional Movement Screen—A Narrative Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12501
Author(s):  
Pat R. Vehrs ◽  
Martina Uvacsek ◽  
Aaron W. Johnson
Keyword(s):  
Movement Patterns ◽  
Normal Weight ◽  
Future Research ◽  
Physical Educators ◽  
Functional Movement Screen ◽  
Activity Levels ◽  
Obese Children ◽  
Functional Movement ◽  
Test Items ◽  
The Individual

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.

scholarly journals Sex Differences in Dysfunctional Movements and Asymmetries in Young Normal Weight, Overweight, and Obese Children

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 184
Author(s):  
Pat R. Vehrs ◽  
Haley Barker ◽  
Misea Nomiyama ◽  
Zachary Vehrs ◽  
Miklόs Tόth ◽  
...  
Keyword(s):  
Sex Differences ◽  
Normal Weight ◽  
Functional Movement Screen ◽  
Obese Children ◽  
Functional Movement ◽  
Test Items ◽  
High Prevalence ◽  
Item Scores ◽  
Straight Leg Raise ◽  
The Relationship

This study evaluated overall performance on the functional movement screen (FMS), prevalence of asymmetries and dysfunctional movements, and the relationship between measures of adiposity and the FMS score. Methods: Ninety-four (53 boys; 41 girls) 10–12-year-old children in Hungary and Germany who were participating in daily physical education performed the FMS. The mean FMS score in girls (14.1) was significantly higher than in boys (12.9). Individual test item scores were similar, except girls scored higher on the straight-leg raise. Most children (55% of boys, 68% of girls) presented with at least one asymmetry and 72% of boys and 76% of girls had at least one dysfunctional score. Measures of adiposity were negatively correlated to performance on all test items. Underweight and normal weight children performed significantly better on the FMS than overweight and obese children. Sex differences and the high prevalence of asymmetries and dysfunctional scores should be interpreted with caution since they may be due to dynamic changes in strength, proprioception, balance, and motor control that occur as part of growth and involvement in activities. Nevertheless, the high prevalence of asymmetries and dysfunctional scores indicate that most children have movement limitations.

scholarly journals Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence?

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 308
Author(s):  
Josip Karuc ◽  
Mario Jelčić ◽  
Maroje Sorić ◽  
Marjeta Mišigoj-Duraković ◽  
Goran Marković
Keyword(s):  
Sex Differences ◽  
Exercise Intervention ◽  
Movement Patterns ◽  
The Body ◽  
Upper Body ◽  
Sensitive Period ◽  
Functional Movement Screen ◽  
Chi Square ◽  
Functional Movement ◽  
The Individual

This study aimed to investigate sex difference in the functional movement in the adolescent period. Seven hundred and thirty adolescents (365 boys) aged 16–17 years participated in the study. The participants performed standardized Functional Movement Screen™ (FMSTM) protocol and a t-test was used to examine sex differences in the total functional movement screen score, while the chi-square test was used to determine sex differences in the proportion of dysfunctional movement and movement asymmetries within the individual FMSTM tests. Girls demonstrated higher total FMSTM score compared to boys (12.7 ± 2.3 and 12.2 ± 2.4, respectively; p = 0.0054). Sex differences were present in several individual functional movement patterns where boys demonstrated higher prevalence of dysfunctional movement compared to girls in patterns that challenge mobility and flexibility of the body (inline lunge: 32% vs. 22%, df = 1, p = 0.0009; shoulder mobility: 47% vs. 26%, df = 1, p < 0.0001; and active straight leg raise: 31% vs. 9%, df = 1, p < 0.0001), while girls underperformed in tests that have higher demands for upper-body strength and abdominal stabilization (trunk stability push-up: 81% vs. 44%, df = 1, p < 0.0001; and rotary stability: 54% vs. 44%, df = 1, p = 0.0075). Findings of this study suggest that sex dimorphisms exist in functional movement patterns in the period of mid-adolescence. The results of this research need to be considered while using FMSTM as a screening tool, as well as the reference standard for exercise intervention among the secondary school-aged population.

The Functional Movement Screen test as a tool for functional evaluation of movement patterns in long-distance runners

2019 ◽  
Vol 29 (88) ◽  
pp. 85-96
Author(s):  
Iwona Sulowska-Daszyk ◽  
Agnieszka Skiba
Keyword(s):  
Movement Patterns ◽  
Screen Test ◽  
Functional Evaluation ◽  
Functional Movement Screen ◽  
Distance Runners ◽  
Long Distance ◽  
Functional Movement ◽  
The Past ◽  
History Of ◽  
Quality Of Movement

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.

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?

scholarly journals Twelve-week sensorimotor training as a factor influencing movement patterns of canoe slalom athletes, assessed by the Functional Movement Screen

2020 ◽  
Vol 12 (1) ◽  
pp. 10-16
Author(s):  
Dorota Chałubińska ◽  
Aleksandra Truszczyńska-Baszak ◽  
Agata Reszelewska ◽  
Paweł Targosiński ◽  
Witold Rekowski
Keyword(s):  
Movement Patterns ◽  
Training Programme ◽  
Exercise Programme ◽  
Functional Movement Screen ◽  
Sensorimotor Training ◽  
Functional Movement ◽  
National Team ◽  
Significant Difference ◽  
Fundamental Movement Patterns ◽  
Result Analysis

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.

Changes in the functional efficiency level among handball players (15–16- y.o.) from the West Pomeranian Voivodeship

2019 ◽  
Vol 29 (87) ◽  
pp. 20-29
Author(s):  
DANUTA UMIASTOWSKA ◽  
URSZULA DOMAŃSKA
Keyword(s):  
Injury Risk ◽  
Movement Patterns ◽  
Screen Test ◽  
Functional Movement Screen ◽  
Functional Fitness ◽  
The West ◽  
Functional Movement ◽  
Fitness Level ◽  
Functional Efficiency ◽  
Study Results

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.

scholarly journals The Comparison of the Functional Movement Screen Test Results of Volleyball National Team Players in Different Countries

2018 ◽  
Vol 8 (1) ◽  
pp. 138
Author(s):  
Hasan Aka ◽  
Gürkan Yılmaz ◽  
Cengiz Akarçeşme ◽  
Emre Altundağ
Keyword(s):  
Movement Patterns ◽  
Screen Test ◽  
Nonparametric Tests ◽  
Functional Movement Screen ◽  
Critical Limit ◽  
Functional Movement ◽  
National Team ◽  
Test Kit ◽  
Significant Difference ◽  
Volleyball Players

This study was conducted to compare the functional movement patterns of female volleyball players from different countries. 34 the women&rsquo;s volleyball national team athletes from three different countries participated in the study; Turkey (n=9), Azerbaijan (n=16) and Kyrgyzstan (n=9). Functional movement screen of the athletes were determined by the Functional Movement Screen (FMS) test kit. The Kruskal-Wallis H Test was used for multiple comparisons from nonparametric tests in determining the difference between functional movement patterns of national teams. At the end of the study, it was determined that the FMS total scores of the teams were higher than 14 points which were considered as critical limits and there was no statistically significant difference between the FMS total scores of the teams (p&lt;0.05). However, there were significant differences between the teams in the hurdle step, shoulder clearing test and shoulder mobility tests which formed the FMS test battery. As a conclusion, the fact that volleyball players in each country have more than 14 points of FMS total score, which is the critical limit, shows that volleyball players have low risk of injury. This may be related to the elite level of volleyball players and the implementation of correct training models.

Prevalence of Movement Dysfunction in Female Collegiate Dancers

2021 ◽  
Author(s):  
Brett M. Kautzmann ◽  
James B. Kase ◽  
Cheryl A. Coker
Keyword(s):  
Injury Risk ◽  
Movement Patterns ◽  
Movement Pattern ◽  
Normative Values ◽  
Functional Movement Screen ◽  
Functional Movement ◽  
Deep Squat ◽  
Straight Leg Raise ◽  
The Relationship ◽  
Risk Potential

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.

The assessment of movement patterns of children practicing karate using the Functional Movement Screen test

2015 ◽  
Vol 6 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Dariusz Boguszewski ◽  
Katarzyna Jakubowska ◽  
Jakub Grzegorz Adamczyk ◽  
Dariusz Białoszewski
Keyword(s):  
Movement Patterns ◽  
Screen Test ◽  
Functional Movement Screen ◽  
Functional Movement

The Effect of Total Motion Release on Functional Movement Screen Composite Scores: A Randomized Controlled Trial

2020 ◽  
Vol 29 (8) ◽  
pp. 1106-1114
Author(s):  
Alex T. Strauss ◽  
Austin J. Parr ◽  
Daniel J. Desmond ◽  
Ashmel T. Vargas ◽  
Russell T. Baker
Keyword(s):  
Treatment Group ◽  
Movement Patterns ◽  
Controlled Study ◽  
Control Group ◽  
Functional Movement Screen ◽  
Functional Movement ◽  
Movement Quality ◽  
Randomized Controlled ◽  
Risk Of Injury ◽  
Composite Scores

Context: The Functional Movement Screen (FMS™) provides clinicians with objective criteria to assess movement patterns and overall movement quality. A relationship between low FMS™ composite scores and increased risk of injury has been reported, and researchers have begun to test the effect of interventions to improve FMS™ composite scores. Total Motion Release (TMR®), a novel active movement intervention, has been found to produce improvements in range of motion, as well as patient-reported pain and dysfunction. The effect of TMR® on movement patterns or movement quality is unknown. Objective: To assess the effect of a single treatment application of TMR® on FMS™ composite scores in participants with low baselines FMS™ composite scores. Design: Single-blind randomized controlled study. Setting: Athletic training laboratory. Participants: Twenty-four participants (12 males and 12 females) with FMS™ composite scores of 13 or lower were randomly assigned to either a treatment group or control group. The FMS™ screening procedure was completed on all participants in a pretest and posttest design. Interventions: In between FMS™ testing sessions, participants assigned to the treatment group completed the TMR® FAB 6-treatment protocol, whereas the control group participants did not receive an intervention. Following the treatment period (ie, 20 min), participants again completed the FMS™. Main Outcome Measure: FMS™ composite scores. Results: The improvement in FMS™ composite scores was significantly better (P ≤ .001, Cohen’s d = 1.69) in the TMR® group (mean change = 3.7 [2.2]) compared with the control group (mean change = 0.7 [1.2]). Conclusions: A single application of the TMR® FAB 6 protocol produced immediate acute improvements in FMS™ composite scores in a young, physically active population compared with no intervention. Clinical Relevance: Research evidence exists to suggest impaired or dysfunctional movement patterns or movement quality increases risk of injury. The FMS™ is commonly utilized to assess movement quality and risk of injury. This study provides initial evidence that the use of TMR® rapidly produces acute improvements in movement quality, as measured by the FMS™.

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