Abstract

The Hip and Lower Limb Movement Screen (HLLMS) was developed to detect altered movement patterns and asymmetry specifically related to hip, pelvic, and lower limb movement control, as the other tools, such as the Functional Movement Screen (FMS), lacked focus on the hip and pelvic area. Both screening tools contain symmetrical and asymmetrical motor tasks which are based on observation of different aspects of each task performance. One motor task is in both screening tools. Therefore, they have some common features. The present study aimed to assess the relationship between the HLLMS and FMS performance in youth football players. The study included 41 elite male football (soccer) players (age: 15.6 ± 0.50 years), and the HLLMS and FMS scores were analyzed by assessing Spearman’s rank correlation. The FMS total score and the FMSMOVE were moderately correlated with the HLLMS total score (R = −0.54; −0.53, respectively). The FMS rotatory stability task was moderately correlated with the HLLMS small knee bend with the trunk rotation task (R = −0.50). The FMS deep squat task was moderately correlated with the HLLMS deep squat task (R = −0.46). The FMS hurdle step was weakly correlated with two of the HLLMS tasks: standing hip flexion (R = −0.37) and hip abduction with external rotation (R = −0.34). There were no other relationships found (p > 0.05). Out of the seven FMS tasks, only one asymmetrical (trunk rotary stability) and one symmetrical (deep squat) task were moderately related to the newly developed HLLMS tool contributing moderate relationship between the FMS total score and the HLLMS total score. Other FMS tasks were weakly or unrelated with the HLLMS. These findings indicate that these two screening tools mainly assess different aspects of movement quality in healthy youth football players.

Highlights

  • Poor quality movement control in the hip and pelvic region has been shown in biomechanical studies to affect joints lower in the kinetic chain, contributing to abnormal loading [1] and injuries at the knee, e.g., anterior cruciate ligament tears [2,3]

  • The results showed that the rotatory stability test (FMS) was moderately correlated (R = −0.50) with the small knee bend (SKB) in the trunk rotation task (HLLMS; Table 1)

  • This study found that out of all asymmetrical tasks: (1) two pairs of tasks were moderately correlated (FMS trunk rotary stability was correlated with the Hip and Lower Limb Movement Screen (HLLMS) SKB with trunk rotation), (2) two HLLMS tasks were weakly related with one functional movement screen (FMS) task, and (3) four FMS tasks and one HLLMS task (SKB) were not related

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Summary

Introduction

Poor quality movement control in the hip and pelvic region has been shown in biomechanical studies to affect joints lower in the kinetic chain, contributing to abnormal loading [1] and injuries at the knee, e.g., anterior cruciate ligament tears [2,3]. Movement screening tools have gained popularity, which includes movement tests mainly focused on predicting injury risk and/or guiding injury prevention programmes [4]. The present study examined the relationship between two movement screening tools to investigate movement quality and their ability to assess hip and pelvic control. The FMS has been shown to be valid and reliable [8,9] and is mainly used to assess athletes’ risk of becoming injured, systematic reviews have presented conflicting opinions about the ability of the FMS to predict injury [8,10,11]. It may be that the ability of the FMS to predict injury is limited to specific sports or types of injuries, but more homogeneous studies in terms of type of sport and/or injury are needed

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