FMSTM Score Research Articles

Predict the musculoskeletal injuries in young skaters using Functional Movement Screen (FMSTM)

Background. Skating is a great way to improve heart rate, coordination, and strengthen the muscles, and burn calories. It works on the muscles of the legs, gluteus, and core and causes 50% less stress to the joints than running, along with improving flexibility and endurance. The FMS™ is a clinical screening tool used to assess seven fundamental movement patterns. It consists of overhead deep squats, hurdle steps, inline lunges, straight leg raises, trunk stability pushups, shoulder mobility, and rotary stability. Injuries are more common in sports, especially skating, where balance and coordination are required. A study like this is necessary to screen skaters, help predict injuries, and train them accordingly to prevent injuries. Objective. The objective is to predict musculoskeletal injuries in young skaters using the Functional Movement Screen (FMS™). Methodology. This is an observational cross-sectional study. Sixty-four skaters of both genders, aged between 6 and 18 years, were conveniently selected based on the inclusion and exclusion criteria and were assessed using FMS™. Outcome measures. Functional Movement Screening scores. Results. 31.3% of young skaters scored between 0 and 13 and are at high risk for musculoskeletal injuries, while 68.8% are at a low risk of injury with FMS™ scores ranging from 14 to 21. Conclusion. This study concluded that 31.3% of young skaters have a high risk for musculoskeletal injuries according to the Functional Movement Screen.

Relationship Between Individual and Composite FMS™ Scores with the Anthropometric and Physical Characteristics of Elite Touch (Rugby) Players

Abstract Purpose To describe and compare the movement patterns, anthropometric and physical characteristics of male and female Touch players; and examine the relationships between Functional Movement Screening (FMS™) scores and the anthropometric and physical characteristics. Methods This was a cross-sectional study with 35 elite Touch players (18 males, age = 24.7 ± 4.9 years; 17 females, age = 26.7 ± 5.2 years). Anthropometric (stature, body mass) and physical characteristics (sprint times, glycolytic change-of-direction test, and countermovement jump (CMJ) flight time and peak power) were assessed alongside movement patterns using the FMS™ battery. Data were analysed for between-sex differences (independent t-test, Mann–Whitney U) and relationships (Spearman’s correlation coefficient). Results Between-sex differences in body mass (t = 6.082, P < 0.001), stature (t = 9.247, P < 0.001), CMJ flight time (t = 3.576, P = 0.001), relative CMJ peak power (t = 6.578, P < 0.001), 10 m sprint time (t = 15.861, P < 0.001), glycolytic change of direction test time (t = − 11.831, P < 0.001) and Yo–Yo IR1 (t = 6.842, P < 0.001) were observed. There were minimal differences for deep squat (Z = − 1.036, P = 0.443), in-line lunge (Z = − 1.284, P = 0.303), shoulder mobility (Z = − 0.173, P = 0.883), trunk stability push-up (Z = − 0.896, P = 0.483) and rotary stability (Z = − 1.537, P = 0.273). The correlation between total and individual FMS™ scores with anthropometric and physical characteristics ranged from trivial-to-moderate (r = − 0.502 to 0.488). Conclusion The lack of difference for the FMS™ composite score and small-to-trivial differences in individual scores allows a comparison between mixed populations within Touch. Whilst many of the correlations were trivial-to-small, there were differences between sexes in the associations and evidence that improvements in functional deficiencies could translate into improved physical performance.

FUNCTIONAL MOVEMENT SCREEN (FMSTM) AND BALANCE IN BODYBUILDERS DURING THE DEFINITION PERIOD

The functional movement and balance performances of bodybuilders and the relationship between them arouse curiosity in the definition period where intense restrictions are experienced. The aims of this study were to (a) determine functional movement screening (FMSTM) and balance performance in bodybuilders during the definition period and (b) examine the relationship between these tests. Twelve adult male bodybuilders voluntarily participated in the study. Participants performed flamingo balance test for static balance, upper & lower quarter Y-balance test (YBT-LQ & YBT-UQ) for dynamic balance, and FMS TM tests (deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg raise, trunk stability push-up, and rotary stability) for functional movement screening. There was a significant negative correlation between dominant leg static balance and rotary stability (r=-.832, p=.040) and a significant positive relationship between dynamic balance and rotary stability in dominant and non-dominant leg (dominant leg: r=.589, p=.044, non-dominant leg: r=.775, p=003). There was no significant relationship between YBT-UQ composite scores and FMSTM composite scores on both sides in bodybuilders during the definition period. As a result, the FMS TM score is quite low in bodybuilders during the definition period, and the increase in static and lower extremity dynamic balance performance may increase the rotary stability score. Bodybuilders are recommended to practice lower extremity static and dynamic balance exercises in addition to training during the definition period.

The effect of a 12-week functional training program on functional movement patterns and dynamic balance in young elite ice hockey players

Abstract Study aim: This study examined the effects of a 12-week functional training (FT) program on basic movement patterns and dynamic balance in hockey players. Material and methods: Forty-three male ice hockey players aged 16.2 ± 0.76 years, were allocated into the experimental (EG) or control (CG) groups. The EG underwent additional 60-minute supervised FT sessions twice weekly, while the CG had an additional 60-minute team game class and swimming class. Fundamental movement patterns were assessed using the functional movement screening (FMSTM), whereas dynamic balance was assessed by the Y-balance test (YBT). Results: After completion of the FT program, the hockey players assigned to the EG achieved higher results in the deep squat (p = 0.0143), hurdle step (p = 0.0002), in-line lunge (p = 0.0082), shoulder mobility (p = 0.0455), and rotatory stability tests (p = 0.0253), had higher total FMSTM scores (p = 0.0003), and less asymmetry (p = 0.0032) than at baseline. They improved all of the normalized scores in YBT. The hockey players assigned to the CG did not improve their results, but their performance decreased in the hurdle step test (p = 0.0082), and they showed more asymmetry (p = 0.0124) than at baseline. Conclusions: The implementation of FT can lead to significant improvements in fundamental movement patterns and dynamic balance among ice hockey players. This suggests that implementing FT can enhance fundamental movement patterns in athletes and should be considered an integral part of sports training. By integrating FT into regular training routines, athletes across different sports may potentially improve their movement patterns, thereby enhancing their overall performance and reducing the risk of injury.

Differences and relationship in functional movement screen (FMS™) scores and physical fitness in males and female semi-professional soccer players.

Soccer is the world's most popular sport for both men and women. Tests of athletic and functional performance are commonly used to assess physical ability and set performance goals. The Functional Movement Screen (FMS™) is a widely used seven-test battery developed by practitioners to provide interpretable measure of movement quality. The main objective of the present study was twofold, to analyze the relationship between FMS™ results from male and female soccer players and to compare their physical performance in different tests. A total of twenty-eight semi-professional soccer players: fourteen male (age: 21.29 ± 1.64 years; weight: 70.66 ± 5.29 kg; height: 171.86 ± 5.35 cm; BMI: 20.90 ± 2.22 kg/m2) and fourteen females (age: 20.64 ± 1.98 years; weight: 63.44 ± 5.83 kg; height: 166.21 ± 12.18 cm; BMI: 23.02 ± 2.50 kg/m2) were recruited for this study. A paired sample t-test was used for determining differences as a repeated measures analysis. All the participants conducted the following tests: The Functional Movement Test (FMS™), 10-m linear sprint, 5-0-5 COD Test and Yo-Yo Intermittent Recovery Test-Level 1 (YYIRT Level 1). A t-test with data from 505 COD (change of direction) test showed significant differences between groups, p = 0.001, d = 1.11, revealing faster times in male soccer players (2.50 ± 0.19) in respect with female soccer players (2.70 ± 0.17). Crucially, a t-test with data from FMS did not reveal significant differences between groups. Multiple regression for V02max revealed significant effects (r = 0.55, r2 = 0.30, adjusted r2 = 0.24, F = 5.21, p = 0.04 and standard error = 2.20). On the other hand, multiple regression for 10-m sprint showed significant effects (r = 0.58, r2 = 0.33, adjusted r2 = 0.28, F = 5.98, p = 0.03). The impact of these factors on the correlation between FMS™ scores and physical performance measures can vary among individuals. This study demonstrates the necessity of utilizing and applying multiple field-based tests to evaluate the movement and capabilities of physical performance in sports. Crucially, consider individual variations and factors such as training background, fitness level, and sport-specific demands when interpreting the relationship between the FMS™ and physical performance in both sexes.

Effects of a dynamic stretching warm-up on functional movement patterns in female hip-hop dancers

Background: A large percentage of dancers suffer an injury to their musculoskeletal system at least once in their careers, as well as from pain caused by overloading or overtraining this system. A high frequency of injuries has been observed in hip-hop dancers. Before each workout, there should be a solid warm-up and stretching period. The lack of these two important elements increases the risk of injury. Aim of the study: This study aimed to examine the effects of dynamic stretching warm-ups on fundamental movement patterns in female hip-hop dancers. Material and methods: This study included 14 hip-hop female dancers, aged 15–17. Dancers participated in 6 weeks of dynamic stretching warm-ups. Anthropometric and demographic variables were measured. The effectiveness of dynamic stretching warm-ups in improving fundamental movement patterns was assessed using the Functional Movement Screen (FMS) test including qualitative assessments using Deep Squat (DS) Hurdle Step (HS), In-Line Lunge (ILL), Shoulder Mobility (SM), Active Straight-Leg Raise (ASLR), Trunk Stability Push-Ups (TSPU) and Rotational Stability (RS). Results: Before the intervention, the mean composite FMS™ score was 15.00 ± 1.84 points and after the intervention was 16.64 ± 1.39 (p < 0.05). There were also statistically significant differences before and after the intervention in the DS (1.86 ± 0.53 vs. 2.36 ± 0.49, p < 0.05) and ASLR (2.21 ± 0.69 vs. 2.57 ± 0.65, p < 0.05). The number of dancers who scored 14 points or less on the FMS test before and after dynamic stretching warm-ups decreased from 50% to 0%. HS (r = 0.63, p = 0.01) and TPSU (r = 0.79, p = 0.01) were positively correlated with composite FMS scores before the intervention. After the intervention, positive correlations were observed between ASLR and composite FMS scores (r = 0.68; p = 0.01). Conclusions: Dynamic stretching warm-ups significantly improve functional movement patterns, including DS, ASLR, and composite FMS scores. It is important to use movement competency screenings in injury prevention programs.

Sex-related Anthropometrics in a Lower-Body Mobility Assessment Among Professional Soccer Athletes.

BackgroundThe functional movement screen (FMS™) and Y-balance test (YBT) are commonly used to evaluate mobility in athletes.PurposeThe primary aim of this investigation was to determine the relationship between demographic and anthropometric factors such as sex, body composition, and skeletal dimension and scoring on YBT and FMS™ in male and female professional soccer athletes.Study DesignCross SectionalMethodsDuring pre-season assessments, athletes from two professional soccer clubs were recruited and underwent body composition and skeletal dimension analysis via dual-energy X-ray absorptiometry (DEXA) scans. Balance and mobility were assessed using the YBT and FMS™. A two-tailed t-test was used to compare YBT between sexes. Chi-square was used for sex comparisons of FMS™ scores. Correlation analysis was used to determine if body composition and/or skeletal dimensions correlated with YBT or FMS™ measures. Type-I error; α=0.05.Results40 Participants were successfully recruited: (24 males: 27±5yr, 79±9kg; |16 females: 25±3yr, 63±4kg). YBT: Correlations were found between anterior reach and height (r=-0.36), total lean mass (LM)(r=-0.39), and trunk LM(r=-0.39) as well as between posterolateral reach and pelvic width (PW)(r=0.42), femur length (r=0.44), and tibia length (r=0.51)(all p<0.05). FMS™: The deep squat score was correlated with height(r=-0.40), PW(r=0.40), LM(r=-0.43), and trunk LM (r =-0.40)(p<0.05). Inline lunge scores were correlated with height(r=-0.63), PW(r=0.60), LM(r=-0.77), trunk LM(r=-0.73), and leg LM(r=0.70)(all p<0.05). Straight leg raise scores were correlated with PW (r=0.45, p<0.05). Females scored higher for the three lower body FMS™ measures where correlations were observed (p<0.05).ConclusionsLower body FMS™ scores differ between male and female professional soccer athletes and are related to anthropometric factors that may influence screening and outcomes for the FMS™ and YBT, respectively. Thus, these anatomical factors likely need to be taken into account when assessing baseline performance and risk of injury to improve screening efficacy.Level of EvidenceLevel 3b

Anthropometric and physical performance characteristics in African women football players: A prospective, cross-sectional pilot study

Being injured is inherent to participating in football activities; therefore, prevention of injuries is crucial. This requires that the risk factors for injury be established. However, such studies are rarely conducted in women athletes in Africa. The study’s aim was to explore intrinsic risk factors for injury among African women football players using functional and musculoskeletal assessments. Participants (n=40) completed demographic questionnaires; upper and lower limb active range of motion (AROM); muscle endurance and functional movement screening (FMS™) assessed. Median age [Q1; Q3] was 24 [20; 27] years. Participants performed 20.5 [0; 30.5] push-ups and 28 squats [30; 38] in 60s; and held the prone elbow plank for 46.2s [30.6; 64.5]. Median FMS™ score was 12 [10; 13]; most players (n=27, 68%) could not execute a proper deep squat. Most players (70%; n=28), were able to properly perform the in line lunge but scored poorly in the shoulder mobility domain of the FMS™, with 73% (n=29) scoring ≤1. Players with a history of injury had lower FMS™ total (p=0.02). Overall, participants presented with low muscle endurance and movement imbalances, which might predispose them to injury. Hence, strength and conditioning measures should be instituted in this population to prevent injuries.

Prevalence of Movement Dysfunction in Female Collegiate Dancers

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 move- ment 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 TM 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.

Reliability and Validity of the Functional Movement Screen™ with a Modified Scoring System for Young Adults with Low Back Pain.

BackgroundLow back pain (LBP) is one of the most common complaints in individuals who seek medical care and is a leading cause of movement impairments. The Functional Movement Screen (FMS™) was developed to evaluate neuromuscular impairments during movement. However, the reliability and validity of the FMS™ have not yet been established for the LBP population because of a limitation of its original scoring system.PurposeThe purposes of this study were to determine the reliability and validity of the FMS™ with a modified scoring system in young adults with and without LBP. The FMS™ scores were modified by assigning a zero score only when there was an increase in LBP during the FMS™, not simply for the presence of pain, as in the original FMS™ scoring system.Study DesignReliability and validity study.MethodsTwenty-two participants with LBP (8 males and 14 females, 26.7 ± 4.68 years old) and 22 age- and gender-matched participants without LBP (26.64 ± 4.20 years old) completed the study. Each participant performed the FMS™ once while being scored simultaneously and independently by two investigators. In addition, each participant’s FMS™ performance was video-recorded and then was scored by another two investigators separately. The video-recorded performance also was scored twice six weeks apart by the same investigator to determine intra-rater reliability.ResultsThe results showed excellent inter-rater and intra-rater reliability of the FMS™ composite score with intraclass correlation coefficients ranging from 0.93 to 0.99 for both groups. In addition, the LBP group scored significantly lower than the group without LBP (p = 0.008).ConclusionsThe results indicate that the FMS™ is able to distinguish between individuals with and without LBP, and that it could be a useful test for clinicians to quantify movement quality and to assess movement restrictions in individuals with LBP.Levels of Evidence2b.

Functional Movement Screen Detected Asymmetry & Normative Values Among College-Aged Students.

BackgroundThe Functional Movement Screen (FMS™) is a popular test used by sports medicine professionals to identify dysfunctional movement patterns by analyzing mobility and stability during prescribed movements. Although the FMS™ has been a popular topic of research in recent years, normative data and asymmetries in college-aged students have not been established through research.PurposeThe objective was to determine normative FMS™ scores, report frequency counts for FMS™ asymmetries, and determine if the number of sports seasons and number of different sports an individual participated in during high school varied between university students that showed FMS™ identified asymmetries.Study DesignCross-sectional StudyMethodsOne hundred university students completed the FMS™ and an associated survey to determine which sport(s) and for how many seasons they participated in each sport(s) during high school. Total FMS™ scores were assessed as well as identifying the presence of an asymmetry during a FMS™ screen. An asymmetry within the FMS™ was defined as achieving an unequal score on any of the screens that assessed right versus left movements of the body.Data AnalysisData analysis included descriptive statistics, Pearson correlation was utilized to investigate the relationship between number of sports played and number of sport seasons. Shapiro Wilk test for normality, and Mann Whitney U test was employed to investigate group differences in number of sports played. All analyses were conducted using SPSS software.ResultsStatistically significant correlations (r = .286, r2 = .08, p < 0.01) were found for both number of sport seasons and number of sports with FMS™ total score. In addition, participants without FMS™-detected asymmetries played significantly more seasons and more sports than their peers that presented asymmetries (U = 946.5, z = -1.98, p = 0.047). Finish with the actual p-value in parenthesis.ConclusionParticipating in multiple sports and multiple sport seasons during high school was associated with higher FMS™ total scores. Results suggest that participating in multiple sports and multiple sport seasons was associated with fewer asymmetries, which may decrease subsequent injury risk.Level of Evidence3b

Does the Movement Competency Screen Correlate with Deep Abdominals Activation and Hip Strength for Professional and Pre-professional Dancers?

BackgroundDancers are a unique category of athletes who are frequently injured and experience pain. The primary cause of dance injuries is overuse, which could potentially be prevented. However, literature is scarce regarding validated methods of evaluating the risk of injury in dancers. The Movement Competency Screen (MCS) could potentially fill this gap.Hypothesis/PurposeTo investigate the validity of the Movement Competency Screen (MCS) for dancers by 1) examining the correlation between scores on this functional test and the activation of deep abdominals and hip strength; 2) investigating the correlation between MCS scores and those of the Functional Movement Screen (FMS™).Study DesignCross-sectional study.MethodsA total of 77 pre-professional and professional dancers from ballet and contemporary backgrounds were evaluated. The activation of deep abdominals was evaluated using ultrasound imaging and the hip strength was evaluated using a handheld dynamometer. The FMS™, another tool evaluating fundamental movement competency, was also administered.ResultsThe dancers’ MCS score was correlated with the activation of the transversus abdominis (r=0.239, p=0.036) and the strength of hip abductors (r=0.293, p=0.010), adductors (r=0.267, p=0.019) and external rotators (r=0.249, p=0.029). The MCS score was also correlated with the FMS™ score (r=0.489, p<0.001).ConclusionThis study shows that the MCS score is correlated with deep abdominal activation and hip strength in dancers, as well as with the FMS™ score. These findings provide evidence toward the validation of the MCS in dancers.Levels of EvidenceLevel 2B.

Functional Movement Screening as a Predictor of Injury in Highly Trained Female’s Martial Arts Athletes

Abstract Objective. This research examines the emerging role of FMS™ in the context of predicting lower extremity injury in females University athletes. The secondary purpose of this study is to investigate the differences between FMS performance comparisons between three martial arts sports to establish baseline comparisons. Method. Forty-seven university female athletes were recruited for this study, The data collected was separated into three groups based on their sports discipline (judo N=17 age: 19±4, wrestling N=15 age: 18±5, karate N=15 age: 19±3), Independent t-tests were performed on each group with significance being set at P&lt;0.05 to determine difference in FMS™ scores between injured and non injured athletes during the successive competitive seasons. One-way analyses of variances were used to determine if there was a significant difference between sports, ‘body parts injured’ groups, and ‘mechanisms of injury’ groups. Results. One-way analysis of variance revealed no statistically significant difference between the two (ankle, knee) injury groups, and non-injury group (F2,54= 2.34; p=0.106). There was no statistical difference between the pre-season FMS™ scores of the injured and non-injured groups (t47 = -1.68; P=.100; d=0.52; 95%CI: -0.11, 1.15). Finally, strong evidence of FMS score was found when comparing the three sports with one-way ANOVAs (F=5.83, df= 2, 54, p=0.005). Conclusion. One of the more significant findings to emerge from this study is that FMS™ has emerged as a powerful tool for identifying lower extremity injury in female athletes. Further investigation and experimentation into FMS™ are strongly recommended before implementing them into a pre-participation physical examination (PPE) for combat sports. What is now needed is a cross-national study involving other sports.

The Effects of Strength and Conditioning on Functional Movement Screen™ Scores in Secondary School Basketball

Purpose: Injury prevention and mitigation are among the primary responsibilities of Athletic Trainers. Research has indicated that basketball players at the secondary-school level suffer up to 2.1 time loss injuries (TLI) per 1,000 athletic exposures (AE). It has been suggested that Functional Movement Screen (FMS™) composite and individual task scores may help determine injury risk. Researchers have suggested that a variety of strength and conditioning strategies may positively alter both composite and individual FMS™ task scores and reduce movement asymmetry. Methods: During a retrospective analysis of the records of all junior varsity and varsity basketball players at one secondary school over one season, no TLI was recorded over 1900 AE following the implementation of team-specific strength and conditioning programming. Results: Significant increases in pre-season and post-season composite FMS™ scores (pre-season mean = 14.33 ± 1.84; post-season mean = 16.44 ± 1.72; p < 0.001), and FMS™ individual task scores; deep squat (DS) (p < 0.001), hurdle step (HS) (p = 0.002), in-line lunge (INL) (p = .011), active straight leg raise (ASLR) (p = .02), and rotatory stability (RS) (p = .005) were noted across 27 male and female participants. Among females, composite FMS™ scores changed significantly (pre-season mean = 14.92 ± 1.38; post-season mean = 17.00 ± 1.04; p < 0.001), as did HS (p < 0.001) and INL (p = .025). Among males, significant changes were noted in composite FMS™ scores (pre-season mean = 13.87 ± 2.07; post-season mean = 16.00 ± 2.04; p < 0.001), as well as DS (p = 0.007), and RS (p = .025). Reductions in the number of scores of one and movement asymmetries were also evident during post-season FMS™ screening. Conclusions: Emphasizing movement competency and strength and conditioning training has positive effects on injury risk reduction in secondary school basketball players.

A comparison of the Functional Movement ScreenTM and the Landing Error Scoring System: A cohort study.

Background:The Functional Movement Screen (FMSTM) is a nonspecific movement pattern assessment while the Landing Error Scoring System (LESS) is a screen for movement patterns associated with lower extremity injury. The purpose of this study was to determine if the LESS and FMSTM are correlated or if they can be used as complementary assessments of preseason injury risk for anterior cruciate ligament injury.Methods:FMSTM and LESS were used to conduct a cohort study of 126 male National Collegiate Athletic Association Division IA football players. One hundred and eleven players met the criteria for inclusion during data review. At risk and not at risk LESS scores of players and FMSTM exercise score status were compared using Welch’s t-test. Associations between FMSTM composites and LESS scores were evaluated using linear regression.Results:The average LESS score was 5.51±1.34, and the average composite FMSTM score was 11.77±2.13 (max=15). A poor FMSTM squat score (≤1 or asymmetry present) was associated with a higher LESS score (P<0.001). No other FMSTM individual exercise score was associated with an at-risk LESS score (P>0.05). Composite FMSTM score was loosely associated with the LESS score (R-squared=0.0677, P=0.006). Prior history of an ACL injury and player position were not associated with LESS score on multivariate regression (P>0.05).Conclusions:The LESS and FMSTM are not well correlated and may serve as complementary assessments for preseason injury risk.Level of Evidence:Level III.

FUNCTIONAL MOVEMENT SCREEN™ in YOUTH SPORT PARTICIPANTS: EVALUATING the PROFICIENCY BARRIER for INJURY.

The number of youth participating in sport increases yearly; however, the evaluation of youths' movement ability and preparedness for sport remains inadequate or neglected. The Functional Movement Screen (FMS™) is an assessment of an individual's movement quality that has been utilized to evaluate risk of injury in collegiate and professional sport; however, there is minimal support regarding the predictive value of the screen in youth sport. The purpose of this study was to evaluate the mean and distribution of FMS™ performance in sport participants age 11-18, and to evaluate the existence of a composite FMS™ score proficiency barrier to predict injury risk. Prospective cohort study. One hundred, thirty-six participants (63 male, 73 female) age 11 to 18 years (16.01 + 1.35) were recruited from local schools and sport organizations. The FMS™ was administered prior to each participant's competitive season and scored by researchers who demonstrated reliability in assessments derived from the screen (κw = 0.70 to 1). Injury data were collected by the participants' Athletic Trainer over one season. An injury was defined as any physical insult or harm resulting from sports participation that required an evaluation from a health professional with time modified or time lost from sport participation. Females scored significantly higher than males for mean FMS™ composite score (t = 14.40; m = 12.62; p < 0.001), and on individual measures including: the hurdle step (t = 1.91; m = 1.65; p < 0.001), shoulder mobility (t = 2.68; m = 2.02; p < 0.001), active straight leg raise (t = 2.32; m = 1.87; p < 0.001), and the rotary stability components (t = 1.91; m = 1.65; p < 0.05). Two FMS™ composite scores (score < 14 and <15) significantly increased the odds of injury (OR = 2.955). When adjusting for sport, there was no score relating to increased odds of injury. Dysfunctional movement as identified by the FMS™ may be related to increased odds of injury during the competitive season in youth athletes. Consideration of an individual's movement within the context of their sport is necessary, as each sport and individual have unique characteristics. Addressing movement dysfunction may aid in injury reduction and potentially improve sport performance. 1b.

Accounting for multiple injuries does not improve the Functional Movement Screen (FMS™) as a tool to identify injury risk among English Premier League academy football players: a 3-season prospective cohort study

ABSTRACTPurpose: The aim of the present study was to investigate the relationship between FMS™ score and non-contact injury while accounting for participant exposure and multiple injuries to the same player.Materials and methods: Sixty-four players were screened during the preseason period with non-contact injuries and exposure time recorded prospectively for the entirety of three consecutive seasons (2014/15, 2015/16 and 2016/17). One-hundred and eighteen player-season observations were included in the analysis. Generalized estimating equations (GEE) were utilized to explore associations between FMS™ composite, individual sub-test scores, the number of sub-test asymmetries and non-contact injury.Results: The FMS™ composite score demonstrated a likely trivial (IRR: 1.05 95%CI: 0.94–1.17) association with non-contact injury. The number of individual sub-test asymmetries and all of the sub-test scores (with the exception of the hurdle step, IRR: 1.58 95%CI: 0.99–2.52) demonstrated unclear associations with non-contact injury.Conclusions: No associations with non-contact injury were observed for the FMS™ composite score, individual sub-test scores or the number of sub-test asymmetries, even when accounting for exposure and multiple injuries to the same player.Practical implications: The FMS™ composite score is likely not useful for injury risk stratification, nor are the individual sub-tests or the number of asymmetries.

Assessment of Body Mass Index and fundamental movement patterns as determinants of speed abilities in male college athletes using multidimensional linear regression

Aim. Speed is the fundamental motor skill in many sports. Factors determining its level are the subject of many researchers’ investigations. There are only few data on the relationship between morphological features, movement patterns, and speed abilities. The aim was to assess connections between weight-height proportions, movement patterns and the speed abilities of male college athletes. Methods. 41 men, college athletes (20.60 ± 1.22 years). The criterion of inclusion was: absence of injury during the 6 weeks before the tests, doing a sport discipline that included the speed component. Body height and weight were measured and BMI was calculated. The FMSTM test and motor trials: Long jump, 20m Linear Speed, Agility T-test were conducted. Results. There were no simple relationships between the FMSTM score and motor tests, only the Deep Squat test significantly correlated with the Long Jump. Higher body weight and BMI value were associated with worse time at 20m Linear Speed. BMI proved to be better predictors of the results of speed tests (20 linear speed, Agility T-test) rather than movement patterns. Conclusions. Speed abilities are associated with many other factors that have a greater impact on the speed. The correct pattern of the Deep Squat allows to release more power of the lower limbs in the Long Jump. Maintaining the correct body mass in relation to the body height determines the possibility of achieving better results in speed tests.

Association of the Functional Movement Screen™ with match-injury burden in men’s community rugby union

ABSTRACTEvidence supporting use of the Functional Movement Screen (FMSTM) to identify athletes’ risk of injury is equivocal. Furthermore, few studies account for exposure to risk during analysis. This study investigated the association of FMSTM performance with incidence and burden of match-injuries in adult community rugby players. 277 players performed the FMSTM during pre-season and in-season time-loss injuries and match exposure were recorded. The associations between FMSTM score, pain, and movement-pattern asymmetries with match-injury incidence (≥8-days time-loss/1000hours), severe match-injury incidence (>28-days time-loss/1000hours), and match-injury burden (total time-loss days/1000hours for ≥8-days match-injuries) were analysed using Poisson regression. Multivariate analysis indicated players with pain and movement-pattern asymmetry during pre-season had 2.9 times higher severe match-injury incidence (RR, 90%CI = 2.9, 0.9–9.7) and match-injury burden (RR, 90%CI = 2.9, 1.3–6.6). Players with a typically low FMSTM score (mean – 1SD threshold) were estimated to have a 50% greater match-injury burden compared to players with a typically high FMSTM score (mean + 1SD threshold) as match-injury burden was 10% lower per 1-unit increase in FMSTM score. As the strongest association with injury outcome was found for players with pain and asymmetry, when implementing the FMSTM it is advisable to prioritise these players for further assessment and subsequent treatment.

NON-CONTACT ANTERIOR CRUCIATE LIGAMENT AND LOWER EXTREMITY INJURY RISK PREDICTION USING FUNCTIONAL MOVEMENT SCREEN AND KNEE ABDUCTION MOMENT: AN EPIDEMIOLOGICAL OBSERVATION OF FEMALE INTERCOLLEGIATE ATHLETES

Modifiable risk factors associated with non-contact anterior cruciate ligament (ACL) injuries are highly debated, yet the incidence rate of ACL injury continues to increase. Measures of movement quality may be an effective method for identifying individuals who are at a high risk of injury. The purpose of this study was to investigate whether a movement screen and/or a drop-jump landing (DJL) task identifies female individuals at a higher risk for sustaining non-contact lower extremity (LE) injuries, particularly ACL injuries. Cohort study. 187 women (mean age 19.5 ± 1.21 years) who played collegiate soccer, volleyball, or basketball completed the Functional Movement Screen (FMS™) and a drop-jump landing task. Weekly injury reports of participants who sustained a non-contact LE injury were collected. FMS™ scores (both total score and individual screens) and Knee Abduction Moment (KAM) values from the DJL task, were compared between injured and uninjured sample populations. A statistically significant difference (t = 1.98, p = 0.049) was observed in the FMS™ scores between the injured (ACL and LE injury) and uninjured groups. Prior ACL injury was also a significant predictor of LE injury (OR = 4.4, p = 0.01). The FMS™ can be used to identify collegiate female athletes who are at an increased risk of sustaining a non-contact ACL or LE injury. Female collegiate athletes that score 14 or less on the FMS™ have a greater chance of sustaining a non-contact LE injury than those who score above 14. 3b.