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Functional Movement Screen

Discussion in 'Biomechanics, Sports and Foot orthoses' started by JB1973, Jun 29, 2013.

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  1. JB1973

    JB1973 Active Member


    Members do not see these Ads. Sign Up.
    Evening all,
    This isn't something that is used too widely in the UK i don't think so looking for a bit of input from our American friends about the functional movement screen. The Biomechanics summer school this year was all about function and this was mentioned a few times. I remember coming across it a few years ago and thought it might be another fad thing that would come and go, but i see some articles in google scholar about it. So do folks think this is something thats worth exploring further? or not

    Any advice/opinion greatly appreciated
    cheers
    JB
     
  2. toomoon

    toomoon Well-Known Member

    JB.. I posted on my facebook page www.facebook.com/bartoldbiomechanics

    It might help! This is what i said:Just had an interesting question from BB member Luke about the Functional Movement Screen FMS. Is anyone using it, and with what success? is it marketing hype, or does it have real merit in screening athletes for injury. Respected sports medicine commentator Paul Ingraham from Vancouver Canada, suspects the former may be the case and comments "I think the marketing cart may be in front of the research horse." his full discussion can be read here:http://saveyourself.ca/articles/functional-movement-screen.php
    The FMS suffers from a strong case of logical structuralism. While the logic is strong, unfortunately the premises that undergird the argument are largely untested. As indicated, it is a 'reliable' tool, but its validity to predict injury or performance is extremely weak. one recent study actually showed an inverted U shape prediction, with the 'best movers' according to FMS scoring having more injuries!! most of the other research is retrospective and in very specific populations (NFL). from a practical/clinical perspective, some of the 'tests' make it very hard for an inexperienced practitioner to obtain much useful prescriptive information, ie: you score low on this test - but what does that mean??!! Experienced practitioners/professionals may be able to do something with this information, but then they probably wouldn't need the FMS in the first place.
     
  3. JB1973

    JB1973 Active Member

    Cheers Simon.
    I did a (very) wee bit of searching about google and it looked to me like it was being used as an assessment tool and not a screening tool and as we know there is a difference. I like the idea of it in terms of its simplicity but wonder, if it was just another paradigm for folk to hang their hat on.
    Cheers
    JB
     
  4. csmcinnes

    csmcinnes Welcome New Poster

    Hi

    All my clinic uses this with one of the junior elite squads we deal with and use it with Phyiso & Podiatry.

    There is good evidence to show that if they are not at a certain level they are at greatly increased risk of injury.

    It certainly highlights areas where there is a lack and strength especially in the core and glutes/hips.

    Very little actual Ankle/Foot Function testing in the screen though. I have modified it to add some basic Pod tests.
     
  5. JB1973

    JB1973 Active Member

    Hiya
    What basic pod tests have you added? And have you got any links to this good evidence?
    Cheers
    JB
     
  6. David Wedemeyer

    David Wedemeyer Well-Known Member

    My main concern is how does it improve patient care? It doesn't. It is not diagnostic, it is a relative predictor of the potential for injury and there is no high-level evidence to support it. It essentially assesses "well" participants in sports.
     
  7. GLeahy-643

    GLeahy-643 Welcome New Poster

    The Functional Movement Screen (FMS) has multiple problems, in my view. One is the study design of nearly all intervention FMS research lacks control groups. Without a control group, it's impossible to tell if the FMS worked. The only such published study which has a control group is this one: http://www.ncbi.nlm.nih.gov/pubmed/21921825
    This study found that in the *control group* 85% of the FMS scores changed significantly pre-post, whereas the intervention group FMS scores did not significantly change.

    Another problem is that all FMS studies to date which have reported sensitivity results (ability of the FMS to detect individual injury) have found consistently low marks. The highest I've seen in the lit is .58, with some below .40. The FMS misses the mark in detecting injury 42%-60% of the time. A screening tool which performs this poorly is not an effective screening tool ;)

    I've published a review article on the FMS in an online, peer-reviewed report. I can't post it on Podiatry Arena yet, as the publisher copyright has not expired. When the copyright expires, I'll add it to this thread.

    Guy Leahy
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Inter-rater Reliability of the Functional Movement Screen within an athletic population using Untrained Raters
    Elias, Jade E.
    Journal of Strength & Conditioning Research: 8 July 2013
     
  9. David Wedemeyer

    David Wedemeyer Well-Known Member

    Great comments Guy and thank you. I'd enjoy reading your review article in the future.

    I'd also enjoy your thoughts on the above study. It appears they sought to prove inter-rater reliability, which means less than proving their tests have a predictive value of injury as proposed or any predictive value diagnostically, correct?
     
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    The reliability of Functional Movement Screening (FMS) and in-season changes in physical function and performance among elite rugby league players
    Waldron, Mark; Gray, Adrian; Worsfold, Paul; Twist, Craig
    Journal of Strength & Conditioning Research: 9 February 2014
     
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    Functional Movement Screen Scores in a Group of Running Athletes
    Loudon, Janice K.; Parkerson-Mitchell, Amy J.; Hildebrand, Laurie D.; Teague, Connie
    J Strength Cond Res 28(4): 909–913, 2014
     
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    THE FUNCTIONAL MOVEMENT SCREEN AND ITS RELATIONSHIP TO MEASURES OF ATHLETIC-RELATED PERFORMANCE, BODY COMPOSITION AND INJURY RATES
    Valdez J. Crouse
    Masters thesis. The Pennsylvania State University. May 2014
     
  15. NewsBot

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    Efficacy of the Functional Movement Screen: A review.
    Kraus, Kornelius; Schütz, Elisabeth; Taylor, William R.; Doyscher, Ralf
    Journal of Strength & Conditioning Research: 10 June 2014
     
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    FUNCTIONAL MOVEMENT SCREENING: THE USE OF FUNDAMENTAL MOVEMENTS AS AN ASSESSMENT OF FUNCTION ‐ PART 1
    Gray Cook, Lee Burton and Michael Voight
    Int J Sports Phys Ther. May 2014; 9(3): 396–409.
     
  17. JB1973

    JB1973 Active Member

    Did Gary Cook not come up with the concept of the FMS in the first place?
    Can't see anything from him being too balanced.
     
  18. NewsBot

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    The effectiveness of four weeks of fundamental movement training on Functional Movement Screen(TM) and physiological performance in physically active children.
    Wright, Matthew D; Portas, Matthew D; Evans, Victoria J; Weston, Matthew
    Journal of Strength & Conditioning Research: Post Acceptance: July 28, 2014
     
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    Functional Movement ScreenTM – Normative Values in Healthy Distance Runners
    C. Agresta, M. Slobodinsky, C. Tucker
    Int J Sports Med
     
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    Grading the Functional Movement Screen(TM): A Comparison of Manual (Real-Time) and Objective Methods.
    Whiteside, David; Deneweth, Jessica M.; Pohorence, Melissa A.; Sandoval, Bo; Russell, Jason R.; McLean, Scott G.; Zernicke, Ronald F.; Goulet, Grant C.
    Journal of Strength & Conditioning Research: August 26, 2014
     
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    Association of Functional Movement Screen™ With Injuries in Division I Athletes
    Meghan Warren, Craig A. Smith, and Nicole J. Chimera
    JSR; In Press
     
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    Efficacy of Functional Movement Screening For Predicting Injuries in Coast Guard Cadets.
    Knapik, Joseph J ScD; Cosio-Lima, Ludimila M PhD; Reynolds, Katy L. MD; Shumway, Richard S.
    Journal of Strength & Conditioning Research: September 26, 2014
     
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    Last edited by a moderator: Sep 22, 2016
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    Functional Movement Screen(TM) Differences Between Male and Female Secondary School Athletes.
    Anderson, Barton E. MS, ATC; Neumann, Matthew MS, ATC; Huxel Bliven, Kellie C. PhD, ATC
    Journal of Strength & Conditioning Research: October 17, 2014
     
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    Predicting injuries in NCAA runners using the Functional Movement Screen (FMS(TM))
    Padilla, Ricardo, M.S.
    Thesis; CALIFORNIA STATE UNIVERSITY, FULLERTON, 2014, 30 pages; 1524807
     
  27. Craig Payne

    Craig Payne Moderator

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    An appraisal of the Functional Movement Screen™ grading criteria – Is the composite score sensitive to risky movement behavior?
    David M. Frost, Tyson AC. Beachemail, Troy L. Campbell, Jack P. Callaghanemail, Stuart M. McGill
    Physical Therapy in Sport; Article in Press
     
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    Integration of the Functional Movement ScreenTM into the National Hockey LeagueTM Combine.
    Rowan, Chip P. MSc; Jamnik, Veronica K. PhD; Kuropkat, Christiane MD; Gledhill, Norman PhD
    Journal of Strength & Conditioning Research: Post Acceptance: February 21, 2015
     
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    Association Between the Functional Movement Screen and Injury Development in College Athletes.
    Garrison M, Westrick R, Johnson MR, Benenson J
    February 2015 IJSPT
     
  32. NewsBot

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    An appraisal of the Functional Movement Screen™ grading criteria – Is the composite score sensitive to risky movement behavior?
    David M. Frost, Tyson AC. Beach, Troy L. Campbell, Jack P. Callaghan, Stuart M. McGill
    Physical Therapy in Sport; Article in Press
     
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    Functional Movement Screen for Predicting Running Injuries in 18-24 Year-Old Competitive Male Runners.
    Hotta, Takauki; Nishiguchi, Shu; Fukutani, Naoto; Tashiro, Yuto; Adachi, Daiki; Morino, Saori; Shirooka, Hidehiko; Nozaki, Yuma; Hirata, Hinako; Yamaguchi, Moe; Aoyama, Tomoki MD, PhD
    Journal of Strength & Conditioning Research; in press
     
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    Efficacy of functional movement screening for predicting injuries in coast guard cadets.
    Knapik, JJ, Cosio-Lima, LM, Reynolds, KL, and Shumway, RS.
    J Strength Cond Res 29(5): 1157–1162, 2014
     
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    Correlations Between the Functional Movement
    Screen (FMS), the Balance Error Scoring System
    (BESS), and Injury

    Jaime Perry
    Masters Thesis; Winthrop University; 2015
     
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    Validity of the lower extremity functional movement screen in patients with chronic ankle instability.
    Choi HS, Shin WS
    J Phys Ther Sci. 2015 Jun;27(6):1923-7. doi: 10.1589/jpts.26.1923
     
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    The Functional Movement Screen’s Ability to Detect Changes in Movement Patterns After a Training Intervention
    JSR Volume 24, Issue 3, August
     
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    Factor Structure and Internal Validity of the Functional Movement Screen in Adults.
    Koehle, Michael S.; Sinnen, Nadine; Safferm, Boaz Y.; Saffer, Boaz Y.
    Journal of Strength & Conditioning Research: July 11, 2015
     
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    How reliable are Functional Movement Screening scores? A systematic review of rater reliability
    Robert W Moran, Anthony G Schneiders, Katherine M Major, S John Sullivan
    Br J Sports Med doi:10.1136/bjsports-2015-094913
     
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    Modifying the Functional Movement Screen Deep Squat Test: The effect of foot and arm positional variations.
    McMillian DJ, Rynders Z, Trudeau TR.
    J Strength Cond Res. 2015 Sep 12
     
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