Functional Movement Screen Injury Prediction
Lisman P, O’Connor FG, Deuster PA, Knapik JJ. Functional movement screen and aerobic fitness predict injuries in military training. Med Sci Sports Exerc. 2013 Apr;45(4):636-43.
“Combining slow RT and low FMS scores (≤14) increased the predictive value across all injury classifications: candidates scoring poorly on both tests were 4.2 times more likely to experience an injury.”
Take Home: Injury risk is multifactorial. Using aerobic fitness combined with fundamental movement competency as measured by the Functional Movement Screen proved to be a powerful predictor of injury in Marine Corps officer candidates. Demonstrates the need for using multiple tests and categorizing the subjects into risk levels (Lehr et al 2013).
Butler RJ, Contreras M, Burton LC, Plisky PJ, Goode A, Kiesel K. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013
“ROC curve analysis established that a FMS cut score of ≤14 was able to discriminate between those at a greater risk for injury. In addition, the deep squat and push up component of the FMS were statistically significant predictors of injury status along with the sit and reach test.”
Take Home: In a different population than previously studied (firefighters rather than athlete or military) the Functional Movement Screen was found predictive of injury. This may demonstrate that fundamental movement patterns are important regardless of activity type.
O’Connor FG, Deuster PA, Davis J, Pappas CG, Knapik JJ. Functional movement screening: predicting injuries in officer candidates. Med Sci Sports Exerc. 2011 Dec;43(12):2224-30.
“Both Long Cycle and Short Cycle cohorts demonstrated higher injury risk among candidates who had scores ≤14 compared with those with scores >14 (LC: risk ratio (RR) = 1.65, 95% confidence interval = 1.05-2.59, P = 0.03; SC: RR = 1.91, 95% confidence interval = 1.21-3.01, P < 0.01). Overall, 79.8% of persons with scores ≤14 were in the group with fitness scores <280 (/300), whereas only 6.6% of candidates in the group with fitness scores ≥280 had scores ≤14.”
Take Home: Functional Movement Screen score is associated with injury risk in Marine officer candidates regardless of the length of the basic training session.
Kiesel K, Plisky PJ, Voight ML. Can Serious Injury in Professional Football be Predicted by a Preseason Functional Movement Screen? N Am J Sports Phys Ther. 2007 Aug;2(3):147-58.
“The results of this study suggest fundamental movement (as measured by the FMS™) is an identifiable risk factor for injury in professional football players. The findings of this study suggest professional football players with dysfunctional fundamental movement patterns as measured by the FMS(™) are more likely to suffer an injury than those scoring higher on the FMS™.”
Take Home: Performance on a basic test of fundamental movement patterns is helpful in predicting injuries in professional football players.
Chorba RS, Chorba DJ, Bouillon LE, Overmyer CA, Landis JA. Use of functional movement screening tool to determine injury risk in female collegiate athletes. N Am J Sports Phys Ther. 2010;5:47-54.
“A score of 14 or less on the FMS™ tool resulted in a 4-fold increase in risk of lower extremity injury in female collegiate athletes participating in fall and winter sports. The screening tool was able to predict injury in female athletes without a history of major musculoskeletal injury such as ACLR.”
Take Home: It is interesting to note that athletes with history ACL reconstruction were included in the study. This may indicate that the Functional Movement Screen may be able to pick up some of the motor control changes that occur after injury that place athletes at increased risk.