Functional Movement

fms_klein7Overall high level evidence for function movement screen (FMS) is limited. Research suggest that the FMS is a reliable screen if the rater is educated and has solid experience (>100 trials). Studies clearly illustrate its limited ability to predict athletic performance. On the contrary, to predict injury risk in team sports, the FMS total score is supported by moderate scientific evidence. The majority of the FMS based intervention programs showed an improvement on general motor quality. However, a randomized trial does not confirm that results. Hence, to implement the findings on field, a critical strength and conditioning specialist is crucial.

 

Essential Literature


 

Phys. Therapy in sportAN APPRAISAL OF THE FUNCTIONAL MOVEMENT SCREEN™ GRADING IS THE COMPOSITE SCORE SENSITIVE TO RISKY MOVEMENT BEHAVIOR?
Frost et. al. 2015
Conclusion:
Participants with high composite FMS scores exhibited less spine and frontal plane knee motion while performing the FMS in comparison to their low-scoring counterparts. However, because substantial variation was observed amongst performers, the FMS may not provide the specificity needed for individualized injury risk assessment and exercise prescription

 

Journal of Strength and Conditioning ResearchPERFORMANCE COMPARISON OF STUDENT-ATHLETES AND GENERAL COLLEGE STUDENTS ON THE FUNCTIONAL MOVEMENTSCREEN AND THE Y BALANCE TEST
Engquist et. al. 2015
Conclusion:
No difference was found in FMS composite scores between student-athletes and general college students. For FMS movement patterns, female student-athletes scored higher than general college students in the deep squat. Female student-athletes scored higher than female general college students in YBT composite scores. Existing research on the FMS composite score in athletic populations may apply to a general college population for the purposes of preparticipation screening, injury prediction, etc. Existing research on the YBT in male athletic populations is expected to apply equally to general college males for the purposes of preparticipation screening and injury prediction

Journal of Strength and Conditioning ResearchEFFICACY OF THE FUNCTIONAL MOVEMENT SCREEN: A REVIEW
Kraus et. al. 2014
Conclusion:
Studies clearly illustrate its limited ability to predict athletic performance. On the contrary, to predict injury risk in team sports, the FMS total score is supported by moderate scientific evidence. The majority of the FMS based intervention programs showed an improvement on general motor quality. However, a randomized trial does not confirm that results. Hence, to implement the findings on field, a critical strength and conditioning specialist is crucial.

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Journal of Strength and Conditioning ResearchGRADING THE FUNCTIONAL MOVEMENT SCREEN™: A COMPARISON OF MANUAL AND OBJECTIVE METHODS
Whiteside et. al. 2014
Conclusion:
It appears that manual grading of the FMS is confounded by vague grading criteria. More explicit grading guidelines would likely improve the uniformity and accuracy of manual FMS grading and also facilitate the use of objective measurement systems in the grading process. Contrary to the approach that has been employed in several previous studies, the potential for subjective and/or inaccurate FMS grading insinuates that it may be inappropriate to assume that manual FMS grading provides a valid measurement tool. Consequently, the development and criterion validation of uniform grading procedures must precede research attempting to link FMS performance and injury rates. With manual grading methods seemingly susceptible to error, the FMS should be used cautiously to direct strength and/or conditioning programs.

 

JOSPTSeptember2010-CoverTHE FUNCTIONAL MOVEMENT SCREENING (FMS)™: AN INTER-RATER RELIABILITY STUDY BETWEEN RATERS OF VARIED EXPERIENCE
Gulgin et. al. 2014
Conclusion:
Total FMS™ scores were similar among the raters, and the inter-rater reliability for a majority of the individual tests had as strong agreement despite the various level of experience of the raters scoring the FMS™ tests.

 

JOSPTSeptember2010-CoverINTRA- AND INTER-RATER RELIABILITY OF THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT (SFMA)
Glaws et. al. 2014
Conclusion:
As hypothesized, intra-and inter-rater reliability of categorical scoring and criterion checklist scoring of the ten fundamental movements of the SFMA was higher in raters with greater experience.

 

Journal of Strength and Conditioning ResearchFMS™ SCORES CHANGE WITH PERFORMERS’ KNOWLEDGE OF THE GRADING CRITERIA – ARE GENERAL WHOLE-BODY MOVEMENTSCREENS CAPTURING “DYSFUNCTION”?
Frost et. al. 2013
Conclusion:
Because knowledge of a task’s grading criteria can alter a general whole-bodymovement screen score, FMS or otherwise, observed changes may not solely reflect “dysfunction”. The instant that individuals are provided with coaching and feedback regarding their performance on a particular task, the task may lose its utility to evaluate the transfer of training or predict musculoskeletal injury risk.

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