Assessing Movement Quality Using the Hip and Lower Limb Movement Screen: Development, Reliability and Potential Applications

Booysen, Nadine; Wilson, David A.; Lewis, Cara L.; Warner, Martin; Gimpel, Mo; Mottram, Sarah; Comerford, Mark; Stokes, María

doi:10.1142/s0218957719500088

Cited by 2 publications

(11 citation statements)

References 89 publications

(74 reference statements)

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“…The entire HLLMS includes 21 yes or no questions, with most tests (four) conducted unilaterally except for the deep squat which is observed bilaterally. In further analysis the combined score from each task for both the left and right side (19 × 2 questions) and bilateral task (2 questions), and total HLLMS score (maximum 40 movement faults) were used [5]. The HLLMS total score is the summed positive answers to all questions (Table 1).…”

Section: Hip and Lower Limb Movement Screenmentioning

confidence: 99%

“…The HLLMS has been shown to have an excellent intra-rater reliability (percentage agreement (PA) 96% and first-order coefficient (AC1) 0.93), and a strong inter-rater reliability (PA 88%; AC1 0.82) in youth male footballers [5]. A detailed protocol, tasks descriptions, and benchmark assessment criteria (questions) are given elsewhere [5].…”

Section: Hip and Lower Limb Movement Screenmentioning

confidence: 99%

“…Additionally, preliminary observations show that tasks included in the HLLMS can detect movement control impairments in athletes [23,24]. The HLLMS is mainly intended to inform neuromuscular exercises to improve muscle control and movement quality specifically to the pelvic region and lower limbs [5]. Thus, the aim of the present study was to investigate the relationship between the FMS and the HLLMS performance in youth football players.…”

Section: Introductionmentioning

confidence: 99%

“…Movement screening tools have gained popularity, which includes movement tests mainly focused on predicting injury risk and/or guiding injury prevention programmes [4]. Current movement screening tools do not focus on hip and pelvic movement dysfunction or examine the influence of motor control exercises on hip and pelvic movement quality [5]. Therefore, the present study examined the relationship between two movement screening tools to investigate movement quality and their ability to assess hip and pelvic control.…”

Section: Introductionmentioning

confidence: 99%

“…The recently developed Hip and Lower Limb Movement Screen (HLLMS) detects altered movement patterns and asymmetry, specifically of the hip, pelvis and lower limbs [5]. The HLLMS has been shown to have excellent intra-rater reliability and strong inter-rater reliability in adolescent male football players [5]. To date, two aspects of the HLLMS validity (criterion validity and sensitivity to change) have been indicated [22].…”

Section: Introductionmentioning

confidence: 99%

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Assessing Movement Quality in Youth Footballers: The Relationship between Hip and Lower Limb Movement Screen and Functional Movement Screen

et al. 2021

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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.

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Section: Hip and Lower Limb Movement Screenmentioning

confidence: 99%

Section: Hip and Lower Limb Movement Screenmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessing Movement Quality in Youth Footballers: The Relationship between Hip and Lower Limb Movement Screen and Functional Movement Screen

et al. 2021

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Efficacy of neuromuscular exercises to promote movement quality and reduce musculoskeletal injury during initial military training in Royal Navy recruits

Muckelt,

Power,

Patterson

et al. 2024

BMJ Mil Health

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IntroductionMusculoskeletal injuries (MSKIs) are a significant problem in the Royal Navy, contributing to 48% of all medical discharges from service between 2019 and 2020. The objective of the study was to assess efficacy of implementing a neuromuscular training intervention to improve movement quality and reduce MSKIs in Royal Navy recruits undertaking initial military training.MethodsNeuromuscular training (pre-activation exercises, focusing on hip control) was integrated into the warm-up exercise regimen preceding physical training during the 10-week initial naval training (recruits) programme (January–March 2020) at HMS Raleigh (intervention group; n=162). A control group comprised (n=90) of recruits entering training from January 2019, who completed the standard warm-up programme prior to physical training. Movement control of the intervention group (intervention) was assessed before and after the 10-week programme using the Hip and Lower-Limb Movement Screen (HLLMS). Injury incidence proportion for both groups was determined retrospectively by review of medical notes.ResultsThe control group’s MSKI incidence proportion was 31%, which was higher (p<0.05) than the 8% reported in the intervention group. The majority of MSKIs were of the lower limb, and were reported in weeks 1, 2 and 5 of the 10-week training programme. Movement control, as assessed by the HLLMS score, improved (pretraining (week 1) and post-training (week 10) HLLMS score (mean (SD) pre: 11.2 (5.6); post: 8.4 (3.9); t=5.829, p<0.001) following the neuromuscular training in the intervention group but was not assessed in the control group.ConclusionA neuromuscular control intervention was successfully implemented during the initial military training in the Royal Navy. The cohort undertaking the intervention demonstrated lower injury incidence compared with an equivalent cohort of recruits who undertook standard training. Movement control improved following the intervention, indicating better movement quality. Continued use of the programme may reduce military training attrition in the Royal Navy.

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Assessing Movement Quality Using the Hip and Lower Limb Movement Screen: Development, Reliability and Potential Applications

Cited by 2 publications

References 89 publications

Assessing Movement Quality in Youth Footballers: The Relationship between Hip and Lower Limb Movement Screen and Functional Movement Screen

Assessing Movement Quality in Youth Footballers: The Relationship between Hip and Lower Limb Movement Screen and Functional Movement Screen

Efficacy of neuromuscular exercises to promote movement quality and reduce musculoskeletal injury during initial military training in Royal Navy recruits

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