Is a low Functional Movement Screen score (≤14/21) associated with injuries in sport? A systematic review and meta-analysis

Trinidad-Fernández, Manuel; Gónzalez-Sánchez, Manuel; Cuesta‐Vargas, Antonio

doi:10.1136/bmjsem-2018-000501

Cited by 24 publications

(26 citation statements)

References 49 publications

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“…A lower FMS score is associated with an elevated injury risk [15]. We found that Wushu athletes who had FMS score less than 16 (sensitivity = 80%, specificity = 56%) had a higher odd of having some injury history (OR = 5.096), than those who had score over 16.…”

Section: Discussionmentioning

confidence: 69%

“…It should be noted that future studies need to consider the potential threshold scores for functional tests. Moreover, prospective studies that include detailed injury surveillance and a more robust injury definition are needed, in order to compare results across different studies [15]. While FMS can be used as a measuring tool and method to predict sports injury for Wushu athletes, the score of FMS test is limited to relate to the incidence of sports injury.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, the seminal study of Kiesel et al found that professional football players, who received the FMS score of 14 or less, were at a higher risk (odds ratio was 11.67) of serious injuries during the follow-up season [14]. However, while many FMS studies have used the cut-off point of 14 for identifying those at high risk of injury, it has been suggested that a higher composite score (cut-off point >14) may be more suitable for predicting injury risks at the high-level athletes [15]. Furthermore, several controversies exist regarding the predictive validity of the FMS and its underlying factors, e.g., sport type, which may be related to elevate injury risk [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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Can the Functional Movement Screen Method Identify Previously Injured Wushu Athletes?

Wang

Lin

Kulmala

et al. 2021

IJERPH

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The functional movement screen (FMS) is commonly used to evaluate sports injury risks, but no study has been reported for Wushu athletes. The aim of this study was to identify optimal FMS cut-off points for previously injured Wushu athletes and to examine the associations with other possible factors. In this study, a total of 84 Chinese Wushu athletes (15.1 ± 4.5 years old, 51% male) with a minimum of two years of professional training background in either Taiji, Changquan, or Nanquan were assessed by the FMS. Video recordings were used to confirm the scoring criteria, and previous injuries were assessed based on face-to-face interviews. An optimal cut-off of the FMS score was investigated by receiver operating characteristic curves with sensitivity and specificity. We found that FMS score of less than 16 (sensitivity = 80%, specificity = 56%) was related to an increased occurrence of injuries (odds ratio = 5.096, 95%CI: 1.679–15.465) for the current study sample. The training type and training levels were related with FMS scores. More than half of the athletes (58%) had FMS asymmetry and 21% of athletes reported pain while performing the FMS protocol. Future prospective studies are recommended to use FMS with cut-off of 16 points in Wushu athletes.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Can the Functional Movement Screen Method Identify Previously Injured Wushu Athletes?

Wang

Lin

Kulmala

et al. 2021

IJERPH

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“…The Functional Movement Screen (FMS)™ is a screening tool used to evaluate mobility, balance, and postural stability using seven fundamental movement patterns and three additional clearing tests ( Cook et al., 2014 ; Scudamore et al, 2019 ; Cook, Burton & Hoogenboom, 2006a ; Cook, Burton & Hoogenboom, 2006b ). Acceptable results for the intra- and interclass reliability (coefficients of 0.869 and 0.843, respectively) of the total FMS score (TFMS), calculated using the sum of the seven movement scores ( Scudamore et al, 2019 ; Moran et al, 2017 ; Trinidad-Fernandez, Gonzalez-Sanchez & Cuesta-Vargas, 2019 ; Bonazza et al, 2017 ; Moore et al, 2019 ), have been reported ( Cuchna, Hoch & Hoch, 2016 ; Moran et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Low composite functional movement screen score associated with decline of gait stability in young adults

Lee

Youm

Noh

et al. 2021

PeerJ

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Background The functional movement screen (FMS)TM is a screening tool used to evaluate fundamental motor function. A score of 14 for the composite total FMS score (TFMS) is generally used as the cut-off point (≤14/21). In addition, gait analysis is used to evaluate fundamental motor function in humans. Thus, evaluating the fundamental motor function using the FMSTM test and gait analysis at various speeds can provide further understanding of any decline in gait stability. In this study, we aimed to investigate the association between gait ability and fundamental movement patterns in young adults according to the cut-off point. Methods A total of 439 participants (male: 203, female: 236) successfully completed the FMS test and a 1 min treadmill test; the participants were classified into two groups: low TFMS (≤14) and high TFMS (>14). Results The low TFMS group exhibited slower and shortened walking patterns and worsen gait variability than the high TFMS group. The coefficient of variance (CV) for the double support phase at a faster speed (male) and the stride length at a slower speed (female) were classifiers between the two groups. In addition, the low TFMS group demonstrated insufficient gait adaptation at the preferred and faster speeds based on the CV of the double support phase and gait asymmetry. Lower TFMS is associated with a decline in gait ability. Therefore, participants with a lower TFMS and poor gait ability may require intervention programs to prevent risk of future injury and to enhance motor function.

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“…Two studies pertaining to FMS™ and sports injuries of athletes considered the total scores and asymmetry of the FMS™ to be more useful for evaluating the injury risk of older athletes ( Moore et al., 2019 ). Another review reported that the relationship between the FMS™ score and injury is unclear as the heterogeneity of the study populations (type of athletes, age, and sport exposure) and the definition of injury used in the studies made it difficult to draw definitive conclusions ( Trinidad-Fernandez, Gonzalez-Sanchez & Cuesta-Vargas, 2019 ). Therefore, there is no clear conclusion about the relationship between FMS™ and sports injuries.…”

Section: Introductionmentioning

confidence: 99%

Effects of functional correction training on injury risk of athletes: a systematic review and meta-analysis

Chen

Chun-he

Chen

et al. 2021

PeerJ

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Background We explored functional correction training using the Functional Movement Screen (FMS™) tool. We also analyzed the effects of training on the injuries of athletes in a systematic review and meta-analysis of non-randomized clinical trials. Methodology We collected twenty-four articles from PubMed, CENTRAL, Scopus, ProQuest, Web of Science, EBSCOhost, SPORTDiscus, Embase, WanFang, and CNKI that were published between January 1997 to September 2020. Articles were selected based on the following inclusion criteria: randomized and non-randomized controlled trials, studies with functional correction training screened by FMS™ as the independent variable, and studies with injury risk to the athlete as the dependent variable. Data conditions included the sample size, mean, standard deviation, total FMS™ scores, number of injuries, and asymmetry movement patterns after interventions in the experimental and control groups. Exclusion criteria included: conference abstracts, cross-sectional studies, articles with retrospective study design. Results Twelve non-randomized trials were included in the meta-analysis. The injury risk ratio of athletes after functional correction training was 0.39 RR (95 CI [1.50–1.93]; Z = 15.53; P < 0.0001; I2 = 2.6%), indicating an improvement of athletes functional patterns. Conclusion Grade B evidence indicates that functional correction training based on FMS™ may improve the functional patterns of athletes and Grade D evidence indicates that it may reduce the risk of sports injury. However, the true effect is likely to be different from the estimate of the effect. Therefore, further studies are needed to explore the influence of functional correction training on the injury risks of athletes. Protocol registration: CRD42019145287.

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Is a low Functional Movement Screen score (≤14/21) associated with injuries in sport? A systematic review and meta-analysis

Cited by 24 publications

References 49 publications

Can the Functional Movement Screen Method Identify Previously Injured Wushu Athletes?

Can the Functional Movement Screen Method Identify Previously Injured Wushu Athletes?

Low composite functional movement screen score associated with decline of gait stability in young adults

Effects of functional correction training on injury risk of athletes: a systematic review and meta-analysis

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