Functional Movement Screen (FMS): Difference between revisions

No edit summary
mNo edit summary
Line 2: Line 2:
'''Original Editor '''- [[User:Adriana Mesa|Adriana Mesa]]  
'''Original Editor '''- [[User:Adriana Mesa|Adriana Mesa]]  


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  
</div>  
</div>  
== '''Objective'''<br> ==
 
<div align="justify">
== Objective  ==
The Functional Movement Screen (FMS) is a tool used to identify asymmetries which result in functional movement deficiencies. The FMS aims to identify imbalances in mobility and stability during seven fundamental movement patterns. These movement patterns are designed to provide observable performance of basic locomotor, manipulative and stabilizing movements by placing an individual in extreme positions where weaknesses and imbalances become noticeable if appropriate mobility and motor control is not utilized.&nbsp;Once these deficiencies have been identified through the FMS Screen, a program of corrective exercises is then developed with the goal of preventing musculoskeletal injuries. The FMS consists of seven movement patterns which require mobility and stability. The seven following movement patterns are scored from 0-3 points, with the sum creating a score ranging from 0-21 points.  
 
The Functional Movement Screen (FMS) is a tool used to identify asymmetries which result in functional movement deficiencies. The FMS aims to identify imbalances in mobility and stability during seven fundamental movement patterns. These movement patterns are designed to provide observable performance of basic locomotor, manipulative and stabilizing movements by placing an individual in extreme positions where weaknesses and imbalances become noticeable if appropriate mobility and motor control is not utilized. Once these deficiencies have been identified through the FMS Screen, a program of corrective exercises is then developed with the goal of preventing musculoskeletal injuries. The FMS consists of seven movement patterns which require mobility and stability. The seven following movement patterns are scored from 0-3 points, with the sum creating a score ranging from 0-21 points.  


#Deep Squat  
#Deep Squat  
Line 16: Line 17:
#Shoulder Mobility
#Shoulder Mobility


== '''Intended Population'''<br> ==
== Intended Population  ==


The FMS was intended to serve as a screen to identify individuals with functional movement deficits that could indicate an increased risk of injury. Use&nbsp;in the literature varies from young, active individuals to middle-aged individuals, elite, collegiate and professional athletes, as well as military and firefighters.&nbsp;<br>  
The FMS was intended to serve as a screen to identify individuals with functional movement deficits that could indicate an increased risk of injury. Use in the literature varies from young, active individuals to middle-aged individuals, elite, collegiate and professional athletes, as well as military and firefighters.&nbsp;<br>  


== '''Evidence''' ==
== Evidence  ==


=== Reliability  ===
=== Reliability  ===


Multiple studies have demonstrated excellent reliability of the FMS screen <ref name="Teyhen et al"/><ref name="Scheiders et al">2. Schneiders AG, Davidsson A, Horman E, Sullivan SJ. Functional movement screen normative values in a young, active population. IJSPT. 2011; 6: 75-82</ref><ref name="Parenteau et al">3. Parenteau GE, Gaudreault N, Chambers S, Boisvert C, Grenier A, Gagne G, Balg F. Functional movement screen test: A reliable screening test for young elite ice hockey players. Phys There Sport. 2013.</ref>. A recent study by Teyhen et al <ref name="Teyhen et al">1. Teyhen DS, Shaffer SW, Lorenson CL, Halfpap JP, Donofry DF, Walker MJ, Dugan JL, Childs JD. The functional movement screen: A reliability study. JOSPT. 2012; 42:530-40.</ref>&nbsp;revealed that among novice raters, the FMS demonstrated moderate to good inter-rater and intra-rater reliability, even with minimal training (4 hours). In a different study the inter-rater reliability was found to be excellent <ref name="Scheiders et al"/><ref name="Parenteau et al"/>.  
Multiple studies have demonstrated excellent reliability of the FMS screen <ref name="Teyhen et al"/><ref name="Scheiders et al">2. Schneiders AG, Davidsson A, Horman E, Sullivan SJ. Functional movement screen normative values in a young, active population. IJSPT. 2011; 6: 75-82</ref><ref name="Parenteau et al">3. Parenteau GE, Gaudreault N, Chambers S, Boisvert C, Grenier A, Gagne G, Balg F. Functional movement screen test: A reliable screening test for young elite ice hockey players. Phys There Sport. 2013.</ref>. A recent study by Teyhen et al <ref name="Teyhen et al">1. Teyhen DS, Shaffer SW, Lorenson CL, Halfpap JP, Donofry DF, Walker MJ, Dugan JL, Childs JD. The functional movement screen: A reliability study. JOSPT. 2012; 42:530-40.</ref> revealed that among novice raters, the FMS demonstrated moderate to good inter-rater and intra-rater reliability, even with minimal training (4 hours). In a different study the inter-rater reliability was found to be excellent <ref name="Scheiders et al"/><ref name="Parenteau et al"/>.  


=== Validity<br> ===
=== Validity  ===


A score of &lt;=14 on the FMS is used as the cut off score. Individuals who score less than 14 points on the FMS screen have greater odd for sustaining an injury <ref name="Kiesel et al">4. 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 There. 2007; 2:147-158.</ref>. Research to date is limited and it is not yet clear for which sports or professions the FMS is optimal in predicting injury risk, and whether the original cutoff score of &lt;=14 is valid in different populations <ref name="Teyhen et al" />. There is however, preliminary research by Kiesel et al <ref name="Kiesel et al" />&nbsp;that suggests that NFL (National Football League) players who score &lt;= 14 on the FMS had a positive likelihood ratio of 5.8 to sustain a time-loss injury.  
A score of &lt;=14 on the FMS is used as the cut-off score. Individuals who score less than 14 points on the FMS screen have greater odd for sustaining an injury <ref name="Kiesel et al">4. 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 There. 2007; 2:147-158.</ref>. Research to date is limited and it is not yet clear for which sports or professions the FMS is optimal in predicting injury risk, and whether the original cutoff score of &lt;=14 is valid in different populations <ref name="Teyhen et al" />. There is however, preliminary research by Kiesel et al <ref name="Kiesel et al" /> that suggests that NFL (National Football League) players who score &lt;= 14 on the FMS had a positive likelihood ratio of 5.8 to sustain a time-loss injury.  


== '''Screening Tool''' ==
== Screening Tool  ==


{| width="100%" border="0" cellpadding="2" cellspacing="2"
{| width="100%" border="0" cellpadding="2" cellspacing="2"
Line 37: Line 38:
[http://www.advanced-fitness-concepts.com/fms.pdf FMS Overview]  
[http://www.advanced-fitness-concepts.com/fms.pdf FMS Overview]  


Overview of the FMS Movements&nbsp;
Overview of the FMS Movements


[http://www.functionalmovement.com/content/Media/HSC.pdf FMS Course Manual]  
[http://www.functionalmovement.com/content/Media/HSC.pdf FMS Course Manual]  
Line 71: Line 72:
<br>
<br>


== '''Resources''' ==
== Resources  ==


Strength and Conditioning Review&nbsp;is an online encyclopedia of strength training, athletic development, physique enhancement, and biomechanics, all based on the latest sports science. They have completed a great review evaluating the available evidence on the Functional Movement Screen. You can read the review at&nbsp;[http://www.strengthandconditioningresearch.com/functional-movement-screen-fms/ http://www.strengthandconditioningresearch.com/functional-movement-screen-fms/].
Strength and Conditioning Review is an online encyclopedia of strength training, athletic development, physique enhancement, and biomechanics, all based on the latest sports science. They have completed a great review evaluating the available evidence on the Functional Movement Screen. You can read the review at&nbsp;[http://www.strengthandconditioningresearch.com/functional-movement-screen-fms/ http://www.strengthandconditioningresearch.com/functional-movement-screen-fms/].


The Functional Movement Screen (FMS) along with the [[Y Balance Test|Y-Balance]]&nbsp;are used in programmes that predict the risk for injury, for example [http://www.move2perform.com Move2Perform]. Based on the algorithm, patients are categorized according to risk level (normal, slight increased risk, moderate increased risk, and substantially increased risk).  
The Functional Movement Screen (FMS) along with the [[Y Balance Test|Y-Balance]] are used in programmes that predict the risk for injury, for example [http://www.move2perform.com Move2Perform]. Based on the algorithm, patients are categorized according to risk level (normal, slight increased risk, moderate increased risk, and substantially increased risk).  


In this case the components used are:  
In this case, the components used are:  


*Previous Injury  
*Previous Injury  
Line 86: Line 87:
*Pain with Testing<br>
*Pain with Testing<br>


== '''Recent Related Research (from '''[http://www.ncbi.nlm.nih.gov/pubmed/ '''Pubmed''']''')'''  ==
== Quiz (Read for Credit)  ==
<div class="researchbox">
<rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1JsSDwnbM1SQzS1ApReW4ISmUsztnlB8u15HZM9JNvZ616651x</rss>
</div>
== '''Quiz (Read for Credit)''' ==
<div class="coursebox">
<div class="coursebox">
{| width="100%" cellspacing="1" cellpadding="1" border="0"
{| width="100%" cellspacing="1" cellpadding="1" border="0"
Line 106: Line 103:
|}
|}
</div>  
</div>  
== '''References''' ==
 
== References  ==


<references />  
<references />  
<br></div>
[[Category:Outcome_Measures]] [[Category:Sports_Injuries]] [[Category:Musculoskeletal/Orthopaedics]]
[[Category:Outcome_Measures]] [[Category:Sports_Injuries]] [[Category:Musculoskeletal/Orthopaedics]]

Revision as of 21:30, 2 November 2017

Objective[edit | edit source]

The Functional Movement Screen (FMS) is a tool used to identify asymmetries which result in functional movement deficiencies. The FMS aims to identify imbalances in mobility and stability during seven fundamental movement patterns. These movement patterns are designed to provide observable performance of basic locomotor, manipulative and stabilizing movements by placing an individual in extreme positions where weaknesses and imbalances become noticeable if appropriate mobility and motor control is not utilized. Once these deficiencies have been identified through the FMS Screen, a program of corrective exercises is then developed with the goal of preventing musculoskeletal injuries. The FMS consists of seven movement patterns which require mobility and stability. The seven following movement patterns are scored from 0-3 points, with the sum creating a score ranging from 0-21 points.

  1. Deep Squat
  2. Hurdle Step
  3. In-line Lunge
  4. Active Straight-leg Raise
  5. Trunk Stability Push-up
  6. Rotary Stability
  7. Shoulder Mobility

Intended Population[edit | edit source]

The FMS was intended to serve as a screen to identify individuals with functional movement deficits that could indicate an increased risk of injury. Use in the literature varies from young, active individuals to middle-aged individuals, elite, collegiate and professional athletes, as well as military and firefighters. 

Evidence[edit | edit source]

Reliability[edit | edit source]

Multiple studies have demonstrated excellent reliability of the FMS screen [1][2][3]. A recent study by Teyhen et al [1] revealed that among novice raters, the FMS demonstrated moderate to good inter-rater and intra-rater reliability, even with minimal training (4 hours). In a different study the inter-rater reliability was found to be excellent [2][3].

Validity[edit | edit source]

A score of <=14 on the FMS is used as the cut-off score. Individuals who score less than 14 points on the FMS screen have greater odd for sustaining an injury [4]. Research to date is limited and it is not yet clear for which sports or professions the FMS is optimal in predicting injury risk, and whether the original cutoff score of <=14 is valid in different populations [1]. There is however, preliminary research by Kiesel et al [4] that suggests that NFL (National Football League) players who score <= 14 on the FMS had a positive likelihood ratio of 5.8 to sustain a time-loss injury.

Screening Tool[edit | edit source]

FMS Overview

Overview of the FMS Movements

FMS Course Manual

Provides detailed outline of FMS process 

FMS Scoring Criteria

Full Scoring Criteria for FMS

FMS Scoring Sheet

Full Scoring Sheet for FMS

FMS Verbal Instructions

Full details of the verbal instructions to standradise FMS process 

FMS.jpeg



Resources[edit | edit source]

Strength and Conditioning Review is an online encyclopedia of strength training, athletic development, physique enhancement, and biomechanics, all based on the latest sports science. They have completed a great review evaluating the available evidence on the Functional Movement Screen. You can read the review at http://www.strengthandconditioningresearch.com/functional-movement-screen-fms/.

The Functional Movement Screen (FMS) along with the Y-Balance are used in programmes that predict the risk for injury, for example Move2Perform. Based on the algorithm, patients are categorized according to risk level (normal, slight increased risk, moderate increased risk, and substantially increased risk).

In this case, the components used are:

  • Previous Injury
  • Y-Balance Test Composite Score based on Gender, Sport and Competition Level
  • Y-Balance Test Asymmetry
  • Functional Movement Screen Total Score (Scoring Criteria can be found here)
  • Functional Movement Screen Asymmetry
  • Pain with Testing

Quiz (Read for Credit)[edit | edit source]

Quiz-image.jpg

Would you like to earn certification to prove your knowledge on this topic?

All you need to do is pass the quiz relating to this page in the Physiopedia member area.

Go to quiz

Find out more about a Physiopedia membership

References[edit | edit source]

  1. 1.0 1.1 1.2 1. Teyhen DS, Shaffer SW, Lorenson CL, Halfpap JP, Donofry DF, Walker MJ, Dugan JL, Childs JD. The functional movement screen: A reliability study. JOSPT. 2012; 42:530-40.
  2. 2.0 2.1 2. Schneiders AG, Davidsson A, Horman E, Sullivan SJ. Functional movement screen normative values in a young, active population. IJSPT. 2011; 6: 75-82
  3. 3.0 3.1 3. Parenteau GE, Gaudreault N, Chambers S, Boisvert C, Grenier A, Gagne G, Balg F. Functional movement screen test: A reliable screening test for young elite ice hockey players. Phys There Sport. 2013.
  4. 4.0 4.1 4. 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 There. 2007; 2:147-158.