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Abstract
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CONTEXT: The Functional Movement Screen™ (FMS) evaluates performance in seven fundamental movement patterns using a 4-point scale. Previous studies have reported increased injury risk with a composite score (CS) of 14/21 or less; these studies were limited to specific sports and injury definition.
OBJECTIVE: To examine the association between FMS CS and movement pattern scores and acute non-contact and overuse musculoskeletal injuries in Division I collegiate athletes. An exploratory objective was to assess the association between injury and FMS movement patterns asymmetry.
DESIGN: Prospective cohort. SETTING: College Athletic Facilities. PARTICIPANTS: 167 injury-free, college basketball, football, volleyball, cross-country, track and field, swimming/diving, soccer, golf and tennis athletes (males = 89). INTERVENTION: The FMS was administered during pre-participation examination. MAIN OUTCOME MEASURE: Non-contact or overuse injuries that required intervention from the Athletic Trainer during the sport season.
RESULTS: FMS CS was not different between those injured (n=74; 14.3±2.5) and those not (14.1±2.4; p=0.57). No point on the ROC curve maximized sensitivity and specificity; therefore previously published cut-point was used for analysis with injury (≤14 [n=92]). After adjustment, no statistically significant association between FMS CS and injury (odds ratio[OR]=1.01, 95% confidence interval[CI] 0.53-1.91) existed. Lunge was the only movement pattern that was associated with injury; those scoring 2 were less likely to have an injury versus those who scored 3 (OR=0.21, 95%CI 0.08-0.59). There was also no association between FMS movement pattern asymmetry and injury.
CONCLUSION: FMS CS, movement patterns, and asymmetry were poor predictors of non-contact and overuse injury in this cohort of Division I athletes.
Language: en |