@article{ref1,
title="Functional movement screen pain location and impact on scoring has limited value for junior Australian football injury risk estimation",
journal="Journal of orthopaedic and sports physical therapy",
year="2019",
author="Fuller, Joel T. and Lynagh, Matthew and Tarca, Brett and Zacharia, Andrew and Townsley, Alex and Gleeson, Cara and Milanese, Steven and Chalmers, Samuel",
volume="ePub",
number="ePub",
pages="1-24",
abstract="STUDY DESIGN: Prospective cohort study. <br><br>BACKGROUND: Pain during Functional Movement Screen (FMS) testing is common and has a significant effect on FMS scoring but the effect on FMS injury risk predictions is unknown. <br><br>OBJECTIVES: Describe the location and severity of pain during FMS testing in junior Australian football players and investigate its effect on FMS composite score (CS) and injury risk. <br><br>METHODS: Junior male Australian football players (n=439) completed pre-season FMS testing. Pain location and 0-10 numerical pain rating scale (NPRS) severity were assessed for painful sub-tests. FMS CS was calculated using three scoring approaches: CS<sub>traditional</sub> scored all painful sub-tests zero, CS<sub>moderate</sub> scored painful sub-tests zero if NPRS >4, and CS<sub>raw</sub> did not adjust painful sub-test scores. Players were monitored throughout the competitive season and considered injured if ≥1 match was missed due to injury. <br><br>RESULTS: 170 players reported pain during FMS testing. Pain scoring approach affected mean CS (CS<sub>raw</sub>: 14.9 > CS<sub>moderate</sub>: 14.5 > CS<sub>traditional</sub>: 13.6; <i>P</i><0.001). Sixty-eight percent of pain was mildly severe (NPRS ≤5). Back pain (50%) was more common than upper (24%) or lower (26%) limb pain (<i>P</i><0.001). Upper limb pain caused a small increase in injury risk (Hazard ratio: 1.59; <i>P</i>=0.023). No other FMS pain location nor pain severity influenced injury risk (<i>P</i>>0.280). FMS CS was not associated with injury risk, regardless of pain scoring approach (<i>P</i>>0.500). <br><br>CONCLUSION: Pain is common during FMS testing in junior Australian football and has a notable effect on FMS CS, but minimal effect on subsequent injury risk. <i>J Orthop Sports Phys Ther, Epub 17 Sep 2019. doi:10.2519/jospt.2020.9168</i>.<p /> <p>Language: en</p>",
language="en",
issn="0190-6011",
doi="10.2519/jospt.2020.9168",
url="http://dx.doi.org/10.2519/jospt.2020.9168"
}