Firefighters experience high levels of physical and mental challenges. Yoga interventions have suggested benefits for firefighters.
This study reports results from a quality improvement assessment at ...fire departments with a 10-class yoga program. Main outcome is the total score on the Functional Movement Scale (FMS), an observer-based objective performance measure. A score of at least 14 range 0–20 is considered as protective against injury. Secondary outcome is the score on the Multidimensional Assessment of Interoceptive Awareness (MAIA) questionnaire, a self-report measure for interoceptive bodily awareness as a parameter for a mechanism of action with yoga. We used descriptive statistics and regression analyses.
Both total FMS and MAIA scores improved statistically significantly. The strongest performance improvement was seen in trunk stability. The mean FMS score improved from below 14 to 14 and higher indicating a decrease in the risk for injury. Changes in FMS and MAIA did not appear to be correlated.
Despite the limitation of the study design, the findings support the potential benefits from a yoga program for firefighters.
Objective: to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.
Materials and methods. A total of 114 ...people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.
Results. During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p <0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p> 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p <0.05).
Conclusions: Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.
ABSTRACTToselli, S and Campa, F. Anthropometry and functional movement patterns in elite male volleyball players of different competitive levels. J Strength Cond Res 32(9)2601–2611, 2018—The aim of ...this study was to establish specific profiles for anthropometry and functional movement parameters and identify which characteristics can be modified by training to achieve a better quality of movement in elite male volleyball players competing at the Italian National League (Super Lega = 39, aged 25.6 ± 4.7 years and A2 = 30, aged 26.2 ± 5.3 years). Another aim was to value functional movement patterns in relation to morphological traits, with special focus on differences by division and playing positions. Statistical significance was set at p ≤ 0.05. According to discriminant analysis, the differences between players of the 2 Divisions were primarily due to nonmodifiable parameters (humerus width, height, and bicrestiliac width) and modifiable parameters (contracted arm circumference and muscle area of upper arm). Our results highlighted differences according to playing positions. Middle hitters and opposites were taller, heavier and generally showed wide dimensions in contracted arm circumference, upper limb length widths, and handgrip strength than the players of the other roles. Percentage of fat mass was low in players of all roles, such as endomorph somatotype component. Ectomorphic component was maximal in middle hitters, whereas mesomorphic component was maximal in liberos. The players of the 2 Divisions did not show differences in the movement patterns, even if approximately 33% of them showed a dysfunctional movement, with a prevalence of asymmetric movements in the shoulder mobility test. Multiple regression showed that, in volleyball players, an optimal flexibility and mobility was closely related to anthropometric characters with particular emphasis on body fat.
Abstract
Little is known about the construct validity of the Functional Movement Screen
(FMS). We aimed to assess associations between FMS task scores and measures of
maximum joint range-of-motion ...(ROM) among university varsity student-athletes
from 4 sports (volleyball, basketball, ice hockey, and soccer). Athletes
performed FMS tasks and had their maximum ankle, hip and shoulder ROM measured.
Multivariable linear regression was used to estimate associations between FMS
task scores and ROM measurements. 101 university student-athletes were recruited
(52 W/49 M; mean age 20.4±1.9 years). In
general, athletes with higher FMS task scores had greater ROM compared to those
with lower task scores. For example, athletes who scored 2 on the FMS squat task
had 4° (95% CI, 1° to 7°) more uni-articular
ankle dorsiflexion ROM compared with those who scored 1, while those who scored
3 on the FMS squat task had 10° (4° to 17°) more
uni-articular ankle dorsiflexion ROM compared with those who scored 1. Large
variation in ROM measurements was observed. In sum, substantial overlap in joint
ROM between groups of athletes with different FMS task scores weakens the
construct validity of the FMS as an indicator of specific joint ROM.
OBJECTIVES This study aimed to compare the functional movement screen (FMS) scores of baseball players according to their careers, for the purpose of injury prevention and healthcare programs.METHODS ...The study subjects were evaluated by measuring the differences in the seven fundamental movement patterns of FMS between groups according to their baseball career stages. The study included 27 college baseball players and 17 middle and high school baseball players, and analysis was conducted using STATA Version 15.0 (STATA Corp., College Station, TX, USA).RESULTS In the FMS total score, the rate of poor FMS total score (≤14) was statistically higher in 96.3% of the college baseball player than 41.18% of the middle and high school baseball player (p<0.001). In the mobility part, the rate of low FMS score (≤1) in shoulder mobility was statistically higher in 77.78% of the college baseball player than 35.29% of the middle and high school baseball player (p<0.001). In the motor control part, the rate of low FMS score (≤1) in the rotary stability was statistically higher in 62.96% of the college baseball player than 5.88% of the middle and high school baseball player (p<0.001). In the functional patterning part, the rate of low FMS score (≤1) in the in-line lunge was statistically higher in 62.96% of the college baseball player than 5.88% of the middle and high school baseball player(p<0.001). And the rate of low FMS score (≤1) in the hurdle step was statistically higher in 77.78% of the college baseball player than 41.18% of the middle and high school baseball player(p=0.014).CONCLUSIONS Our results indicate that college baseball players had lower functional movement scores compared to middle and high school baseball players. The findings confirm that additional training is necessary to improve the functional movement of college baseball players with more experience.
The Functional Movement Screen (FMS) is widely recognized by clinicians and trainers as a valuable tool for the prediction and prevention of training injuries in sports population. However, some ...studies suggested that FMS may not fully meet the needs of professional athletes. To address this, the Modified Functional Movement Screen (MFMS) has been specifically developed for athletes.
A total of 527 male athletes in active service without prior training injuries 18.5 ± 1.2 years old) underwent the MFMS test, and their training injuries were monitored during a 2-year follow-up period. The ability of the MFMS to predict the risk of training injury was evaluated based on the receiver operating characteristic (ROC) curve of the total MFMS score. Binary logistic analysis was employed to examine the correlation between the 10 MFMS tests and the risk of training injury.
The injured group of athletes had significantly lower total MFMS scores compared to the healthy group (P < 0.001). The total MFMS score demonstrated a strong predictive ability for training injury risk, with an area under the ROC curve of 0.97 (P < 0.001). The calculated cut-off point was set at 22, yielding an odds ratio of 25.63, sensitivity of 0.94, and specificity of 0.88. Binary logistic regression analysis revealed a negative correlation between 6 MFMS tests and the risk of training injury.
The MFMS can effectively predict the risk of training injuries. Athletes with a total MFMS score below 22 are more susceptible to experiencing injuries during training.
Law enforcement officers (LEOs) use protective equipment to ensure safety. However, equipment carriage has been shown to impair movement quality and may increase the risk of musculoskeletal injury. ...Therefore, the objective of this study was to investigate the influence of equipment load carriage on functional movement as measured by the Functional Movement Screen (FMS). It was hypothesised that FMS scores would be negatively impacted by equipment carriage. A counterbalanced cross-over study was utilised and a convenience sample of 31 males and one female active-duty LEOs were included. Participants completed the FMS under two conditions: with and without equipment. Significant median decreases in the equipment condition were observed for hurdle step, shoulder mobility, and rotary stability (p < .01), and deep squat and dominant limb active straight leg raise (ASLR) (p < .05). The non-dominant limb ASLR and trunk stability push-up were similar between conditions (p > .05). Load carriage appears to impair functional movement among LEOs.
Practitioner summary: Equipment carriage interferes with functional movement and neither of the two load carriage systems tested were superior to the other. When choosing between duty belt verses duty belt and outer carrier vest carriage, LEO preference, body type, and acclimation to a given carriage type should be considered.
Context:
The Functional Movement Screen (FMS) is an assessment tool for quality of human movement. Research reports a significant difference between FMS scores of subjects who later experienced ...injury and those who remain uninjured.
Objective:
To systematically review literature related to predictive validity of the FMS. From the aggregated data, a meta-analysis was conducted to determine the prognostic accuracy of the FMS.
Data Sources:
PubMed, Ebscohost, Google Scholar, and the Cochrane Review databases were searched between 1998 and February 20, 2014.
Study Selection:
Identified studies were reviewed in full detail to validate inclusion criteria. Seven of the 11 identified studies were included. Articles were reviewed for inclusion criteria, then bias assessment and critical analysis were conducted.
Study Design:
Systematic review and meta-analysis.
Level of Evidence:
Level 3.
Data Extraction:
Extracted data included the following: study type, methodology, study subjects, number of subjects, injury classification definition, FMS cut score, sensitivity, specificity, odds ratios, likelihood ratios (LR), predictive values, receiver operator characteristic (ROC) analysis, and area under the curve (AUC).
Results:
Overall bias for the included 7 studies was low with respect to patient selection. Quality assessment scored 1 study 5 of a possible 7, 2 studies were scored 3 of 7, and 4 studies were scored 2 of 7. The meta-analysis indicated the FMS was more specific (85.7%) than sensitive (24.7%), with a positive predictive value of 42.8% and a negative predictive value of 72.5%. The area under the curve was 0.587 (LR+, 1.7; LR–, 0.87; 95% CI, 0.6-6.1) and the effect size was 0.68.
Conclusion:
Based on analysis of the current literature, findings do not support the predictive validity of the FMS. Methodological and statistical limitations identified threaten the ability of the research to determine the predictive validity of FMS.
The aim of the study was to evaluate the effects of a progressive stretching exercise programme on the functional limitations in physically active women.
Thirty-six women took part in the study. All ...of them attended fitness classes (step, fat burning) at least twice a week. The study included women aged 19-26 who were randomly divided into two groups. Group 1 consisted of women who performed a set of progressive stretching exercises twice a week for a period of two months after training sessions. Group 2 (the control group) included women who neither performed any exercises nor received any treatment after training sessions. On the first day of the study, each woman was subjected to the Functional Movement Screen (FMS), the Core Muscle Strength and Stability Test (CMS---amp---ST) and the Sit and Reach test (to the right and left side) before starting their fitness class. Afterwards, group 1 performed progressive stretching exercises as instructed, i.e. twice a week for approximately 20 minutes after classes, for a period of ten weeks. After ten weeks, all women performed FMS, CMS---amp---ST and Sit and Reach tests again.
The overall FMS test scores of both groups before implementing the exercise programme were not significantly different. After ten weeks, the women from group 1 significantly improved their overall scores in FMS (p ---lt--- 0.001). There were no significant differences in the control group. Significant improvements in the Core Muscle Strength and Stability test scores were observed in both groups. For the Sit and Reach test, there was a significant improvement in performance in group 1 (p ---lt--- 0.001), while a regression was noted in group 2.
Stretching exercises can have a beneficial effect on minimising the musculoskeletal system’s functional limitations. It is advisable to include post-training complementary exercises to prevent injury.
Purpose: Lumbar hyperlordosis is one of the main physical abnormalities that occur in the lumbopelvic region and affect the body movement system in daily life. This condition can also lead to chronic ...injuries and pain. The present study aimed to investigate the ability of the nine-test screening battery to predict the incidence of lumbar hyperlordosis in adolescent boys. Methods: This causal study described and analyzed the data with a cross-sectional design. In this regard, 60 adolescents (age range: 13 to 15 years) were selected. After the initial assessments, they were assigned into two groups: the lumbar hyperlordosis group (n=31) and the normal lordosis group (n=29). The angle of lumbar lordosis curvature and functional movements were measured using a flexible ruler and the nine-test screening battery instruction, respectively. The obtained data were analyzed using the logistic regression test at a significance level of 0.05, in SPSS v. 24. Results: The examination of the coefficients of predictive variables showed that the Wald test is statistically significant for deep squat (P=0.023) and straight leg raise (P=0.033). Also, these variables significantly contribute to the predictability of the model and the likelihood of lumbar hyperlordosis. Conclusion: Based on the results, the nine-test screening battery can predict the occurrence of lumbar hyperlordosis in adolescent boys through the components of deep squat and straight leg raise.
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