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Utility of FMS to understand injury incidence in sports: current perspectives
Open Access Journal of Sports Medicine ( IF 1.3 ) Pub Date : 2018-09-07 , DOI: 10.2147/oajsm.s149139
Meghan Warren , Monica Lininger , Nicole Chimera , Craig Smith

Abstract: The Functional Movement Screen (FMS) is a popular movement screen used by rehabilitation, as well as strength and conditioning, professionals. The FMS, like other movement screens, identifies movement dysfunction in those at risk of, but not currently experiencing, signs or symptoms of a musculoskeletal injury. Seven movement patterns comprise the FMS, which was designed to screen fundamental movement requiring a balance between stability and mobility. The 7 movement patterns are summed to a composite FMS score. For an instrument to have wide applicability and acceptability, there must be high levels of reliability, validity, and accuracy. The FMS is certainly a reliable tool, and can be consistently scored within and between raters. Although the FMS has high face and content validity, the criterion validity (discriminant and convergent) is low. Additionally, the FMS does not appear to be studying a single construct, challenging the use of the summed composite FMS score. The accuracy of the FMS in screening for injury is also suspect, with low sensitivity in almost all studies, although specificity is higher. Finally, within the FMS literature, the concepts of prediction and association are conflated, combined with flawed cohort studies, leading to questions about the efficacy of the FMS to screen for injury. Future research on the use of the FMS, either the composite score or the individual movement patterns, to screen for injury or injury risk in adequately powered, well-designed studies are required to determine if the FMS is appropriate for use as a movement screen.

Keywords: movement screen, prediction, sensitivity, athletes


中文翻译:

FMS实用程序了解运动中受伤的发生率:当前观点

摘要:功能运动屏风(FMS)是康复人员以及力量和体能训练专业人士常用的运动屏风。与其他运动屏幕一样,FMS可以识别有肌肉骨骼损伤迹象或症状但目前没有经历的那些患者的运动功能障碍。FMS由七个运动模式组成,FMS旨在筛选需要在稳定性和机动性之间取得平衡的基本运动。将这7种运动模式相加,得出综合FMS得分。为了使仪器具有广泛的适用性和可接受性,必须具有高度的可靠性,有效性和准确性。FMS当然是一种可靠的工具,并且可以在评估者内部和评估者之间得到一致的评分。尽管FMS具有较高的面部和内容有效性,但标准有效性(区分和收敛)较低。此外,FMS似乎并未在研究单个结构,这对使用综合FMS评分总和提出了挑战。FMS在损伤筛查中的准确性也值得怀疑,尽管特异性更高,但几乎在所有研究中灵敏度都较低。最后,在FMS文献中,将预测和关联的概念与有缺陷的队列研究相结合,从而引发了有关FMS筛选损伤的功效的问题。需要对FMS的未来研究(无论是综合评分还是单个运动模式)进行筛选,以便在动力充足,设计良好的研究中筛查受伤或受伤风险,以确定FMS是否适合用作运动筛查。挑战使用综合FMS得分总和。FMS在损伤筛查中的准确性也值得怀疑,尽管特异性更高,但几乎在所有研究中灵敏度都较低。最后,在FMS文献中,将预测和关联的概念与有缺陷的队列研究相结合,从而引发了有关FMS筛选损伤的功效的问题。需要对FMS的未来研究(无论是综合评分还是单个运动模式)进行筛选,以便在动力充足,设计良好的研究中筛查受伤或受伤风险,以确定FMS是否适合用作运动筛查。挑战使用综合FMS得分总和。FMS在损伤筛查中的准确性也值得怀疑,尽管特异性更高,但几乎在所有研究中灵敏度都较低。最后,在FMS文献中,将预测和关联的概念与有缺陷的队列研究相结合,从而引发了有关FMS筛选损伤的功效的问题。需要对FMS的未来研究(无论是综合评分还是单个运动模式)进行筛选,以便在动力充足,设计良好的研究中筛查受伤或受伤风险,以确定FMS是否适合用作运动筛查。将预测和关联的概念混为一谈,再加上有缺陷的队列研究,导致了有关FMS筛选损伤的功效的疑问。需要对FMS的未来研究(无论是综合评分还是单个运动模式)进行筛选,以便在动力充足,设计良好的研究中筛查受伤或受伤风险,以确定FMS是否适合用作运动筛查。将预测和关联的概念混为一谈,再加上有缺陷的队列研究,导致了有关FMS筛选损伤的功效的疑问。需要对FMS的未来研究(无论是综合评分还是单个运动模式)进行筛选,以便在动力充足,设计良好的研究中筛查受伤或受伤风险,以确定FMS是否适合用作运动筛查。

关键字:运动屏幕,预测,敏感性,运动员
更新日期:2018-09-07
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