Functional Movement Screen

functionalmovement.com

Improving Operational Performance and Injury Prevention Strategies through

Functional Movement Screening

Lee Burton, PhD, ATC, CSCSDirector of Athletic Training: Averett University

Functional Movement Systems


What is Happening???

Injuries are the largest health problem

facing U.S. military forces in peacetime

and combat operations. Resulting in over

1.8 million medical encounters across the

military services, injuries affect more than

800,000 individual service members.

(AJPM, Jan 2010)


What is Happening???

Physical training and sports injuries are of particular concern. Based

on the likelihood of success in decreasing injuries having the

greatest impact on military readiness, the Defense Safety Oversight

Council (DSOC) recommends that the greatest reduction of lost

duty days due to injuries across DoD may be achieved via

mitigation efforts focused specifically on sports-and physical

training related injuries.

Reference: Defense Safety Oversight Council (DSOC,) DoD Military Injury Prevention Priorities Working Group: Leading Injuries, Causes,and Mitigation Recommendations, Feb.2006


Steps in the Injury Control Process•Determine the Existence of the problem

•Identify the Causes of the problem

•Determine what Prevents the problem

•Implement prevention strategies and programs

•Continue to surveillance and monitor effectiveness of prevention efforts

The Public Health Approach, Adapted from Mercy, J.A., M.L. Rosenberg, K.E. Powell, C.V. Broome, and W.L. Roper. “Public Health Policy for Preventing Violence.” Health Affairs, Winter 1993:7-29, and Jones, B.H., and J.J. Knapik. “Physical Training and Exercise-Related Injuries: Surveillance, Research and Injury Prevention in Miitary Populations.” Sports Medicine, 27(2):111-125, 1999.


What Injury are Risk Factors: Can We Affect Them????

Intrinsic factors (personal characteristics): - prior injury: Leaves Neuromuscular Issue!? - physical fitness / activity levels (aerobic fitness) - anatomic malalignment, biomechanical discrepancies, imbalances(Neuromuscular??) - behavioral patterns

Extrinsic (external) factors: - excessive load on the body - poor equipment - training/technique - environmental conditions(Military Medicine, 162, 10:698. 1997)


The Functional SolutionScreen for asymmetry and major limitations

Take care of flexibility and mobility problems: Re-Check

Progress to Functional/Performance Training

Leads to Improved Durability and Operational Performance


Goals for Exercise Prescription and Strength

•Injury Prevention: Determine Individual Risk

•Durability: Movement Efficiency

•Performance Enhancement


start with functional Movement Screening!!!!

• Demonstrate Movement Limitations and Asymmetries

• Create a Filter for Movement Dysfunction

• Avoid Putting Fitness on Dysfunction

• Focus on Most Limited Area


How do/did we start.... Sequential Development

Rolling, prone on elbows, crawling, kneeling, half-kneeling, squatting, standing, stepping.....


Neuromuscular Control Problems?

• During functional multi-joint movements a relatively stiffer joint or muscle tends to resist movement, but function is maintained by a another joint increasing to compensate...

M. Comerford


Stability/Stability/Mobility Mobility

ImbalanceImbalancePain

Results in Inefficient/Compensatory Movement!!!!!!

What makes Movement Dysfunctional???

1.Squatting2.Stepping3.Lunging4.Reaching5.Leg raising6.Push-up7.Rotary Stability

LETS GET STARTED: CHECK MOVEMENTS

A Baseline for

Movement

MovementPerformance

Skill

The Functional Performance Pyramid

Cook ‘04

Proprioception Flexibility Mobility/Stability

Plyometric PowerStrength

SpeedAgility

Categorize Individual/Group Needs?


The Functional Movement Screen ™

• • Designed as a Designed as a screening tool screening tool performed on performed on individuals without individuals without recognized recognized pathology. pathology. • • Not a diagnostic Not a diagnostic tool.tool.


The Functional Movement Screen


FMS FMS ™™…...Deep Squat III…...Deep Squat III

••Upper torso is parallel Upper torso is parallel with tibia with tibia

••Femur below horizontalFemur below horizontal

••Knees aligned over feetKnees aligned over feet

••Dowel aligned over feetDowel aligned over feet


FMS FMS ™™..… Hurdle Step III..… Hurdle Step III

••Hips, knees, and Hips, knees, and ankles remain aligned ankles remain aligned in the sagittal plane in the sagittal plane

••Minimal to no lumbar Minimal to no lumbar spine movementspine movement

••Dowel and hurdle Dowel and hurdle remain parallelremain parallel


FMS FMS ™™.... In-Line Lunge III.... In-Line Lunge III

••Minimal to no torso Minimal to no torso movementmovement

••Feet remain aligned in Feet remain aligned in sagittal planesagittal plane

••Knee touches 2x6 Knee touches 2x6 behind heel of front behind heel of front foot foot


FMS FMS ™...™... Shoulder Mobility III Shoulder Mobility III

• Fist placement is Fist placement is within one within one hand length apart hand length apart


FMS FMS ™™...... Active Straight Leg Raise III...... Active Straight Leg Raise III

Ankle/Dowel Ankle/Dowel resides past resides past mid-thighmid-thigh


FMS ™...…Trunk Stability Push-Up IIIFMS ™...…Trunk Stability Push-Up III

•Males perform Males perform 1 repetition with 1 repetition with thumbs just thumbs just above foreheadabove forehead

•Females Females perform 1 perform 1 repetition with repetition with thumbs in-line thumbs in-line with chinwith chin


FMS FMS ™ ™ .. Rotary Stability III.. Rotary Stability III• Performs 1 unilateral repetition while Performs 1 unilateral repetition while

keeping torso parallel to board and keeping keeping torso parallel to board and keeping elbow and knee in line with the boardelbow and knee in line with the board


FMS SCORING SHEETSCREEN

Deep Squat

Hurdle Step

In-Line Lunge

Shoulder Mobility

Active Straight Leg Raise

Trunk Stability Push-Up

Rotary Stability

RAW SCORER/L

_____2______

____3_/_2___

____2_/_2___

____3_/_2___

____2_/_2___

_____3______

____2_/_2___TOTAL

FINAL SCORE

______2_____

______2_____

______2_____

______2_____

______2_____

______3_____

______2_____ 15


DS HS ILL SM ASLR TSPU RS

DS HS ILL SM ASLR TSPU RS


What has the FMS shown Us???

Reliable tool that can quickly and easily administered in any setting

Can be used as a tool to identify who is at risk for injury within certain population groups

The FMS can be improved with interventions

****Currently we have over 10 Research Articles Validating the usefulness of the FMS System for

Exercise Professionals****


Overall Workers Comp Cost: Orange Co. Fire Service

Provided by Mike Contreras, CSCS


Total Number of Employees: Orange Co. Fire Service

Provided by Mike Contreras, CSCS


Cost Due to Time Lost from Injury

Provided by Body Motion


Any Questions????

Functional Movement Screen

Health & Medicine