15 Despite the FMS being considered a movement score, it relies on the use of a measurement scale during the scoring process. While the FMS is evidenced as demonstrating suitable reliability, 21 22 previous studies have raised concerns about the FMS structure, assumed equal weighting of subscores used in constructing the composite score for injury prediction 23 and its ability to identify abnormal movement patterns. Presentation of pain on a clearing test results in the lowest score of 0 being awarded for that subtest, regardless of performance against the movement criteria. 18 However, some of the exercise tests (viz Shoulder Mobility, Trunk Stability Push-Up and Rotary Stability) are informed by additional clearing tests, which evaluate the absence or presence of pain (shoulder, spinal flexion and spinal extension clearing tests). A score of 3 is awarded if the movement is performed correctly without compensation, a score of 2 if the movement is completed but performed with compensation(s), a score of 1 if unable to complete the movement or assume a position required to perform movement, and a score of 0 in the presence of pain at any point during testing. The resulting score is based on how well an individual performs each expected movement explicitly described within these seven tests.

17–20 The FMS primarily evaluates an individual’s ability to perform a series of seven independent exercise subtests against set criteria and rules (viz Deep Squat, Hurdle Step, Inline Lunge, Shoulder Mobility, Active Straight-Leg Raise, Trunk Stability Push-Up and Rotary Stability tests). 13–16Īlongside the predictive ability of the FMS, it is also reportedly a scale for rating and ranking movement patterns and a method for assessing muscle strength, range of motion, asymmetry, balance and kinaesthetic awareness. 1 Consequently, several studies have investigated the predictive ability of the FMS composite score (ranging from 0 to 21) within football, 1–7 as well as other sporting and occupational disciplines, 8–12 although the cut-off score (ranging from 11 to 18) and predictive ability of the FMS remain widely debated.

Several methods exist to help inform decision-making processes, and within football the Functional Movement Screen (FMS) has been identified as the most commonly used screening test for prospectively identifying injury risk. They therefore need to decide whether a team member’s condition means they are safe to train and play in the squad. Sports and exercise medicine practitioners wish to reduce the risk of injury for individual players and mitigate the impact of overall injury rates on team performance.

Fms total access components