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Algaba-Del-Castillo J, Castro-Méndez A, Pérez-Belloso AJ, Garrido-Barragán JG, Aguilar Sánchez A, Coheña-Jiménez M. Pilot Study: The Relationship between Foot Posture and Movement Quality in Non-Professional Male Football Players. Life (Basel) 2023; 13:1574. [PMID: 37511949 PMCID: PMC10381675 DOI: 10.3390/life13071574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 07/03/2023] [Accepted: 07/14/2023] [Indexed: 07/30/2023] Open
Abstract
(1) Background: This study focusses on establishing the relationship between quality of movement (based on the functional movement screen, or FMS) and foot posture (based on the foot posture index, or FPI-6). We hypothesised that a poor FMS test score may be derived from the foot position in the space measured by FPI-6. (2) Methods: a quasi-experimental and cross-sectional study was designed to analyse foot posture in 30 healthy football players, using the foot posture index and the functional movement screen. (3) Results: No significant relationships were found between movement quality and foot posture. Poor movement quality is present in more than half of all foot positions, supination, pronation, and neutral. Good quality seems to be more associated with a neutral foot position (23.3%) and supinated (16.6%) than a pronated foot position (6.6%). (4) Conclusions: this study found no relationship between the two tests; therefore, we cannot demonstrate that foot posture is relevant in the quality of the movement of the football players studied.
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Zhao X, Ross G, Dowling B, Graham RB. Three-Dimensional Motion Capture Data of a Movement Screen from 183 Athletes. Sci Data 2023; 10:235. [PMID: 37095115 PMCID: PMC10126034 DOI: 10.1038/s41597-023-02082-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 03/16/2023] [Indexed: 04/26/2023] Open
Abstract
Movement screens are widely used to identify aberrant movement patterns in hopes of decreasing risk of injury, identifying talent, and/or improving performance. Motion capture data can provide quantitative, objective feedback regarding movement patterns. The dataset contains three-dimensional (3D) motion capture data of 183 athletes performing mobility tests (ankle, back bend, crossover adduction, crossover rotation, elbows, head, hip turn, scorpion, shoulder abduction, shoulder azimuth, shoulder rotation, side bends, side lunges and trunk rotation) and stability tests (drop jump, hop down, L-cut, lunge, rotary stability, step down and T-balance) bilaterally (where applicable), the athletes' injury history, and demographics. All data were collected at 120 Hz or 480 Hz using an 8-camera Raptor-E motion capture system with 45 passive reflective markers. A total of 5,493 trials were pre-processed and included in .c3d and .mat formats. This dataset will enable researchers and end users to explore movement patterns of athletes of varying demographics from different sports and competition levels; develop objective movement assessment tools; and gain new insights into the relationships between movement patterns and injury.
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Affiliation(s)
- Xiong Zhao
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
| | - Gwyneth Ross
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
| | | | - Ryan B Graham
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
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Boey D, Lee M. The Association Between Functional Movement Screen Scores and Knee Valgus Moments During Unplanned Sidestep Cutting in Netball. Int J Sports Phys Ther 2023; 18:113-121. [PMID: 36793577 PMCID: PMC9897044 DOI: 10.26603/001c.57678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 10/10/2022] [Indexed: 02/04/2023] Open
Abstract
Background Regular employment of three-dimensional (3D) motion analyses to assess and monitor knee valgus moments; a contributor to non-contact anterior cruciate ligament (ACL) injury; during unplanned sidestep cutting (USC) is costly and time-consuming. An alternative quick-to-administer assessment tool to infer an athlete's risk for this injury could allow prompt and targeted interventions to mitigate this risk. Purpose This study investigated whether peak knee valgus moments (KVM) during weight-acceptance phase of an unplanned sidestep cut were correlated with composite and component scores of the Functional Movement Screen (FMS™). Study Design Cross-sectional, Correlation. Methods Thirteen female national-level netballers performed six movements of the FMS™ protocol and three trials of USC. A 3D motion analysis system captured lower limb kinetics and kinematics of each participant's non-dominant leg during USC. Averages of peak KVM across USC trials were calculated and examined for correlations with composite and component scores of the FMS™. Results No correlations were found between FMS™ composite or any of its component scores with peak KVM during USC. Conclusions The current FMS™ did not show any correlations with peak KVM during USC on the non-dominant leg. This suggests that the FMS™ has limited utility in screening for non-contact ACL injury risks during USC. Level of Evidence 3.
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Affiliation(s)
| | - Marcus Lee
- Sport Biomechanics Singapore Sport Institute
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Ross GB, Clouthier AL, Boyle A, Fischer SL, Graham RB. Comparison of machine learning classifiers for differentiating level and sport using movement data. J Sports Sci 2022; 40:2166-2172. [PMID: 36415053 DOI: 10.1080/02640414.2022.2145430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The purposes of this study were to determine if 1) recurrent neural networks designed for multivariate, time-series analyses outperform traditional linear and non-linear machine learning classifiers when classifying athletes based on competition level and sport played, and 2) athletes of different sports move differently during non-sport-specific movement screens. Optical-based kinematic data from 542 athletes were used as input data for nine different machine learning algorithms to classify athletes based on competition level and sport played. For the traditional machine learning classifiers, principal component analysis and feature selection were used to reduce the data dimensionality and to determine the best principal components to retain. Across tasks, recurrent neural networks and linear machine learning classifiers tended to outperform the non-linear machine learning classifiers. For all tasks, reservoir computing took the least amount of time to train. Across tasks, reservoir computing had one of the highest classification rates and took the least amount of time to train; however, interpreting the results is more difficult compared to linear classifiers. In addition, athletes were successfully classified based on sport suggesting that athletes competing in different sports move differently during non-sport specific movements. Therefore, movement assessment screens should incorporate sport-specific scoring criteria.
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Affiliation(s)
- Gwyneth B Ross
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
| | - Allison L Clouthier
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
| | - Alistair Boyle
- Department of Systems and Computer Engineering, Carleton University, Ottawa, Ontario, Canada
| | - Steven L Fischer
- Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada
| | - Ryan B Graham
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.,Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada
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Zając B, Mika A, Gaj PK, Ambroży T. Does Cycling Training Reduce Quality of Functional Movement Motor Patterns and Dynamic Postural Control in Adolescent Cyclists? A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12109. [PMID: 36231409 PMCID: PMC9566619 DOI: 10.3390/ijerph191912109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 09/19/2022] [Accepted: 09/21/2022] [Indexed: 06/16/2023]
Abstract
The aim of this study was to assess whether cycling training may influence quality of functional movement patterns and dynamic postural control. We also sought to determine if the Functional Movement Screen and Lower Quarter Y-balance tests could be predictive of injury risk among adolescent road cyclists. Twenty-three male road cyclists, aged 15-18 years, were involved in the study. Quality of functional movement patterns was assessed using the Functional Movement Screen test (FMS). Dynamic postural control was evaluated using the Lower Quarter Y-balance test (YBT-LQ). Information on injury occurrence was collected through a retrospective survey. The results showed the highest percentage of scores equalling 0 and 1 (>30% in total) in two FMS component tests: the hurdle step and trunk stability push-up. The results also demonstrated a low injury predictive value of the Functional Movement Screen (cut-off <14/21 composite score) and the Lower Quarter Y-balance test (cut-off <94% composite score and >4 cm reach distance asymmetry) in adolescent road cyclists. The most important information obtained from this study is that youth road cyclists may have functional deficits within the lumbo-pelvic-hip complex and the trunk, while neither the FMS nor the YBT-LQ test are not recommended for injury risk screening in cyclists.
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Affiliation(s)
- Bartosz Zając
- Laboratory of Functional Diagnostics, Central Scientific and Research Laboratory, University of Physical Education, 31-571 Kraków, Poland
| | - Anna Mika
- Institute of Clinical Rehabilitation, University of Physical Education, 31-571 Kraków, Poland
| | | | - Tadeusz Ambroży
- Institute of Sport Science, University of Physical Education, 31-571 Kraków, Poland
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Bunn PDS, Lopes TJA, Terra BDS, Costa HF, Souza MP, Braga RM, Inoue A, Ribeiro FM, Alves DDS, Bezerra da Silva E. Association between movement patterns and risk of musculoskeletal injuries in navy cadets: A cohort study. Phys Ther Sport 2021; 52:81-89. [PMID: 34438262 DOI: 10.1016/j.ptsp.2021.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 08/03/2021] [Accepted: 08/04/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To investigate the association of movement patterns evaluated by the Dynamic Movement Assessment (DMA) with the occurrence of musculoskeletal injuries in navy cadets. DESIGN Cohort study. SETTING Participants were filmed performing the six functional tests of the DMA (deep squat, step up, single-leg squat, hop, plank and side-plank tests). PARTICIPANTS 240 navy cadets. MAIN OUTCOME MEASUREMENTS Depending on the number of certain movement patterns on the Dynamic Movement Assessment (DMA), participants were classified as high, moderate, medium or low risk of developing injuries. Predictive associations between injuries and risk classification were examined using logistic regression analysis. RESULTS Considering sex, previous injuries and the type of secondary school as covariates, participants who were classified as high risk were not more likely to develop injuries. Non-military high school was an independent risk factor for any injuries (OR = 3.14, 95% CI [1.43,6.91]; OR = 4.57, 95% CI [1.92,10.83]), overuse injuries (OR = 2.58, 95% CI [1.05,6.30]; OR = 2.55, 95% CI [1.06, 6.14]) and acute injuries (OR = 4.88, 95% CI [1.19,19.99]), respectively. Previous musculoskeletal symptoms also increased the chance of AI (OR = 4.45, 95% CI [1.15,17.18]; OR = 5.91, 95% CI [1.13,30.88]). CONCLUSIONS Movement patterns evaluated by DMA are not associated with an increased risk of injuries. However, attendance of a non-military high school and previous musculoskeletal symptoms are associated with musculoskeletal injuries.
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Affiliation(s)
- Priscila Dos Santos Bunn
- Universidade do Estado do Rio de Janeiro (UERJ), Programa de Pós-Graduação em Ciências do Exercício e do Esporte (PPGCEE), Rua São Francisco Xavier, n° 524, 9° floor; Block F; Room 9122, Rio de Janeiro, RJ, Brazil; Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil; Programa de Pós-Graduação em Desempenho Humano Operacional (PPGDHO), Universidade da Força Aérea (UNIFA), Av. Marechal Fontenelle, 1200, Campo dos Afonsos, Rio de Janeiro, RJ, Brazil.
| | - Thiago Jambo Alves Lopes
- Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil; Programa de Pós-Graduação em Desempenho Humano Operacional (PPGDHO), Universidade da Força Aérea (UNIFA), Av. Marechal Fontenelle, 1200, Campo dos Afonsos, Rio de Janeiro, RJ, Brazil
| | - Bruno de Souza Terra
- Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil
| | - Hélcio Figueiredo Costa
- Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil
| | - Márcio Puglia Souza
- Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil
| | - Roberta Mendonça Braga
- Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil
| | - Allan Inoue
- Universidade do Estado do Rio de Janeiro (UERJ), Programa de Pós-Graduação em Ciências do Exercício e do Esporte (PPGCEE), Rua São Francisco Xavier, n° 524, 9° floor; Block F; Room 9122, Rio de Janeiro, RJ, Brazil; Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil; Programa de Pós-Graduação em Desempenho Humano Operacional (PPGDHO), Universidade da Força Aérea (UNIFA), Av. Marechal Fontenelle, 1200, Campo dos Afonsos, Rio de Janeiro, RJ, Brazil
| | - Fabrício Miranda Ribeiro
- Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil
| | - Daniel de Souza Alves
- Centro de Educação Física Almirante Adalberto Nunes (CEFAN), Laboratório de Pesquisa em Ciências do Exercício (LABOCE), Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil
| | - Elirez Bezerra da Silva
- Universidade do Estado do Rio de Janeiro (UERJ), Programa de Pós-Graduação em Ciências do Exercício e do Esporte (PPGCEE), Rua São Francisco Xavier, n° 524, 9° floor; Block F; Room 9122, Rio de Janeiro, RJ, Brazil
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Composite Score of Readiness (CSR) as Holistic Profiling of Functional Deficits in Footballers Following ACL Reconstruction. J Clin Med 2021; 10:jcm10163570. [PMID: 34441865 PMCID: PMC8397164 DOI: 10.3390/jcm10163570] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/10/2021] [Accepted: 08/12/2021] [Indexed: 12/13/2022] Open
Abstract
Background: The decision to return to sport (RTS) after anterior cruciate ligament (ACL) reconstruction is difficult; thus, coaching staff require a readable, easy-to-use, and holistic indication of an athlete’s readiness to play. Purpose: To present the Composite Score of Readiness (CSR) as a method providing a single score for RTS tests after ACL reconstruction. Methods: The study comprised 65 male football players (age 18–25 years), divided into three groups: ACL group—subjects after ACL rupture and reconstruction, Mild Injury (MI) group—subjects after mild lower limb injuries, and Control (C) group—subjects without injuries. The CSR was calculated based on three performed tests (Y-balance test, Functional Movement Screen, and Tuck Jump Assessment) and expressed as the sum of z-scores. The CSR index allows highlighting an athlete’s functional deficits across tests relative to the evaluated group. Results: The CSR indicated that relative to the group of athletes under the study, similar functional deficits were present. Comparing athletes following ACL reconstruction to both the MI and C groups, in the majority of subjects, the CSR index was below zero. The correlation between CSR and raw tests results indicated that the CSR is most strongly determined by YBT. Conclusion: The CSR is a simple way to differentiate people after serious injuries (with large functional deficits) from people without injuries or with only small deficits. Because the CSR is a single number, it allows us to more easily interpret the value of functional deficits in athletes, compared to rating those deficits based on raw tests results.
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Chen J, Zhang C, Chen S, Zhao Y. Effects of functional correction training on injury risk of athletes: a systematic review and meta-analysis. PeerJ 2021; 9:e11089. [PMID: 33828917 PMCID: PMC8005292 DOI: 10.7717/peerj.11089] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 02/19/2021] [Indexed: 11/23/2022] Open
Abstract
Background We explored functional correction training using the Functional Movement Screen (FMS™) tool. We also analyzed the effects of training on the injuries of athletes in a systematic review and meta-analysis of non-randomized clinical trials. Methodology We collected twenty-four articles from PubMed, CENTRAL, Scopus, ProQuest, Web of Science, EBSCOhost, SPORTDiscus, Embase, WanFang, and CNKI that were published between January 1997 to September 2020. Articles were selected based on the following inclusion criteria: randomized and non-randomized controlled trials, studies with functional correction training screened by FMS™ as the independent variable, and studies with injury risk to the athlete as the dependent variable. Data conditions included the sample size, mean, standard deviation, total FMS™ scores, number of injuries, and asymmetry movement patterns after interventions in the experimental and control groups. Exclusion criteria included: conference abstracts, cross-sectional studies, articles with retrospective study design. Results Twelve non-randomized trials were included in the meta-analysis. The injury risk ratio of athletes after functional correction training was 0.39 RR (95 CI [1.50–1.93]; Z = 15.53; P < 0.0001; I2 = 2.6%), indicating an improvement of athletes functional patterns. Conclusion Grade B evidence indicates that functional correction training based on FMS™ may improve the functional patterns of athletes and Grade D evidence indicates that it may reduce the risk of sports injury. However, the true effect is likely to be different from the estimate of the effect. Therefore, further studies are needed to explore the influence of functional correction training on the injury risks of athletes. Protocol registration: CRD42019145287.
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Affiliation(s)
- Junxia Chen
- P.E School, Hubei University, Wuhan City, Hubei Province, P.R. China
| | - Chunhe Zhang
- P.E School, Hubei University, Wuhan City, Hubei Province, P.R. China
| | - Sheng Chen
- P.E School, Hubei University, Wuhan City, Hubei Province, P.R. China
| | - Yuhua Zhao
- P.E School, Hubei University, Wuhan City, Hubei Province, P.R. China
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Standard RTS criteria effectiveness verification using FMS, Y-balance and TJA in footballers following ACL reconstruction and mild lower limb injuries. Sci Rep 2021; 11:1558. [PMID: 33452381 PMCID: PMC7810698 DOI: 10.1038/s41598-021-81152-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 01/04/2021] [Indexed: 01/07/2023] Open
Abstract
The anterior cruciate ligament (ACL) is the most frequently injured knee ligament. In previous studies, it was demonstrated that patients following ACL reconstruction may present motor deficits which may be related to increased risk of injury. The objective of the study was to determine whether players who have passed RTS assessment still have deficits in movement patterns or in neuromuscular control after such a serious injury as ACL rupture and reconstruction,. Sixty-five male football players (age 18-25 years), recruited from regional teams, were divided into three groups: (1) ACL group-subjects after ACL rupture and reconstruction (n = 24); (2) Mild Injury (MI) group-subjects after mild lower limb injuries (n = 21); and (3) Control (C) group-subjects without injuries (n = 20). For all groups, the Y-balance test, Functional Movement Screen (FMS) and Tuck Jump Assessment (TJA) were performed. For the Y-balance test in ACL group for the injured leg, significantly lower values were demonstrated for anterior reach ((ACL) 69.2 ± 5.7% vs. (MI) 74.8 ± 4.5% vs. (C) 74.0 ± 5.6%), at posterior-lateral reach ((ACL) 103.2 ± 6.4% vs. (C) 108.5 ± 6.0%) and composite score ((ACL) 93.9 ± 4.4% vs. (MI) 97.9 ± 4.3%) in comparison to the remaining two groups. In the FMS test, the ACL group had significantly lower composite score (12 ± 4 points) compared to the C group (15 ± 2 points). Also, compared to the remaining groups, subjects following ACL reconstruction demonstrated significantly lower performance in the TJA test related to the following elements: thighs do not reach parallel, thighs not equal side-to-side, foot placement not shoulder width apart, technique declines prior to 10 s and lower extremity valgus at landing. The authors have observed that athletes after ACL reconstruction still have deficits in movement patterns or in neuromuscular control despite passing the RTS and being cleared to perform sports. Creating a set of sufficiently sensitive assessment methods may significantly reduce the potential risk of injury due to the fact that diagnosed and monitored deficits may be treated on an ongoing basis. The authors suggest that individual elements of the Y-balance and TJA tests may be suitable for such specific assessment.
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Effect of Biological Maturation on Performance of the Athletic Ability Assessment in Australian Rules Football Players. Int J Sports Physiol Perform 2021; 16:28-36. [DOI: 10.1123/ijspp.2019-0683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 11/15/2019] [Accepted: 02/13/2020] [Indexed: 11/18/2022]
Abstract
Purpose: To determine the effect of biological maturation on athletic movement competency as measured using the Athletic Ability Assessment-6. Methods: Fifty-two junior Australian Rules football players were split into 3 groups based on proximity to peak height velocity, while 46 senior players were split into 2 groups based on playing status. The subjects completed the Athletic Ability Assessment-6 (inclusive of the overhead squat, double lunge, single-leg Romanian dead lift, push-up, and chin-up). All subjects were filmed and retrospectively assessed by a single rater. A 1-way analysis of variance and effect-size statistics (Cohen d) with corresponding 90% confidence intervals were used to describe between-groups differences in the component movement scores. The statistical significance was set a priori at P < .05. Results: There were significant between-groups differences for all component movements (P < .05). Post hoc testing revealed that older, more mature subjects possessed greater competency in all movements except the overhead squat. The effect sizes revealed predominantly moderate to very large differences in competency between the senior and junior groups (range of d [90% confidence interval]: 0.70 [0.06 to 1.30] to 3.01 [2.18 to 3.72]), with unclear to moderate differences found when comparing the 3 junior groups (0.08 [−0.50 to 0.65] to 0.97 [0.22–1.61]). Conclusions: The findings suggest that biological maturation may be associated with changes in athletic movement competency in youth Australian Rules football players. Therefore, it is recommended that strength and conditioning coaches monitor maturity status when working with 12- to 15-y-old players. This can allow for a comparison of an individual’s athletic movement competency to maturity-based standards and help guide developmentally appropriate training programs.
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Bennett H, Davison K, Arnold J, Martin M, Wood S, Norton K. RELIABILITY of a MOVEMENT QUALITY ASSESSMENT TOOL to GUIDE EXERCISE PRESCRIPTION (MOVEMENTSCREEN). Int J Sports Phys Ther 2019; 14:424-435. [PMID: 31681501 PMCID: PMC6816299 DOI: 10.26603/ijspt20190424] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND/PURPOSE Movement quality is commonly assessed to identify movement limitations and guide exercise prescription. Rapid growth in the movement assessment landscape has led to the development and utilization of various movement quality assessments, many without reliability estimates. MovementSCREEN is a novel, tablet-based, video-recorded movement assessment tool, currently without published reliability information. Therefore, the purpose of this study was to determine the intra and inter-rater reliability of the MovementSCREEN, including the impact of rater experience, and provide estimates of measurement error and minimal detectable change. STUDY DESIGN Cross-sectional design; reliability study. METHODS Thirty healthy young adults (14M:16F, mean age 28.4 yrs, SD 9.1) were video recorded completing the nine MovementSCREEN assessment items on two occasions, two weeks apart. Each individual movement was assessed against objective scoring criteria (component items: yes/no) and using a 100-point sliding scale. To create an overall score for each movement, the scale score is weighted against the objective items to provide a score out of 100. At the completion of all nine individual movements, a mean composite score of movement quality is also established (0-100). The first recording was scored twice by two expert and two novice assessors to investigate inter- and intra-rater reliability. The second recording was scored by one expert assessor to investigate within-subject error. Inter- and intra-rater reliability was calculated using intraclass correlation coefficients (ICCs) and Kappa statistics. The standard error of measurement (SEM), and minimal detectable change (MDC95) for the overall score for each movement, and the composite score of movement quality, were calculated. RESULTS Intra-rater reliability for the component items ranged from κ = 0.619 - 1.000 (substantial to near perfect agreement) and 0.233 - 1.000 (slight to near perfect agreement) for expert and novice assessors, respectively. The ICCs for the overall movement quality scores for each individual movement ranged from 0.707 - 0.952 (fair to high) in expert and 0.502 - 0.958 (poor to high) in novice assessors. Inter-rater agreement for the component items between expert assessors ranged from κ = 0.242 - 1.000 (slight to almost perfect agreement), while for novice assessors ranged from 0.103 - 1.000 (less than chance to almost perfect agreement). ICCs for the overall scores for each individual movement from expert and novice assessors ranged from 0.294 - 0.851 (poor to good) and 0.249 - 0.775 (poor to fair), respectively. The SEM for the composite score was 2 points, while the MDC95 was 6 points, with an ICC 0.901. CONCLUSIONS The MovementSCREEN can assess movement quality with fair to high reliability on a test-retest basis when used by experienced assessors, although reliability scores decrease in novice assessors. Comparisons between assessors involve greater error. Therefore, the training of inexperienced assessors is recommended to improve reliability. LEVEL OF EVIDENCE 2b.
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Affiliation(s)
- Hunter Bennett
- Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
| | - Kade Davison
- Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
| | - John Arnold
- Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
| | - Max Martin
- Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
| | - Scott Wood
- Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
| | - Kevin Norton
- Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
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Przybylak K, Sibiński M, Domżalski M, Kwapisz A, Momaya AM, Zielińska M. Supervised physiotherapy leads to a better return to physical activity after anterior cruciate ligament reconstruction. J Sports Med Phys Fitness 2018; 59:1551-1557. [PMID: 30543272 DOI: 10.23736/s0022-4707.18.08692-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND The main goal of rehabilitation after anterior cruciate ligament reconstruction (ACLR) is to return to functional and sports activity at a preinjury level. The aim of this study was to assess the influence of supervised (SU) versus non-supervised (NS) rehabilitation protocols after ACLR on the return to sports activity and quality of life of amateur athletes. METHODS The study included a total of 50 patients after ACLR, with 25 in the SU group and 25 in the NS group. No significant differences were observed between the two groups with regard to age, sex, or BMI. Two different ACLR techniques were used: hamstring graft and bone patellar tendon bone. The patients were examined preoperatively and 12 months postoperatively. Outcomes were evaluated utilizing the Kujala Scale, Tegner Scale, the Knee injury and Osteoarthritis Outcome Score (KOOS), the Functional Movement Screen (FMS), and range of motion. Patients from the SU group participated in rehabilitation sessions with a physiotherapist with an average of 48 meetings. Those in the NS attended six meetings with the physiotherapist. RESULTS At final follow-up, patients from both groups demonstrated a higher level of functional and sports activity and had a better quality of life 12 months after ACLR. Patients from the supervised group returned to a significantly higher level of sports activity (Tegner Scale: SU=6, NS=5, P=0.003) and reported significantly better quality of life 12 months after ACLR (KOOS QOL: SU=90, NS=74; P<0.001). CONCLUSIONS Supervised, controlled physiotherapy results in higher activity levels and better quality of life in amateur athletes 12 months after ACLR.
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Affiliation(s)
- Katarzyna Przybylak
- Department of Invasive Cardiology and Electrocardiology, Intensive Cardiac Therapy Clinic, Medical University, Lodz, Poland -
| | - Marcin Sibiński
- Clinic of Orthopedics and Pediatric Orthopedics, Medical University, Lodz, Poland
| | - Marcin Domżalski
- Clinic of Orthopedics and Traumatology, Medical University, Lodz, Poland
| | - Adam Kwapisz
- Clinic of Orthopedics and Pediatric Orthopedics, Medical University, Lodz, Poland
| | - Amit M Momaya
- Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Marzenna Zielińska
- Department of Invasive Cardiology and Electrocardiology, Intensive Cardiac Therapy Clinic, Medical University, Lodz, Poland
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13
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Warren M, Lininger MR, Chimera NJ, Smith CA. Utility of FMS to understand injury incidence in sports: current perspectives. Open Access J Sports Med 2018; 9:171-182. [PMID: 30233259 PMCID: PMC6135213 DOI: 10.2147/oajsm.s149139] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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.
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Affiliation(s)
- Meghan Warren
- Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff, AZ, USA,
| | - Monica R Lininger
- Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff, AZ, USA,
| | - Nicole J Chimera
- Department of Athletic Training, Daemen College, Amherst, NY, USA
| | - Craig A Smith
- Department of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff, AZ, USA, .,Smith Performance Center, Tuscon, AZ, USA
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14
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Lee CL, Hsu MC, Chang WD, Wang SC, Chen CY, Chou PH, Chang NJ. Functional movement screen comparison between the preparative period and competitive period in high school baseball players. J Exerc Sci Fit 2018; 16:68-72. [PMID: 30662496 PMCID: PMC6323160 DOI: 10.1016/j.jesf.2018.06.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2017] [Revised: 06/11/2018] [Accepted: 06/29/2018] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND/OBJECTIVE Although the functional movement screen (FMS) has been widely applied for screening athletes, no previous study has used FMS scores to examine the association between distinct training seasons in high school baseball players. The aims of this study were to ascertain the functional movement screen (FMS) scores differences between the preparative period (PPP) and the competitive period (CPP) among high school baseball players and further determine whether FMS can be used as a tool to predict injuries during two major periods. METHODS Fifty-five male high school baseball players (age 15.3 ± 1.7 years; height 1.7 ± 0.8 m; weight 64.6 ± 11.5 kg) volunteered. Athletic injuries were reported through a self-report questionnaire. Players performed the FMS during the PPP and the CPP. A receiver operator characteristic (ROC) curve to calculate a cutoff total composite score ≤ 14 for the relationship between the FMS score and injury. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and an area under the curve (AUC) were calculated. RESULTS FMS individual task score and total composite score were significantly lower in the CPP than in the PPP. However, a cutoff total composite score ≤14 for risk of injury, determined through a ROC curve, represented a low sensitivity of 58%, NPV of 66%, an AUC of 69%, specificity of 79%, and PPV of 71%. CONCLUSION Although the low sensitivity and NPV and AUC scores indicated that the FMS does not accurately predict the risk of injury, the FMS individual task and total composite scores differed significantly between the PPP and CPP. Therefore, FMS could be used as a tool to identify physical deficiencies between distinct training seasons; however, utilizing the FMS as a screening tool for injury prediction in particular during the CPP in this population would not be recommended.
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Affiliation(s)
- Chia-Lun Lee
- Center for General Education, National Sun Yat-sen University, Kaohsiung 804, Taiwan
| | - Mei-Chich Hsu
- Department of Sports Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan
| | - Wen-Dien Chang
- Department of Sports Medicine, China Medical University, Taichun 404, Taiwan
| | - Szu-Chieh Wang
- National Taitung University, Affiliated Physical Education Senior High School, Taitung 950, Taiwan
| | - Chao-Yen Chen
- Physical Education Center, Kaohsiung Medical University, Kaohsiung 807, Taiwan
| | - Pei-Hsi Chou
- Department of Sports Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan
| | - Nai-Jen Chang
- Department of Sports Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan
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15
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Bennett H, Davison K, Arnold J, Slattery F, Martin M, Norton K. Multicomponent Musculoskeletal Movement Assessment Tools: A Systematic Review and Critical Appraisal of Their Development and Applicability to Professional Practice. J Strength Cond Res 2018; 31:2903-2919. [PMID: 28614164 DOI: 10.1519/jsc.0000000000002058] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Multicomponent movement assessment tools have become commonplace to measure movement quality, proposing to indicate injury risk and performance capabilities. Despite popular use, there has been no attempt to compare the components of each tool reported in the literature, the processes in which they were developed, or the underpinning rationale for their included content. As such, the objective of this systematic review was to provide a comprehensive summary of current movement assessment tools and appraise the evidence supporting their development. A systematic literature search was performed using PRISMA guidelines to identify multicomponent movement assessment tools. Commonalities between tools and the evidence provided to support the content of each tool was identified. Each tool underwent critical appraisal to identify the rigor in which it was developed, and its applicability to professional practice. Eleven tools were identified, of which 5 provided evidence to support their content as assessments of movement quality. One assessment tool (Soccer Injury Movement Screen [SIMS]) received an overall score of above 65% on critical appraisal, with a further 2 tools (Movement Competency Screen [MCS] and modified 4 movement screen [M4-MS]) scoring above 60%. Only the MCS provided clear justification for its developmental process. The remaining 8 tools scored between 40 and 60%. On appraisal, the MCS, M4-MS, and SIMS seem to provide the most practical value for assessing movement quality as they provide the strongest reports of developmental rigor and an identifiable evidence base. In addition, considering the evidence provided, these tools may have the strongest potential for identifying performance capabilities and guiding exercise prescription in athletic and sport-specific populations.
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Affiliation(s)
- Hunter Bennett
- Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, Universitiy of South Australia, Adelaide, Australia
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16
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Duke SR, Martin SE, Gaul CA. Preseason Functional Movement Screen Predicts Risk of Time-Loss Injury in Experienced Male Rugby Union Athletes. J Strength Cond Res 2017; 31:2740-2747. [DOI: 10.1519/jsc.0000000000001838] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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17
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Rogers DK, McKeown I, Parfitt G, Burgess D, Eston RG. Inter- and Intra-rater Reliability of the Athletic Ability Assessment in Subelite Australian Rules Football Players. J Strength Cond Res 2017; 33:125-138. [PMID: 28777248 DOI: 10.1519/jsc.0000000000002175] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Rogers, DK, McKeown, I, Parfitt, G, Burgess, D, and Eston, RG. Inter- and intra-rater reliability of the athletic ability assessment in subelite Australian rules football players. J Strength Cond Res 33(1): 125-138, 2019-The aim of this study was to determine the inter- and intra-rater rater reliability of the Athletic Ability Assessment (AAA) in subelite Australian Rules football (ARF) players. Eighteen male ARF players completed the AAA movement assessment (overhead squat, double lunge [left and right], single-leg Romanian deadlift [left and right], chin-up and push-up), on 2 occasions separated by 1 week. During the first movement assessment, players were filmed in the frontal and sagittal planes. Ten raters took part in the study (1 experienced rater and 9 novices) and were assigned in a quasirandom manner, to complete either (a) real-time assessment on 2 occasions, (b) real-time assessment on 1 occasion, or (c) video-based assessment on 2 occasions. When assessed in real-time, of the 7 component movements of the AAA, raters registered moderate or greater intrarater agreement on between 2 and 5 occasions. Intraclass correlation coefficients (ICCs) of between 0.50 and 0.61 for the AAA total score indicated poor real-time intrarater reliability for this variable. When assessed by video-recording, raters registered moderate or greater intrarater agreement on between 6 and 7 occasions. The ICC for total score ranged between 0.60 and 0.93. Overall poor interrater reliability was evident for AAA component movements regardless of whether it was assessed in real-time or from video. Findings suggest the AAA is most reliably used when assessed through video. It is recommended that if comparison between multiple raters is desired, a stringent training process be applied so that the interpretation of AAA scoring criteria is standardized across raters.
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Affiliation(s)
- Daniel K Rogers
- School of Health Sciences, University of South Australia, Adelaide, Australia.,Port Adelaide Football Club Adelaide, Australia
| | - Ian McKeown
- Port Adelaide Football Club Adelaide, Australia
| | - Gaynor Parfitt
- School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Darren Burgess
- School of Health Sciences, University of South Australia, Adelaide, Australia.,Port Adelaide Football Club Adelaide, Australia
| | - Roger G Eston
- School of Health Sciences, University of South Australia, Adelaide, Australia
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18
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Frost DM, Beach TAC, Campbell TL, Callaghan JP, McGill SM. Can the Functional Movement Screen™ be used to capture changes in spine and knee motion control following 12 weeks of training? Phys Ther Sport 2016; 23:50-57. [PMID: 27693921 DOI: 10.1016/j.ptsp.2016.06.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Revised: 06/03/2016] [Accepted: 06/05/2016] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To examine whether objective measures of spine and frontal plane knee motion exhibited during Functional Movement Screen™ (FMS) task performance changed following a movement-guided fitness (MOV) and conventional fitness (FIT) exercise intervention. DESIGN Secondary analysis of a randomized controlled experiment. Before and after 12 weeks of exercise, participants' kinematics were quantified while performing the FMS and a series of general whole-body movement tasks. SETTING Biomechanics laboratory. PARTICIPANTS Fifty-two firefighters were assigned to MOV, FIT, or a control (CON) group. OUTCOME MEASURES Peak lumbar spine flexion/extension, lateral bend and axial twist, and frontal plane knee motion. RESULTS The post-training kinematic changes exhibited by trainees while performing the FMS tasks were similar in magnitude (effect size < 0.8) to those exhibited by CON. However, when performing the battery of general whole-body movement tasks, only MOV showed significant improvements in spine and frontal plane knee motion control (effect size > 0.5). CONCLUSIONS Whether graded qualitatively, or quantitatively via kinematic analyses, the FMS may not be a viable tool to detect movement-based exercise adaptations. Amendments to the FMS tasks and/or scoring method are needed before it can be used for reasons beyond appraising the ability to move freely, symmetrically, and without pain.
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Affiliation(s)
- David M Frost
- Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, Ontario M5S 2W6, Canada.
| | - Tyson A C Beach
- Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, Ontario M5S 2W6, Canada.
| | - Troy L Campbell
- Department of Kinesiology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada
| | - Jack P Callaghan
- Department of Kinesiology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada.
| | - Stuart M McGill
- Department of Kinesiology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada.
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