F U N C T I O N A L M O V E M E N T . C O M

Movement Screening, Testing, and Assessment Gray Cook MSPT, OCS, CSCS Founder / Author – Functional Movement Systems

Why?

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Why? What? How?

Movement Screening, Testing, and Assessment

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“We scrutinize functional METHODS without functional METRICS”

…because Why?

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Parts Patterns Performance

To create a better entry point for human movement decisions Why?

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It’s Simply a Weak Link Strategy

 We should be able to efficiently and effectively identify weak links in each category

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It’s Simply a Weak Link Strategy

 Parts

 Patterns

 Performance

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Reduce movement confusion with better categories?

 Movement pattern – “behavioral” baselines can provide insight into biomarkers affecting:

 movement health  movement competency  movement performance

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Functional Movement Systems

…it is What?

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1. Squatting 2. Stepping 3. Lunging 4. Reaching

5. Leg Raising 6. Push-up 7. Rotary Stability

Set a Baseline for Fundamental Movement Patterns Through Screening (entry point)

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FMS Scoring  3 - Optimal  2 - Acceptable  1 - Dysfunctional  0 - Pain

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FMS Scoring  3 - Optimal

 2 - Acceptable

 1 - Dysfunctional  0 - Pain

Measurable limitations in mobility and motor control not

complicated by pain.

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FMS Scoring  3 - Optimal

 2 - Acceptable

 1 - Dysfunctional

 0 - Pain The report of pain provoked by

a movement pattern.

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It should be simple, but we still face:

 Educational Limitations

 Incorrect Application

 Limited Experience

 Rumor vs. Fact

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Functional Movement Systems

…it is not What?

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Most Common FMS Incorrect Assumptions

 Total Score Confusion

 Injury Risk Prediction

 Viewed as a Simplistic Assessment

 Programing Constriction

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Scoring Movement

Who is worse? Who is better?

Jack Construction Worker Score = 14

Mike US Javelin Team Score = 16

John Lawyer Score = 18

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Scoring Movement Patterns

Jack – Construction Worker

Hurdle Step Acceptable - 2

Overhead Deep Squat Acceptable - 2

Shoulder Mobility Acceptable - 2

In-Line Lunge Acceptable - 2

ASLR Acceptable - 2

Trunk Stability Push-Up Acceptable - 2

Rotary Stability Acceptable - 2

Score = 14

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Scoring Movement Patterns

Mike – US Javelin

Hurdle Step Acceptable - 3R, 2L

Overhead Deep Squat Optimal - 3

Shoulder Mobility Acceptable - 3R, 2L

In-Line Lunge Dysfunctional - 1R, 3L

ASLR Acceptable - 3R, 2L

Trunk Stability Push-Up Optimal - 3

Rotary Stability Optimal - 3

Score = 16

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Scoring Movement Patterns

John – Lawyer

Hurdle Step Optimal - 3

Overhead Deep Squat Optimal - 3

Shoulder Mobility Optimal - 3

In-Line Lunge Optimal - 3

ASLR Pain - 0

Trunk Stability Push-Up Optimal - 3

Rotary Stability Optimal - 3

Score = 18

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Scoring Movement Patterns

You can’t make a judgment call or research paper about Injury Risk or

Performance by looking at just the score.

Jack Construction Worker Score = 14

Mike US Javelin Team Score = 16

John Lawyer Score = 18

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2. A screen with a zero must be considered a health problem until cleared

1. Total Score Only Matters in One Direction (<14)

Two important guidelines to remember

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If we look at the screen as a pass fail – guess what we see?

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Pass/Fail Scoring

 Pass (=2)  Optimal  Acceptable  Fail (=1)  Dysfunctional  Health Problem (=0)  Pain

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I think your perception of who is better just flipped.

Pass/Fail Scoring Approach

Jack Construction Worker Score = 14

Mike US Javelin Team Score =

John Lawyer Score = 12

14

16

18

13

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 We are not the police of movement perfection

 We should simply and aggressively manage movement dysfunction

Acceptable movement is good enough

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So why is there a 3 score?

 Exercise Programming!  How much movement prep

does a 3 need?  How much movement prep

does a 2 need?

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Most Common FMS Incorrect Assumptions

 Total Score Confusion

 Injury Risk Prediction

 Viewed as a Simplistic Assessment

 Programing Constriction

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Previous Injury

Pain

Y-Balance

Psycho-Social Variables

FMS 0’s, 1’s and

Asymmetries

Injury Management

Use All the Biomarkers - Move2Perform

✓✓

✓✓

✓

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 Set an efficient and effective movement baseline

 Applicable to majority of movement populations

 Create manageable subgroups within the population

 Focus: Movement Health (pain) and Movement Competency

What is a screen?

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 A “tool” for meaningful movement pattern metrics

 These can improve management of both exercise and injury

 A “tool” for exercise programming feedback

 Focus: Is a movement pattern better?

What is a screen?

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 Improve communication in exercise training and exercise based rehabilitation

 Create more proactive exercise management systems

 Set pre-activity movement pattern baselines

 Add a movement pattern based tool to the injury management model and injury risk management model

What should a screen do?

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Most Common FMS Incorrect Assumptions

 Total Score Confusion

 Injury Risk Prediction

 Viewed as a Simplistic Assessment

 Programing Constriction

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A family of tools dedicated to rating, ranking, and measuring human movement patterns:

 FMS – “entry point”

 YBT / Upper and Lower – entry level performance

 SFMA Top Tier – indicate necessary breakdown

 SFMA Breakouts – require impairments to be measured

Functional Movement Systems

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Standard Operating Procedure

…S.O.P. How?

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The Role of Sports Medicine and Rehabilitation

To get you strong enough to train (Healthy).

 Complications  Time  Resources  Education

 Key Marker to Watch -

Pain

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Basic Movement Patterns Provoke Pain

 Physical Assessment - Must ID structural component (Anatomical Parts)

 Movement Assessment - Must ID functional component (Behavioral Patterns) 1.  Pattern appears normal / non-painful 2.  Pattern appears normal / painful 3.  Pattern appears limited / painful 4.   Pattern appears limited / non-painful

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The Role of Strength and Conditioning

To get you strong enough to perform (Fit).

 Complications  Time  Resources  Education

 Key Marker to Watch -

State of Readiness

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State of Readiness Examples:  Physiological state of readiness (Biological)  Psycho-social state of readiness (Behavioral)  Movement state of readiness (Behavioral)

Physical Training Dependent on State of Readiness

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The Goal  Create efficient and effective screens

for movement patterns

 Provide an entry point for “movement-healthy” populations

 Movement Screening – For Exercise Professionals  Medium Threshold Testing

 Provide an entry point for “movement-unhealthy” populations

 Movement Screening – For Health Care Professionals  Low Threshold Testing

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FMS

Skill

Performance Testing + YBT

SFMA - Top Tier

Impairments

SFMA - Breakouts

Functional Movement Systems

Pain

Entry Point

Performance

{

Parts {

Patterns

{

F U N C T I O N A L M O V E M E N T . C O M

 Total Score Confusion

 Injury Risk Prediction

 Viewed as a Simplistic Assessment

 Programing Constriction

Most Common FMS Incorrect Assumptions

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Constriction complements the science of disadvantage prized by the best coaches.

Constriction is intentional

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Functional exercise should put the physical constraints back into programming for the purpose of developing and maintaining function.

Should exercise be a risk factor?

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That’s why – FMS

“We scrutinize functional METHODS without functional METRICS”

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That’s why – FMS

 Total Score Confusion

 Injury Risk Prediction

 Simplistic Assessment

 Programing Constriction

Most Common FMS Incorrect Assumptions

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Is it so confusing?

 That the ending point for functional rehabilitation is also the starting point for functional training.

 That one common baseline creates a point in time, and raises the bar in both rehab and conditioning – “functional accountability.”

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Please remember that I’m not here to defend Movement Screening, Testing, & Assessment…

If they are used competently and correctly they should

defend themselves.

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Now – How can a movement based approach be a competitive advantage?