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FUNCTIONAL MOVEMENT SCREEN INTEGRATION
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Do you assess your athletes’ risk of injury?
Do you have a system to check whether all elements necessary for movement are present before training?
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Improving a 30 inch VJ by 10% is a 3 inch increase,20% is 6 inches.
Improving a 40 yd dash time of 5.0 to 4.5 is a 10% improvement.
As an expert coach, how much can you improve someone’s performance in 6-8 weeks?How much can an athlete’s performance decrease if he/she sustains an injury?
10%... 50%... 100% ?10%... 20% ?
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We can quantify injury risk.We can quantify movement efficiency.
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Understand the importance of injury potential and fundamental movement
Understanding principles of the Functional Movement Screen (FMS)
Understand principles of the FMS Solutions
Know where to inject FMS corrective solutions into your program design
Improve the ability to implement FMS corrective solutions into your training
system
LEARNING OBJECTIVES
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PREDICTION
PREVENTION
UNDERSTANDING INJURY
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PILLAR STRENGTH/MOBILITY
PERFORMANCE
SKILL
Adapted, Cook, 2001
MANAGING LIMITING FACTORS
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Acute
- Contact & non-contact
- Mechanism of injury
Chronic (overuse)
- Insidious onset
- No mechanism of injury
- Repetitive microtrauma
MANAGING LIMITING FACTORS
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MOVEMENT QUALITY
Reinforces compensatory
patterns
Push compensations
further
Increase micro-trauma
Leads to more injuries!
DON’T PLACE PERFORMANCE ON DYSFUNCTION
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Does high performance equal high durability?
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You have to fix the flat before you race
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What happens to a tire low on air?
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Write 3-4 sentences about what movement
screening can do for your clients.
Identify injury risk and energy leaks
CHECK FOR LEARNING 01
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UNDERSTANDING THE SCREEN
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WHAT IS THE FUNCTIONAL MOVEMENT SCREEN?
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UNDERSTANDING THE SCREEN
INJURY RISK SCREENING
Functional Movement Screen (FMS)TM looks at fundamental movement
patterns to identify compensations and inefficient movement
The screen is scored out of 21, Each movement scored 0-3.
- Lower scores = Higher risk for injury
- Higher scores = Lower risk for injury
Research has shown improvements in FMS score to be correlated to a
significantly reduced injury risk
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Allow us to identify “ Red Flags”
or movement patterns that put
your athlete at risk.
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Allows us to quickly rank the
quality of fundamental
movement patterns
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Allow us to target their weak links
– Create training programs
– Movement efficiency
– Help them reach performance
potential
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The FMS is a simple, standardized screen that allows anyone to rate & rank the quality of individual’s movement patterns in a
systematic approach.
Injury Prediction
Performance Deficits
(Cook, 2003, Cook et al., 2010 and Kiesel et al., 2007)
WHAT IS THE FUNCTIONAL MOVEMENT SCREEN?
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What is the significance of higher or lower
scores on the FMS?
What are the THREE main stances we use
to engage the ground?
CHECK FOR LEARNING 02
What it is – What it isn’t
Understanding the Difference
Key Considerations
THE FMS
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Assessment
- To judge someone’s ability
- Performed by a Sports Medicine team
Screen
- A filter
- To catch major problem to be tested and assessed
- Check for risks- meet a minimum criteria to train
UNDERSTANDING THE DIFFERNECE
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The FMS is simply a screen designed to catch fundamental movement pattern compensations.
It is not an assessment tool to determine the root cause of the compensations
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KEY CONSIDERATIONS
“ Hardware”
“Software”
THE FMS CANNOT SEPARATE THE TWO SYSTEMS, MUSCULOSKELETAL AND NEUROLOGICAL, ALL WE CAN TELL IS IF THEY CAN PERFORM THE PATTERN OR NOT
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KEY CONSIDERATIONS: WHAT IS LIMITED?
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KEY CONSIDERATIONS
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KEY CONSIDERATIONS
Complete the entire FMS™ before making decisions or trying to interpret the
weak link on a person
The screener may find that 2-3 movements uncover a weakness, but without
looking at all 7 movements, a more important weakness may be overlooked.
Once you have finished the entire screening process it is time to filter out the
individual’s functional movement problems and make recommendations on
improving them. Or refer them to someone else who can provide specialized
care.
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Is the FMS able to determine if the deficit is
mobility or stability?
When do you determine what solutions to
provide the athlete?
CHECK FOR LEARNING 03
SOP
Corrective Solutions
FMS SCORING AND HIERARCHY
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KEY CONSIDERATIONS
THE FMS TRULY PROVIDES SPECIFICITY TO YOUR TRAINING
SCREEN RE-SCREEN
PRIORITIZE RE-PRIORITIZE
PRESCRIBE NEW PRESCRIPTION
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SCORING HIERARCHY
PAIN ON ANY OF THE SCREENS 0s
UPPER/LOWER QUARTER SCREEN
WORK CORRECTIVE STRATEGIES & RE-TEST IN 2 WEEKS
ASYMMETRICAL 1s
(L1, R3) OR (R1, L3)
WORK CORRECTIVE STRATEGIES & RE-TEST IN 2 WEEKS
(L1, R2) OR (R1, L2)
SYMMETRICAL 1s (L1, R1)
ASYMMETRICAL 2s(L2, R3) OR (R2,
L3) WORK CORRECTIVE STRATEGIES & RE-TEST IN 2 WEEKS
SYMMETRICAL 2s (L2, R2)
SYMMETRICAL 3s ALL 3’S CONTINUE MAINTENANCE PROGRAM
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01 ACTIVE STRAIGHT LEG RAISE
02 SHOULDER MOBILITY
03 ROTARY STABILITY
04 TRUNK STABILITY PUSH UP
05 IN-LINE LUNGE
06 HURDLE STEP
07 DEEP SQUAT
MOVEMENT HIERARCHY
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TARGETING THE PRIORITIES
FMS SOLUTIONS TARGET EACH “WEAK LINK” WITH DIFFERENT STRATEGIES…
Soft Tissue
- Tension and adhesion
Mobility
- Restore symmetry
- Increase range of motion
Stability
- Motor Control
- Proper sequencing patterns
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WHERE TO INTERJECT
Pillar Preparation
- Focus on top 1-2 priorities
Strength
- Focus on top priorities as they relate to each strength movement during active
rest periods
Regeneration
- Focus on top 2-3 priorities
Stand Alone Session
- Focus on top 3 priorities
CORRECTIVE SOLUTIONS
CASE STUDY
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CORRECTIVE PRIORITIES
SOFT TISSUE MOBILITY STABILITY
Soft Tissue- Tension and adhesion
Mobility- Restore symmetry- Increase range of motion
Stability- Motor Control- Proper sequencing patterns
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A ZEROmust be evaluated and treated first
Mobility first - Active Straight Leg Raise and Shoulder Mobility
Primitive patterns next - Rotary Stability and TSPU
Asymmetries must take priority
Finally, functional re-patterning
SCORING ANALYSIS
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FMS SCORING SHEET
RAW SCORE (R/L) FINAL SCORE
DEEP SQUAT 2 2
HURDLE STEP 2/3 2
IN-LINE LUNGE 2/2 2
SHOULDER MOBILITY 3/2 2
ACTIVE STRAIGHT LEG RAISE 1/2 1
TRUNK STABILITY PUSH UP 3 3
ROTARY STABILITY 2/2 2
TOTAL 14
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SOFT TISSUE
HIP SOFT TISSUE MOVEMENTS
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MOBILITY
HIP MOBILITY MOVEMENTS
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STABILITY
SINGLE LEG LOWERING
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Lift and lower straight leg keeping
knee straight and toes up.
Before lifting straight leg, the bent
leg should slightly lift off floor.
2 sets of 8 reps each side
STABILITY
GLUTE BRIDGE – SINGLE LEG (BOTTOM UP KB)
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Rotate backside foot away from
midline. Keep low back flat and
core tight.
Push hips forward with glute.
Hold 2 seconds. 2 sets of 8 reps
each side.
STABILITY
BOTTOMS UP KB GLUTE ACTIVATION - HALF-KNEELING
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CHECK FOR LEARNING 01
When organizing corrective movements,
what order do you place stability, mobility,
and soft tissue in your plan?
Develop a corrective plan for an athlete
with a 2/3 Hurdle Step who cannot keep his
down leg straight, and flexes his low back.
CLOSING
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INJURY RISK/MOVEMENT MOVEMENT SCREEN FMS SCORING CORRECTIVE SOLUTIONS
Movement screening can help predict injury and identify energy leaks that may
limit performance.
INJURY RISK/MOVEMENT MOVEMENT SCREEN FMS SCORING CORRECTIVE SOLUTIONS
The FMS is composed of 7 movements
It can identify movement dysfunction, but It cannot determine the cause of the
dysfunction
The FMS can act as a filter to help identify focus points and specificity and
categorize athletes
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INJURY RISK/MOVEMENT MOVEMENT SCREEN FMS SCORING CORRECTIVE SOLUTIONS
Each movement is scored 0-3. Total score of 21
- Scores of 0 or 1 are sent to sports medicine
- Lower scores are associated with increased risk of non contact injury
Apply Corrective solutions based on scoring and movement hierarchy.
- Asymmetrical followed by symmetrical.
- 1’s, followed by 2’s, followed by 3’s.
INJURY RISK/MOVEMENT MOVEMENT SCREEN FMS SCORING CORRECTIVE SOLUTIONS
Based on Scoring and Movement Hierarchy
Sequence of correctives:
- Soft Tissue
- Mobility
- Activation and Motor Control
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APPENDIXCook, Gray. Athletic body in balance. Human Kinetics, 2003.
Cook, Gray.Movement: Functional movement systems: screening, assessment, corrective strategies. On Target Publications, 2010.
Kiesel, K., Plisky, P. J., & Voight, M. L. (2007). Can serious injury in professional football be predicted by a preseason
functional movement screen?.North American journal of sports physical therapy: NAJSPT, 2(3), 147.
Minick, Kate I., et al. "Interrater reliability of the functional movement screen."The Journal of Strength & Conditioning Research 24.2 (2010): 479-486.
Lisman, Peter, et al. "Functional movement screen and aerobic fitness predict injuries in military training."Medicine and science in sports and exercise 45.4 (2013): 636-643.
Brown, Matthew. The ability of the functional movement screen in predicting injury rates in Division I female athletes. Diss. University of Toledo, 2011.
Knapik, Joseph, et al. "Strength, flexibility and athletic injuries." Sports Medicine 14.5 (1992): 277-288.
Peate, W. F., et al. "Core strength: A new model for injury prediction and prevention." J Occup Med Toxicol 2.3 (2007): 1-9.
Cook, Gray, Lee Burton, and Barb Hoogenboom. "Pre-participation screening: The use of fundamental movements as an
assessment of function–part 1."North American journal of sports physical therapy: NAJSPT 1.2 (2006): 62.
Cook, Gray, Lee Burton, and Barb Hoogenboom. "Pre-participation screening: The use of fundamental movements as an
assessment of function–Part 2."North American journal of sports physical therapy: NAJSPT 1.3 (2006): 132.
Kiesel, K., P. Plisky, and R. Butler. "Functional movement test scores improve following a standardized off‐season
intervention program in professional football players." Scandinavian journal of medicine & science in sports 21.2 (2011): 287-292.
