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