One of the standards of practice is the use of the Functional Movement Screen. But is this a good predicative tool for determining return to play?
- Bardenett et al - Int J Sports Phy Ther 2015 - looked at the FMS as a predictive tool in high school athletes. Of the 167 high school athletes that were assessed during the pre-season, the results showed the FMS was good at recognizing asymmetry in the movements tested. But they found that the results were not a good at predicting injury.
- Dorrel et al - J Ath Train 2015 - performed a systematic review and meta-analysis of research from 1998 to 2014. What the results showed was that the FMS demonstrated low predictive validity for injury prediction and leading the authors to conclude that this should not be used for injury prediction.
- Bushman et al Am J Sports Med 2016 - looked at the FMS as a predictive tool in active male soldiers. Of the 2476 soldiers assessed, the FMS demonstrated low sensitivity and low positive predictive value. This lead the authors to conclude this could lead to misclassification of injury risk in military personnel. If they are assigned to hazardous duty as a result of this misclassification, it could potentially place the soldier at greater risk.
- Wright et al Bri J Sports Med 2016 - in this clinical commentary based on the literature review showing a low sensitivity of 24% led the authors of this paper recommending that this should not be used for injury prediction or for making return to sport calls.
As we see a further blending of these types of technologies with the movement sciences is when we will really see an impact on both lower limb injury rates and improvements in athletic performance. Next week we will explore this a little more. For more information on this topic and more, make sure to follow us on twitter @ACL_Prevention or on Instagram @bjjpt_acl_guy.