Browse > Article

The Effects of a Functional Movement Screen on Pain and Performance Ability in Professional Fencing Players  

Kim, Seong-Yeol (Department of Physical Therapy, Kyungnam University)
Lee, Je-Hoon (Department of Physical Therapy, Korean Olympic Committee Training Center)
An, Seung-Heon (Department of Physical Therapy, National Rehabilitation Center)
Publication Information
The Journal of Korean Physical Therapy / v.23, no.1, 2011 , pp. 21-28 More about this Journal
Abstract
Purpose: The aim of this study was to investigate correlations between the Functional Movement Screen (FMS), pain, and performance ability in professional fencing players. Methods: Fifty-six athletes participated in this study. The pain group included those who had a score on a pain-related Visual Analogue Scale (VAS) of ${\geq}$20 and an Oswestry Disability Index (ODI) score ${\geq}$10). In the non-pain group, these scores were: VAS(<20), ODI(<10). The VAS and ODI were used to measure pain throughout the study. Performance ability included motor function of the lower extremities (as assessed by a Modified Functional Index Questionnaire, MFIQ), dynamic balance (Balance system, BS and Posture med, PM), flexor and extensor muscle strength of the lumbar region was recorded as maximal isometric strength. Results: Among athletes who had pain, 5 of 15(33.33%) showed impaired functional movement. Conversely, only 2 of 41(4.88%) of those who had no pain showed such impairment (FMS ${\leq}$14score). The athletes who had pain and who had an FMS score above 14 (10/56; 17.86%) showed a significantly higher score for extensor muscle strength of the lumbar compared with those with pain and an FMS score below 14 (5/56; 8.93%) were significant correlations between the FMS and pain (r=-0.40 to -0.42, p<0.01), the MFIQ (r=-0.33, p<0.05), dynamic balance (r=-0.27 to -0.40, p<0.05-0.01), muscle strength of the lumbar (r=0.27 to 0.29, p<0.05). Stepwise multiple regression analysis showed that the dynamic balance score (${\beta}{\beta}$=-0.41) had slightly more power in predicting FMS score than pain, motor function of lower extremity, or muscle strength. Conclusion: The FMS was significantly associated with values of pain, motor function of the lower extremities, dynamic balance, and muscle strength of the lumbar. However the FMS appears to lack relevance and reasonable evidence to suggest that it is an acceptable measurement tool for functional movement analysis.
Keywords
Balance; Functional movement screen; Pain; Performance ability;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Muller O, Gunther M, Krauss I et al. Physical characterization of the therapeutic device posturomed as a measuring device presentation of a procedure to characterize balancing ability. Biomed Tech (Berl). 2004;49(3):56-60.   DOI
2 Nardone A, Grasso M, Tarantola J et al. Postural coordination in elderly subjects standing on a periodically moving platform. Arch Phys Med Rehabil. 2000;81(9):1217-23.   DOI   ScienceOn
3 Kankaanpaa M, Taimela S, Laaksonen D et al. Back and hip extensor fatigability in chronic low back pain patients and controls. Arch Phys Med Rehabil. 1998;79(4):412-7.   DOI   ScienceOn
4 Kiesel K, Plisky P, Kersey P. Functional movement test score as a predictor of time-loss during a professional football team's pre-season. Med Sci Sports Exerc. 2008;40(5):S234.
5 Selfe J, Harper L, Pedersen I et al. Four outcome measures for patellofemoral joint problmes. part2. Reliability and clinical sensitivity. Physiotherapy. 2001:87(10):516-22.   DOI   ScienceOn
6 Akbari M, Karimi H, Farahini H et al. Balance problems after unilateral lateral ankle sprains. J Rehabil Res Dev. 2006;43(7):819-24.   DOI   ScienceOn
7 Paterno MV, Myer GD, Ford KR et al. Neuromuscular training improves single-limb stability in young female athletes. J Orthop Sports Phys Ther. 2004;34(6):305-16.   DOI
8 Boeer J, Mueller O, Krauss I et al. Effects of a sensory motor exerciseprogram for older asults with osteoarthritis or prosthesis of the hip using measurements made by the posturomed oscillatory platform. J Geriatr Phys Ther. 2010;33(1):10-5.
9 Huskisson EC. Measurement of pain. Lancet. 1974; 2(7889):1127-31.
10 Kim DY, Lee SH, Lee HY et al. Validation of the Korean version of the oswestry disability index. Spine (Phila Pa 1976). 2005;30(5):E123-7.   DOI   ScienceOn
11 Ostelo RW, de Vet HC. Clinically important outcome in low back pain. Best practice & Research Clinical Rheumatology. 2005;19(4):593-607.   DOI
12 Selfe J, Harper L, Pedersen I et al. Four outcome measures for patellofemoral joint problems. part1. development and validity. Physiotherapy. 2001;87(10):507-15.   DOI   ScienceOn
13 Fairbank JC, Couper J, Davies JB et al. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980; 66(8):271-3.
14 Wainner RS, Whitman JM, Cleland JA et al. Regional interdependence: A musculoskeletal examination model whose time has come. J Orthop Sports Phys Ther. 2007; 37(11):658-60.   DOI
15 Minick KI, Kiesel KB, Burton L et al. Interrater reliability of the functional movement screen. J Strength Cond Res. 2010;24(2):479-86.   DOI   ScienceOn
16 An SH, Lee JH. Reliability and Validity of the Korean Version of the Functional Movement Screen. K KorSoc Ther. 2010;22(5):83-93.
17 Cook EG, Burton L, Hogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function-part 2. North Am J Sports Phys Ther. 2006; 1(3):132-9.
18 Baechle T, Earle R. Essentials of strength training and conditioning. 2nd ed. Champaign, Human Kinetics, 2000.
19 Plisky PJ, Rauh MJ, Kaminski TW et al. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36(12):911-9.   DOI   ScienceOn
20 Cook G, Burton L, Hogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function-part 1. N Am J Sports Phys Ther. 2006;1(2): 62-72.
21 Kiesel K, Plisky P, Butler R. Functional movement test score improve following a standardized off-season intervention program in a professional football players. Scand J Med Sci Sports. 2009:1-6.
22 Pope RP, Herbert RD, Kirwan JD et al. A randomized trial of preexercise stretching for prevention of lower-limb injury. Med Sci Sports Exerc. 2000;32(2):271-7.   DOI   ScienceOn
23 Cook G. Athletic body in balance: Optimal movement skills and conditioning for performance. Champaign, Human Kinetics, 2004.
24 Kiesel K, Plisky P, Voight M. Can serious injury in professional football be predicted by a preseason functional movement screen? N Am J Sports Phys Ther. 2007; 2(3):147-58.
25 Turbeville SD, Cowan LD, Owen WL. Risk factors for injury in high school football players. Am J Sports Med. 2003.31(6):974-80.   DOI
26 Tyler TF, McHugh MP, Mirabella MR et al. Risk factors for noncontact ankle sprains in high school football players: the role of previous ankle sprains and body mass index. Am J Sports Med. 2006;34(3):471-5.   DOI
27 Herbert RD, Gabriel M. Effects of stretching before and after exercise on muscle soreness and risk of injury: systematic review. BMJ. 2002;325(7362):468.   DOI   ScienceOn
28 Herbert RD, de Noronha M. Stretching to prevent or reduce muscle soreness after exercise. Cochrane Database Syst Rev. 2007;(4):CD004577