Reliability, validity, and injury predictive value of the Functional Movement Screen: A systematic review and meta-analysis
Background: The Functional Movement Screen (FMS) is utilized by professional and collegiate sports teams and the military for the prevention of musculoskeletal injuries.
Hypothesis: The FMS demonstrates good interrater and intrarater reliability and validity and has predictive value for musculoskeletal injuries.
Study Design: Systematic review and meta-analysis.
Methods: A systematic review and meta-analysis were conducted using a computerized search of the electronic databases MEDLINE and ScienceDirect in adherence with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Extracted relevant data from each included study were recorded on a standardized form. The Cochran Q statistic was utilized to evaluate study heterogeneity. Pooled quantitative synthesis was performed to measure the intraclass correlation coefficient (ICC) for interrater and intrarater reliability, along with 95% CIs, and odds ratios with 95% CIs for the injury predictive value for a score of =14.
Results: Eleven studies for reliability, 5 studies for validity, and 9 studies for the injury predictive value were identified that met inclusion and exclusion criteria; of these, 6 studies for reliability and 9 studies for the injury predictive value were pooled for quantitative synthesis. The ICC for intrarater reliability was 0.81 (95% CI, 0.69-0.92) and for interrater reliability was 0.81 (95% CI, 0.70-0.92). The odds of sustaining an injury were 2.74 times with an FMS score of =14 (95% CI, 1.70-4.43). Studies for validity demonstrated flaws in both internal and external validity of the FMS.
Conclusion: The FMS has excellent interrater and intrarater reliability. Participants with composite scores of =14 had a significantly higher likelihood of an injury compared with those with higher scores, demonstrating the injury predictive value of the test. Significant concerns remain regarding the validity of the FMS.
© Copyright 2017 The American Journal of Sports Medicine. SAGE Publications. Kaikki oikeudet pidätetään.
Aiheet: | vahinko vamma tutkimusmenetelmä diagnostiikka apuväline ennaltaehkäisy |
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Aihealueet: | biologiset ja lääketieteelliset tieteet |
Tagging: | Functional Movement Screen FMS |
DOI: | 10.1177/0363546516641937 |
Julkaisussa: | The American Journal of Sports Medicine |
Julkaistu: |
2017
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Vuosikerta: | 45 |
Numero: | 3 |
Sivuja: | 725-732 |
Julkaisutyypit: | artikkeli kirjallisuusanalyysi |
Kieli: | englanti (kieli) |
Taso: | kehittynyt |