The association between the functional movement screen outcome and the incidence of musculoskeletal injuries: A systematic review with meta-analysis

Priscila Dos Santos Bunn; Allan Inoue Rodrigues; Elirez Bezerra da Silva

doi:10.1016/j.ptsp.2018.11.011

The association between the functional movement screen outcome and the incidence of musculoskeletal injuries: A systematic review with meta-analysis

Phys Ther Sport. 2019 Jan:35:146-158. doi: 10.1016/j.ptsp.2018.11.011. Epub 2018 Dec 5.

Authors

Priscila Dos Santos Bunn¹, Allan Inoue Rodrigues², Elirez Bezerra da Silva³

Affiliations

¹ Postgraduate Program in Exercise and Sport Sciences, Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil, Rua São Francisco Xavier, No 524, 90 Floor; Block F; Room 9122, Rio de Janeiro, RJ, Brazil; Physical Education Center Admiral Adalberto Nunes, Research Laboratory of Exercise Science, Brazilian Navy, Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil; Post-Graduation Program in Operational Human Performance, Av. Marechal Fontenelle, 1200 - Campo dos Afonsos, Rio de Janeiro, RJ, Brazil. Electronic address: priscila.bunn@gmail.com.
² Postgraduate Program in Exercise and Sport Sciences, Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil, Rua São Francisco Xavier, No 524, 90 Floor; Block F; Room 9122, Rio de Janeiro, RJ, Brazil; Physical Education Center Admiral Adalberto Nunes, Research Laboratory of Exercise Science, Brazilian Navy, Avenida Brasil, 10.590, Penha, Rio de Janeiro, RJ, CEP: 21.012-350, Brazil.
³ Postgraduate Program in Exercise and Sport Sciences, Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil, Rua São Francisco Xavier, No 524, 90 Floor; Block F; Room 9122, Rio de Janeiro, RJ, Brazil.

PMID: 30566898
DOI: 10.1016/j.ptsp.2018.11.011

Abstract

Objective: To systematically review the literature investigating the association between the Functional Movement Screening (FMS™) score and musculoskeletal injuries in physical exercise based on relative risk (RR).

Methods: A systematic literature search was carried out in July 2018 in MEDLINE, LILACS, SCOPUS, SPORTDiscus, CINAHL and Web of Science databases. Reference lists were explored to find studies that examined the association between FMS™ and injuries. The following data were extracted from the studies: the participants' profile, sample size, classification of musculoskeletal injuries, follow-up time and RR. Participants with FMS™ score <13-14 were considered as "high risk" depending on used cut-off. The Mantel-Haenszel Test with random-effect model and the RR measure was performed. The Begg Test was used to analyze the publication bias.

Results: A total of 1658 studies were retrieved from the databases and 20 were selected. A meta-analysis of 964 injuries in 2227 high-risk participants and 1719 injuries in 5756 low-risk participants showed that individuals at "high risk" by FMS™ had a RR = 1.51 (95%CI = 1.35-1.69) of developing injuries.

Conclusions: Individuals classified as "high risk" by FMS™ are 51% more likely to be affected by injury than those classified as having low risk, but the level of evidence is very low.

Keywords: Athletic injuries; Movement; Relative risk; Screening.

Publication types

Meta-Analysis
Systematic Review

MeSH terms

Athletes
Athletic Injuries / classification
Athletic Injuries / diagnosis*
Humans
Incidence
Movement*
Musculoskeletal System / injuries*
Risk Factors