Are Functional Movement Screen Tests Performed at the Right Time, if It Is an Injury Risk Predictor?

in Journal of Sport Rehabilitation
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Context: Sports injuries are more common when players are fatigued and occur more frequently at the end of matches; therefore, determining the right time for employing an injury screening test is important. Objective: To determine the role of timing (prematch vs postmatch fatigue) on the functional movement screen (FMS) scores, a frequently used injury risk screening method. Design: Cross-sectional study. Setting: Field. Participants: Twenty-four women soccer players from a professional team were included. Main Outcome Measures: The players were evaluated with a visual analog scale for perceived fatigue and with the FMS. Assessments were conducted before and after a 60-minute match. Results: The subtest scores for deep squat, hurdle line, in-line lunge, trunk stability push-up, and the total FMS scores showed a significant decrease following the match (P < .05). Compared with prematch, the number of players who could achieve the highest score of 3/3 postmatch was lower for all subtests except right shoulder mobility. Conclusions: Our results suggest a negative relationship between perceived fatigue level and performance on the deep squat, hurdle line, in-line lunge, and trunk stability push-up subtest scores and in the total FMS score. Therefore, the authors suggest that screening tests such as the FMS should be employed following a match when players present with fatigue.

Kocak is with the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey. Unver is with the School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.

Kocak (umut_z_kocak@hotmail.com) is corresponding author.
  • 1.

    Ekstrand J, Krutsch W, Spreco A, et al. Time before return to play for the most common injuries in professional football: a 16-year follow-up of the UEFA elite club injury study [published online ahead of print June 10, 2019]. Br J Sports Med. 2019. doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Hägglund M, Waldén M, Magnusson H, Kristenson K, Bengtsson H, Ekstrand J. Injuries affect team performance negatively in professional football: an 11-year follow-up of the UEFA Champions League injury study. Br J Sports Med. 2013;47(12):738742. PubMed ID: 23645832 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Hespanhol Junior L, Mechelen W, Postuma E, Verhagen E. Health and economic burden of running-related injuries in runners training for an event: a prospective cohort study. Scand J Med Sci Sports. 2016;26(9):10911099. PubMed ID: 26282068 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Verhagen E, van Mechelen W. Sport for all, injury prevention for all. Br Assoc Sport Excerc Med. 2010;44(3):158. doi:

  • 5.

    Williams S, Trewartha G, Kemp SP, et al. Time loss injuries compromise team success in Elite Rugby Union: a 7-year prospective study. Br J Sports Med. 2015;50(11):651656. PubMed ID: 26552415 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Akenhead R, Hayes PR, Thompson KG, French D. Diminutions of acceleration and deceleration output during professional football match play. J Sci Med Sport. 2013;16(6):556561. PubMed ID: 23333009 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Rampinini E, Bosio A, Ferraresi I, Petruolo A, Morelli A, Sassi A. Match-related fatigue in soccer players. Med Sci Sports Exerc. 2011;43(11):21612170. PubMed ID: 21502891 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Mohr M, Krustrup P, Bangsbo J. Match performance of high-standard soccer players with special reference to development of fatigue. J Sports Sci. 2003;21(7):519528. PubMed ID: 12848386 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Carling C, Gall F, Reilly T. Effects of physical efforts on injury in elite soccer. Int J Sports Med. 2010;31(3):180185. doi:

  • 10.

    Frisch A, Urhausen A, Seil R, Croisier J-L, Windal T, Theisen D. Association between preseason functional tests and injuries in youth football: a prospective follow-up. Scand J Med Sci Sports. 2011;21(6):e468e476. PubMed ID: 22017708 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Small K, McNaughton L, Greig M, Lovell R. The effects of multidirectional soccer-specific fatigue on markers of hamstring injury risk. J Sci Med Sport. 2010;13(1):120125. PubMed ID: 18976956 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Hawkins RD, Hulse M, Wilkinson C, Hodson A, Gibson M. The association football medical research programme: an audit of injuries in professional football. Br J Sports Med. 2001;35(1):4347. PubMed ID: 11157461 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function—part 1. Int J Sports Phys Ther. 2014;9(3):396409. PubMed ID: 24944860

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function—part 2. Int J Sports Phys Ther. 2014;9(4):549563. PubMed ID: 25133083

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Frohm A, Heijne A, Kowalski J, Svensson P, Myklebust G. A nine-test screening battery for athletes: a reliability study. Scand J Med Sci Sports. 2012;22(3):306315. PubMed ID: 21410538 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Hegedus EJ, McDonough S, Bleakley C, Cook CE, Baxter GD. Clinician-friendly lower extremity physical performance measures in athletes: a systematic review of measurement properties and correlation with injury. Part 1—The tests for knee function including the hop tests. Br J Sports Med. 2015;49(10):642648. PubMed ID: 25497489 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Padua DA, DiStefano LJ, Beutler AI, De La Motte SJ, DiStefano MJ, Marshall SW. The landing error scoring system as a screening tool for an anterior cruciate ligament injury–prevention program in elite-youth soccer athletes. J Athl Train. 2015;50(6):589595. PubMed ID: 25811846 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Reid DA, Vanweerd RJ, Larmer PJ, Kingstone R. The inter and intra rater reliability of the netball movement screening tool. J Sci Med Sport. 2015;18(3):353357. PubMed ID: 24930074 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Whatman C, Hing W, Hume P. Physiotherapist agreement when visually rating movement quality during lower extremity functional screening tests. Phys Ther Sport. 2012;13(2):8796. PubMed ID: 22498149 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Gonell AC, Romero JAP, Soler LM. Relationship between the Y balance test scores and soft tissue injury incidence in a soccer team. Int J Sports Phys Ther. 2015;10(7):955. PubMed ID: 26673848

    • Search Google Scholar
    • Export Citation
  • 21.

    De Blaiser C, Roosen P, Willems T, Danneels L, Bossche LV, De Ridder R. Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Phys Ther Sport. 2018;30:4856. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Cook G. Movement: Functional Movement Systems: Screening, Assessment, Corrective StrategiesAptos, CA: On Target Publications; 2010. ISBN: 978-1931046725.

    • Search Google Scholar
    • Export Citation
  • 23.

    Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function—part 1. North Am J Sports Phys Ther. 2006;1(2):6272.

    • Search Google Scholar
    • Export Citation
  • 24.

    Cook G, Burton L, Hoogenboom 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.

    • Search Google Scholar
    • Export Citation
  • 25.

    Clay H, Mansell J, Tierney R. Association between rowing injuries and the Functional Movement Screen in female collegiate division I rowers. Int J Sports Phys Ther. 2016;11(3):345. PubMed ID: 27274420

    • Search Google Scholar
    • Export Citation
  • 26.

    Del Vecchio FB, Gondim DF, Arruda ACP. Functional movement screening performance of Brazilian jiu-jitsu athletes from Brazil: differences considering practice time and combat style. J Strength Cond Res. 2016;30(8):23412347. PubMed ID: 26808855 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Dossa K, Cashman G, Howitt S, West B, Murray N. Can injury in major junior hockey players be predicted by a pre-season functional movement screen—a prospective cohort study. J Can Chiropr Assoc. 2014;58(4):421. PubMed ID: 25550667

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Fuller JT, Chalmers S, Debenedictis TA, et al. High prevalence of dysfunctional, asymmetrical, and painful movement in elite junior Australian football players assessed using the functional movement screen. J Sci Med Sport. 2017;20(2):134138. PubMed ID: 27531528 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Hotta T, Nishiguchi S, Fukutani N, et al. Functional movement screen for predicting running injuries in 18-to 24-year-old competitive male runners. J Strength Cond Res. 2015;29(10):28082815. PubMed ID: 25853918 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason functional movement screen? North Am J Sports Phys Ther. 2007;2(3):147.

    • Search Google Scholar
    • Export Citation
  • 31.

    Tee JC, Klingbiel JF, Collins R, Lambert MI, Coopoo Y. Preseason functional movement screen component tests predict severe contact injuries in professional rugby union players. J Strength Cond Res. 2016;30(11):31943203. PubMed ID: 26982969 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Chorba RS, Chorba DJ, Bouillon LE, Overmyer CA, Landis JA. Use of a functional movement screening tool to determine injury risk in female collegiate athletes. North Am J Sports Phys Ther. 2010;5(2):47.

    • Search Google Scholar
    • Export Citation
  • 33.

    Gribble PA, Brigle J, Pietrosimone BG, Pfile KR, Webster KA. Intrarater reliability of the functional movement screen. J Strength Cond Res. 2013;27(4):978981. PubMed ID: 22592177 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Onate JA, Dewey T, Kollock RO, et al. Real-time intersession and interrater reliability of the functional movement screen. J Strength Cond Res. 2012;26(2):408415. PubMed ID: 22266547 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Parenteau-G E, Gaudreault N, Chambers S, et al. Functional movement screen test: a reliable screening test for young elite ice hockey players. Phys Ther Sport. 2014;15(3):169175. PubMed ID: 24291023 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36.

    Teyhen DS, Shaffer SW, Lorenson CL, et al. The functional movement screen: a reliability study. J Orthop Sports Phys Ther. 2012;42(6):530540. PubMed ID: 22585621 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Lisman P, Hildebrand E, Nadelen M, Leppert K. Association of functional movement screen and Y-balance test scores with injury in high school athletes [published online ahead of print March 4, 2019]. J Strength Cond Res. doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Moore E, Chalmers S, Milanese S, Fuller JT. Factors influencing the relationship between the functional movement screen and injury risk in sporting populations: a systematic review and meta-analysis. Sports Med. 2019;49(9):14491463. PubMed ID: 31104227 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Leung AW, Chan CC, Lee AH, Lam KW. Visual analogue scale correlates of musculoskeletal fatigue. Percept Motor Skill. 2004;99(1):235246. doi:

  • 40.

    Thomas K, Dent J, Howatson G, Goodall S. Etiology and recovery of neuromuscular fatigue after simulated soccer match play. Med Sci Sports Exerc. 2017;49(5):955964. PubMed ID: 28060035 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Erickson BJ, Sgori T, Chalmers PN, et al. The impact of fatigue on baseball pitching mechanics in adolescent male pitchers. Arthroscopy. 2016;32(5):762771. PubMed ID: 26952088 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Montgomery PG, Pyne DB, Hopkins WG, Dorman JC, Cook K, Minahan CL. The effect of recovery strategies on physical performance and cumulative fatigue in competitive basketball. J Sports Sci. 2008;26(11):11351145. PubMed ID: 18608847 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Buchheit M, Simpson BM, Garvican-Lewis LA, et al. Wellness, fatigue and physical performance acclimatisation to a 2-week soccer camp at 3600 m (ISA3600). Br J Sports Med. 2013;47(suppl 1):i100i106. doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 44.

    Silva J, Rumpf M, Hertzog M, et al. Acute and residual soccer match-related fatigue: a systematic review and meta-analysis. Sports Med. 2017;48(3):539583. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 45.

    Nunes GS, Bender PU, de Menezes FS, Yamashitafuji I, Vargas VZ, Wageck B. Massage therapy decreases pain and perceived fatigue after long-distance Ironman triathlon: a randomised trial. J Physiother. 2016;62(2):8387. PubMed ID: 27025688 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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