Functional movement screen and Y-Balance test scores across levels of American football players

Peter Lisman, Mary Nadelen, Emily Hildebrand, Kyle Leppert, Sarah de la Motte, Peter Lisman, Mary Nadelen, Emily Hildebrand, Kyle Leppert, Sarah de la Motte

Abstract

Few studies have investigated differences in functional movement assessment performance across scholastic levels of competition. This study examined Functional Movement Screen (FMS) performance in middle school (MS), high school (HS) and collegiate (COL) American football players and Y-Balance test (YBT) scores in MS and HS players. Functional movement measurements were collected for MS (N = 29; age = 12.8 ± 0.7 years), HS (N =52; age = 15.7 ± 1.2 years), and COL (N =77; age = 19.9 ± 1.4 years) football players prior to each group's competitive season. Differences in composite FMS and YBT measurements were examined using Welch's ANOVA and Mann-Whitney U-tests, respectively. Chi-square analyses examined normality of score distributions for individual FMS tests. The MS group displayed a lower composite FMS (12.9 ± 1.9) than both HS (14.0 ± 1.7) and COL (14.1 ± 2.1) groups (p = 0.019). COL players scored significantly lower on the Shoulder Mobility (SM) but higher on the Deep Squat (DS), In-line Lunge (ILL), Active Straight-Leg Raise (ASLR) and Push-Up (PU) than both HS and MS groups. No differences were found between MS and HS groups for any YBT normalized reach distances and side-to-side reach distance differences. FMS performance varied with football competition level whereas YBT performance did not. The results suggest that football competition levels normative data and injury-risk thresholds should be established when using FMS scores to guide performance and injury prevention programming.

Keywords: Athletes; Functional movement screen; Injury prevention; Y-balance test.

Figures

Fig. 1
Fig. 1
Frequency of individual FMS test pattern asymmetry. Abbreviations: ASLR, active straight leg raise; MS, middle school; HS, high school.

References

    1. National Collegiate Athletic Association’s Sports Sponsorship and Participation Rate Report: 1981-82 - 2014-15. Indianaplos, IN: Accessed December 1, 2016.
    1. National Federation of State High School Association’s 2014-15 High School Athletics Participation Survey. Indianapolis, IN: Accessed December 1, 2016.
    1. Rechel JA, Yard EE, Comstock RD. An epidemiologic comparison of high school sports injuries sustained in practice and competition. J Athl Train. 2008;43(2):197–204.
    1. Kerr ZY, Marshall SW, Dompier TP, Corlette J, Klossner DA, Gilchrist J. College sports-related injuries - United States, 2009-10 through 2013-14 academic years. MMWR Morb Mortal Wkly Rep. 2015;64(48):1330–1336.
    1. Beachy G, Rauh M. Middle school injuries: a 20-year (1988-2008) multisport evaluation. J Athl Train. 2014;49(4):493–506.
    1. Dompier TP, Powell JW, Barron MJ, Moore MT. Time-loss and non-time-loss injuries in youth football players. J Athl Train. 2007;42(3):395–402.
    1. Dick R, Ferrara MS, Agel J, Courson R, Marshall SW, Hanley MJ, Reifsteck F. Descriptive epidemiology of collegiate men’s football injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. J Athl Train. 2007;42(2):221–233.
    1. Cook G, Burton L, Hoogenboom 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.
    1. Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function - part 2. N Am J Sports Phys Ther. 2006;1(3):132–139.
    1. Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins B. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009;4(2):92–99.
    1. Smith CA, Chimera NJ, Wright NJ, Warren M. Interrater and intrarater reliability of the functional movement screen. J Strength Cond Res. 2013;27(4):982–987.
    1. Teyhen DS, Shaffer SW, Lorenson CL, Halfpap JP, Donofry DF, Walker MJ, Dugan JL, Childs JD. The Functional Movement Screen: a reliability study. J Orthop Sports Phys Ther. 2012;42(6):530–540.
    1. Shaffer SW, Teyhen DS, Lorenson CL, Warren RL, Koreerat CM, Straseske CA, Childs JD. Y-balance test: a reliability study involving multiple raters. Mil Med. 2013;178(11):1264–1270.
    1. Butler RJ, Lehr ME, Fink ML, Kiesel KB, Plisky PJ. Dynamic balance performance and noncontact lower extremity injury in college football players: an initial study. Sports Health. 2013;5(5):417–422.
    1. Garrison M, Westrick R, Johnson MR, Benenson J. Association between the functional movement screen and injury development in college athletes. Int J Sports Phys Ther. 2015;10(1):21–28.
    1. Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason Functional Movement Screen? N Am J Sports Phys Ther. 2007;2(3):147–158.
    1. Kiesel KB, Butler RJ, Plisky PJ. Prediction of injury by limited and asymmetrical fundamental movement patterns in american football players. J Sport Rehabil. 2014;23(2):88–94.
    1. Mokha M, Sprague PA, Gatens DR. Predicting musculoskeletal injury in National Collegiate Athletic Association Division II athletes from asymmetries and individual-test versus composite Functional Movement Screen scores. J Athl Train. 2016;51(4):276–282.
    1. Smith CA, Chimera NJ, Warren M. Association of y balance test reach asymmetry and injury in division I athletes. Med Sci Sports Exerc. 2015;47(1):136–141.
    1. Bushman TT, Grier TL, Canham-Chervak M, Anderson MK, North WJ, Jones BH. The Functional Movement Screen and injury risk: association and predictive value in active men. Am J Sports Med. 2016;44(2):297–304.
    1. O’Connor FG, Deuster PA, Davis J, Pappas CG, Knapik JJ. Functional movement screening: predicting injuries in officer candidates. Med Sci Sports Exerc. 2011;43(12):2224–2230.
    1. Schneiders AG, Davidsson A, Horman E, Sullivan SJ. Functional movement screen normative values in a young, active population. Int J Sports Phys Ther. 2011;6(2):75–82.
    1. Loudon JK, Parkerson-Mitchell AJ, Hildebrand LD, Teague C. Functional movement screen scores in a group of running athletes. J Strength Cond Res. 2014;28(4):909–913.
    1. Grygorowicz M, Piontek T, Dudzinski W. Evaluation of functional limitations in female soccer players and their relationship with sports level--a cross sectional study. PloS one. 2013;8(6):e66871.
    1. Bullock GS, Arnold TW, Plisky PJ, Butler RJ. Basketball players’ dynamic performance across competition levels. J Strength Cond Res. 2016 Feb 5; [Epub ahead of print]
    1. Butler RJ, Southers C, Gorman PP, Kiesel KB, Plisky PJ. Differences in soccer players’ dynamic balance across levels of competition. J Athl Train. 2012;47(6):616–620.
    1. Bardenett SM, Micca JJ, DeNoyelles JT, Miller SD, Jenk DT, Brooks GS. Functional movement screen mormative values and validity in high school athletes: can the FMS be used as a predictor of injury? Int J Sports Phys Ther. 2015;10(3):303–308.
    1. Warren M, Smith CA, Chimera NJ. Association of the Functional Movement Screen with injuries in division I athletes. J Sport Rehabil. 2015;24(2):163–170.
    1. Lockie RG, Schultz AB, Callaghan SJ, Jordan CA, Luczo TM, Jeffriess MD. A preliminary investigation into the relationship between functional movement screen scores and athletic physical performance in female team sport athletes. Biol Sport. 2015;32(1):41–51.
    1. Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. 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.
    1. de la Motte SJ, Lisman P, Sabatino M, Beutler AI, O’Connor FG, Deuster PA. The relationship between functional movement, balance deficits, and previous injury history in deploying marine warfighters. J Strength Cond Res. 2016;30(6):1619–1625.
    1. Frost DM, Beach TA, Callaghan JP, McGill SM. Using the functional movement screen to evaluate the effectiveness of training. J Strength Cond Res. 2012;26(6):1620–1630.
    1. Goss DL, Christopher GE, Faulk RT, Moore J. Functional training bridges rehabilitation and return to duty. J Spec Oper Med. 2009;9(2):29–48.
    1. Kiesel K, Plisky P, Butler R. Functional movement test scores improve following a standardized off-season intervention program in professional football players. Scand J Med Sci Sports. 2011;21(2):287–292.
    1. 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. N Am J Sports Phys Ther. 2010;5(2):47–54.
    1. Fox D, O’Malley E, Blake C. Normative data for the Functional Movement Screen in male Gaelic field sports. Phys Ther Sport. 2014;15(3):194–199.
    1. Portas MD, Parkin G, Roberts J, Batterham AM. Maturational effect on Functional Movement Screen score in adolescent soccer players. J Sci Med Sport. 2016;19(10):854–858.
    1. McCunn R, Aus der Funten K, Fullagar HH, McKeown I, Meyer T. Reliability and association with injury of movement screens: a critical review. Sports Med. 2016;46(6):763–781.
    1. Moran RW, Schneiders AG, Mason J, Sullivan SJ. Do functional movement screen (FMS) composite scores predict subsequent injury? a systematic review with meta-analysis. Br J Sports Med. 2017 Mar 30; [Epub ahead of print]
    1. Kim SH, Kwon OY, Park KN, Jeon IC, Weon JH. Lower extremity strength and the range of motion in relation to squat depth. J Hum Kinet. 2015;45:59–69.
    1. Kanbur NO, Duzgun I, Derman O, Baltaci G. Do sexual maturation stages affect flexibility in adolescent boys aged 14 years? J Sports Med Phys Fitness. 2005;45(1):53–57.
    1. Feldman D, Shrier I, Rossignol M, Abenhaim L. Adolescent growth is not associated with changes in flexibility. Clin J Sports Med. 1999;9(1):24–29.
    1. Morton SK, Whitehead JR, Brinkert RH, Caine DJ. Resistance training vs. static stretching: effects on flexibility and strength. J Strength Cond Res. 2011;25(12):3391–3398.
    1. Baechle TR, Earle RW. Essentials of Strength Training and Conditioning. 3rd ed. Champaign, IL: Human Kinetics; 2008.
    1. Gribble PA, Robinson RH, Hertel J, Denegar CR. J Sport Rehabil. 2009;18(2):240–257.
    1. Breen EO, Howell DR, Stracciolini A, Dawkins C, Meehan WP. Examination of age-related differences on clinical tests of postural stability. Sports Health. 2016;8(3):244–249.

Source: PubMed

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