Pre-participation screening: the use of fundamental movements as an assessment of function - part 2

Abstract

Part I of this two-part series (presented in the May issue of NAJSPT) provided the background, rationale, and a complete reference list for the use of fundamental movements as an assessment of function during pre-participation screening. In addition, Part I introduced one such evaluation tool that attempts to assess the fundamental movement patterns of an individual, the Functional Movement Screen (FMS)(™), and described three of the seven fundamental movement patterns that comprise the FMS(™).Part II of this series provides a brief review of the analysis of fundamental movement as an assessment of function. In addition, four additional fundamental tests of the FMS(™), which complement those described in Part I, will be presented (to complete the total of seven fundamental tests): shoulder mobility, active straight leg raise, trunk stability push-up, and rotary stability. These four patterns are described in detail, a grading system from 0-III is defined for each pattern, and the clinical implications for receiving a grade less than a perfect III are proposed.By reading Part I and Part II, it is hoped that the clinician will recognize the need for the assessment of fundamental movements, critique current and develop new methods of functional assessment, and begin to provide evidence related to the assessment of fundamental movements and the ability to predict and reduce injury. By using such a screening system, the void between pre-participation screening and performance tests will begin to close.

Figures

Figure 1.

Shoulder Mobility III III

1. Fists are within one hand length (Assume one hand length is 8 inches)

Figure 2.

Shoulder Mobility II II

1. Fists are within one and a half hand lengths (Assume one and one half hand lengths is 12 inches)

Figure 3.

Shoulder Mobility I I

1. Fists are not within one and half hand lengths (Beyond 12 inches)

Figure 4.

Shoulder Clearing Test

Figure 5.

Active SLR III III

1. Ankle/Dowel resides between mid-thigh and ASIS

Figure 6.

Active SLR II II

1. Ankle/Dowel resides between mid-thigh and mid-patella/joint line

Figure 7.

Active SLR I I

1. Ankle/Dowel resides below midpatella/joint line

Figure 8.

Trunk Stab Push Up III (male) III

1. Males perform one repetition with thumbs aligned with the top of the forehead

2. Females perform one repetition with thumbs aligned with chin

Figure 9.

Trunk Stab Push Up II (male) II

1. Males perform one repetition with thumbs aligned with chin

2. Females perform one repetition with thumbs aligned with clavicle

Figure 10.

Trunk Stab Push Up II (male) I

1. Males are unable to perform one repetition with hands aligned with chin

2. Females are unable to perform one repetition with thumbs aligned with clavicle

Figure 11.

Spinal Extension Clearing Test

Figure 12.

Rotary Stab Start III III

1. Performs one correct unilateral repetition while keeping spine parallel to surface

2. Knee and elbow touch

Figure 13.

Rotary Stab Finish III

Figure 14.

Rotary Stab Start II II

1. Performs one correct diagonal repetition while keeping spine parallel to surface

2. Knee and elbow touch

Figure 15.

Rotary Stab Finish II

Figure 16.

Rotary Stab Start I I

1. Inability to perform diagonal repetitions

Figure 17.

Spinal Flexion Clearing Test