Lecture 6: The functional movement screen Flashcards

1
Q

The functional movement screen

A

7 screens and 4 clearing tests

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2
Q

Should I warm up before the FMS?

A

NO

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3
Q

What does FMS provide?

A

A system to assess movement

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4
Q

What is FMS not?

A

An indicator of sport performance
Not a tool to diagnosis injury

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5
Q

What are the 7 screens and 4 clearing tests?

A
  1. Deep squat
  2. Hurdle step
  3. Incline lunge
    -ankle clearing test
  4. Shoulder mobility
    -impingement clearing test
  5. Active straight leg raise
  6. Trunk stability push up
    -press up clearing test
  7. Rotary stability
    -flexion clearing test
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6
Q

Scoring of FMS

A

3- correct movement pattern
2- movement pattern with compensation
1- inability to perform movement
0- pain regardless of correctness

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7
Q

How many attempts per movement?

A

3

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8
Q

Purpose of deep squat

A

Assesses full body mobility, stability and core control

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9
Q

Scoring a 3 on deep squat

A

Torso is parallel w tibia or toward vertical
Femur is below horizontal
Knees do not track inside feet
Dowel is aligned over the feet

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10
Q

Scoring a 2 on deep squat

A

Torso is parallel w tibia or toward vertical
Femur is below horizontal
Knees do not track inside feet
Dowel is aligned over the feet
Heels elevated

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11
Q

Scoring the deep squat

A

Tibia and torso not parallel
Femur is not below horizontal
Knees track inside feet
Dowel is not aligned over the feet

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12
Q

Purpose of hurdle step

A

Assesses stride mechanics while also assessing single leg stability

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13
Q

Set of hurdle step

A

Cord is measured and placed at tibial tuberosity (record this number)

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14
Q

Scoring a 3 on hurdle step

A

Hips, knees, ankles aligned in sagittal plane
Minimal to no movement in lumbar spine
Dowel and hurdle remain parallel

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15
Q

Scoring a 2 on hurdle step

A

Alignment is lost btwn knees, hips ankles
Movement in lumbar spine
Dowel and hurdle do not remain parallel

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16
Q

Scoring a 1 on hurdle step

A

Inability to clear the cord during hurdle step (foot touches cord)
Loss of balance

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17
Q

Purpose of incline lunge

A

Assesses lunging mechanics and overall stability, balance, ankle mobility, hip mobility, quad flexibility

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18
Q

Scoring a 3 on incline lunge

A

Dowel contact maintained
Dowel remains vertical
Minimal to no torso movement
Dowel and feet remain in sagittal plane
Knee touches centre of board
Front food remains in start position

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19
Q

Scoring a 2 on incline lunge

A

Dowel contact not maintained
Dowel does not remain vertical
Movement in torso
Dowel and feet do not remain in sagittal plane
Knee does not touch centre of board
Front food does not remain in start position

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20
Q

Scoring a 1 on incline lunge

A

Loss of balance by stepping off board
Inability to complete movement pattern
Inability to get into start position

21
Q

Ankle clearing test- green

A

Knee moves beyond medial malleolus of front leg while heel stays down

22
Q

Ankle clearing test- yellow

A

Knee resides within the width of the medial malleolus of the front leg while the heel stays down
Indicates a potential ankle mobility limitation

23
Q

Ankle clearing test- red

A

Knee does not reach medial malleolus of front leg with heel down
Indicates potential ankle mobility limitation

24
Q

Purpose of shoulder mobility test

A

Assesses active control and mobility of shoulder

25
Q

Set up of shoulder mobility test

A

Measure length of individuals hand from distal crease of wrist to tip of finger

26
Q

Scoring a 3 on shoulder mobility

A

Fists are within one hand length
(measure from closest point of each fist)

27
Q

Scoring a 2 on shoulder mobility

A

Fists are within one and a half hand lengths

28
Q

Scoring a 1 on shoulder mobility

A

Fists are not within one and a half hand lengths

29
Q

Impingement clearing test

A

As long as they have even slight ROM they clear it

30
Q

Purpose of active straight leg raise

A

Assesses mobility of hip and flexibility of hamstrings

31
Q

Set up of active straight leg raise

A

Back of individuals knees on test kit
Dowel is placed halfway btwn ASIS and middle of knee

32
Q

Scoring a 3 on active straight leg raise

A

Vertical line of lateral malleolus resides btwn mid-thigh and ASIS
The non-moving limb remains in neutral position

33
Q

Scoring a 2 on active straight leg raise

A

Vertical line of malleolus resides btwn mid-thigh and mid patella
Non-moving limb remains in neutral position

34
Q

Scoring a 1 on active straight leg raise

A

Vertical line of malleolus resides below mid-patella
Non-moving limb remains in neutral position

35
Q

Purpose of trunk stability push up

A

Assesses core stability and upper body strength

36
Q

Set up of trunk stability push up

A

Males- thumb inline w top of forehead
Females- thumbs in line w top of chin

37
Q

Scoring a 3 on trunk stability push up

A

Body lifts as a unit w no lag in spine

38
Q

Scoring a 2 on trunk stability push up

A

Men perform a repetition with thumbs aligned w the chin
Women perform a repetition w thumbs aligned w clavicle
Body lifts as a unit w no lag in spine

39
Q

Scoring a 2 on trunk stability push up

A

Unable to perform a rep
Men (chin)
Women (clavicle)

40
Q

Purpose of rotary stability

A

Assesses stability at pelvis, core, shoulder while simultaneously creating movement w upper and lower extremities

41
Q

Set up of rotary stability

A

Feet, knee, thumbs touching test kit

42
Q

Scoring a 3 on rotary stability

A

Hand and knee leave ground at same time
Ability to perform this pattern while keeping arm and leg moving in line and parallel w board
Fingers touch lateral malleolus
Knee and elbow achieve full extension

43
Q

Scoring a 2 on rotary stability

A

Hand and knee did not leave ground at same time
Inability to keep arm and leg moving in line and parallel w board
Fingers touch lateral malleolus
Knee and elbow achieve full extension

44
Q

Scoring a 1 on rotary stability

A

Loss of balance
Hand does not touch lateral malleolus
Knee and elbow do not fully extend
Inability to get into set-up position

45
Q

Order of corrective strategies

A
  1. Address pain if there is any
  2. Mobility
    i. active straight leg raise
    ii. Shoulder mobility
  3. Motor control
    i. Rotary stability
    ii. Trunk stability push up
  4. Functional patterning
    i. Incline lunge
    ii. Hurdle step
    iii. Deep squat
46
Q

Benefits to the FMS

A

Pick up on things that you would not see with day-to-day training

47
Q

Limitations to FMS

A

Doesnt test movement capacity (only ability to do one unloaded rep)
Only screens movement
Movement issues and pain can arise when load is added

48
Q

Why dont we cue clients through the movement?

A

If you know what you’re graded for, your movement will improve