Pre-Conference Course
Functional Movement Screening and Assessment
Gray Cook, Averett University; Gray Cook Physical Therapy; Functional Movement Systems, USA & Kyle Kiesel, University of Evansville, USA
Course Description
Abstract:
The influence of physical therapy touches fitness, sports medicine, sports performance, and injury prevention. The best way to address this responsibility is to develop reproducible screening and assessment practices that our referral sources understand. Functional movement screening is a practical tool for injury prediction in active populations. It also creates a baseline for functional movement that can be used to validate or refute exercise attempts at functional training. Functional movement assessment is a clinical tool that helps the clinician categorize pain and dysfunctional within basic movement patterns prior to isolated impairment rating and measurement. The two systems represent a higher level of attention to functional outcomes.
The Functional Movement Screen – The predictive system
The Functional Movement Screen (FMS) is a ranking and grading system created to document movement patterns that are fundamental to normal function. By screening these patterns, functional limitations and asymmetries are readily identified and measured. Basic movement pattern limitation and asymmetry can reduce the effects of functional training and physical conditioning and have been identified as injury risk factors in sport. One goal of the FMS is to identify those athletes with movement pattern limitations so individualized correct exercise can be prescribed to normalize movement prior to an increase in physical training or a competitive sports season. The FMS is a screen and therefore is designed to be applied to those individuals who do not have a known musculoskeletal injury.
The Selective Functional Movement Assessment – The diagnostic system
The Selective Functional Movement Assessment (SFMA) is a series of 7 full body movement tests designed to assess patterns of movement such as forward and backward bending in those with known musculoskeletal pain. As a response to or in the presence of pain, altered motor control contributes to the development of dysfunctional movement patterns. Over time, these pain attenuated movement patterns lead to protective movement and fear of movement, resulting in clinically observed impairments such as decreased ROM, muscle length changes, and declines in strength.
Normal movement is achieved through the integration of fundamental movement patterns with an adequate balance of mobility and stability to meet the demands of the task at hand.
An isolated or regional approach to either evaluation or treatment will not restore the whole of function. Functional restoration requires the identification of dysfunctional patterns and a working knowledge of functional patterns to gain clinical perspective and design an effective treatment strategy.
The Course
This course will cover the background, philosophy and evidence related to movement screening and movement assessment. The difference between screening and assessment will be discussed and the clinician will be given guidelines on the appropriate use of each. The course includes substantial lab time for screening and assessment demonstration as well as time for individual skill development through hands-on assessment performance. The concept of the breakout tests as well as basic interventions associated with the SFMA will be demonstrated and the instructors will introduce an evidenced-based model of corrective exercise shown to improve an individual’s score on the FMS.
Timetable
9:00–9:15 Introduction
9:15–10:15 Screen/Test/Assess; An Introduction to the Functional Movement System
10:15 to 10:30 Break
10:30-11:30 The Functional Movement Screen (FMS) Background, Research, Scoring Criteria
11:30-12:00 FMS Lab/Demonstration
12:00–1:00 Lunch
1:00–2:00 The Selective Functional Movement Assessment Background/Philosophy and Top Tier Test Performance
3:00-3:30 Top Tier Testing Lab (Round Robins)
3:30-4:00 Breakout Test Demonstration
4:00-4:45 Lab Demonstration
4:45-5:00 Question/Answer/Adjourn
Selected References
- Cook E. Athletic Body in Balance; Optimal Movement Skills and Conditioning for Performance. Champaign, IL: Human Kinetics; 2004.
- Cook E, Burton L, Hogenboom B. The use of fundamental movements as an assessment of function- -part 1. North American Journal of Sports Physical Therapy. 2006;1(2):62-72.
- Cook E, Burton L, Hogenboom B. The use of fundamental movements as an assessment of function- -part 2. North American Journal of Sports Physical Therapy. 2006;1(3):132-139.
- Kiesel K, P P, R B, Burton L, Cook E. Functional Movement Test Scores Improve following a Standardized Off-season Intervention Program Scand J Med Sci Sports2009; In Review.
- Kiesel K, Plisky P, Kersey P. Functional Movement Test Score as a Predictor of Time-loss during a Professional Football Team’s Pre-season Paper presented at: American College of Sports Medicine Annual Conference, 2008; Indianapolis, IN.
- Kiesel K, Plisky P, Voight M. Can serious injury in professional football be predicted by a preseason Functional Movement Screen? North American Journal of Sports Physical Therapy. August 2007;2(3):147-158.
- Minick K, Burton L, Butler R, Kiesel K. A Reliability Study of the Functional Movement Screen. National Journal of Strength and Conditioning Research. 2009;In Press.
- Wainner RS, Whitman JM, Cleland JA, Flynn TW. Regional interdependence: a musculoskeletal examination model whose time has come. J Orthop Sports Phys Ther. Nov 2007;37(11):658-660.
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