EFFECTIVENESS OF FUNCTIONAL MOVEMENT SCREEN AS AN INJURY PREDICTIVE VALUE IN FOOTBALL PLAYERS. A SYSTEMATIC REVIEW

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Llurda L1,2, Aiguadé Aiguadé R3,4, Labata Lezaun N3, Casaña Granell J5, Moure Romero L3, Varea A6
1International University of Catalunya, Barcelona, Spain, 2Damm CF Medical Service, Barcelona, Spain, 3University of Lleida, Lleida, Spain, 4Tecnocampus Mataró, Mataró, Spain, 5University of Valencia, Valencia, Spain, 6Universitat de Lleida, Lleida, Spain

Background: A soccer team has an average of 52 injures per season. A player is absent 14% of the season due to injuries. Injuries in football have a negative impact on team performance, as seen in epidemiological studies. In addition, each one of them supposes a great economic cost for the club. There is a need of knowing the factors that predispose the player to suffer an injury during the season. One of the most used tools to measure the injury risk is the Functional Movement Screen (FMS®).
FMS is a evaluation composed by seven tests of balance, mobility and speed. These tests take a patient to a place where their weaknesses, imbalances, asymmetries and limitations are evident to the therapist, so that he can assess their injury risk.

Purpose: The objective of this systematic review is to evaluate the evidence of FMS as a predictive value of injury in football players.

Methods: A Systematic Review was done using PubMed, ScienceDirect, Cochrane and Google Scholar databases. The search strategy was FMS/Functional Movement Screen AND Football in Title/Abstract. Among the studies, only observational cohort studies of male soccer players were included. Those studies in which FMS was modified, do not recorded the number of injuries per season or analyzed veteran players were excluded. The language used was English.

Results: 107 studies were found from 2012 to November 2017 following the search strategy. 5 articles were included according to the inclusion /exclusion criteria.

Conclusion(s): Analyzing the results of the FMS, none of the five articles included founded statistically significant differences between injured and non-injured players. The FMS score as a predictive value for injuries was not a reliable tool.
Regarding the methodological quality of the five articles included in this review, differences in their methodological criteria were observed. The variability in the selection criteria of the sample, the "injury” definition or the study duration, make it difficult to draw general conclusions.

Implications: Currently, there is no evidence that supports the use of FMS as a predictor of injury in football players. It is necessary to carry out methodologically correct cohort studies to reevaluate the usefulness of this tool. Moreover, the use of FMS as the sole predictive value of injury seems insufficient considering the number of risk factors that act on the injury.

Keywords: Functional Movement Screen, Football, Injury prevention

Funding acknowledgements: This study was no funded.

Topic: Sport & sports injuries

Ethics approval required: No
Institution: Hospital Universitari Arnau de Vilanova
Ethics committee: HUAV Ethics Committee
Reason not required: This study focused on reviewing literature. Given its nature, no ethics approval was required


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