Lecture 6: The functional movement screen

Question 1

The functional movement screen

Answer 1

7 screens and 4 clearing tests

Question 2

Should I warm up before the FMS?

Answer 2

NO

Question 3

What does FMS provide?

Answer 3

A system to assess movement

Question 4

What is FMS not?

Answer 4

An indicator of sport performance
Not a tool to diagnosis injury

Question 5

What are the 7 screens and 4 clearing tests?

Answer 5

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

Question 6

Scoring of FMS

Answer 6

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

Question 7

How many attempts per movement?

Answer 7

3

Question 8

Purpose of deep squat

Answer 8

Assesses full body mobility, stability and core control

Question 9

Scoring a 3 on deep squat

Answer 9

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

Question 10

Scoring a 2 on deep squat

Answer 10

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

Question 11

Scoring the deep squat

Answer 11

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

Question 12

Purpose of hurdle step

Answer 12

Assesses stride mechanics while also assessing single leg stability

Question 13

Set of hurdle step

Answer 13

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

Question 14

Scoring a 3 on hurdle step

Answer 14

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

Question 15

Scoring a 2 on hurdle step

Answer 15

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

Question 16

Scoring a 1 on hurdle step

Answer 16

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

Question 17

Purpose of incline lunge

Answer 17

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

Question 18

Scoring a 3 on incline lunge

Answer 18

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

Question 19

Scoring a 2 on incline lunge

Answer 19

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

Question 20

Scoring a 1 on incline lunge

Answer 20

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

Question 21

Ankle clearing test- green

Answer 21

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

Question 22

Ankle clearing test- yellow

Answer 22

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

Question 23

Ankle clearing test- red

Answer 23

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

Question 24

Purpose of shoulder mobility test

Answer 24

Assesses active control and mobility of shoulder

Question 25

Set up of shoulder mobility test

Answer 25

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

Question 26

Scoring a 3 on shoulder mobility

Answer 26

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

Question 27

Scoring a 2 on shoulder mobility

Answer 27

Fists are within one and a half hand lengths

Question 28

Scoring a 1 on shoulder mobility

Answer 28

Fists are not within one and a half hand lengths

Question 29

Impingement clearing test

Answer 29

As long as they have even slight ROM they clear it

Question 30

Purpose of active straight leg raise

Answer 30

Assesses mobility of hip and flexibility of hamstrings

Question 31

Set up of active straight leg raise

Answer 31

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

Question 32

Scoring a 3 on active straight leg raise

Answer 32

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

Question 33

Scoring a 2 on active straight leg raise

Answer 33

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

Question 34

Scoring a 1 on active straight leg raise

Answer 34

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

Question 35

Purpose of trunk stability push up

Answer 35

Assesses core stability and upper body strength

Question 36

Set up of trunk stability push up

Answer 36

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

Question 37

Scoring a 3 on trunk stability push up

Answer 37

Body lifts as a unit w no lag in spine

Question 38

Scoring a 2 on trunk stability push up

Answer 38

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

Question 39

Scoring a 2 on trunk stability push up

Answer 39

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

Question 40

Purpose of rotary stability

Answer 40

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

Question 41

Set up of rotary stability

Answer 41

Feet, knee, thumbs touching test kit

Question 42

Scoring a 3 on rotary stability

Answer 42

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

Question 43

Scoring a 2 on rotary stability

Answer 43

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

Question 44

Scoring a 1 on rotary stability

Answer 44

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

Question 45

Order of corrective strategies

Answer 45

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

Question 46

Benefits to the FMS

Answer 46

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

Question 47

Limitations to FMS

Answer 47

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

Question 48

Why dont we cue clients through the movement?

Answer 48

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