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CLINICAL COMMENTARY

Functional movement screening: the use of fundamental movements as an assessment of function - Part 2  

Authors: Cook G, Burton L, Hoogenboom BJ, Voight M  

To prepare an athlete for the wide variety of activities needed to participate in or return to their sport, the analysis of fundamental movements should be incorporated into screening in order to determine who possesses, or lacks, the ability to perform certain essential movements.  In a series of two articles, the background and rationale for the analysis of fundamental movement will be provided.  Part 1 of this two-part series (presented in the June issue of IJSPT) provided an introduction to functional movement screening, as well as the history, background, and a summary of the evidence regarding the reliability of the Functional Movement Screen (FMS™).  Part 1 also presented three of the seven fundamental movement patterns that comprise the FMS™, and the specific ordinal grading system from 0-3, used in the their scoring.    Part 2 of this series provides a review of the concepts associated with the analysis of fundamental movement as a screening system for functional performance.  In addition, the four remaining movements of the FMS™, which complement those described in Part 1, will be presented (to complete the total of seven fundamental movements):  Shoulder Mobility, the Active Straight Leg Raise, the Trunk Stability Push-up, and Rotary Stability.  The final four patterns are described in detail, and the specifics for scoring each test are presented, as well as the proposed clinical implications for receiving a grade less than a perfect 3.  The intent of this two part series is to present the concepts associated with screening of fundamental movements, whether it is the FMS™ system or a different system devised by another clinician.  Such a functional assessment should be incorporated into pre-participation screening and return to sport testing in order to determine whether an athlete has the essential movements needed to participate in sports activities at a level of minimum competency. Part 2 concludes with a discussion of the evidence related to functional movement screening, myths related to the FMS™, the future of functional movement screening, and an introduction into movement as a system.

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