Reliability and Validity of the Functional Movement Screen™ with a Modified Scoring System for Young Adults with Low Back Pain

Alkhathami, Khalid; Alshehre, Yousef M.; Wang-Price, Sharon; Brizzolara, Kelli

doi:10.26603/001c.23427

Cited by 8 publications

(5 citation statements)

References 29 publications

(32 reference statements)

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“…We registered higher SEM and MDC values than those reported in people with low back pain (SEM = 0.33 and MDC = 0.90) when analysing the test–retest reliability data provided by the trained assessor (Alkhathami et al . 2021 ). However, when comparing the data provided by the novice assessors, SEM and MDC values were similar to the ones registered by other inexpert examiners (SEM = 0.98 and MDC = 2.07) (Teyhen et al .…”

Section: Discussionmentioning

confidence: 99%

Feasibility and reliability of the Functional Movement Screen battery in adults with intellectual disability

Sánchez-Lastra

Moldes

Diz

et al. 2022

J intellect Disabil Res

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Background The feasibility and reliability of the Functional Movement Screen (FMS) battery for predicting injury risk have been widely studied in athletic, military, public service and healthy populations. However, scant research has been carried out in people with disabilities. This study aimed at identifying the feasibility and reliability of the FMS battery when administered to adults with intellectual disability (ID). Methods Adults from a residential and day care centre over 18 years of age, diagnosed with ID and able to follow simple instructions, were included in the study. All participants with behavioural or health problems that prevented the completion of the FMS battery were excluded. All exercises were video recorded to assure proper scoring. Three assessors (one trained and two novices) scored each of the FMS subtests performed separately from the videos. Feasibility was based on completion rates. Reliability of the composite test scores was analysed using intraclass correlation coefficients (ICCs). Results A total of 30 people with ID (mean age: 35.5 ± 7.12 years; 33.3% women) completed all assessments. The battery showed to be feasible, although difficulties when performing two of the subtests were observed among those with moderate and severe ID. Mean total scores from the three assessors ranged from 7.83 to 8.90. An inverse trend was observed indicating that the higher the ID level, the lower the total FMS score. Test-retest reliability was good for the trained assessor (ICC = 0.89) and mostly moderate for both novice assessors (ICC range: 0.60 to 0.76). Moderate to good inter-rater reliability was observed (ICC range: 0.65 to 0.80). ConclusionThe FMS battery is a reliable tool that can be performed by people with ID, albeit with certain difficulties, especially in those with moderate to severe impairment. The battery does not seem to be useful for identifying people with ID at risk of suffering a sport injury. Adequately powered, well-designed studies are required to determine if the FMS battery is appropriate for identifying changes in functional performance in this population.

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Section: Discussionmentioning

confidence: 99%

Feasibility and reliability of the Functional Movement Screen battery in adults with intellectual disability

Sánchez-Lastra

Moldes

Diz

et al. 2022

J intellect Disabil Res

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“…Methods to measure core muscle activation have sensitivity and accuracy issues associated with isolated use of surface electromyography [39], or pressure biofeedback [40]. Whilst functional movement tests are able to distinguish between those with and without low back pain, there is limited specificity with regards to local core muscle and global trunk muscle contributions [41]. Core muscles were defined to be transversus abdominis, lumbar multifidus, and internal oblique muscles, and distinguished from global trunk muscles [17].…”

Section: Methodsmentioning

confidence: 99%

Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review

2023

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Low back pain is prevalent in the community and associated with deficits in core muscle strength and activation. Pilates is argued to improve movement and reduce pain, yet there is a limited understanding of the specific effects of Pilates training on core muscle strength or activity. A systematic search of databases (CINAHL, Embase, Ovid MEDLINE) used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods to evaluate randomised controlled trials (RCTs) on the effects of Pilates to improve core muscle activation. Methodological quality was assessed using the Physiotherapy Evidence Database scale (PEDro). The certainty of findings was determined using the Grading of Recommendations Assessment, Development and Evaluation tool. Of the initial yield of 563 articles, eight RCTs met the inclusion criteria. A diverse range of Pilates interventions and outcome measures were utilised to assess effects on core muscle activation and strength. The main finding was that Pilates is not inferior to equivalently dosed exercises, and can be superior to non-equivalent or no exercise, for improving core muscle strength as indicated by muscle thickness. There was emerging evidence that Pilates positively impacts core muscle strength and can be an effective intervention for people living with chronic low back pain.

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“…The validity and reliability of this modified FMS TM scoring system have been established previously with excellent inter-rater reliability in those with LBP (ICC = 0.99). 31 Lastly, a composite score ranging from 0 to 21 is calculated to indicate the overall quality of movement performance, with a higher score indicating higher quality of movement performance. A score of 14 or lower on the original FMS TM scoring system indicates that the participant could have a higher risk for future injury.…”

Section: Functional Movement Screen Tmmentioning

confidence: 99%

Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain

Alkhathami

Alshehre

Brizzolara³

et al. 2023

International Journal of Sports Physical Therapy

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Introduction Low back pain (LBP) is a musculoskeletal disorder that affects more than 80% of people in the United States at least once in their lifetime. LBP is one of the most common complaints prompting individuals to seek medical care. The purpose of this study was to determine the effects of spinal stabilization exercises (SSEs) on movement performance, pain intensity, and disability level in adults with chronic low back pain (CLBP). Methods Forty participants, 20 in each group, with CLBP were recruited and randomly allocated into one of two interventions: SSEs and general exercises (GEs). All participants received their assigned intervention under supervision one to two times per week for the first four weeks and then were asked to continue their program at home for another four weeks. Outcome measures were collected at baseline, two weeks, four weeks, and eight weeks, including the Functional Movement ScreenTM (FMSTM), Numeric Pain Rating Scale (NPRS), and Modified Oswestry Low Back Pain Disability Questionnaire (OSW) scores. Results There was a significant interaction for the FMSTM scores (p = 0.016), but not for the NPRS and OSW scores. Post hoc analysis showed significant between-group differences between baseline and four weeks (p = 0.005) and between baseline and eight weeks (p = 0.026) favor SSEs over GEs. Further, the results demonstrated that all participants, regardless of group, had significant improvements in movement performance, pain intensity, and disability level over time. Conclusion The results of the study favor SSEs over GEs in improving movement performance for individuals with CLBP, specifically after four weeks of the supervised SSE program.

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Reliability and Validity of the Functional Movement Screen™ with a Modified Scoring System for Young Adults with Low Back Pain

Cited by 8 publications

References 29 publications

Feasibility and reliability of the Functional Movement Screen battery in adults with intellectual disability

Feasibility and reliability of the Functional Movement Screen battery in adults with intellectual disability

Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review

Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain

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