FMS can reduce injuries

1. functionalmovement.com
Improving Operational Performance and
Injury Prevention Strategies through
Functional Movement Screening
Lee Burton, PhD, ATC, CSCS
Director of Athletic Training: Averett University
Functional Movement Systems

2. functionalmovement.com
What is Happening???
Injuries are the largest health problem
facing U.S. military forces in peacetime
and combat operations. Resulting in over
1.8 million medical encounters across the
military services, injuries affect more than
800,000 individual service members.
(AJPM, Jan 2010)

3. functionalmovement.com
What is Happening???
Physical training and sports injuries are of particular concern. Based
on the likelihood of success in decreasing injuries having the
greatest impact on military readiness, the Defense Safety Oversight
Council (DSOC) recommends that the greatest reduction of lost
duty days due to injuries across DoD may be achieved via
mitigation efforts focused specifically on sports-and physical
training related injuries.
Reference: Defense Safety Oversight Council (DSOC,) DoD Military Injury Prevention Priorities
Working Group: Leading Injuries, Causes,and Mitigation Recommendations, Feb.2006

4. functionalmovement.com
Steps in the Injury Control Process
•Determine the Existence of the problem
•Identify the Causes of the problem
•Determine what Prevents the problem
•Implement prevention strategies and programs
•Continue to surveillance and monitor effectiveness
of prevention efforts
The Public Health Approach, Adapted from Mercy, J.A., M.L. Rosenberg,
K.E. Powell, C.V. Broome, and W.L. Roper. “Public Health Policy for
Preventing Violence.” Health Affairs, Winter 1993:7-29, and Jones, B.H., and
J.J. Knapik. “Physical Training and Exercise-Related Injuries: Surveillance,
Research and Injury Prevention in Miitary Populations.” Sports Medicine,
27(2):111-125, 1999.

5. functionalmovement.com
What Injury are Risk Factors: Can We Affect
Them????
Intrinsic factors (personal characteristics):
- prior injury: Leaves Neuromuscular
Issue!?
- physical fitness / activity levels
(aerobic fitness)
- anatomic malalignment, biomechanical
discrepancies, imbalances(Neuromuscular??)
- behavioral patterns
Extrinsic (external) factors:
- excessive load on the body
- poor equipment
- training/technique
- environmental conditions
(Military Medicine, 162, 10:698. 1997)

6. functionalmovement.com
The Functional Solution
Screen for asymmetry and major limitations
Take care of flexibility and mobility problems: Re-Check
Progress to Functional/Performance Training
Leads to Improved Durability and Operational
Performance

7. functionalmovement.com
Goals for Exercise Prescription and Strength
•Injury Prevention:
Determine Individual Risk
•Durability:
Movement Efficiency
•Performance Enhancement

8. functionalmovement.com
start with functional Movement Screening!!!!
• Demonstrate
Movement Limitations
and Asymmetries
• Create a Filter for
Movement
Dysfunction
• Avoid Putting Fitness
on Dysfunction
• Focus on Most
Limited Area

9. functionalmovement.com
How do/did we start.... Sequential Development
Rolling, prone on
elbows, crawling,
kneeling, half-
kneeling, squatting,
standing, stepping.....

10. functionalmovement.com
Neuromuscular Control Problems?
• During functional multi-joint movements a relatively stiffer joint
or muscle tends to resist movement, but function is maintained
by a another joint increasing to compensate...
M. Comerford

11. functionalmovement.com
Stability/MobilitStability/Mobilit
y Imbalancey Imbalance Pain
Results in Inefficient/Compensatory
Movement!!!!!!
What makes Movement
Dysfunctional???

12. 1.Squatting
2.Stepping
3.Lunging
4.Reaching
5.Leg raising
6.Push-up
7.Rotary Stability
LETS GET STARTED: CHECK MOVEMENTS
A Baseline for
Movement

13. Movement
Performance
Skill
The Functional Performance Pyramid
Cook ‘04
Proprioception Flexibility Mobility/Stability
Plyometric Power
Strength
Speed
Agility
Categorize Individual/Group Needs?

14. functionalmovement.com
The Functional Movement Screen ™
•• Designed as aDesigned as a
screening toolscreening tool
performed onperformed on
individuals withoutindividuals without
recognizedrecognized
pathology.pathology.
•• Not a diagnosticNot a diagnostic
tool.tool.

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The Functional Movement Screen

16. functionalmovement.com
FMSFMS ™™…...Deep Squat III…...Deep Squat III
••Upper torso is parallelUpper torso is parallel
with tibiawith tibia
••Femur below horizontalFemur below horizontal
••Knees aligned over feetKnees aligned over feet
••Dowel aligned over feetDowel aligned over feet

17. functionalmovement.com
FMSFMS ™™..… Hurdle Step III..… Hurdle Step III
••Hips, knees, andHips, knees, and
ankles remain alignedankles remain aligned
in the sagittal planein the sagittal plane
••Minimal to no lumbarMinimal to no lumbar
spine movementspine movement
••Dowel and hurdleDowel and hurdle
remain parallelremain parallel

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FMSFMS ™™.... In-Line Lunge III.... In-Line Lunge III
••Minimal to no torsoMinimal to no torso
movementmovement
••Feet remain aligned inFeet remain aligned in
sagittal planesagittal plane
••Knee touches 2x6Knee touches 2x6
behind heel of frontbehind heel of front
footfoot

19. functionalmovement.com
FMSFMS ™...™... Shoulder Mobility IIIShoulder Mobility III
• Fist placement isFist placement is
within onewithin one
hand length aparthand length apart

20. functionalmovement.com
FMSFMS ™™...... Active Straight Leg Raise III...... Active Straight Leg Raise III
Ankle/DowelAnkle/Dowel
resides pastresides past
mid-thighmid-thigh

21. functionalmovement.com
FMS ™...…Trunk Stability Push-Up IIIFMS ™...…Trunk Stability Push-Up III
•Males performMales perform
1 repetition with1 repetition with
thumbs justthumbs just
above foreheadabove forehead
•FemalesFemales
perform 1perform 1
repetition withrepetition with
thumbs in-linethumbs in-line
with chinwith chin

22. functionalmovement.com
FMSFMS ™™ .. Rotary Stability III.. Rotary Stability III
• Performs 1 unilateral repetition whilePerforms 1 unilateral repetition while
keeping torso parallel to board and keepingkeeping torso parallel to board and keeping
elbow and knee in line with the boardelbow and knee in line with the board

23. functionalmovement.com
FMS SCORING SHEET
SCREEN
Deep Squat
Hurdle Step
In-Line Lunge
Shoulder Mobility
Active Straight Leg Raise
Trunk Stability Push-Up
Rotary Stability
RAW SCORE
R/L
_____2______
____3_/_2___
____2_/_2___
____3_/_2___
____2_/_2___
_____3______
____2_/_2___
TOTAL
FINAL SCORE
______2_____
______2_____
______2_____
______2_____
______2_____
______3_____
______2_____
15

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DS HS ILL SM ASLR TSPU RS
DS HS ILL SM ASLR TSPU RS

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What has the FMS shown Us???
Reliable tool that can quickly and easily administered in any
setting
Can be used as a tool to identify who is at risk for injury within
certain population groups
The FMS can be improved with interventions
****Currently we have over 10 Research Articles Validating the
usefulness of the FMS System for Exercise Professionals****

26. functionalmovement.com
Overall Workers Comp Cost: Orange Co. Fire Service
Provided by Mike Contreras, CSCS

27. functionalmovement.com
Total Number of Employees: Orange Co. Fire Service
Provided by Mike Contreras, CSCS

28. functionalmovement.com
Cost Due to Time Lost from Injury
Provided by Body Motion

31. functionalmovement.com
Any Questions????