Uniformed Services University, Consortium for Health and Military Performance, Bethesda, MD 20814, USA.
Med Sci Sports Exerc. 2011 Dec;43(12):2224-30. doi: 10.1249/MSS.0b013e318223522d.
Functional movement screening (FMS) is a musculoskeletal assessment method that incorporates seven movements and yields an overall score based on movement quality. The objectives of this study were to document the distribution of scores and to determine whether FMS scores could predict injury in a large military cohort.
A cohort of 874 Marine officer candidates were recruited, consented, completed demographic questionnaires, and had FMS performed during medical in-processing. Candidates were enrolled in either long-cycle (LC: 68 d; n = 427) or short-cycle (SC: 38 d; n = 447) training and followed up for injuries occurring in training.
The mean FMS score (score range = 0-21) among all candidates was 16.6 ± 1.7; approximately 10% of candidates had FMS scores ≤14. A score of ≤14 on the FMS predicted any injury with a sensitivity of 0.45 and a specificity of 0.71 and serious injury with a sensitivity of 0.12 and a specificity of 0.94. Both LC and SC cohorts demonstrated higher injury risk among candidates who had scores ≤14 compared with those with scores >14 (LC: risk ratio (RR) = 1.65, 95% confidence interval = 1.05-2.59, P = 0.03; SC: RR = 1.91, 95% confidence interval = 1.21-3.01, P < 0.01). Overall, 79.8% of persons with scores ≤14 were in the group with fitness scores <280 (/300), whereas only 6.6% of candidates in the group with fitness scores ≥280 had scores ≤14.
This was the first large-scale study performed in an active-duty military cohort to examine the utility of FMS during medical in-processing. Further work is warranted to evaluate FMS and the potential for injury prediction and prevention.
功能性运动筛查（FMS）是一种肌肉骨骼评估方法，它包含 7 项运动，并根据运动质量得出总体得分。本研究的目的是记录分数分布，并确定 FMS 分数是否可以预测大型军事队列中的损伤。
招募了 874 名海军陆战队军官候选人，他们在医疗体检中完成了人口统计学问卷并进行了 FMS 测试。候选人被分为长周期（LC：68d；n=427）或短周期（SC：38d；n=447）训练，并在训练中跟踪受伤情况。
所有候选人的平均 FMS 得分为 16.6±1.7（得分范围为 0-21）；约 10%的候选人的 FMS 得分≤14。FMS 得分≤14 预测任何损伤的敏感性为 0.45，特异性为 0.71，严重损伤的敏感性为 0.12，特异性为 0.94。LC 和 SC 队列中，FMS 得分≤14 的候选人的受伤风险均高于 FMS 得分>14 的候选人（LC：风险比（RR）=1.65，95%置信区间（CI）=1.05-2.59，P=0.03；SC：RR=1.91，95%置信区间=1.21-3.01，P<0.01）。总体而言，FMS 得分≤14 的人中有 79.8%的人的体能得分<280（/300），而体能得分≥280 的候选人中只有 6.6%的人的 FMS 得分≤14。
这是首次在现役军事队列中进行的大规模研究，旨在检查 FMS 在医疗体检中的应用。需要进一步的工作来评估 FMS 以及预测和预防损伤的潜力。
