Department of Physical Education and Sports Science, University of Limerick, Ireland; Department of Sports, Limerick Institute of Technology, Tipperary, Ireland.
Department of Physical Education and Sports Science, University of Limerick, Ireland.
J Sci Med Sport. 2018 Jun;21(6):569-573. doi: 10.1016/j.jsams.2017.05.013. Epub 2017 Jun 15.
To examine the association of injury with the Functional Movement Screen (FMS) and Landing Error Scoring System (LESS) in military recruits undergoing an intensive 16-week training block.
Prospective cohort study.
One hundred and thirty-two entry-level male soldiers (18-25years) were tested using the FMS and LESS. The participants underwent an intensive 16-week training program with injury data recorded daily. Chi-squared statistics were used to examine associations between injury risk and (1) poor LESS scores, (2) any score of 1 on the FMS and (3) composite FMS score of ≤14.
A composite FMS score of ≤14 was not a significant predictor of injury. LESS scores of >5 and having a score of 1 on any FMS test were significantly associated with injury. LESS scores had greater relative risk, sensitivity and specificity (2.2 (95% CI=1.48-3.34); 71% and 87% respectively) than scores of 1 on the FMS (relative risk=1.32 (95% CI=1.0-1.7); sensitivity=50% and specificity=76%).
There was no association between composite FMS score and injury but LESS scores and scores of 1 in the FMS test were significantly associated with injury in varying degrees. LESS scores had a much better association with injury than both any scores of 1 on the FMS and a combination of LESS scores and scores of 1 on the FMS. Furthermore, the LESS provides comparable information related to injury risk as other well-established markers associated with injury such as age, muscular strength and previous injury.
研究军事新兵在接受为期 16 周强化训练期间，损伤与功能性运动筛查（FMS）和落地错误评分系统（LESS）的关系。
前瞻性队列研究。
对 132 名 18-25 岁的入门级男性士兵进行 FMS 和 LESS 测试。参与者接受了为期 16 周的强化训练计划，每天记录损伤数据。卡方检验用于研究损伤风险与（1）较差的 LESS 评分、（2）FMS 任何一项得 1 分和（3）FMS 综合评分≤14 之间的关系。
FMS 综合评分≤14 并不是损伤的显著预测因素。LESS 评分>5 分和 FMS 测试中的任何一项得 1 分与损伤显著相关。LESS 评分的相对风险、灵敏度和特异性（2.2（95%CI=1.48-3.34）；71%和 87%）均大于 FMS 得 1 分（相对风险=1.32（95%CI=1.0-1.7）；灵敏度=50%和特异性=76%）。
FMS 综合评分与损伤无相关性，但 LESS 评分和 FMS 测试中的任何一项得 1 分与损伤有不同程度的显著相关性。LESS 评分与损伤的相关性明显优于 FMS 的任何一项得 1 分和 LESS 评分与 FMS 得 1 分的综合评分。此外，LESS 评分与其他与损伤相关的成熟标志物（如年龄、肌肉力量和既往损伤）具有相似的相关性，可提供关于损伤风险的可比信息。
