Mitchell Ulrike H, Johnson A Wayne, Vehrs Pat R, Feland J Brent, Hilton Sterling C
Department of Exercise Sciences, Brigham Young University, Provo, UT 84602, USA.
Department of Educational Leadership and Foundations, David O. McKay School of Education, Brigham Young University, Provo, UT 84602, USA.
J Sport Health Sci. 2016 Mar;5(1):119-125. doi: 10.1016/j.jshs.2015.04.006. Epub 2015 Jul 17.
The Functional Movement Screen (FMS™) has become increasingly popular for identifying functional limitations in basic functional movements. This exploratory and descriptive study was undertaken to confirm feasibility of performing the FMS™ in older active adults, assess prevalence of asymmetries and to evaluate the relationship between functional movement ability, age, physical activity levels and body mass index (BMI).
This is an observational study; 97 men ( = 53) and women ( = 44) between the ages of 52 and 83 participated. BMI was computed and self-reported physical activity levels were obtained. Subjects were grouped by age (5-year intervals), BMI (normal, over-weight, and obese) and sex. Each participant's performance on the FMS™ was digitally recorded for later analysis.
The youngest age group (50-54 years) scored highest in all seven tests and the oldest age group (75+) scored lowest in most of the tests compared to all other age groups. The subjects in the "normal weight" group performed no different than those who were in the "overweight" group; both groups performed better than the "obese" group. Of the 97 participants 54 had at least one asymmetry. The pairwise correlations between the total FMS™ score and age ( = -0.531), BMI ( = -0.270), and the measure of activity level ( = 0.287) were significant ( < 0.01 for all).
FMS™ scores decline with increased BMI, increased age, and decreased activity level. The screen identifies range of motion- and strength-related asymmetries. The FMS™ can be used to assess functional limitations and asymmetries. Future research should evaluate if a higher total FMS™ score is related to fewer falls or injuries in the older population.
功能性动作筛查（FMS™）在识别基本功能性动作中的功能限制方面越来越受欢迎。本探索性描述性研究旨在确认在活跃的老年人中进行FMS™筛查的可行性，评估不对称性的患病率，并评估功能性动作能力、年龄、身体活动水平和体重指数（BMI）之间的关系。
这是一项观察性研究；97名年龄在52至83岁之间的男性（n = 53）和女性（n = 44）参与其中。计算BMI并获取自我报告的身体活动水平。受试者按年龄（5年间隔）、BMI（正常、超重和肥胖）和性别分组。对每位参与者在FMS™上的表现进行数字记录以供后续分析。
最年轻的年龄组（50 - 54岁）在所有七项测试中得分最高，而最年长的年龄组（75岁以上）在大多数测试中的得分低于所有其他年龄组。“正常体重”组的受试者表现与“超重”组的受试者无异；两组的表现均优于“肥胖”组。在97名参与者中，54人至少存在一种不对称性。FMS™总分与年龄（r = -0.531）、BMI（r = -0.270）和活动水平测量值（r = 0.287）之间的两两相关性显著（均P < 0.01）。
FMS™得分随BMI增加、年龄增长和活动水平降低而下降。该筛查可识别与活动范围和力量相关的不对称性。FMS™可用于评估功能限制和不对称性。未来的研究应评估较高的FMS™总分是否与老年人群中较少的跌倒或损伤相关。
