Trinidad-Fernandez Manuel, Gonzalez-Sanchez Manuel, Cuesta-Vargas Antonio I
Physiotherapy, Universidad de Málaga, Málaga, Spain.
Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium.
BMJ Open Sport Exerc Med. 2019 Sep 18;5(1):e000501. doi: 10.1136/bmjsem-2018-000501. eCollection 2019.
To assess whether Functional Movement Screen (FMS) score is associated with subsequent injuries in healthy sportspeople.
Systematic review and meta-analysis.
The following electronic databases were searched to December 2017: Medline, PubMed, PsycINFO, SPORTDiscus, Cumulative Index of Nursing and Allied Health Literature, Scopus, Embase, and Physiotherapy Evidence Database.
Eligibility criteria included (1) prospective cohort studies that examined the association between FMS score (≤14/21) and subsequent injuries, (2) a sample of healthy and active participants without restrictions in gender or age, and (3) the OR was the effect size and the main outcome.
Thirteen studies met the criteria for the systematic review and 12 were included in the meta-analysis. In 5 of the 12 studies, and among female athletes in 1 study, FMS score ≤14 out of 21 points was associated with subsequent injuries. The overall OR of the selected studies in the meta-analysis was 1.86 (95% CI 1.32 to 2.61) and showed substantial heterogeneity (I=70%).
SUMMARY/CONCLUSION: Whether or not a low FMS score ≤14 out of 21 points is associated with increased risk of injury is unclear. The heterogeneity of the study populations (type of athletes, age and sport exposure) and the definition of injury used in the studies make it difficult to synthesise the evidence and draw definitive conclusions.
CRD42015015579.
评估功能动作筛查（FMS）分数是否与健康运动员随后发生的损伤相关。
系统评价和荟萃分析。
检索了以下电子数据库至2017年12月：医学索引数据库（Medline）、美国国立医学图书馆生物医学信息检索系统（PubMed）、心理学文摘数据库（PsycINFO）、体育与运动科学全文数据库（SPORTDiscus）、护理学与健康相关学科累积索引数据库（Cumulative Index of Nursing and Allied Health Literature）、Scopus数据库、荷兰医学文摘数据库（Embase）和物理治疗证据数据库（Physiotherapy Evidence Database）。
纳入标准包括（1）前瞻性队列研究，研究FMS分数（≤14/21）与随后发生的损伤之间的关联；（2）健康且活跃的参与者样本，不受性别或年龄限制；（3）比值比（OR）为效应量且主要结局。
13项研究符合系统评价的标准，12项纳入荟萃分析。在12项研究中的5项，以及1项研究中的女性运动员中，FMS分数≤21分中的14分与随后发生的损伤相关。荟萃分析中所选研究的总体OR为1.86（95%可信区间1.32至2.61），并显示出高度异质性（I² = 70%）。
总结/结论：FMS分数≤21分中的14分是否与受伤风险增加相关尚不清楚。研究人群（运动员类型、年龄和运动暴露情况）的异质性以及研究中使用的损伤定义使得难以综合证据并得出明确结论。
CRD42015015579。
