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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Interrater reliability of the functional movement screen.

Kate I Minick1, Kyle B Kiesel, Lee Burton

  • 1Department of Physical Therapy, University of Evansville, Evansville, Indiana, USA. km101@evansville.edu

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|January 15, 2010
PubMed
Summary

The Functional Movement Screen (FMS) demonstrates high interrater reliability among trained professionals. This reliable assessment of fundamental movement patterns supports its use in athlete performance and injury risk identification.

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Area of Science:

  • Sports Medicine
  • Biomechanics
  • Movement Science

Background:

  • The Functional Movement Screen (FMS) is a standardized assessment tool evaluating fundamental movement patterns.
  • It utilizes a 7-test battery scored on an ordinal scale to categorize movement quality.
  • Understanding the reliability of the FMS is crucial for its valid application in clinical and athletic settings.

Purpose of the Study:

  • To determine the interrater reliability of the Functional Movement Screen (FMS).
  • To assess the consistency of FMS scoring between novice and expert raters.

Main Methods:

  • Forty healthy subjects performed the FMS, with their movements videotaped.
  • Four raters (2 experts, 2 novices) independently scored the FMS tests from the videos.
  • Interrater reliability was quantified using the weighted kappa statistic.

Main Results:

  • Novice raters achieved excellent/substantial agreement on 14 of 17 FMS components.
  • Expert raters achieved excellent/substantial agreement on 13 of 17 FMS components.
  • Pairing novice and expert raters resulted in excellent/substantial agreement across all 17 components.

Conclusions:

  • The FMS exhibits high interrater reliability when applied by trained individuals.
  • The FMS can be confidently utilized to assess athlete movement patterns and inform performance enhancement strategies.
  • The FMS may serve as a valuable tool for identifying athletes at risk of injury.