Functional Movement Screen pain location and impact on scoring has limited value for junior Australian football injury risk estimation

Joel T. Fuller, Matthew Lynagh, Brett Tarca, Andrew Zacharia, Alex Townsley, Cara Gleeson, Steve Milanese, Samuel Chalmers

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Study Design: Prospective cohort study.

Background: Pain during Functional Movement Screen (FMS) testing is common and has a significant effect on FMS scoring but the effect on FMS injury risk predictions is unknown.

Objectives: Describe the location and severity of pain during FMS testing in junior Australian football players and investigate its effect on FMS composite score (CS) and injury risk.

Methods: Junior male Australian football players (n=439) completed pre-season FMS testing. Pain location and 0-10 numerical pain rating scale (NPRS) severity were assessed for painful sub-tests. FMS CS was calculated using three scoring approaches: CStraditional scored all painful sub-tests zero, CSmoderate scored painful sub-tests zero if NPRS >4, and CSraw did not adjust painful sub-test scores. Players were monitored throughout the competitive season and considered injured if ≥1 match was missed due to injury.

Results: 170 players reported pain during FMS testing. Pain scoring approach affected mean CS (CSraw: 14.9 > CSmoderate: 14.5 > CStraditional: 13.6; P<0.001). Sixty-eight percent of pain was mildly severe (NPRS ≤5). Back pain (50%) was more common than upper (24%) or lower (26%) limb pain (P<0.001). Upper limb pain caused a small increase in injury risk (Hazard ratio: 1.59; P=0.023). No other FMS pain location nor pain severity influenced injury risk (P>0.280). FMS CS was not associated with injury risk, regardless of pain scoring approach (P>0.500).

Conclusion: Pain is common during FMS testing in junior Australian football and has a notable effect on FMS CS, but minimal effect on subsequent injury risk.
LanguageEnglish
JournalJournal of Orthopaedic and Sports Physical Therapy
DOIs
Publication statusE-pub ahead of print - 17 Sep 2019

Fingerprint

Football
Pain
Wounds and Injuries
Cohort Studies
Prospective Studies

Cite this

Fuller, Joel T. ; Lynagh, Matthew ; Tarca, Brett ; Zacharia, Andrew ; Townsley, Alex ; Gleeson, Cara ; Milanese, Steve ; Chalmers, Samuel. / Functional Movement Screen pain location and impact on scoring has limited value for junior Australian football injury risk estimation. In: Journal of Orthopaedic and Sports Physical Therapy. 2019.
@article{5880f4898359400b9f76de68616f9646,
title = "Functional Movement Screen pain location and impact on scoring has limited value for junior Australian football injury risk estimation",
abstract = "Study Design: Prospective cohort study. Background: Pain during Functional Movement Screen (FMS) testing is common and has a significant effect on FMS scoring but the effect on FMS injury risk predictions is unknown. Objectives: Describe the location and severity of pain during FMS testing in junior Australian football players and investigate its effect on FMS composite score (CS) and injury risk. Methods: Junior male Australian football players (n=439) completed pre-season FMS testing. Pain location and 0-10 numerical pain rating scale (NPRS) severity were assessed for painful sub-tests. FMS CS was calculated using three scoring approaches: CStraditional scored all painful sub-tests zero, CSmoderate scored painful sub-tests zero if NPRS >4, and CSraw did not adjust painful sub-test scores. Players were monitored throughout the competitive season and considered injured if ≥1 match was missed due to injury. Results: 170 players reported pain during FMS testing. Pain scoring approach affected mean CS (CSraw: 14.9 > CSmoderate: 14.5 > CStraditional: 13.6; P<0.001). Sixty-eight percent of pain was mildly severe (NPRS ≤5). Back pain (50{\%}) was more common than upper (24{\%}) or lower (26{\%}) limb pain (P<0.001). Upper limb pain caused a small increase in injury risk (Hazard ratio: 1.59; P=0.023). No other FMS pain location nor pain severity influenced injury risk (P>0.280). FMS CS was not associated with injury risk, regardless of pain scoring approach (P>0.500). Conclusion: Pain is common during FMS testing in junior Australian football and has a notable effect on FMS CS, but minimal effect on subsequent injury risk.",
author = "Fuller, {Joel T.} and Matthew Lynagh and Brett Tarca and Andrew Zacharia and Alex Townsley and Cara Gleeson and Steve Milanese and Samuel Chalmers",
year = "2019",
month = "9",
day = "17",
doi = "10.2519/jospt.2020.9168",
language = "English",
journal = "Journal of Orthopaedic and Sports Physical Therapy",
issn = "0190-6011",
publisher = "JOSPT",

}

Functional Movement Screen pain location and impact on scoring has limited value for junior Australian football injury risk estimation. / Fuller, Joel T.; Lynagh, Matthew; Tarca, Brett; Zacharia, Andrew; Townsley, Alex; Gleeson, Cara; Milanese, Steve; Chalmers, Samuel.

In: Journal of Orthopaedic and Sports Physical Therapy, 17.09.2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Functional Movement Screen pain location and impact on scoring has limited value for junior Australian football injury risk estimation

AU - Fuller, Joel T.

AU - Lynagh, Matthew

AU - Tarca, Brett

AU - Zacharia, Andrew

AU - Townsley, Alex

AU - Gleeson, Cara

AU - Milanese, Steve

AU - Chalmers, Samuel

PY - 2019/9/17

Y1 - 2019/9/17

N2 - Study Design: Prospective cohort study. Background: Pain during Functional Movement Screen (FMS) testing is common and has a significant effect on FMS scoring but the effect on FMS injury risk predictions is unknown. Objectives: Describe the location and severity of pain during FMS testing in junior Australian football players and investigate its effect on FMS composite score (CS) and injury risk. Methods: Junior male Australian football players (n=439) completed pre-season FMS testing. Pain location and 0-10 numerical pain rating scale (NPRS) severity were assessed for painful sub-tests. FMS CS was calculated using three scoring approaches: CStraditional scored all painful sub-tests zero, CSmoderate scored painful sub-tests zero if NPRS >4, and CSraw did not adjust painful sub-test scores. Players were monitored throughout the competitive season and considered injured if ≥1 match was missed due to injury. Results: 170 players reported pain during FMS testing. Pain scoring approach affected mean CS (CSraw: 14.9 > CSmoderate: 14.5 > CStraditional: 13.6; P<0.001). Sixty-eight percent of pain was mildly severe (NPRS ≤5). Back pain (50%) was more common than upper (24%) or lower (26%) limb pain (P<0.001). Upper limb pain caused a small increase in injury risk (Hazard ratio: 1.59; P=0.023). No other FMS pain location nor pain severity influenced injury risk (P>0.280). FMS CS was not associated with injury risk, regardless of pain scoring approach (P>0.500). Conclusion: Pain is common during FMS testing in junior Australian football and has a notable effect on FMS CS, but minimal effect on subsequent injury risk.

AB - Study Design: Prospective cohort study. Background: Pain during Functional Movement Screen (FMS) testing is common and has a significant effect on FMS scoring but the effect on FMS injury risk predictions is unknown. Objectives: Describe the location and severity of pain during FMS testing in junior Australian football players and investigate its effect on FMS composite score (CS) and injury risk. Methods: Junior male Australian football players (n=439) completed pre-season FMS testing. Pain location and 0-10 numerical pain rating scale (NPRS) severity were assessed for painful sub-tests. FMS CS was calculated using three scoring approaches: CStraditional scored all painful sub-tests zero, CSmoderate scored painful sub-tests zero if NPRS >4, and CSraw did not adjust painful sub-test scores. Players were monitored throughout the competitive season and considered injured if ≥1 match was missed due to injury. Results: 170 players reported pain during FMS testing. Pain scoring approach affected mean CS (CSraw: 14.9 > CSmoderate: 14.5 > CStraditional: 13.6; P<0.001). Sixty-eight percent of pain was mildly severe (NPRS ≤5). Back pain (50%) was more common than upper (24%) or lower (26%) limb pain (P<0.001). Upper limb pain caused a small increase in injury risk (Hazard ratio: 1.59; P=0.023). No other FMS pain location nor pain severity influenced injury risk (P>0.280). FMS CS was not associated with injury risk, regardless of pain scoring approach (P>0.500). Conclusion: Pain is common during FMS testing in junior Australian football and has a notable effect on FMS CS, but minimal effect on subsequent injury risk.

U2 - 10.2519/jospt.2020.9168

DO - 10.2519/jospt.2020.9168

M3 - Article

JO - Journal of Orthopaedic and Sports Physical Therapy

T2 - Journal of Orthopaedic and Sports Physical Therapy

JF - Journal of Orthopaedic and Sports Physical Therapy

SN - 0190-6011

ER -