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J Sport Rehabil. 2014 May;23(2):88-94. doi: 10.1123/jsr.2012-0130. Epub 2013 Nov 14.

Prediction of injury by limited and asymmetrical fundamental movement patterns in american football players.

Author information

1
Dept of Physical Therapy, University of Evansville, Evansville, IN.

Abstract

CONTEXT:

Previous injury is the strongest risk factor for future injury in sports. It has been proposed that motor-control changes such as movement limitation and asymmetry associated with injury and pain may be perpetuated as part of an individual's movement strategy. Motor control of fundamental 1-×-body-weight tasks can reliably and efficiently be measured in the field.

OBJECTIVE:

To determine whether the motor control of fundamental movement patterns and pattern asymmetry have a relationship with time-loss injury over the course of the preseason in professional football.

DESIGN:

Injury-risk study.

SETTING:

American professional football facilities.

PARTICIPANTS:

238 American professional football players.

INTERVENTION:

To measure the motor control of 1-×-body-weight fundamental movement patterns, Functional Movement Screen scores were obtained before the start of training camp. The previously established cutoff score of ≤14 and the presence of any asymmetries on the FMS were examined using relative risk to determine if a relationship exists with time-loss injury.

MAIN OUTCOME MEASURE:

Time-loss musculoskeletal injury defined as any time loss from practice or competition due to musculoskeletal injury.

RESULTS:

Players who scored ≤14 exhibited a relative risk of 1.87 (CI95 1.202.96). Similarly, players with at least 1 asymmetry displayed a relative risk of 1.80 (CI95 1.112.74). The combination of scoring below the threshold and exhibiting a movement asymmetry was highly specific for injury, with a specificity of .87 (CI95 .84.90).

CONCLUSION:

The results of this study suggest that fundamental movement patterns and pattern asymmetry are identifiable risk factors for time-loss injury during the preseason in professional football players.

PMID:
24225032
DOI:
10.1123/jsr.2012-0130
[Indexed for MEDLINE]

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