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Is a low Functional Movement Screen score (≤14/21) associated with injuries in sport? A systematic review and meta-analysis
  1. Manuel Trinidad-Fernandez1,2,
  2. Manuel Gonzalez-Sanchez1,
  3. Antonio I Cuesta-Vargas1,3
  1. 1 Physiotherapy, Universidad de Málaga, Málaga, Spain
  2. 2 Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
  3. 3 Institute of Health & Biomedical Innovation, Queensland University Technology, Brisbane, Queensland, Australia
  1. Correspondence to Professor Antonio I Cuesta-Vargas; acuesta{at}


Objective To assess whether Functional Movement Screen (FMS) score is associated with subsequent injuries in healthy sportspeople.

Design Systematic review and meta-analysis.

Data sources 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 for selecting studies 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.

Results 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 (I2=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.

Trial registration number CRD42015015579.

  • Functional movement screen
  • injury
  • risk
  • prediction

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  • Contributors MT-F developed the idea, performed the literature search, data collection, quality appraisal of the selected papers and data analysis, and drafted the paper. MG-S developed the idea, performed the data analysis, drafted the paper and revised the paper. AIC-V developed the idea, performed the data collection and quality appraisal of the selected papers, and revised the paper. All authors approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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