Iva Sklempe Kokic1,2, Katarina Petric2, Tomislav Kokic1,3
1Josip Juraj Strossmayer University of Osijek, Faculty of Kinesiology, Osijek, Croatia
2University of Rijeka, Faculty of Health Studies, Rijeka, Croatia
3Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
The Relationship between the Functional Movement Screen and the Star Excursion Balance Test in Non-Professional Soccer Players
Sport Mont 2022, 20(3), 107-112 | DOI: 10.26773/smj.221017
Abstract
Soccer is a very popular sport with a high incidence of injuries. Clinical screening tools are an important component of injury prevention. The aim of this study was to investigate the relationship between two screening tools, the Functional Movement Screen (FMS) and Star Excursion Balance Test (SEBT), and whether there are differences regarding SEBT scores, injuries, and painful symptoms in participants below and above the FMS cutoff score of ≤14. The research was performed as a secondary analysis of a longitudinal cohort study and included 42 non-professional soccer players from Eastern Croatia (age 25.5±6 years, training experience 15.8±6.6 years). Participants were surveyed regarding their sociodemographic data, soccer playing, and FMS and SEBT tests were performed. They were followed for 3.5 months when an additional set of data regarding injuries and painful symptoms was obtained. Moderate to good correlation was found between FMS total score and posterolateral reach of dominant and non-dominant legs (r=0.503, p=0.001; r=0.525, p<0.001). Significant correlations were found between FMS total score and SEBT composite scores for dominant and non-dominant legs (r=0.486, p=0.001; r=0.453, p=0.003). Numerous significant correlations were found between individual items of FMS and SEBT. Participants with FMS score ≤14 had a higher occurrence of injuries and painful symptoms (p=0.018; p=0.034) and lower results of SEBT composite scores for dominant and non-dominant legs (p=0.010; p=0.001). There is a significant relationship between FMS and SEBT scores. Players with FMS scores ≤14 are more prone to injuries and painful symptoms and they have lower SEBT scores.
Keywords
football, amateur athletes, injury prevention, clinical screening, postural stability
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References
van Beijsterveldt, A.M., Steffen, K., Stubbe, J.H., Frederiks, J.E., van de Port, I.G.L., & Backx, F.J.G. (2014). Soccer injuries and recovery in Dutch male amateur soccer players: results of a prospective cohort study. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 24(4), 337-342. https://doi.org/10.1097/JSM.0000000000000028
Hammes, D., Aus Der Fünten, K., Kaiser, S., Frisen, E., Dvorák, J., & Meyer, T. (2015). Injuries of veteran football (soccer) players in Germany. Research in Sports Medicine, 23(2), 215-226. https://doi.org/10.1080/15438627.2015.1005295
Hägglund, M., Waldén, M., & Ekstrand, J. (2016). Injury recurrence is lower at the highest professional football level than at national and amateur levels: does sports medicine and sports physiotherapy deliver? British Journal of Sports Medicine, 50(12), 751-758. https://doi.org/10.1136/bjsports-2015-095951
Fousekis, K., Tsepis, E., & Vagenas, G. (2010). Multivariate isokinetic strength asymmetries of the knee and ankle in professional soccer players. The Journal of Sports Medicine and Physical Fitness, 50(4), 465-474.
Faude, O., Rommers, N., & Rössler, R. (2018). Exercise-based injury prevention in football. German Journal of Exercise and Sport Research, 48(2), 157–168. https://doi.org/10.1007/s12662-018-0505-4
Thorborg, K., Krommes, K.K., Esteve, E., Clausen, M.B., Bartels, E.M., & Rathleff, M.S. (2017). Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football: a systematic review and meta-analysis of the FIFA 11 and 11+ programmes. British Journal of Sports Medicine, 51(7), 562-571. https://doi.org/10.1136/bjsports-2016-097066
Cook, G., Burton, L., & Hoogenboom, B. (2006a). Pre-participation screening: the use of fundamental movements as an assessment of function – part 1. North American Journal of Sports Physical Therapy: NAJSPT, 1(2), 62-72.
Cook, G., Burton, L., & Hoogenboom, B. (2006b). Pre-participation screening: the use of fundamental movements as an assessment of function – part 2. North American Journal of Sports Physical Therapy: NAJSPT, 1(3), 132-139.
Hertel, J., Miller, S.J., & Denegar, C.R. (2000). Intratester and intertester reliability during the star excursion balance tests. Journal of Sport Rehabilitation, 9(2), 104-116. https://doi.org/10.1123/jsr.9.2.104
Plisky, P.J., Rauh, M.J., Kaminski, T.W., & Underwood, F.B. (2006). Star excursion balance test as a predictor of lower extremity injury in high school basketball players. The Journal of Orthopaedic and Sports Physical Therapy, 36(12), 911-919. https://doi.org/10.2519/jospt.2006.2244
Harshbarger, N.D., Anderson, B.E., & Lam, K.C. (2018). Is there a relationship between the functional movement screen, star excursion balance test, and balance error scoring system? Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 28(4), 389-394. https://doi.org/10.1097/JSM.0000000000000465
Moore, E., Chalmers, S., Milanese, S., & Fuller, J.T. (2019). Factors influencing the relationship between the functional movement screen and injury risk in sporting populations: A systematic review and meta-analysis. Sports Medicine, 49(9), 1449-1463. https://doi.org/10.1007/s40279-019-01126-5
Plisky, P.J., Schwartkopf-Phifer, K., Huebner, B., Garner, M.B., & Bullock, G. (2021). Systematic review and meta-analysis of the Y-balance test lower quarter: Reliability, discriminant validity, and predictive validity. International Journal of Sports Physical Therapy, 16(5), 1190-1209. https://doi.org/10.26603/001c.27634
Munro, A.G., & Herrington, L.C. (2010). Between-session reliability of the star excursion balance test. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 11(4), 128-132. https://doi.org/10.1016/j.ptsp.2010.07.002
Shultz, R., Anderson, S.C., Matheson, G.O., Marcello, B., & Besier, T. (2013). Test-retest and interrater reliability of the functional movement screen. Journal of Athletic Training, 48(3), 331-336. https://doi.org/10.4085/1062-6050-48.2.11
Gribble, P.A., Kelly, S.E., Refshauge, K.M., & Hiller, C.E. (2013). Interrater reliability of the star excursion balance test. Journal of Athletic Training, 48(5), 621-626. https://doi.org/10.4085/1062-6050-48.3.03
Armstrong, R. (2020). The relationship between the functional movement screen, star excursion balance test and the Beighton score in dancers. The Physician and Sportsmedicine, 48(1), 53-62. https://doi.org/10.1080/00913847.2019.1624658
Portney, L.G., & Watkins, M.P. (2007). Foundations of Clinical Research: Applications to Practice. Hoboken, New Jersey: Prentice Hall.
Dinc, E., Kilinc, B.E., Bulat, M., Erten, Y.T., & Bayraktar, B. (2017). Effects of special exercise programs on functional movement screen scores and injury prevention in preprofessional young football players. Journal of Exercise Rehabilitation, 13(5), 535-540. https://doi.org/10.12965/jer.1735068.534
Bonazza, N.A., Smuin, D., Onks, C.A., Silvis, M.L., & Dhawan, A. (2017). Reliability, validity, and injury predictive value of the functional movement screen: A systematic review and meta-analysis. The American Journal of Sports Medicine, 45(3), 725-732. https://doi.org/10.1177/0363546516641937
Dorrel, B.S., Long, T., Shaffer, S., & Myer, G.D. (2015). Evaluation of the functional movement screen as an injury prediction tool among active adult populations: A systematic review and meta-analysis. Sports Health, 7(6), 532-537. https://doi.org/10.1177/1941738115607445
Moran, R.W., Schneiders, A.G., Mason, J., & Sullivan, S.J. (2017). Do functional movement screen (FMS) composite scores predict subsequent injury? A systematic review with meta-analysis. British Journal of Sports Medicine, 51(23), 1661-1669. https://doi.org/10.1136/bjsports-2016-096938