EVALUATION OF THE DISCRIMINATE VALIDITY OF THE FUNCTIONAL MOVEMENT SCREEN FOR IDENTIFYING INJURY RISK IN ROYAL NAVY RECRUITS. A PILOT STUDY.
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Introduction The Functional Movement ScreenTM (FMS) has been shown to be a valid predictor of injury risk in a recent unpublished study in United States (US) Marine Recruits, where recruits with an FMS score of 14 or less were twice as likely to sustain an injury during military training. However, the discriminate validity of the FMS to United Kingdom (UK) military training programmes has not been confirmed. Objective The aim of this pilot study was to evaluate the discriminate validity of the FMS with respect to identifying injury risk in RN recruits. Design The study was a prospective cohort design. Data was analysed initially using Pearson’s Correlation Coefficient. Subsequently, multiple logistic regression analysis was used to evaluate variables that were significantly related to injury risk with injury occurrence. Setting The study took place at HMS Raleigh, a Phase 1 training establishment. Ethical approval was gained from Ministry of Defence Research and Ethics Committee (MODREC) to undertake the study. Participants A sample of 957 (n=862 (90%) male; n=95 (10%) Female) Royal Navy Phase-1 recruits consented to participate in the study. Main Outcome Measures The FMS was used as the main outcome measure. Assessments were completed in week-1 of training. The seven tests were attempted three times, with the highest score recorded. In addition, health history and smoking/alcohol questionnaires were completed, and height and body mass were measured. 4 Results The mean FMS score for all volunteers was 14.6 (±2.3) out of 21, and this was the same for female (14.4±2.4) and male (14.6±2.3) volunteers. However, a greater percentage of female recruits suffered injury during training compared with male recruits (34% vs. 27%, respectively). Gender, smoking history and FMS score were important factors for injury risk during RN training. Female recruits were 1.8-times more likely to suffer injury compared with male recruits; recruits with a smoking history were 1.4-times more likely to suffer an injury compared with non-smokers; and for every point decrease in FMS score, injury risk increased 0.7 fold. The relative risk (RR) of suffering an injury was 2.62 times greater in those with an FMS score ≤14; the greatest RR was observed in recruits with an FMS score ≤11 (i.e. 5-fold increased risk). Conclusion The FMS appears to be a valid predictor of injury risk in this military population, where female recruits and recruits with a smoking history would be at increased risk.
- Masters Degrees (Sport) 
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