It’s not ‘who’ but ‘how badly’: The association of Functional Movement Screen with injury outcome in community rugby union
MetadataShow full item record
Background: The use of the Functional Movement Screen (FMS) is widespread, but evidence supporting its use as an injury-screening tool in team sports such as Rugby Union is equivocal. Objective: To determine the association between FMS score and match-injury incidence and match-injury burden in adult community rugby union players. Design: Prospective cohort study. Setting: English community rugby union clubs (2013-2014 season) with a formally qualified medical professional to diagnose and report match-injuries. FMS testing was completed during the pre-season period by the research team. Participants: 436 players from 23 clubs completed the FMS. Match-injuries and individuals’ match exposure data was returned for 293 players. Risk Factors: Lower FMS composite score (21 point maximum), the presence of pain and/or asymmetry. Main Outcome Measurements: Association of FMS composite score, pain and asymmetry with match injury incidence (≥8days time-loss/1000hours) severe injury incidence (>28 days time-loss/1000hours) and injury burden (total time-loss days/1000hours). Results: Poisson regression was offset for exposure (log transformed) and adjusted for random effects of club (cluster) and player. The associations between both match-injury incidence (≥8days time-loss)(rate ratio (RR), 90% confidence interval (CI) = 1.0, 0.9-1.0) and severe injury incidence (>28 days time-loss) (RR, 90%CI = 0.9, 0.8-1.0) with composite FMS score were trivial. A one-point increase in FMS score was associated with a 10% reduction in injury burden (RR, 90%CI = 0.9, 0.8-1.0), while the presence of both pain and asymmetry was associated with a three times increase in injury burden (RR, 90%CI = 2.9, 1.1 – 7.8). Conclusions: FMS score was not associated with injury incidence, but was associated with injury burden. As the strongest association with injury burden was found for pain and asymmetry, clubs using the FMS may be advised to prioritise rehabilitation of players with asymmetrical, painful movement patterns.
British Journal of Sports Medicine;
Attwood, M., Roberts, S., Trewartha, G., England, M. and Stokes, K. (2017) 'It’s not ‘who’ but ‘how badly’: The association of Functional Movement Screen with injury outcome in community rugby union', British Journal of Sports Medicine, 51(4), pp.290-290
This abstract was published in British Journal of Sports Medicine on 1 February 2017 (online), available at http://dx.doi.org/10.1136/bjsports-2016-097372.17
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
Rugby Football Union
The Private Physiotherapy Educational Foundation
- Sport Research Groups 
Showing items related by title, author, subject and abstract.
Efficacy of a movement control injury-prevention programme in an adult community rugby union population; a cluster randomised controlled trial. Attwood, Matthew; Roberts, Simon; Trewartha, Grant; England, Mike; Stokes, Keith (BMJ Journals, 2017-02-01)Background Exercise programmes aimed at reducing injury have been shown to be efficacious for some non-collision sports, but evidence in collision sports such as rugby union is lacking. Objective To evaluate the efficacy ...
Injury risk in international Rugby Union: Three-year injury surveillance of the Welsh national team Moore, Isabel; Ranson, Craig; Mathema, Prabhat (Sage, 2015-07-28)Background: Within international Rugby Union, only injury rates during the Rugby World Cup have been reported. Therefore, injury rates and types during other international tournaments are unknown. Purpose: To assess the ...
Jones, Karen (2012-09)Objectives: To determine the incidence, severity and nature of match injuries in professional Welsh rugby and to compare results to studies of elite professional rugby in other countries. Methods: A single-season prospective ...