🧩 Functional Movement Screen (FMS)

Functional Movement Screen (FMS) Testing: Movement Quality Assessment, Asymmetry Identification, and Injury Risk Prediction

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📋 Overview 📏 Protocol 📊 Results 🚀 Improvement
🧩 Functional Movement Screen (FMS) — illustration

What Is the Functional Movement Screen (FMS)?

Functional Movement Screen (English Functional Movement Screen, FMS) — a standardized 7-movement test system developed by physiotherapist Gray Cook. FMS assesses not athletic performance, but movement quality — whether the athlete's body moves without compensations and asymmetries.

The FMS score correlates with injury risk: athletes scoring ≤14 points (out of 21) have a 2-3 times higher injury risk. The test is widely used in professional sports teams (NFL, NBA, Premier League).

FMS Purpose: Identify limitations and asymmetries BEFORE they become injuries. It is a preventive, not a performance, test.

📏 7 FMS Tests

Each test is scored from 0-3 points (0 = pain, 1 = unable to perform, 2 = performs with compensations, 3 = performs ideally). Maximum total score: 21. Three additional pain provocation tests are also performed.

# Test What It Measures Common Problems
1 Deep Squat Overall movement quality, hip and shoulder mobility Limited ankle, hip, or thoracic spine mobility
2 Hurdle Step Hip, knee, and ankle stability on one leg Pelvic instability, thigh tension
3 Inline Lunge Hip, knee, and ankle coordination Asymmetry between sides, balance problems
4 Shoulder Mobility Shoulder joint range of motion Glenohumeral joint restriction, asymmetry
5 Active Straight-Leg Raise (ASLR) Hamstring and calf flexibility Insufficient flexibility, pelvic instability
6 Trunk Stability Push-Up Trunk stability during a pushing movement Poor trunk control, compensations in the lower back
7 Rotary Stability Contralateral trunk stability Unable to perform the contralateral movement, compensates with one side

📊 FMS Results Interpretation

Total Score Injury Risk Recommendation
19-21 Very low Continue sports activity, perform maintenance exercises
15-18 Low-moderate Correct identified asymmetries with corrective exercises
10-14 Moderate-high (2-3× increased) Include a corrective program before increasing load
<10 Large A more detailed physical examination is recommended
Pain in any test Large Refer to a doctor/physiotherapist before exercising
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