1. Chiropractic & Sports Injuries Treatments and Prevention

3. Functional Movement Mobility Range Of Motion / Flexibility Stability Core stability / Neuromuscular Control Assessment Functional Movement Screening (FMS)

4. Key/critical question? Are we building strength and conditioning, rehab, fitness and skill on top of dysfunction?

5. What is Functional Movement Screening (FMS) A series of movements designed to evaluate stability and mobility (i.e. functional movement) Uses extreme positions where weaknesses and imbalances become noticeable Ultimate goal is to identify athletes at increased risk for injury Developed by: Gray Cook

6. Functional Movement Screen Consists of 7 tasks (3 clearing maneuvers) Scored 0 (lowest) through III (highest) Lowest score counts on bilateral tests Best possible score = 21

7. Functional Movement Screen Deep Squat Hurdle Step In-line Lunge Shoulder Mobility Active Straight Leg Raise Trunk Stability Push Up Rotary Stability 3 clearing maneuvers

8. Scoring the FMS III – able to complete task II - able to complete task with compensation I – unable to complete task 0 – pain during test (or clearing exam) Max Score = 21 points Also looking for asymmetry

9. Asymmetry Musculoskeletal asymmetry is a well established risk factor for injury Ekstrand & Gillquist, 1983 Knapik et al., 1991 Baumhauer et al., 1995 Plisky et al., 2006 Myer et al., 2008 Yeung et al., 2009

10. Research J Occup Med Toxicol. Apr. 2007 433 firefighters 62% reduction in lost time with intervention 42% reduction in 12 month injury rate NFL Data If FMS score is ≤ 14, and there is an asymmetry, then the probability of suffering a time loss injury increased from 15% (pre-test probability) to just over 50% Scores can be improved with a specific off season training program (SFMA).

11. Research Intrarater and Interrater Reliability Minick, KI, Kiesal, KB, Burton, L, Taylor, A, Plisky, P, and Butler, RJ. Interrater reliability of the Functional Movement Screen. J Strength Cond Res 24(2): 479-486, 2010 Teyhen, DS, Donofry DF, Shaffer SW, Walker MJ, Lorenson CL, Dugan JL, Halfpap JP, Childs MD. Functional Movement Screen: a reliability study in service members. USArmeh Med Dep J. 2010 Jul-Sept:71

12. References Cook, Gray Athlete Body in Balance, 2003 Gray, Gary Gray Institute / Nike Kraemer, William, University of Connecticut Michaud, Tom Human Locomotion, 2010 Prentise, Bill., UNC Chapel Hill Rose, Greg TPI Starrett, Kelly The Supple Leopard, 2013 Tiberio, David University of Connecticut

13. Balance and Asymmetry FMS Improving Performance and Avoiding Injury by Eliminating Asymmetries

14. Deep Squat The deep squat challenges total body mechanics when performed properly Assess bilateral, symmetrical and functional mobility of the hips, knees and ankles. assess bilateral, symmetrical mobility of the shoulders as well as the thoracic spine.

15. Hurdle Step

16. In-Line Lunge

17. Active Straight Leg Raise

18. Trunk Stability Push-Up

19. Shoulder Mobility Test

20. Rotary Stability

21. Score the test Design the program Prehab vs Rehab

22. Thank you for coming! (316) 440-4551 Craig Alexander, IRONMAN World Champion