Reliability and Validity of the Korean Version of the Functional Movement Screen

한국판 기능적 동작 검사의 신뢰도와 타당도

  • An, Seung-Heon (Department of Physical Therapy, National Rehabilitation Center) ;
  • Lee, Je-Hoon (Department of Physical Therapy, National Training Center, Korea Olympic Committee)
  • 안승헌 (국립재활병원 물리치료실) ;
  • 이제훈 (대한올림픽위원회 태릉선수촌 물리치료실)
  • Received : 2010.07.15
  • Accepted : 2010.09.17
  • Published : 2010.10.25

Abstract

Purpose: The purpose of this study was to determine the reliability and validity of the Functional Movement Screen (FMS) for assessing Korean athletes. Methods: A total of 48 patients (37 males and 11 females) participated in this study. Data were acquired after translation of the FMS from English to Korean and cross-cultural adaptation of the this questionnaire. To determine inter-rater reliability, the relationship between the FMS scores obtained by two raters was evaluated using the Kappa coefficient, which was in total agreement with the Intra-Correlation Coefficient (ICC3,1). Concurrent validity was examined by correlating the FMS scores with the Oswestry disability index (ODI) scores and Visual analogue scale (VAS) scores. Results: The raters demonstrated excellent agreement on 7 (above 90%) of the 17 test (72.9 to 97.9%) components. Substantial agreement was seen in 11 of the 17 tests. Two components of the In-line lunge and rotatory stability tests demonstrated moderate agreement. It showed good inter-rater reliability: the Kappa coefficients ranged from 0.42 to 0.97. ICC3,1=0.42~0.99 and 0.93 (total FMS score). Cronbach's alpha for FMS was 0.80. It was not correlated with ODI or VAS. Conclusion: The Korean version of the FMS is a reliable instrument for measuring movement patterns of Korean athletes and for making decisions related to interventions for performance enhancement.

Keywords

References

  1. Herbert RD, Gabriel M. Effects of stretching before and after exercising on muscle soreness and risk of injury: systematic review. BMJ. 2002;325(7362):468. https://doi.org/10.1136/bmj.325.7362.468
  2. Herbert RD, de Noronha M. Stretching to prevent or reduce muscle soreness after exercise. Cochrane Database Syst Rev. 2007;(4):CD004577.
  3. Pope RP, Herbert RD, Kirwan JD et al. A randomized trial of preexercise stretching for prevention of lower-limb injury. Med Sci Sports Exerc. 2000;32(2):271-7. https://doi.org/10.1097/00005768-200002000-00004
  4. Giza E, Silvers H, Mandelbaum BR. Anterior cruciate ligament tear prevention in the female athlete. Curr Sports Med Rep. 2005;4(3):109-11.
  5. Hewett TE, Ford KR, Myer GD. Anterior cruciate ligament injuries in female athletes: Part 2, a meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med. 2006;34(3):490-8.
  6. Silvers HJ, Mandelbaum BR. Prevention of anterior cruciate ligament injury in the female athlete. Br J Sports Med. 2007;41(Suppl 1):i52-9.
  7. Vad VB, Bhat AL, Basrai D et al. Low back pain in professional golfers: the role of associated hip and low back range-of-motion deficits. Am J Sports Med. 2004;32(2): 494-7. https://doi.org/10.1177/0363546503261729
  8. Van Dillen LR, Sahrmann SA, Caldwell CA et al. Trunk rotation-related impairments in people with low back pain who participated in 2 different types of leisure activities: a secondary analysis. J Orthop Sports Phys Ther. 2006;36(2): 58-71.
  9. Cook EG. Athletic body in balance: optimal movement skills and conditioning for performance. Champaign, Human Kinetics, 2005.
  10. Kiesel K, Plisky P, Voight M. Can serious injury in professional football be predicted by a preseason functional movement screen? N Am J Sports Phys Ther. 2007;2(3): 147-58.
  11. Wainner RS, Whitman JM, Cleland JA et al. Regional interdependence: a musculoskeletal examination model whose time has come. J Orthop Sports Phys Ther. 2007;37(11): 658-60.
  12. Wheeler AH, Goolkasian P, Baird AC et al. Development of the Neck Pain and Disability Scale. Item analysis, face, and criterion-related validity. Spine (Phila Pa1976). 1999; 24(13):1290-4. https://doi.org/10.1097/00007632-199907010-00004
  13. Salaffi F, Leardini G, Canesi B et al. Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee. Osteoarthritis Cartilage. 2003; 11(8):551-60. https://doi.org/10.1016/S1063-4584(03)00089-X
  14. Bellamy N, Buchanan WW, Goldmith CHet al. Validation study of WOMAC:a health status instrument for measuring clinically-important patient-relevant outcomes following total hip or knee arthroplasty in osteoarthritis. J Orthop Rheumatol.1988;1:95-108.
  15. Selfe J, Harper L, Pedersen I et al. Four outcome measures for patellofemoral joint problems part 1. Development and validity. Physiotherapy. 2001;87(10):507-15. https://doi.org/10.1016/S0031-9406(05)65448-X
  16. Powers R. Shoulder examination: how to select and perform the appropriate tests. JAAPA. 2010;23(3):22-6.
  17. Thorpe JL, Ebersole KT. Unilateral balance performance in female collegiate soccer athletes. J Strength Cond Res. 2008;22(5):1429-33. https://doi.org/10.1519/JSC.0b013e31818202db
  18. Shrader JA, Popovich JM Jr, Gracey GC et al. Navicular drop measurement in people with rheumatoid arthritis: interrater and intrarater reliability. Phys Ther. 2005;85(7): 656-64.
  19. Cook EG, BurtonL, Hogenboom B. The use of fundamental movements as an assessment of function Part 1. N Am J Sports Phys Ther. 2006;1(2):62-72.
  20. Cook EG, BurtonL, Hogenboom B. The use of fundamental movements as an assessment of function Part 2. N Am J Sports Phys Ther. 2006;1(3):132-9.
  21. Minick KI, Kiesel KB, Burton L et al. Interrater reliability of the functional movement screen. J Strength Cond Res. 2010;24(2):479-86. https://doi.org/10.1519/JSC.0b013e3181c09c04
  22. Kim JH. Reliability and validity of gaitassessment tools for elderly person. J Kor Soc Phys Ther. 2009;21(1):41-8.
  23. An SH, Lee JH. Reliability and validity of the postural assessment scale for stroke in chronic stroke patients. J Kor Soc Phys Ther. 2009;21(1):9-18.
  24. Kim CS, Chang JS. A reliability study of the scale for contraversive pushing in stroke patients. J Kor Soc Phys Ther. 2009;21(4):31-6.
  25. Beaton DE, Bombardier C, Guillemin F et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. https://doi.org/10.1097/00007632-200012150-00014
  26. Andresen EM. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil. 2000;81(12 Suppl 2):S15-20.
  27. Fairbank JC, Couper J, Davies JB et al. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980; 66(8):271-3.
  28. Kim DY, Lee SH, Lee HY et al. Validation of the Korean version of the oswestry disability index. Spine (Phila Pa 1976). 2005;30(5):E123-7. https://doi.org/10.1097/01.brs.0000157172.00635.3a
  29. Huskisson EC. Measurement of pain. Lancet. 1974;2(7889):1127-31.
  30. Ostelo RW, de Vet HC. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol. 2005;19(4): 593-607. https://doi.org/10.1016/j.berh.2005.03.003
  31. Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 2nd ed. Upper Saddle River, Prentice Hall Health, 2000.
  32. Rothstein JM, Echternach JL. Primer on measurement: an introductory guide to measurement issues. Alexandria, American Physical Therapy Association, 1993.
  33. Fermanian J. Measuring agreement between 2 observers: a quantitative case. Rev Epidemiol Sante Publique. 1984;32(6): 408-13.