ASYMMETRIC FMS PATTERNS IN GERMANY’S BUNDESLIGA SOCCER PLAYERS Oliver Schmidtlein1, Matthias Keller1, Eduard Kurz1,2 1OSPHYSIO Training & Therapie Munich, Germany and 2Department of Sports Medicine, University of Wuppertal, Germany Introduction & Background Results In addition to muscle weaknesses and imbalances, inadequate coordination and previous injuries, it appears that fundamental movement pattern quality is an important predisposing factor in suffering a non-contact or overuse injury. Uncovering asymmetries might be a promising approach for adjusting training programs and thus reducing or preventing overuse injuries. The mean overall FMS score among all athletes was 14.3 ± 2.2 (range: 9-20) points with the most frequent score of 14 (37%). The distribution of the total FMS scores for each movement is presented in figure 2. Interestingly, Deep Squat was the pattern performed most poorly (0 or 1 as a score) with a relative frequency of 34.2%, while Active Straight Leg Raise showed the highest frequency of 3 as a score (42.1%). Fifteen (39%) were classified as WEP with a mean of 16.3 ± 1.4, whereas POP scored 12.9 ± 1.4 points respectively (table 1). Only the POP group showed significant differences between unilateral movement patterns performed for dominant (10.6 ± 1.6) and non-dominant (9.7 ± 1.4) sides (p = 0.003, figure 3). This investigation aimed at assessing complex fundamental movements among elite-level soccer players by use of the Functional Movement Screen™ (FMS). A second aim was to investigate side-specific differences as revealed from the FMS testing in athletes who performed well and who did not. 1,0 0,9 Frequency of FMS score [% of sample] Aim 0,8 0,7 0,6 3 0,5 2 0,4 0 or 1 0,3 0,2 0,1 0,0 Squat Hurdle Lunge Shoulder ASLR Trunk Rotatory Figure 2. Distribution of individual FMS patterns (N = 38) expressed as a percentage of sample scoring 3 (uncompensated), 2 (compensated pattern) and 1 (unable) or 0 (painful execution) points. POP Figure 1. Examiner recording the score of the Inline Lunge. 12,5 ** FMS unilateral 12,0 Methods A total number of 38 professional soccer players (table 1) voluntarily participated in this study. Ten (26%) of the athletes recruited were also members of their national teams. Subjects underwent full FMS testing arriving at an individual FMS score ranging between 0 and 21 (3 points per task). Table 1. Demographic and FMS score data (mean ± SD (range)) Group N Age [yrs] Height [cm] Weight [kg] BMI [kg/m²] FMS score Well-pattern (WEP) 15 25 ± 4 184 ± 6 80 ± 8 24 ± 1 16 ± 1 group [> 14] Poor-pattern (POP) group [≤ 14] All subjects (15-20) 23 23 ± 3 183 ± 6 79 ± 7 24 ± 1 38 24 ± 4 183 ± 6 79 ± 7 24 ± 1 13 ± 1 (9-14) 14 ± 2 (9-20) WEP and POP athletes did not differ in age, height, weight, and BMI values (p > 0.05, Student‘s T test for unpaired samples). [1] [2] [3] [4] [5] [6] 11,0 10,5 10,0 9,5 dominant non-dominant Figure 3. FMS score values of the unilateral tests performed for the poorpattern (POP) subgroup (N = 23). Values are mean ± SD, ** p = 0.003 (Wilcoxon’s test, exact, 2-tailed). Discussion & Conclusion Asymmetries are known to be present in soccer players [5,6]. Athletes with poor overall scores were more likely to show asymmetries in their unilateral FMS patterns. On the basis of such results, individualized unilateral corrective exercise strategies might be recommended. While most corrective exercises are conceptualized bilaterally, unilaterally performed exercises may in fact be more beneficial and efficient as an adjunct to complex soccer training regimes – particularly for those players who show impaired movement patterns. Ghent 2012 3rd World Conference on Science and Soccer (WCSS) Gabbard C, Hart S (1996) J Gen Psychol 123: 289-296 Rein S, Fabian T, Weindel S, Schneiders W, Zwipp H (2011) Arch Orthop Trauma Surg 131: 1043-1052 Kiesel K, Plisky PJ, Voight ML (2007) N Am J Sports Phys Ther 2: 147-158 Kiesel K, Plisky P, Butler R (2011) Scand J Med Sci Sports 21: 287-292 Baumhauer JF, Alosa DM, Renström PAFH, Trevino S, Beynnon B (1995) Am J Sports Med 23: 564-570 Söderman K, Alfredson H, Pietilä T, Werner S (2001) Knee Surg Sports Traumatol Arthrosc 9: 313-321 3rd World Conference on Science and Soccer (WCSS) All participants were further assessed according to their FMS unilateral patterns (5 tasks; range: 0-15) to investigate symmetry between dominant (i.e. preferential limb used to kick a ball [1,2]) and non-dominant sides. We proved symmetry within both, well-pattern (WEP, FMS composite score > 14) and poor-pattern (POP ≤ 14 [3,4]) subgroups. 11,5 Balanstrasse 73 · 81541 Munich · phone: + 49(0)89.62747000 · [email protected] OSphysio_Poster_05_2012_A4.indd 1 09.05.12 18:27
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