Exercise Prescription Lectures 3/5

Introduction to Functional Movement Screen (FMS)

• Announcement of three more movements to discuss in FMS.

• Encouragement for students to sign up for practice assessments to enhance understanding and prepare for the practical exam.

• Emphasis on the ease of practice assessments and their value in studying and testing.

Active Straight Leg Raise

• Landmarks Required:

  • Anterior Superior Iliac Spine (ASIS): The top of the hip bone.

  • Middle of the Patella: Important for accurate measurements.

• Measurement Process:

  • Measure the distance from the ASIS to the middle of the patella.

  • Place a dowel rod at the midpoint; assess leg movement regarding the dowel rod.

• Scoring Criteria:

  • Score of 3: Leg passes the dowel rod.

  • Score of 2: Leg passes the knee.

  • Score of 1: Leg does not pass the knee.

• Common Misconceptions:

  • Movement is often oversimplified to just hamstring flexibility.

  • Other influencing muscles include hip flexors.

• Importance of the Active Straight Leg Raise:

  • Considered the most critical movement in FMS due to its influence on all other movements in the screen.

  • Issues in this movement can impact other kinetic chain functions, including shoulder mobility.

Hurdle Step

• A dynamic movement that assesses both stability and mobility.

• Emphasizes the importance of assessing mobility before stability in movements.

Push-Up Stability Test

• The push-up stability test is used to evaluate the global stabilizing system of the body (controlling movement from hips to spine).

• Push-Up Description:

  • Unlike a traditional push-up, this test features altered hand positioning.

  • Positioning ensures that stabilization of the core is assessed.

• Execution:

  • Begin lying flat with hands positioned according to gender standards (forehead for males, chin for females).

  • The body, in one line during the movement, should resist extension.

• Scoring System:

  • Score of 3: Proper hand position at the forehead, no spine lag.

  • Score of 2: Hand position at the chin, no spine lag.

  • Score of 1: Unable to perform at the lower hand position.

  • Score of 0: Pain experienced during the test.

Rotary Stability Test

• A test that evaluates the local and global stabilization systems of the core.

• Important Notes:

  • Utilizes hand and knees position as a basic stance.

  • Movement involves lifting the opposite arm and leg while maintaining stability of the core.

• Execution and Scoring:

  • Score of 3: Proper movement form, simultaneous lift of hand and knee while meeting other criteria.

  • Score of 2: Successfully completes movement but fails to meet scoring criteria.

  • Score of 1: Unable to complete movement.

  • Score of 0: Pain noted during the movement.

Importance of Each FMS Movement

• Movement Correction Prioritization:

  • Active Straight Leg Raise ==> Shoulder Mobility ==> Rotary Stability ==> Trunk Stability ==> Inline Lunge ==> Hurdle Step ==> Deep Squat (last to correct)

• Mobility problems are often easier to correct than stability issues, which is crucial for holistic movement quality in physical activities.

Conclusion and Exam Preparation

• Review of FMS and its scoring structures is vital before the upcoming exam.

• Make sure students prepare with proper materials: calculator and straight edge for graphing.

• Depth of knowledge on movement protocols and scoring will be primary focus in the exam.