Fonksiyonel hareket analizi [functional movement screen (FMS)], insanın hareket kalitesini değerlendirmek için kullanılan bir araçtır. Araştırmanın amacı, FMS için normatif değerler oluşturarak, FMS'nin güvenirliliği, geçerliliği, sakatlık tahmini, antrenman etkisini ve durum tespitini inceleyip, yapılan araştırmalarla ilgili bir derleme sunabilmektir. Veri toplama yöntemi olarak, elektronik veri tabanları kullanılarak araştırma yapılmıştır. Tanımlanan çalışmalar, dâhil etme kriterlerini doğrulamak için eleştirel analiz ve ön yargı değerlendirilmesinden sonra ayrıntılı olarak gözden geçirilmiştir. Tanımlanan 154 çalışmadan güvenirlilik (13), geçerlilik (5), sakatlık tahmin değeri (14), durum tespiti (50) ve antrenman etkisini (12) inceleyen çalışmalardan 94'ü derlemeye dâhil edilmiştir. FMS interrater ve intrarater güvenirliliği için; 7 çalışmada mükemmel (ICC=0,97; ICC=0,96; ICCInter= 0,98; ICCIntra=0,92; ICC=0,90), 5 çalışmada iyi (ICCInter=0,88; ICCintra=0,75; 0,89; ICCInter=0,76; ICCIntra=0,74; ICCintra=0,80 ve 81) ve 1 çalışmada zayıf (ICCInter=0,29; ICCIntra=0,6) bulunmuştur. FMS geçerliliği için incelenen 5 çalışmada, uygulanan farklı 7 alt testte, farklı değerlendirmeler ve önerilerde bulunulmuştur. FMS sakatlık tahmin değerlerinde incelenen 14 çalışmada, FMS sakatlık risk değeri (%95CI, <14) için 14 puanın altındaki değerlere sahip katılımcıların, sakatlık riskine sahip olduğu bulunmuştur. Antrenmanın FMS değerleri üzerine etkisini inceleyen 12 araştırmanın 9'unda, ilgili değerlerde anlamlı artışlar görülmüştür. Durum tespiti araştırmalarında ise değerlendirilen 50 araştırmada karşılaştırılan değişkenlerde (motorik beceri, antropometrik değerler, branş performansları, sakatlık geçmişi, cinsiyet, obezite, rehabilitasyon süreci) FMS değerlerinin, genelde doğru orantılı ve anlamlı şekilde etkin olduğu tespit edilmiştir. Sonuç olarak, FMS ve benzeri postür analiz değerlendirmelerinin, hem performans hem rehabilitasyon hem de durum tespiti olarak alana katkı sağlayacağı düşünülmektedir.
Anahtar Kelimeler: Postür analizi; antrenman etkisi; durum tespiti; sakatlık tahmini
Functional movement screen (FMS) is a tool used to assess the quality of movement of a human being. The aim of this study is to form normative values for FMS, to examine the reliability, validity, injury prediction, impact of training, and descriptive studies of FMS, and to present a review of current studies. The study was conducted using electronic databases as a data collection. The identified studies were reviewed in detail after critical analysis and bias assessment to verify the inclusion criteria. Ninety-four of the 154 identified studies investigating reliability (13), validity (5), injury prediction values (14), descriptive studies (50), and the impact of training (12) were included in the review. For the interrater and intrarater reliability of the FMS, it was found that 7 studies were excellent (ICC=0.97; ICC=0.96; ICCInter=0.98; ICCIntra=0.92; ICC=0.90), 5 studies were good (ICCInter=0.88; ICCintra=0.75; 0.89; ICCInter= 0.76; ICCIntra=0.74; ICCintra=0.80 and 81), and 1 study was weak (ICCInter=0.29; ICCIntra=0.6). In 5 studies examined for the validity of FMS, different evaluations and recommendations were made in 7 different sub-tests applied. In 14 studies examined for the FMS injury prediction, the participants who had values below fourteen points for the FMS injury risk value (95%CI, <14) were also determined to carry a risk of injury. In nine of the twelve studies examining the impact of training on FMS values, significant increases were observed in the relevant values. In fifty of the status detection studies evaluated, the FMS values were generally found to be directly proportional and significantly effective among the variables compared (motor skills, anthropometric values, branch performances, history of injury, gender, obesity, rehabilitation process). As a result, it is thought that FMS and similar posture analysis evaluations would contribute to the field in terms of performance, rehabilitation and descriptive studies.
Keywords: Posture analysis; the effect of training; descriptive studies; injury prediction
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