نوع مقاله : مقاله پژوهشی
نویسندگان
1 گروه آسیب شناسی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه گیلان، رشت، ایران
2 دکتری تخصصی فیزیوتراپی، استاد، دانشکده پزشکی ، گروه فیزیوتراپی ، دانشگاه علوم پزشکی گیلان، رشت، ایران
3 دانشیار گروه توانبخشی و سلامت، دانشکده علوم ورزشی دانشگاه شهید بهشتی تهران، تهران، ایران
چکیده
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aims: An accurate and comprehensive assessment of movement and posture is important in improving performance and preventing sports injuries. With scientific and technological advancements, various methods have been introduced for evaluating movement and body posture. Functional assessments are key tools for informed decision-making in sports training and play a significant role in identifying movement deficiencies and improving performance.
Among the available methods, the Functional Movement Screening test (FMS) is widely used because it can identify movement imbalances and provide initial information about movement patterns. However, some researchers believe that this test cannot accurately predict the likelihood of future injuries. The Dynamic Neuromuscular Stabilization approach, as a new method in physiotherapy, utilizes a series of functional tests to assess the quality of functional stability and joint stabilizers by comparing an individual's postural stability patterns with the developmental stability observed in healthy infants, aiming to identify the key link in dysfunction. Therefore, this study aims to investigate the relationship between Dynamic Neuromuscular Stabilization functional test (FDNS), as a new assessment method, and Functional Movement Screening test in healthy football players.
Materials and Methods: The present study is a cross-sectional correlational study. The subjects of this research included 100 healthy male football players with a mean age of 19.8 ± 2.2 years, a weight of 68.47 ± 7.86 kg, and a height of 177.13 ± 5.24 cm. All participants performed the Dynamic Neuromuscular Stabilization test, consisting of 11 sub-tests (1. Stereotypical Breathing Test, 2. Intra-Abdominal Pressure Regulation Test, 3. Diaphragm Test, 4. Hip Flexion Test, 5. Supine test with legs raised up, 6. Trunk and Neck Flexion Test, 7. Arm Lifting Test, 8. Trunk Extension Test, 9. Quadruped Position Test, 10. Bear Position Test, 11. Squat Test), and the Functional Movement Screening test, consisting of 7 sub-tests (1. deep squat, 2. hurdle step, 3. in-line lunge, 4. shoulder mobility, 5. active straight leg raise, 6. trunk stability push-up a nd 7. rotary stability test), according to the respective test protocols. Each sub-test was scored by a single examiner, with FDNS sub-tests being rated between 1 and 4, and FMS sub-tests between 0 and 3. The Spearman correlation test was used to examine the relationship between these two tests, with a significance level of P = 0.05.
Results: The study showed a weak but significant correlation between the overall scores of the two tests (r = 0.351). The results also indicated that the sub-tests of the Functional Movement Screening test, including the Trunk Stability Push-Up (r = 0.392) and rotary stability (r = 0.261), had a weak but significant correlation with the total score of the Dynamic Neuromuscular Stabilization functional test. Additionally, the FDNS sub-tests, including intra-abdominal pressure regulation (r = 0.211), diaphragm (r = 0.282), hip flexion (r = 0.194), straight leg raise (r = 0.283), and neck and trunk flexion (r = 0.204), also showed weak but significant correlations with the total score of the Functional Movement Screening test. (table 1)
Table 1: The correlation between the FDNS test and the subtests scores whit the FMS score.
FDNS
FMS
r Sig
Overall score 0/351 0/000*
Breathing stereotype test 0/027 0/789
Intra-abdominal pressure regulation test 0/211 0/035*
Diaphragm test 0/282 0/004*
Hip flexion test 0/194 0/053
Supine test with legs raised up 0/283 0/004*
Trunk and neck flexion test 0/204 0/041*
Arm lifting test 0/101 0/319
Trunk extension test 0/023 0/817
Quadruped position test -0/053 0/598
Bear position test 0/126 0/210
Squat test 0/195 0/052
Conclusion: The results showed that the FDNS tests and FMS have a significant but weak correlation. This can be attributed to methodological and conceptual differences. FDNS tests emphasize the activation of core stabilizing muscles and proper breathing patterns, while FMS focuses on identifying movement limitations, asymmetries, and the balance between stability and mobility. The study found that appropriate activation and coordination of core stabilizing muscles could improve performance in FMS tests, especially those requiring trunk stability and dynamic movement control. The role of respiratory muscles and intra-abdominal pressure regulation emerges as a critical factor in trunk stability. This shared emphasis highlights the importance of core stability in executing proper movement patterns effectively.
Keywords: Functional Movement Screening, Dynamic Neuromuscular Stabilization, intra-abdominal pressure regulation, Core stability
کلیدواژه‌ها [English]
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