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How can you use the Functional Movement Screen to assess lower back pain?

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Lower back pain is a common and debilitating condition that affects millions of people worldwide. It can interfere with your daily activities, your work performance, and your quality of life. If you suffer from lower back pain, you might be wondering how to prevent it, treat it, or improve your functional movement. One tool that can help you is the Functional Movement Screen (FMS).

The FMS is a set of seven tests that assess your mobility, stability, and movement patterns. It can identify your strengths and weaknesses, as well as your risk of injury. The FMS can also provide you with a baseline score and a corrective exercise program to address your specific needs. In this article, you will learn how to use the FMS to assess lower back pain and improve your functional training.

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Asad Owaisi

Senior Consultant at The Owaisi's Clinics & Star Care Hospital

1 What is the FMS?

The FMS is a system developed by physical therapists Gray Cook and Lee Burton which evaluates movement quality and efficiency. It consists of seven tests that cover fundamental movement patterns essential for human function, such as deep squat, hurdle step, inline lunge, shoulder mobility, active straight leg raise, trunk stability push-up, and rotary stability. Each test is scored on a scale of 0 to 3 based on your ability to perform the movement without pain, compensation, or asymmetry. A score of 0 indicates pain, a score of 1 indicates inability, a score of 2 indicates compensation, and a score of 3 indicates proficiency. The total score is the sum of the seven tests with a maximum of 21 points. Additionally, the FMS can identify any asymmetries or imbalances between your left and right sides which can increase your risk of injury.

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lina marlina

Sales Manager at HEAK AUTO PRIVATE LIMITED
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The Functional Movement Screen (FMS) is a tool used to assess movement patterns and identify limitations or dysfunctions in the body. While it is primarily focused on overall movement quality, it can provide valuable information that may be relevant to lower back pain assessment. Here are some ways the FMS can be used in relation to lower back pain: 1. Identifying Movement Asymmetries: The FMS assesses various fundamental movement patterns, such as squatting, lunging, and bending. It looks for any significant differences or asymmetries between the left and right sides of the body. Lower back pain can be associated with movement imbalances or compensatory patterns, and the FMS can help identify these imbalances.

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2 Why use the FMS for lower back pain?

Lower back pain can have many causes, such as muscle strain, disc herniation, spinal stenosis, or arthritis. However, one of the most common factors that contributes to lower back pain is poor movement quality. Poor movement quality can result from lack of mobility, stability, or coordination in your joints and muscles. This can lead to compensations, dysfunctions, and inefficiencies in your movement patterns, which can put excessive stress on your lower back and other areas of your body.

The FMS can help you identify and correct these issues, by providing you with a comprehensive assessment of your movement quality and efficiency. The FMS can also help you prevent lower back pain, by detecting any potential problems before they become serious. By improving your movement quality and efficiency, you can reduce your pain, enhance your performance, and increase your functional capacity.

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3 How to perform the FMS for lower back pain?

The FMS is a screening tool, baseline measurement, or progress indicator that is performed by a certified professional, such as a physical therapist, personal trainer, or coach. It requires minimal equipment, such as a measuring stick, hurdle, and dowel and takes about 15 to 20 minutes to complete. It can be done in any setting, such as a gym, clinic, or home. To perform the FMS for lower back pain, you should warm up for 5 to 10 minutes with light cardio and dynamic stretches. Then you should complete each of the seven tests in the order listed in the FMS manual or app. Record your score for each test and note any pain, compensation, or asymmetry. Calculate your total score and compare it to the FMS norms and standards. Identify your lowest score and most significant asymmetry as these are your priority areas for improvement. Lastly, follow the corrective exercise program recommended for your score and asymmetry and perform it regularly as part of your functional training.

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4 What are the benefits of the FMS for lower back pain?

The FMS can offer you considerable advantages for lower back pain, such as pinpointing the source of your pain rather than simply masking the symptoms. It can also give you personalized and objective feedback on your movement quality and efficiency, while helping you improve your mobility, stability, and movement patterns. Furthermore, the FMS can enhance your functional training by focusing on your specific needs and goals. Moreover, it can increase your awareness and self-assurance in your movement abilities, thus improving your quality of life.

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5 What are the limitations of the FMS for lower back pain?

The FMS is not a diagnostic tool, nor a substitute for medical advice. The FMS can only assess your movement quality and efficiency, not your underlying pathology or anatomy. The FMS can also not account for all the factors that can influence your lower back pain, such as your lifestyle, your stress level, or your medical history. Therefore, the FMS should be used as a complement, not a replacement, for other methods of assessment and treatment.

The FMS is also not a one-size-fits-all solution, nor a quick fix. The FMS can only provide you with a snapshot of your movement quality and efficiency at a given time, not a permanent or comprehensive evaluation. The FMS can also not guarantee that you will improve your score, or that you will eliminate your pain, by following the corrective exercise program. Therefore, the FMS should be used as a guide, not a prescription, for your functional training.

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Asad Owaisi

Senior Consultant at The Owaisi's Clinics & Star Care Hospital
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The Functional Movement Screen (FMS) is a system used to assess movement patterns and identify any dysfunctions/ imbalances. 1. Identifying movement asymmetries: The FMS looks at various movement patterns, such as the deep squat, lunge, and hurdle step. 2. Assessing mobility and stability: The FMS also includes tests that assess mobility and stability in different parts of the body. Limited mobility or poor stability in areas like the hips, thoracic spine, or gluteal muscles. 3. Identifying movement compensations: During the FMS tests, movement compensations or deviations from the ideal movement pattern can be observed. 4. Developing a targeted exercise plan: Based on the results of the FMS, a tailored exercise plan can be created.

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6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Asad Owaisi

Senior Consultant at The Owaisi's Clinics & Star Care Hospital
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In countries with low Socio-economic level there should be a "Separate plan" for the management of the patients with low backache. Accessibility and Affordability are the main hurdles for the implementation of standard FMS protocols.

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How can you use the Functional Movement Screen to assess lower back pain?

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1 What is the FMS?

2 Why use the FMS for lower back pain?

3 How to perform the FMS for lower back pain?

4 What are the benefits of the FMS for lower back pain?

5 What are the limitations of the FMS for lower back pain?

6 Here’s what else to consider

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How can you use the Functional Movement Screen to assess lower back pain?

1

2

3

4

5

6

1 What is the FMS?

2 Why use the FMS for lower back pain?

3 How to perform the FMS for lower back pain?

4 What are the benefits of the FMS for lower back pain?

5 What are the limitations of the FMS for lower back pain?

6 Here’s what else to consider

Functional Training

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