title: Do Functional Movement Screen (FMS) composite scores predict subsequent injury? A systematic review with meta-analysis.
abstract: OBJECTIVE
  This paper aims to systematically review studies investigating the strength of association between FMS composite scores and subsequent risk of injury, taking into account both methodological quality and clinical and methodological diversity.
  
  
  METHODS
  Systematic review with meta-analysis.
  
  
  METHODS
  A systematic search of electronic databases was conducted for the period between their inception and 3 March 2016 using PubMed, Medline, Google Scholar, Scopus, Academic Search Complete, AMED (Allied and Complementary Medicine Database), CINAHL (Cumulative Index to Nursing and Allied Health Literature), Health Source and SPORTDiscus.
  
  
  METHODS
  Inclusion criteria: (1) English language, (2) observational prospective cohort design, (3) original and peer-reviewed data, (4) composite FMS score, used to define exposure and non-exposure groups and (5) musculoskeletal injury, reported as the outcome.
  
  
  METHODS
  (1) data reported in conference abstracts or non-peer-reviewed literature, including theses, and (2) studies employing cross-sectional or retrospective study designs.
  
  
  RESULTS
  24 studies were appraised using the Quality of Cohort Studies assessment tool. In male military personnel, there was 'strong' evidence that the strength of association between FMS composite score (cut-point ≤14/21) and subsequent injury was 'small' (pooled risk ratio=1.47, 95% CI 1.22 to 1.77, p<0.0001,I2=57%). There was 'moderate' evidence to recommend against the use of FMS composite score as an injury prediction test in football (soccer). For other populations (including American football, college athletes, basketball, ice hockey, running, police and firefighters), the evidence was 'limited' or 'conflicting'.
  
  
  CONCLUSIONS
  The strength of association between FMS composite scores and subsequent injury does not support its use as an injury prediction tool.
  
  
  BACKGROUND
  PROSPERO registration number CRD42015025575.
authors.affiliation: School of Physiotherapy, Centre for Health, Activity and Rehabilitation Research, University of Otago, Dunedin, New Zealand.|Health Care, Unitec Institute of Technology, Auckland, New Zealand.
authors.forename: Robert W
authors.identifier: http://orcid.org/0000-0002-8061-0188
authors.initials: RW
authors.lastname: Moran
authors.affiliation: Department of Exercise and Health Sciences, School of Health, Medical & Applied Sciences, Central Queensland University, Branyan, Queensland, Australia.
authors.forename: Anthony G
authors.initials: AG
authors.lastname: Schneiders
authors.affiliation: Health Care, Unitec Institute of Technology, Auckland, New Zealand.
authors.forename: Jesse
authors.initials: J
authors.lastname: Mason
authors.affiliation: School of Physiotherapy, Centre for Health, Activity and Rehabilitation Research, University of Otago, Dunedin, New Zealand.
authors.forename: S John
authors.identifier: http://orcid.org/0000-0001-9407-6484
authors.initials: SJ
authors.lastname: Sullivan
mesh_terms: D056352:Athletes; D001265:Athletic Injuries / Q000175:diagnosis*; D006801:Humans; D008889:Military Personnel; D009068:Movement; D018482:Muscle, Skeletal / Q000293:injuries*; D064887:Observational Studies as Topic; D016495:Police; D011237:Predictive Value of Tests
keywords: Evidence -based review; Functional movement screen; Injury prevention; Sporting injuries