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Functional Movement Screen (FMS): Can It Actually Prevent Sports Injuries? | Evidence-Based Analysis The Functional Movement Screen (FMS) is one of the most commonly used movement screening tools in sports. You’ve probably seen athletes performing deep squats, hurdle steps, or in-line lunges while being scored. But the real question is: 👉 Does the FMS actually prevent injuries — or is it being misunderstood? In this podcast episode, we take a clear, evidence-based look at what the FMS can and cannot do, and how athletes, coaches, and clinicians should realistically use it. 🎧 What You’ll Learn in This Episode What the Functional Movement Screen (FMS) actually measures The 7 movement tests and how the scoring system works What research says about FMS scores and injury risk Why FMS is not a pass/fail injury predictor Sensitivity and specificity limitations explained simply Where FMS is most valuable in real-world practice How to combine FMS with other assessments for better injury risk management 🧠 The Short Answer (If You’re in a Hurry) ✔ The FMS does not accurately predict injuries on its own ✔ Low scores (≤14) are associated with higher injury risk, not certainty ✔ FMS is best used as a screening and programming tool, not a diagnosis ✔ Injury reduction improves when FMS findings are paired with targeted corrective training 🔬 What the Research Actually Shows Athletes with low FMS scores may have 1.25–10× higher injury risk Sensitivity ranges from ~28–63%, specificity often below 50% Excellent inter-rater reliability (ICC ≈ 0.81) FMS alone cannot reliably identify who will or won’t get injured 👉 This means FMS highlights risk indicators, not guarantees. 🧩 What the FMS Is Good At Identifying movement limitations Detecting left–right asymmetries Guiding individualized corrective exercise programs Providing a scalable, repeatable screening tool for teams 🚫 What the FMS Is Not Designed To Do Replace strength testing Replace workload or conditioning monitoring Serve as a full medical or performance evaluation Predict injuries with certainty 🏃♂️ Should Athletes and Coaches Use the FMS? Yes — with realistic expectations. The FMS works best as one piece of a larger assessment system, alongside: Strength and power testing Conditioning and workload tracking Sport-specific movement analysis Medical and injury history Think of the FMS as a starting point, not a final answer. ✅ Practical Recommendations ✔ Use the FMS to identify movement limitations, not to diagnose injuries ✔ Combine FMS results with other physical and performance assessments ✔ Apply targeted corrective exercises based on individual movement patterns ✔ Reassess over time to track movement quality improvements 📌 This channel focuses on evidence-based training, injury prevention, and sports performance — separating what tools can actually do from what they’re often claimed to do. 👍 If this episode was helpful, like the video and subscribe 💬 Share your experience with the FMS or drop your questions in the comments #FunctionalMovementScreen #FMS #InjuryPrevention #SportsScience #AthleteDevelopment #EvidenceBasedTraining #physiohub