2University of Leeds, Department of Orthopaedics, National Institute for Health Research, Leeds, UK
3Semmelweis University, Faculty of Physical Education and Sport Science, Department of Physical Education Theory and Pedagogy, Budapest, Hungary
4Semmelweis University, Faculty of Physical Education and Sport Science, Department of Gymnastics, Rhythmic Gymnastics, Dance and Aerobics,Budapest, Hungary
5Brigham Young University, Human Performance Research Center, UT, USA
Keywords: Functional movement screen; Soccer performance; 30 m sprint; Movement patterns
In the last decade, the physical requirements of soccer players in both senior and youth levels have increased enormously [2,8-10]. Game play requirements over the past few years have documented greater distances covered, higherintensity of activity and faster sprinting speeds. These physical demands of the game have necessitated improvements in general cardiovascular training [2] and also uncovered the need for improved training directed towards the specific physical skill components required to attain optimum performance [8-10]. This implies that an objective criterion beyond the opinion of experts is needed to help select optimal youth soccer players. Pre-screenings that assess functional movement quality, balance, speed, power and agility have become increasingly significant to reduce injury risk during play and predict performance [11-13].
A thorough assessment of potential soccer players should include evaluation of their physical characteristics, motor skills, functional movement ability in addition to their technical knowledge of the game, psychological profile or state, and experience level. The assessment of motor skills of soccer players is not new, as there is a significant relationship between skilled play and acceleration ability, maximum speed and running performance when changing directions [14,15]. Several studies have dealt with the anthropometrical characteristics and body composition of elite young players [8-10]. Players of different positions have different anthropometrical and physiological characteristics [16]. For example, a forward covers four times more distance at maximum speed (sprinting) than a defender will cover [17]. Compared to outfield players, goalkeepers are taller and weigh more, with longer arms, thighs and calves, and wider epicondyles on the humeri and femurs [13]. Due to the ever increasing physical requirements and differing demands of specific positions within the sport, not only sport-specific but also position-specific performance programs need to be defined and examined. Hughes et al. [18] has defined key factors of performance in the different positions: physiological, technical (defending and attacking) and psychological. These factors show the most significant differences when outfield players are compared to goalkeepers [18].
The Functional Movement Screen (FMS™) attempts to assess the fundamental movement patterns of an individual [19,20], which are learned during normal growth and development [21]. The FMS™ consists of seven movement patterns that require components of stability and mobility; it assesses trunk and core strength and stability, neuromuscular coordination, limb asymmetries during movement, postural control, proprioceptive deficits, and flexibility [19,20]. The FMS™ movement patterns are: Deep Squat, Hurdle Step, In-Line Lunge, Shoulder Mobility, Active Straight Leg Raises, Trunk Stability Push-Up and Rotary Stability. The FMS™ is designed to assess the quality and efficiency of movement patterns, rather than the quantity of repetitions performed or the amount of weight lifted [19]. The FMS™ was originally designed as a screening tool for athletes to be able to identify compensatory movements that if consistently repeated could possibly lead to injury [19]. As such, the FMS™ has been shown to effectively predict the likelihood of injury in professional athletes [22]. FMSTM scores ≤ 14 out of 21 resulted in injury rates 11 times higher than scores over 15 [23]. Having an asymmetry, regardless of the total FMSTM score doubled the risk of injury [19, 22]. The FMS™ was cited in a review study to effectively identify individuals who had a higher incidence of future injury in the populations studied [11]. FMS™ outcomes have also been studied in military training [24], martial arts [25] and firefighters [26]. There is a growing emphasis on the importance of comprehensive movement preparation and sportspecific warm-up drills before practices and matches to minimize the risk of non-contact injuries.
The purpose of this study was to compare the relationships between motor skills (speed [5 m, 10 m and 30 m sprints] and power [vertical and long jump]), anthropometrical characteristics (height, weight and BMI) and FMS™ scores of elite young Hungarian soccer players according to player position and team. This information was further incorporated in a discriminant analysis to explore the predictive ability of these factors to predict player position. A tertiary aim was to determine the frequency of total FMS™ scores ≤ 14 and of asymmetries in the FMS™ scores as these have been shown to indicate potential increased risk of injury in athletes.
Participants' height was measured using a tape measure secured to a wall. Weight was assessed with a digital scale, calibrated with a known weight to ensure validity and reliability. After obtaining height and weight, we calculated the BMI as follows: BMI = mass (kg) / (height x height) (m2). The same trained researcher conducted all anthropometrical measurements of the participants. Researchers reported the reliability of gathering weight and height measurements as excellent with Intraclass Correlation Coefficients (ICC) ≥ 0.96 [27].
|
TOTAL (n = 60) |
GK (n = 7) |
DEF (n = 17) |
MID (n = 27) |
FW (n = 9) |
Age (y) |
16.1 ± 1.6 |
15.8 ± 1.6 |
15.7 ± 1.3 |
16.5 ± 0.8 |
16.1 ± 0.9 |
Weight (kg)* |
73.8 ± 7.9 |
82.8 ± 6.7* |
74.7 ± 9.7 |
71.3 ± 5.5 |
72.8 ± 6.4 |
Height (cm)* |
180.2 ± 6.5 |
185.4 ± 5.6* |
182.5 ± 7.5 |
177.2 ± 5.3 |
181.1 ± 4.6 |
BMI (kg/m2) † |
22.6 ± 1.5 |
24 ± 1.2† |
22.3 ±1.6 |
22.7 ± 1.4 |
22.1 ± 1.2 |
* Significant difference between player positions for height and weight (F= 4.9 and F = 5.0, p = 0.004).
† Significant difference between player positions (F = 2.8, p < 0.05).
4.3.2. Vertical jump from a static position: We tested the players’ vertical jumping ability to assess power. The measurement of vertical jumping ability is the most common way to determine the explosive power of the lower limbs [32]. Each player attempted to jump as high as possible. Vertical jump height was measured using a measuring board (Taki and Company. Ltd., Japan). Each player performed three jumps with two minutes rest between jumps. The highest jump was selected for analysis. Reliability of the vertical jump has been reported as high (r = 0.93) [32,33].
Long jump from a static position: We measured the ability to long jump according to criteria reported by Almuzaini and Fleck [32]. The players performed a long jump from a standing position. Specific instructions were given to the players to begin the jump with flexed knees and arm swing was allowed to assist the jump. A starting line was marked and the length of the jump was determined using a tape measure affixed to the floor. Jumps were measured to the nearest 1 cm from the start line to the point where the heel closest to the starting line landed. If the player fell backward, the nearest body part from the start line to touch the ground was used to measure the distance of the jump. The best of three jumps was used for analysis. The reliability of this technique of measuring the long jump was found to be very high (ICC = 0.97) [32].
Functional Movement Screen: Players completed the 7 movement patterns of the FMS™ according to established methods [19-21]. The 7 different movement patterns are: Deep Squat, Hurdle Step, In-Line Lunge, Shoulder Mobility, Active Straight Leg Raises, Trunk Stability Push-Up and Rotary Stability. The grading of the quality of the movement is based on specific objective criteria, and is expressed on a scale of 0 to 3.3 is given for movement performed correctly, without compensation; 2 is given for correct movement with compensation; 1 is given for an incorrect movement with compensation and 0 is given when pain occurs during the movement [19]. The highest score of three attempts is used for analysis. However, for those screen items that test right and left sides, and therefore assess symmetry (i.e., Hurdle Step, In-Line Lunge, Shoulder Mobility, Rotary Stability, and Active Straight Leg Raises), the lower score of the two sides for the screen item is used and the asymmetry was noted. The players can score a maximum of 21 points. The movements of the participants were assessed by a researcher trained in FMS™. High [21] to good [34] inter-rater and moderate [34] intra-rater reliability in the adult population has been reported.
There were expected significant correlations between height and weight (r = 0.78), and weight and BMI (r = 0.73). There were also significant positive correlations (p ≤ 0.05) between the tests of acceleration and speed (5 and 10 m sprint, r = 0.8; 10 and 30 m sprints, r = 0.56). A significant correlation existed between the vertical jump and 30 m sprint (r = 0.49) and vertical jump and long jump (r = 0.55). There was however, no significant correlation between FMS™ and the anthropometric measurements (p > 0.05) (height, r = - 0.24; weight, r = - 0.22; BMI, r = - 0.10) nor to the motor skills tests (5 m sprint, r = - 0.14; 10 m sprint, r = - 0.01; 30 m sprint, r = 0.04; vertical jump, r = 0.09; long jump, r = 0.04). Defenders were significantly faster in the 10 m and 30 m sprints when compared to all other positions (p < 0.05).
|
TOTAL (n = 60) |
GK (n = 7) |
DEF (n = 17) |
MID (n = 27) |
FW (n = 9) |
p-value |
FMS™ score |
15.47 ± 1.93 |
14.14 ± 2.11 |
15.72 ± 1.99 |
15.67 ± 1.51 |
15.44 ± 2.65 |
0.285 |
5m Sprint (s) |
1.10 ± 0.06 |
1.12 ± 0.06 |
1.07 ± 0.06 |
1.08 ± 0.05 |
1.12 ± 0.07 |
0.188 |
10m Sprint (s) * |
1.86 ± 0.08 |
1.91 ± 0.04 |
1.83 ± 0.08 |
1.85 ± 0. 07 |
1.91 ± 0.10 |
0.027 |
30m Sprint (s) † |
4.36 ± 0.24 |
4.54 ± 0.12 |
4.27 ± 0.10 |
4.36 ± 0.12 |
4.37 ± 0.24 |
0.001 |
Long jump (cm) |
226.2 ± 14.4 |
221.6 ± 20.6 |
230.4 ± 13.1 |
225.2 ± 13.3 |
224.9 ± 15.2 |
0.508 |
Vertical jump (cm) |
48.12 ± 7.07 |
46.13 ± 7.91 |
51.82 ± 7.46 |
47.15 ± 6.30 |
46.33 ± 6.14 |
0.069 |
* Significant difference between player positions (F= 3.3, p = 0.027)
† Significant difference between player positions (F= 6.1, p = 0.001)
|
15 y (n = 14) |
16 y (n = 14) |
17 y (n = 16) |
18 y (n = 16) |
p-value |
FMS™ score |
15.57 ± 1.86 |
15.21 ± 2.42 |
15.81 ± 1.75 |
15.25 ± 1.81 |
0.812 |
5m sprint (s) |
1.10 ± 0.07 |
1.08 ± 0.06 |
1.11 ± 0.07 |
1.09 ± 0.56 |
0.675 |
10m sprint (s) |
1.89 ± 0.10 |
1.85 ± 0.07 |
1.85 ± 0.07 |
1.86 ± 0.07 |
0.574 |
30m sprint (s) |
4.43 ± 0.20 |
4.39 ± 0.13 |
4.30 ± 0.15 |
4.33 ± 0.12 |
0.119 |
Long jump (m)* |
2.14 ± 0.12 |
2.26.07 ± 0.15 |
2.28 ± 0.13 |
2.34 ± 0.11 |
0.001 |
Vertical jump (cm) † |
42.50 ± 5.38 |
44.86 ± 5.31 |
52.94 ± 6.71 |
51.06 ± 5.34 |
0.000 |
† Significant difference between player positions (F= 11.1, p = 0.001)
Variable |
P-value |
|
1 |
30 m |
0.001 |
2 |
5 m |
0.000 |
3 |
Vertical Jumping |
0.000 |
4 |
FMS™ Score |
0.000 |
5 |
BMI |
0.000 |
|
Position |
Predicted Group Membership |
Total |
||||
GK |
DEF |
MID |
FW |
||||
Original |
Count |
GK |
6 |
0 |
1 |
0 |
7 |
DEF |
0 |
13 |
2 |
2 |
17 |
||
MID |
0 |
8 |
12 |
7 |
27 |
||
FW |
0 |
2 |
2 |
5 |
9 |
||
% |
GK |
85.7 |
0.0 |
14.3 |
.0 |
100.0 |
|
DEF |
0.0 |
76.5 |
11.8 |
11.8 |
100.0 |
||
MID |
0.0 |
29.6 |
44.4 |
25.9 |
100.0 |
||
FW |
0.0 |
22.2 |
22.2 |
55.6 |
100.0 |
||
Cross-validated |
Count |
GK |
6 |
0 |
1 |
0 |
7 |
DEF |
0 |
10 |
4 |
3 |
17 |
||
MID |
1 |
9 |
9 |
8 |
27 |
||
FW |
1 |
2 |
2 |
4 |
9 |
||
% |
GK |
85.7 |
0.0 |
14.3 |
0.0 |
100.0 |
|
DEF |
0.0 |
58.8 |
23.5 |
17.6 |
100.0 |
||
MID |
3.7 |
33.3 |
33.3 |
29.6 |
100.0 |
||
FW |
11.1 |
22.2 |
22.2 |
44.4 |
100.0 |
We analyzed the data from our participants to determine which of the measured variables were discriminative of the various positions in soccer. Our results indicated that 5 variables were useful in discriminating between positions, these were 5 and 30 m sprint times, vertical jump, BMI and FMS™ scores. These variables were then tested in a cross-validation for their usefulness in assigning membership within a certain soccer position grouping. This function best identified grouping of participants into goalkeepers and defenders. This is supportive of our findings of greatest degree of difference between these positions; goalkeepers were the tallest and heaviest, with the lowest FMS scores and vertical jump height, and had the slowest speeds in the 30 m sprint. Our discriminate function performed less well in those positions which soccer players tend to be more homogeneous in their body composition (i.e. mid-fielders and forwards). Some of the significant discriminant variables related to soccer position in our study have also been reported in other studies, such as running speed [14], jumping [32], and body dimensions [35]. It is interesting to note that the FMS™ score was one of the significant variables to predict position, despite its low correlation to the other variables. The FMS™ appears to be measuring an aspect of function, ability, or fitness that the other variables do not. If this is true, then the FMS™ may be valuable not only as a screening tool for potential injury risk as previously suggested [22], but also as a screening tool to predict the position of a soccer player.
We further assessed the frequency of total FMS™ scores lower than 14 and the number of asymmetries in FMS™ scores. The FMS™ has been suggested to help predict the risk of injury of an athlete during a competitive season [20,22]. Previous research suggests that athletes who score less than 14 have a 11 times increased injury risk [22]. We found that 28% of players in our study had FMS™ scores of ≤ 14 [23]. Although none of the soccer position groups or team mean scores were under the critical 14 points, they also did not score above 16. It is important to consider an individual’s scores when assessing injury risk in an effort to identify which player might be more susceptible to injury. It would also be important to determine if interventions designed to address identified areas of compromised movement, as identified by a low FMS™ item score or asymmetry, would lead to a reduction in injury risk in soccer players. For instances, if a goal keeper scored low in the squat or lunge step or shoulder flexibility items, these being potentially important functional movements to a goal keeper, that player could engage in exercises or stretches to improve these items that may not be typically done in routine soccer practice or drills. These added exercise interventions may lead to an improved injury risk profile and perhaps even improved performance [20,22]. Our study found a relatively large number of forwards with lower FMS™ scores. The fact that 41% of the players had lower limb asymmetry is an important finding of this study as it represents a doubling of the risk factor of non-contact injuries and poor agility performance [40]. Perhaps, there should be an emphasis placed on symmetric functional movement ability in soccer players during soccer specific training [41]. This asymmetry and injury risk is suggested to be related to problems in proprioception and joint functional mobility and stability [19]. Some researchers have found intervention programs improving the quality of functional movement as represented by increases in FMS™ scores, and decreases in asymmetry and injury risk factors [23]. This improvement in functional movement would perhaps lead to more efficient athletic ability and superior performance [23].
The assessment and training of functional movement ability may be an important new aspect for the screening and development of future elite soccer players in addition to motor skills and anthropometrical characteristics. It has been suggested that significant increases in prevention and prehabilitation programs along with continuous screening of movement quality, may facilitate reducing injury and improving physical performance [26,42]. The ability to perform proper and symmetrical functional movements should become the foundation upon which the next levels of motor and sport-specific skills are built [19, 20].
There were certain limitations to our study. These include a relatively low sample size and the small number of players per position. A larger sample may have increased the likelihood of detecting differences among the dependent variables. Our study did however, point to possible relationships between the factors in our discriminate analysis and a possible prediction tool for position assignment. It was not an aim of the current study to determine the relationship between lower FMS™ scores and injury over an entire soccer season, although this would be valuable information to a player, coach, or physical therapist/ athletic trainer working with soccer players. Future prospective studies should follow players through practice and match play over the course of a season or a year to determine the FMS™ scores utility in assessing soccer players and various age and performance levels.
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