Reliability and Validity of the Functional Movement Screen™ with a Modified Scoring System for Young Adults with Low Back Pain.
Khalid Alkhathami, Yousef Alshehre, Sharon Wang-Price and 1 others
PMID 35655963WHAT IT FOUND
A modified Functional Movement Screen scoring system, where a zero is given only for increased pain rather than any pain, showed excellent reliability in young adults with low back pain.
It reliably distinguished those with pain from asymptomatic peers, supporting its use for assessing movement quality.
Key findings
01The modified scoring system demonstrated excellent inter-rater and intra-rater reliability for the composite score in both low back pain and asymptomatic groups.
02Participants with low back pain had significantly lower modified Functional Movement Screen scores compared to asymptomatic controls.
03The modification assigns a zero score only when the participant reports an increase in low back pain, rather than for the mere presence of pain.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study only included young adults (18-40 years) with low-intensity pain, so results may not apply to older adults or those with severe pain. The sample size was small (44 total), and only 22 were video-recorded for the intra-rater analysis. It is unclear if raters could recall the real-time performance when scoring the video four days later, which might influence reliability.
Declared interests
No conflicts of interest were declared.
The easy way to misread this
Do not assume this modified scoring system is validated for older adults or those with high-intensity pain, as the study only included young adults with mild symptoms.