Functional Movement Screen Template

Functional Movement Screen Template

The Functional Movement Screen (FMS) is a systematic assessment tool designed to evaluate movement patterns and identify limitations or asymmetries in an individual's physical capabilities. This scoring sheet captures essential personal information and scores across various functional tests, providing a comprehensive overview of an individual's movement quality. Completing the FMS can help athletes and coaches develop targeted training programs to enhance performance and reduce injury risk. To fill out the form, please click the button below.

Table of Contents

The Functional Movement Screen (FMS) is an essential tool designed to assess an individual's movement patterns and identify any functional limitations or asymmetries. This comprehensive evaluation consists of seven specific tests, each targeting different aspects of physical performance. Among these tests, the deep squat evaluates overall mobility and stability, while the hurdle step assesses balance and coordination. The inline lunge focuses on lower body strength and flexibility, and shoulder mobility examines upper body range of motion. Additionally, the screen includes the active straight-leg raise, trunk stability push-up, and rotary stability tests, which together provide a holistic view of an individual's functional capabilities. Each test is scored on both the right and left sides, allowing for a detailed analysis of any imbalances. The final score, derived from the lowest raw score across the tests, reflects the overall functional ability of the individual. This score not only highlights areas for improvement but also serves as a valuable benchmark for tracking progress over time.

Functional Movement Screen Sample

FMS

THE FUNCTIONAL MOVEMENT SCREEN

SCORING SHEET

NAME

 

 

 

DATE

 

DOB

ADDRESS

 

 

 

 

 

 

 

 

 

CITY, STATE, ZIP

 

 

 

 

 

PHONE

SCHOOL/AFFILIATION

 

 

 

 

 

 

 

 

 

SSN

HEIGHT

WEIGHT

AGE

GENDER

PRIMARY SPORT

 

 

PRIMARY POSITION

 

 

 

HAND/LEG DOMINANCE

 

 

PREVIOUS TEST SCORE

 

 

 

 

 

 

 

 

 

 

 

 

 

TEST

 

RAW

 

 

FINAL

 

COMMENTS

 

SCORE

 

SCORE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEEP SQUAT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

HURDLE STEP

 

 

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

INLINE LUNGE

 

 

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

SHOULDER MOBILITY

 

 

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

IMPINGEMENT CLEARING TEST

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

ACTIVE STRAIGHT-LEG RAISE

 

 

 

 

 

 

 

 

R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRUNK STABILITY PUSHUP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRESS-UP CLEARING TEST

 

 

 

 

 

 

 

 

 

L

ROTARY STABILITY

R

POSTERIOR ROCKING CLEARING TEST

TOTAL

RAW SCORE: his score is used to denote right and let side scoring. he right and let sides are scored in ive of the seven tests and both are documented in this space.

FINAL SCORE: his score is used to denote the overall score for the test. he lowest score for the raw score (each side) is carried over to give a inal score for the test. A person who scores a three on the right and a two on the let would receive a inal score of two. he inal score is then summarized and used as a total score.

Document Attributes

Fact Name Description
Purpose of FMS The Functional Movement Screen (FMS) is designed to evaluate fundamental movement patterns and identify limitations or asymmetries in individuals.
Components of FMS The FMS consists of seven tests: Deep Squat, Hurdle Step, Inline Lunge, Shoulder Mobility, Active Straight-Leg Raise, Trunk Stability Push-Up, and Rotary Stability.
Scoring System Each test is scored on a scale of 0 to 3, with the lowest score across sides being used for the final score.
Final Score Calculation The final score is the lowest raw score from either side of the body, which is then summarized to provide an overall score.
Importance of Dominance Hand and leg dominance are recorded to better understand movement patterns and potential imbalances.
Use in Sports The FMS is often utilized by coaches and trainers to assess athletes' readiness and to tailor training programs accordingly.
Age and Gender Data Participants provide age and gender information, which can help in comparing scores across different demographics.
Previous Test Scores Previous test scores can be documented to track progress over time and adjust training regimens.
State-Specific Forms Some states may have specific regulations regarding the use of the FMS, governed by local health and fitness laws.
Comments Section The comments section allows evaluators to provide qualitative feedback and observations related to the tests performed.

Functional Movement Screen: Usage Instruction

To complete the Functional Movement Screen form, follow the steps outlined below. Ensure that all required information is accurately filled in to facilitate proper evaluation.

  1. Enter the name of the individual being assessed.
  2. Fill in the date of the assessment.
  3. Provide the date of birth (DOB) of the individual.
  4. Complete the address, including city, state, and ZIP code.
  5. Record the phone number for contact purposes.
  6. Indicate the school or affiliation associated with the individual.
  7. Enter the social security number (SSN) if required.
  8. Fill in the height of the individual.
  9. Record the weight of the individual.
  10. Provide the age of the individual.
  11. Specify the gender of the individual.
  12. Identify the primary sport the individual participates in.
  13. State the primary position the individual plays in their sport.
  14. Indicate hand/leg dominance (e.g., right or left).
  15. Enter any previous test score if applicable.
  16. Fill in the test raw score for each of the following tests:
    • Deep Squat
    • Hurdle Step
    • Inline Lunge
    • Shoulder Mobility
    • Impingement Clearing Test
    • Active Straight-Leg Raise
    • Trunk Stability Pushup
    • Press-Up Clearing Test
    • Rotary Stability
    • Posterior Rocking Clearing Test
  17. Calculate the total raw score based on the individual scores.
  18. Determine the final score by recording the lowest score from the raw scores.
  19. Add any final comments related to the assessment.

Frequently Asked Questions

  1. What is the Functional Movement Screen (FMS)?

    The Functional Movement Screen is a tool used to assess movement patterns in individuals. It identifies limitations and asymmetries in movement that could lead to injury or affect performance. The FMS consists of seven tests, each designed to evaluate specific aspects of functional movement.

  2. How is the FMS scored?

    The FMS scoring system uses a raw score for each test, which is documented for both the right and left sides of the body. Each test is scored on a scale of 0 to 3. The lowest score from either side is used to calculate the final score for each test. For example, if a person scores a three on the right and a two on the left, the final score for that test would be two.

  3. What are the seven tests included in the FMS?

    • Deep Squat
    • Hurdle Step
    • Inline Lunge
    • Shoulder Mobility
    • Impingement Clearing Test
    • Active Straight-Leg Raise
    • Trunk Stability Pushup
    • Press-Up Clearing Test
    • Rotary Stability
    • Posterior Rocking Clearing Test

    Each test focuses on different functional movements, helping to provide a comprehensive overview of an individual's movement quality.

  4. Who should take the FMS?

    The FMS is beneficial for athletes, fitness enthusiasts, and individuals recovering from injury. Coaches and trainers often use it to tailor training programs and prevent injuries. It's also useful for anyone looking to improve their overall movement quality.

  5. What happens after the FMS is completed?

    Once the FMS is completed, the scores are analyzed to identify areas of strength and weakness. This information can guide training decisions and rehabilitation programs. A total score is calculated and can help track progress over time. Recommendations may be provided based on the results to improve movement patterns and reduce the risk of injury.

Common mistakes

Filling out the Functional Movement Screen (FMS) form accurately is crucial for obtaining reliable results. However, many individuals make common mistakes that can compromise the integrity of the assessment. One prevalent error is neglecting to provide complete personal information. Omitting details such as name, date of birth, or contact information can lead to difficulties in tracking progress and following up on results.

Another frequent mistake involves inaccuracies in reporting physical measurements. Individuals often misstate their height and weight, which can significantly affect the interpretation of the results. It is essential to measure these attributes accurately before completing the form. Additionally, failing to specify hand/leg dominance can lead to misunderstandings about the individual's performance, as this information is vital for proper assessment.

Many people also overlook the importance of detailing their primary sport and primary position. This information helps assessors understand the individual's specific needs and movement patterns. Without this context, the results may not reflect the person's functional capabilities accurately. Furthermore, not indicating previous test scores can hinder the ability to track improvement over time.

Individuals sometimes make errors in scoring the individual tests. For example, misunderstanding how to score the deep squat or hurdle step can lead to inflated or deflated scores. It is crucial to follow the scoring guidelines carefully and to ensure that both sides are scored properly. Miscalculating the final score, which is derived from the lowest raw score, is another common issue. This error can misrepresent an individual's overall functional capacity.

In addition, people often fail to provide comments or notes in the designated section. This space is valuable for noting any concerns or observations that may impact the assessment. Ignoring this section can result in lost insights that could be critical for future evaluations. Lastly, neglecting to double-check the completed form for any errors before submission can lead to unintended mistakes, ultimately affecting the assessment's accuracy.

To ensure the Functional Movement Screen is effective, individuals must be diligent in filling out the form. Taking the time to verify all information and scores will lead to more reliable assessments, facilitating better training and rehabilitation strategies. Addressing these common mistakes can significantly enhance the quality of the evaluation process.

Documents used along the form

The Functional Movement Screen (FMS) form is an essential tool for assessing an individual's movement patterns and identifying potential areas of risk for injury. Alongside the FMS, several other documents are commonly used to provide a comprehensive evaluation of an athlete's physical capabilities. Below are five such forms and documents.

  • Health History Questionnaire: This document gathers information about an individual's medical history, including past injuries, surgeries, and any existing health conditions. It helps assess potential risks before conducting physical tests.
  • Informed Consent Form: This form ensures that participants understand the nature of the assessments they will undergo. It outlines potential risks and benefits, allowing individuals to make informed decisions about their participation.
  • Physical Activity Readiness Questionnaire (PAR-Q): The PAR-Q evaluates an individual's readiness for physical activity. It consists of simple questions that help determine if further medical evaluation is necessary before starting an exercise program.
  • Performance Assessment Form: This document records specific performance metrics during training or competition. It can include details on strength, endurance, agility, and other relevant performance indicators that complement the FMS results.
  • Follow-Up Evaluation Form: After initial assessments, this form tracks progress over time. It allows trainers and healthcare professionals to monitor improvements, reassess movement patterns, and adjust training programs accordingly.

Utilizing these documents in conjunction with the Functional Movement Screen provides a well-rounded approach to evaluating an athlete's readiness and safety for physical activity. Each form plays a critical role in ensuring comprehensive assessment and effective training strategies.

Similar forms

The Functional Movement Screen (FMS) form is a tool used to assess movement patterns and identify potential limitations or asymmetries. Several other documents share similarities with the FMS in terms of purpose, structure, or scoring methods. Below is a list of ten such documents:

  • Physical Fitness Assessment Form: Like the FMS, this document evaluates an individual's physical capabilities, including strength, endurance, and flexibility, often using a scoring system to quantify results.
  • Posture Assessment Form: This form assesses an individual's posture and alignment, similar to how the FMS evaluates movement patterns. Both documents aim to identify areas for improvement to prevent injury.
  • Functional Capacity Evaluation (FCE): An FCE measures an individual's ability to perform work-related tasks. It shares a similar goal with the FMS of identifying functional limitations and strengths.
  • Balance Assessment Form: This document evaluates balance and stability, akin to specific tests within the FMS. Both forms provide insights into a person's physical capabilities.
  • Range of Motion Assessment Form: This form measures the flexibility of joints, similar to the FMS's focus on mobility. It helps identify limitations that could affect movement quality.
  • Strength Assessment Form: This document assesses muscular strength through various exercises, paralleling the FMS's evaluation of strength during functional movements.
  • Sports Injury Risk Assessment: This assessment identifies risk factors for injuries in athletes, similar to how the FMS pinpoints movement deficiencies that could lead to injury.
  • Gait Analysis Report: This report evaluates walking patterns, much like the FMS assesses functional movement patterns. Both documents aim to enhance performance and reduce injury risk.
  • Rehabilitation Progress Report: This document tracks a patient's recovery progress, similar to how the FMS tracks changes in movement quality over time.
  • Wellness Questionnaire: This form gathers information about an individual's overall health and lifestyle, providing context for the results obtained from the FMS.

Dos and Don'ts

When filling out the Functional Movement Screen form, there are important guidelines to follow. Here’s a list of things you should and shouldn't do:

  • Do ensure all personal information is accurate, including name, date of birth, and contact details.
  • Don't leave any required fields blank; incomplete forms may delay processing.
  • Do clearly indicate your primary sport and position to provide context for the assessment.
  • Don't use abbreviations or shorthand that may confuse the reviewer.
  • Do review your height and weight entries for accuracy before submitting.
  • Don't forget to include your previous test score if applicable; it helps track progress.
  • Do follow the instructions for scoring each test carefully to ensure consistency.
  • Don't overlook the importance of the clearing tests; they are crucial for accurate scoring.
  • Do double-check the final score calculation to confirm it reflects your raw scores correctly.
  • Don't submit the form without reviewing all entries; mistakes can lead to misinterpretation of results.

Misconceptions

Misconceptions about the Functional Movement Screen (FMS) can lead to misunderstandings about its purpose and use. Here are six common misconceptions:

  • FMS is only for athletes. Many believe that the FMS is designed solely for athletes. In reality, it can be beneficial for anyone looking to improve their movement patterns, regardless of their fitness level.
  • FMS scores determine injury risk. Some people think that FMS scores directly indicate whether someone will get injured. While the FMS can highlight movement limitations, it does not predict injuries with certainty.
  • All tests in the FMS are equally important. Many assume that every test in the FMS carries the same weight. However, some tests may be more relevant depending on an individual's specific needs or sports.
  • A high score means perfect movement. Some believe that scoring well on the FMS indicates flawless movement. A high score suggests good movement patterns, but it does not guarantee that a person will never experience issues.
  • FMS is only for rehabilitation. There is a misconception that the FMS is only useful for those recovering from injuries. The FMS can also be used for performance enhancement and injury prevention in healthy individuals.
  • The FMS is a comprehensive assessment. Some think that the FMS provides a complete picture of a person's physical abilities. While it is a valuable tool, it should be part of a broader assessment that includes other factors like strength and endurance.

Key takeaways

When filling out and using the Functional Movement Screen (FMS) form, keep these key takeaways in mind:

  • Accurate Information: Ensure that all personal details, such as name, date of birth, and contact information, are filled out correctly.
  • Physical Measurements: Record height, weight, and age accurately, as these metrics can influence assessment results.
  • Understanding Dominance: Clearly indicate hand and leg dominance, as this may affect movement patterns.
  • Previous Test Scores: If applicable, include previous test scores to track progress over time.
  • Test Execution: Each test, including the deep squat and hurdle step, should be performed with proper technique to ensure valid results.
  • Right and Left Side Scoring: Pay attention to scoring for both sides during the tests, as this information is crucial for a complete assessment.
  • Final Score Calculation: Remember that the final score is determined by the lowest raw score from each side for the specific tests.
  • Documentation: Keep detailed comments and observations for each test, as these notes can provide valuable insights into performance.
  • Use of Scores: Utilize the total raw score and final score to identify areas for improvement and to guide training or rehabilitation programs.
  • Regular Assessment: Consider conducting the FMS regularly to monitor changes and improvements in functional movement over time.