Revista de Medicina Desportiva (English) March 2018 - Page 19

The score of 3 indicates that the movement was completed according to the instructions and does not present any movement and pain compensation . The score of 2 indicates that the athlete completed the pain-free movement , but with some level of compensation , and the score of 1 indicates that the athlete was unable to complete the movement as instructed . A 0 is assigned if the athlete experiences pain in any part of the movement . Of the seven tests that make up the FMS , five of them ( transpose an obstacle , lunges , shoulder mobility , active hip flexion in supine and stability in rotation ) are carried out and sorted separately to the right and left sides of the body . By assigning the score to a test , which incorporates the left and right side , the smallest of the two results is used for the final score . The FMS general score can vary from 0 to 21 . 7
Several studies have used the value of 14 as a critical limit , while predictor of injury 8 . 9 And they refer that the risk of injury is higher in athletes whose total score is less than 14 . 7 . 8 Kiesel et al . ( 2017 ) Analyzed , retrospectively , the relationship between the FMS score for American football players and the likelihood of injury . The FMS scores were obtained in the pre-season in 46 players . It was concluded that the likelihood of injury was 11.7 times higher in players with a total score less than 14 points . 8
The purpose of the functional evaluation with the FMS test battery , the Overhead Squat or several other tests , such as the balance leg test , it is intended to determine the existence of some failure in the strategy of stabilization and / or movement of the player for preventive action .
Respect the ideal functional strength ratios of the body
alteration of this relationship places the posterior muscles of the thigh and the anterior cruciate ligament at greater risk of injury . The optimal ratio is 1:1 in the comparison between the eccentric strength value of the hamstrings muscles and the concentric strength value of the quadriceps . 10
In the perspective of countering the fragility of the posterior muscles of the thighs of football players , it is suggested the inclusion of training sessions of strength for this musculature at a preparatory stage of the sporting season and also later , respecting the principles of progressive and adaptation during the competitive period , with adjusted intensity and volume . Some of the exercises that may be carried out are the Nordic exercise or the exercise of leg Curl . Players with values above the critical strength limits in the relationship hamstrings / quadriceps have fewer occurrences and recurrences of injuries hamstring muscles . 11 In a more holistic perspective of strengthening the musculature of the lower body , the squat can be considered a great option of strength training , due to the athletes , whenever the clinical situation permits , Figure 1 – The overhead squat to achieve a large range of movement ( Full squat ) for increased muscle involvement of the large gluteus . 12 prevent and assist in the recovery of lesions at ankle level . In the study of Mchugh ( 2007 ) the incidence of ankle sprain was evaluated by indirect trauma before and after the intervention in 175 football players . 13 The intervention lasted three years and consisted of a balance and stability training protocol on a foam roller . In each sportseason this protocol was applied for 5 days a week , for 4 weeks in the preseason and twice a week during the season . The results showed that there was a reduction in the occurrences of ankle sprain after the intervention , which is according to results
14 . 15 obtained by other authors .
The equilibrium training allows the diversification of the sensory stimuli applied to the athlete , the improvement of the proprioception and posture Control . 15 At the same time , a positive transfer is achieved for the actual training and competition situations , in which there is sometimes some irregularity of the game terrain and approach and
Ref . https :// dta0yqvfnusiq . cloudfront . net / thefitnesstraineracademy / 2015 / 10 / image04 . png
In the lower body , there should be an optimal ratio of 100-60 / 70 % ( concentric strength values ) between posterior and anterior thigh musculature . That is , the quadriceps muscles should be able to produce higher values of strength than the hamstrings muscles , but the latter should not be much weaker than the first , which often happens . The
Balance Training
Equilibrium exercises carried out with or without unstable surfaces ,
Figure 2 – Tests of the Functional Movement Screening
Ref . https :// www . physio-pedia . com / images / 6 / 60 / FMS . jpeg
Revista de Medicina Desportiva informa march 2018 Β· 17
The score of 3 indicates that the movement was completed accord- ing to the instructions and does not present any movement and pain compensation. The score of 2 indicates that the athlete completed the pain-free movement, but with some level of compensation, and the score of 1 indicates that the athlete was unable to complete the move- ment as instructed. A 0 is assigned if the athlete experiences pain in any part of the movement. Of the seven tests that make up the FMS, five of them (transpose an obstacle, lunges, shoulder mobility, active hip flexion in supine and stability in rotation) are carried out and sorted separately to the right and left sides of the body . By assigning the score to a test, which incorporates the left and right side, the smallest of the two results is used for the final score. The FMS general score can vary from 0 to 21. 7 Several studies have used the value of 14 as a critical limit, while predictor of injury 8.9 And they refer that the risk of injury is higher in athletes whose total score is less than 14. 7.8 Kiesel et al. (2017) Ana- lyzed, retrospectively, the relation- ship between the FMS score for American football players and the likelihood of injury. The FMS scores were ½‰Ρ…₯Ή•₯ΈΡ‘”ΑΙ”΅Ν•…Ν½Έ₯Έ(Π؁Α±…ε•ΙΜΈ%Ё݅́½Ή±Υ‘•Ρ‘…Ёё”)±₯­•±₯‘½½½˜₯Ή©ΥΙδέ…Μ€Δĸ܁Ρ₯΅•Μ)‘₯‘•Θ₯ΈΑ±…ε•Ίέ₯Ρ „Ρ½Ρ…°Ν½Ι”)±•Ν́ё…Έ€ΔЁΑ½₯ΉΡΜΈ€ΰ)Q‘”ΑΥΙΑ½Ν”½˜Ρ‘”™ΥΉΡ₯½Ή…°)•Ω…±Υ…Ρ₯½Έέ₯Ρ Ρ‘”5LΡ•ΝЁ‰…ΡΡ•Ιδ°)Ρ‘”=Ω•Ι‘•…MΕՅЁ½ΘΝ•Ω•Ι…°½Ρ‘•Θ)Ρ•ΝΡΜ°ΝՍ …́ё”‰…±…Ή”±•œΡ•ΝΠ°₯Π)₯́₯ΉΡ•Ή‘•ΡΌ‘•Ρ•Ι΅₯Ή”Ρ‘”•α₯ΝΠ΄)•Ή”½˜Ν½΅”™…₯±ΥΙ”₯ΈΡ‘”ΝΡΙ…Ρ•δ)½˜ΝΡ…‰₯±₯ι…Ρ₯½Έ…Ή½½Θ΅½Ω•΅•ΉΠ½˜)Ρ‘”Α±…ε•Θ™½ΘΑΙ•Ω•ΉΡ₯Ω”…Ρ₯½ΈΈ)I•ΝΑ•ΠΡ‘”₯‘•…°™ΥΉΡ₯½Ή…°)ΝΡΙ•ΉΡ Ι…Ρ₯½Μ½˜Ρ‘”‰½‘δ)%ΈΡ‘”±½έ•Θ‰½‘䰁ё•Ι”Ν‘½Υ±‰”…Έ)½ΑΡ₯΅…°Ι…Ρ₯Ό½˜€Δΐΐ΄ΨΐΌάΐ”€‘½Έ΄)•ΉΡΙ₯ŒΝΡΙ•ΉΡ Ω…±Υ•Μ€‰•Ρέ••Έ)Α½ΝΡ•Ι₯½Θ…Ή…ΉΡ•Ι₯½ΘΡ‘₯ ΅ΥΜ΄)Υ±…ΡΥΙ”ΈQ‘…Ё₯Μ°Ρ‘”ΕΥ…‘Ι₯•ΑΜ)΅Υ͍±•ΜΝ‘½Υ±‰”…‰±”ΡΌΑΙ½‘Ս”)‘₯‘•ΘΩ…±Υ•Μ½˜ΝΡΙ•ΉΡ Ρ‘…ΈΡ‘”)‘…΅ΝΡΙ₯ΉΜ΅Υ͍±•Μ°‰ΥЁё”±…ΡΡ•Θ)Ν‘½Υ±Ή½Π‰”΅Υ έ•…­•ΘΡ‘…Έ)Ρ‘”™₯ΙΝΠ°έ‘₯ ½™Ρ•Έ‘…ΑΑ•ΉΜΈQ‘”)…±Ρ•Ι…Ρ₯½Έ½˜Ρ‘₯́ɕ±…Ρ₯½ΉΝ‘₯ΐΑ±…•Μ)ΑΙ•Ω•ΉΠ…Ή…ΝΝ₯ΝЁ₯ΈΡ‘”Ι•½Ω•Ι䁽˜)Ρ‘”Α½ΝΡ•Ι₯½Θ΅Υ͍±•Μ½˜Ρ‘”Ρ‘₯ )±•Ν₯½ΉΜ…Ё…Ή­±”±•Ω•°Έ%ΈΡ‘”ΝΡΥ‘δ)…ΉΡ‘”…ΉΡ•Ι₯½ΘΙՍ₯…Ρ”±₯…΅•ΉΠ)½˜5‘՝ € Θΐΐά€Ρ‘”₯Ή₯‘•Ή”)…ЁΙ•…ѕȁΙ₯Ν¬½˜₯Ή©ΥΙ丁Q‘”½ΑΡ€΄)½˜…Ή­±”ΝΑΙ…₯Έέ…́•Ω…±Υ…Ρ•‰δ)΅…°Ι…Ρ₯Ό₯Μ€Δθā₯ΈΡ‘”½΅Α…Ι₯Ν½Έ)₯Ή‘₯Ι•ΠΡΙ…Υ΅„‰•™½Ι”…Ή…™Ρ•ΘΡ‘”)‰•Ρέ••ΈΡ‘”••ΉΡΙ₯ŒΝΡΙ•ΉΡ )₯ΉΡ•ΙΩ•ΉΡ₯½Έ₯Έ€Δάԁ™½½Ρ‰…±°Α±…δ΄)Ω…±Υ”½˜Ρ‘”‘…΅ΝΡΙ₯ΉΜ΅Υ͍±•Μ…Ή•ΙΜΈ€Δ́Q‘”₯ΉΡ•ΙΩ•ΉΡ₯½Έ±…ΝΡ•Ρ‘Ι•”)Ρ‘”½Ή•ΉΡΙ₯ŒΝΡΙ•ΉΡ Ω…±Υ”½˜Ρ‘”)ε•…Ί…Ή½ΉΝ₯ΝΡ•½˜„‰…±…Ή”)ΕΥ…‘Ι₯•ΑΜΈ€Δΐ)…ΉΝΡ…‰₯±₯ΡδΡΙ…₯Ή₯ΉœΑΙ½Ρ½½°½Έ„)%ΈΡ‘”Α•ΙΝΑ•Ρ₯Ω”½˜½ΥΉΡ•Ι₯Ήœ)™½…΄Ι½±±•ΘΈ%Έ•… ΝΑ½ΙΡΝ•…Ν½ΈΡ‘₯Μ)Ρ‘”™Ι…₯±₯Ρ䁽˜Ρ‘”Α½ΝΡ•Ι₯½Θ΅Υ͍±•Μ)ΑΙ½Ρ½½°έ…́…ΑΑ±₯•™½Θ€Τ‘…έ„)½˜Ρ‘”Ρ‘₯‘́½˜™½½Ρ‰…±°Α±…ε•ΙΜ°₯Ё₯Μ)έ••¬°™½Θ€Πέ••­Μ₯ΈΡ‘”ΑΙ•Ν•…Ν½Έ)Ν՝•ΝΡ•Ρ‘”₯Ή±ΥΝ₯½Έ½˜ΡΙ…₯Ή₯Ήœ)…ΉΡέ₯”„έ••¬‘ΥΙ₯ΉœΡ‘”Ν•„΄)Ν•ΝΝ₯½ΉΜ½˜ΝΡΙ•ΉΡ ™½ΘΡ‘₯́΅ΥΜ΄)Ν½ΈΈQ‘”Ι•ΝΥ±Ρ́͑½έ•Ρ‘…Ёё•Ι”)Υ±…ΡΥΙ”…Ё„ΑΙ•Α…Ι…Ρ½ΙδΝΡ…”½˜)݅́„Ι•‘ՍΡ₯½Έ₯ΈΡ‘”½ΥΙΙ•Ή•Μ)Ρ‘”ΝΑ½ΙΡ₯ΉœΝ•…Ν½Έ…Ή…±ΝΌ±…Ρ•Θ°)½˜…Ή­±”ΝΑΙ…₯Έ…™Ρ•ΘΡ‘”₯ΉΡ•ΙΩ•Έ΄)Ι•ΝΑ•Ρ₯ΉœΡ‘”ΑΙ₯Ή₯Α±•Μ½˜ΑΙΌ΄)Ρ₯½Έ°έ‘₯ ₯́…½Ι‘₯ΉœΡΌΙ•ΝΥ±ΡΜ)Ι•ΝΝ₯Ω”…Ή…‘…ΑΡ…Ρ₯½Έ‘ΥΙ₯ΉœΡ‘”)½‰Ρ…₯Ή•‰δ½Ρ‘•Θ…ΥΡ‘½ΙΜΈ€ΔΠΈΔΤ)½΅Α•Ρ₯Ρ₯Ω”Α•Ι₯½°έ₯Ρ …‘©ΥΝΡ•)Q‘”•ΕΥ₯±₯‰Ι₯Υ΄ΡΙ…₯Ή₯Ήœ…±±½έΜ)₯ΉΡ•ΉΝ₯Ρ䁅ΉΩ½±Υ΅”ΈM½΅”½˜Ρ‘”)Ρ‘”‘₯Ω•ΙΝ₯™₯…Ρ₯½Έ½˜Ρ‘”Ν•ΉΝ½Ιδ)•α•Ι₯͕́ё…Ё΅…䁉”…ΙΙ₯•½ΥЁ…Ι”ΝΡ₯΅Υ±€…ΑΑ±₯•ΡΌΡ‘”…Ρ‘±•Ρ”°Ρ‘”)Ρ‘”9½Ι‘₯Œ•α•Ι₯Ν”½ΘΡ‘”•α•Ι₯Ν”)₯΅ΑΙ½Ω•΅•ΉΠ½˜Ρ‘”ΑΙ½ΑΙ₯½•ΑΡ₯½Έ)½˜±•œ ΥΙ°ΈA±…ε•Ίέ₯Ρ Ω…±Υ•Μ…‰½Ω”)…ΉΑ½ΝΡΥΙ” ½ΉΡΙ½°Έ€ΔԁЁё”Ν…΅”)Ρ‘”Ι₯Ρ₯…°ΝΡΙ•ΉΡ ±₯΅₯Ρ́₯ΈΡ‘”)Ρ₯΅”°„Α½Ν₯Ρ₯Ω”ΡΙ…ΉΝ™•Θ₯́…‘₯•Ω•)Ι•±…Ρ₯½ΉΝ‘₯ΐ‘…΅ΝΡΙ₯ΉΜ½ΕΥ…‘Ι₯•ΑΜ)™½ΘΡ‘”…ΡΥ…°ΡΙ…₯Ή₯Ήœ…Ή½΄΄)‘…Ω”™•έ•Θ½ΥΙΙ•Ή•Μ…ΉΙ•ΥΘ΄)Α•Ρ₯Ρ₯½ΈΝ₯ΡΥ…Ρ₯½ΉΜ°₯Έέ‘₯ Ρ‘•Ι”)Ι•Ή•Μ½˜₯Ή©ΥΙ₯•Μ‘…΅ΝΡΙ₯Ήœ΅ΥΜ΄)₯́ͽ΅•Ρ₯΅•ΜΝ½΅”₯ΙΙ•Υ±…Ι₯Ρ䁽˜)±•ΜΈ€Δā%Έ„΅½Ι”‘½±₯ΝΡ₯ŒΑ•ΙΝΑ•Ρ₯Ω”)Ρ‘”…΅”Ρ•ΙΙ…₯Έ…Ή…ΑΑΙ½… …Ή)½˜ΝΡΙ•ΉΡ‘•Έ΄)₯ΉœΡ‘”΅ΥΜ΄)Υ±…ΡΥΙ”½˜Ρ‘”)±½έ•Θ‰½‘δ°)Ρ‘”ΝΕՅЁ…Έ)‰”½ΉΝ₯‘•Ι•)„Ι•…Ё½ΑΡ₯½Έ)½˜ΝΡΙ•ΉΡ )ΡΙ…₯Ή₯Ήœ°‘Υ”)ΡΌΡ‘”…Ρ‘±•Ρ•Μ°)έ‘•Ή•Ω•ΘΡ‘”)±₯Ή₯…°Ν₯ΡΥ„΄)Ρ₯½ΈΑ•Ι΅₯ΡΜ°)₯ΥΙ”€ΔƒŠLQ‘”½Ω•Ι‘•…ΝΕΥ…Π)I•˜Έ‘ΡΡΑΜθΌ½‘Ρ„ΑεΕΩ™ΉΥΝ₯ΔΉ±½Υ‘™Ι½ΉΠΉΉ•Π½Ρ‘•™₯ΡΉ•ΝΝΡΙ…₯Ή•Ι……‘•΅δΌΘΐΔΤΌΔΐ½₯΅…”ΐΠΉΑΉœ)ΡΌ…‘₯•Ω”„)±…ɝ”Ι…Ή”)½˜΅½Ω•΅•ΉΠ(‘Υ±°ΝΕΥ…Π€)™½Θ₯ΉΙ•…Ν•)΅Υ͍±”)₯ΉΩ½±Ω•΅•ΉΠ)½˜Ρ‘”±…ɝ”)±ΥΡ•ΥΜΈ€ΔΘ) …±…Ή”)QΙ…₯Ή₯Ήœ)ΕΥ₯±₯‰Ι₯Υ΄)•α•Ι₯͕́…Θ΄)Ι₯•½ΥЁέ₯Ρ )½Θέ₯Ρ‘½ΥΠ)ΥΉΝΡ…‰±”)ΝΥΙ™…•Μ°)₯ΥΙ”€ΘƒŠLQ•ΝΡ́½˜Ρ‘”ΥΉΡ₯½Ή…°5½Ω•΅•ΉΠMΙ••Ή₯Ήœ)I•˜Έ‘ΡΡΑΜθΌ½έέάΉΑ‘εΝ₯Ό΅Α•‘₯„Ή½΄½₯΅…•ΜΌΨΌΨΐ½5LΉ©Α•œ)I•Ω₯ΝΡ„‘”5•‘₯₯Ή„•ΝΑ½ΙΡ₯Ω„₯Ή™½Ι΅„΅…ɍ €ΘΐΔΰƒ ά€Δ