功能性動作篩檢之系統性回顧：信度與傷害預測

Reliability and Injury Prediction of Functional Movement Screen™ : A Systematic Review

背景與目的：功能性動作篩檢（Functional Movement Screen）是由美國物理治療師Gray Cook 所提出之檢測工具，可用來記錄正常功能中，重要運動模式的得分及分級系統。藉由功能性動作篩檢可快速地鑑別出動作功能的極限及不對稱性，並由檢測結果規劃出矯正與訓練計畫，可協助運動員提升運動表現，避免運動訓練的效果下降及產生錯誤的身體自覺。近年來逐漸受到臨床及運動訓練相關領域重視，但迄今仍無統整性研究出現。因此，本研究希望藉由系統性文獻回顧，探討功能性動作篩檢之相關文獻，以提供運動員及醫學領域相關人士參考使用。
方法：本研究由PubMed 、CINAHL 、Cochrane library 、Pedro 及CEPS 等資料庫中，選取功能性動作篩檢中關於信度和預測受傷發生機會的中文及英文文獻。
結果與結論：最終選取11篇研究，多數文獻顯示功能性動作篩檢有中到高的信度，而其總分為21分，當得分低於14分時有較高受傷發生的可能性。

Background and Purpose: Functional Movement Screen is a tool for determining and scoring performance in specific movement patterns introduced by Gray Cook. This tool assessed an individual’s movement limitations and asymmetries so as to design the correction and training program, improve performance in sports and avoid incorrect body awareness. Although Functional Movement Screen has been widely employed in medical and sports training in recent years, there is neither formal evidence nor systematic review of its assessment performance. The purpose of this study is to review the reliability and injury prediction of this assessment tool. Methods: The reliability and injury prediction of the Functional Movement Screen previously reported in English and Chinese on the PubMed, CINAHL, Cochrane library, Pedro, and CEPS were systematically reviewed. Results and Conclusion: There were 11 articles on reliability and injury prediction of the Functional Movement Screen, reporting moderate to high reliability. A score of 14 or below assessed by the Functional Movement Screen indicates higher incidence of injury.