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Lower FMS scores associated with higher sports injury risk in physical education studentsCan a simple movement test predict who gets hurt playing sports?

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Key Takeaway
Consider FMS scores ≤15 as potential injury risk marker in physically active students, but recognize this is observational association.

In a prospective cohort study, 355 college students majoring in physical education underwent baseline Functional Movement Screen (FMS) testing and were followed for one semester to assess sports injury risk. The study compared injury outcomes between students with FMS scores ≤15 (n=160) and those with scores >15 (n=195). No comparator intervention was reported.

Students with FMS scores ≤15 had significantly higher injury risk than those with scores >15, with an unadjusted odds ratio of 9.17 and an adjusted odds ratio of 8.21. The mean FMS score across all subjects was 15.623. ROC curve analysis showed the FMS total score had an area under the curve of 0.8338 for injury prediction, with sensitivity of 0.6538 and specificity of 0.8889 at the optimal cut-off.

Safety and tolerability data were not reported. The study has several limitations: it was observational and cannot establish causation, results may not generalize beyond physical education majors, and key statistical measures like p-values and confidence intervals were not reported. Funding and conflicts of interest were also not reported.

For clinical practice, this study suggests the FMS may have utility as a screening tool for injury risk assessment in physically active young adults. However, clinicians should interpret these findings cautiously as they demonstrate association rather than causation and come from a specific population of physical education students. The FMS should be considered as one component of a comprehensive injury prevention approach.

Imagine a simple test that could flag which athletes are most likely to get hurt. Researchers looked at exactly that for a specific group: college students majoring in physical education. They gave 355 students a baseline Functional Movement Screen (FMS)—a series of standardized movements that assess things like balance and stability—and then tracked who got a sports injury over the next semester.

The results were striking. Students who scored 15 or lower on the FMS were much more likely to get injured compared to those who scored higher. The strength of this link was notable. The test itself also performed well at distinguishing between higher and lower risk, according to the analysis.

It's crucial to understand what this study does and doesn't tell us. First, it shows a strong association, not proof that a low score causes an injury. Other factors could be at play. Second, these were physical education majors—a group likely more active than the average person. We don't know if the same link would hold for weekend warriors or professional athletes. The study didn't report any safety issues with the test itself, which is non-invasive. This is a promising step for using movement screening in a specific training environment, but it's not yet a universal predictor.

What this means for you:
A low movement screen score was strongly linked to higher injury risk in PE students.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
ObjectiveThis study aims to explore the application significance of the Functional Movement Screen (FMS) in the scenario of sports injury risk assessment for students majoring in physical education. On the basis of accurately identifying students’ deficiencies in movement function, it further analyzes the corresponding relationship between FMS data and the level of sports injury risk.MethodsThis manuscript is reported in accordance with the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement for cohort studies. The completed STROBE checklist is provided as Supplementary Material (Supplementary File 1). In this prospective cohort study, 355 physical education majors completed a baseline standardized FMS test and were prospectively monitored for sports injuries over one semester. Using GraphPad Prism 9.5.0 software, a Receiver Operating Characteristic (ROC) curve was constructed based on the total FMS scores to realize the assessment of sports injury risk. Meanwhile, a binary logistic regression analysis was adopted to explore the association between the results of the 7 tests included in the FMS and sports injury risk, and the Odds Ratio (OR) was used to quantitatively evaluate the relative impact of relevant factors on sports injury risk.ResultsData analysis yielded the following findings: (1) The average FMS score of the subjects was 15.623; (2) The ROC curve of the subjects identified a threshold of 14.5 points; (3) The Area Under the Curve (AUC) was 0.8338, indicating diagnostic significance (with a sensitivity of 0.6538, a specificity of 0.8889, and an OR of 9.17). The analysis revealed that when the FMS score was 14.5, the Youden's index reached its maximum value of 0.5427. Since sensitivity is prioritized higher in assessing sports injury risk using total FMS scores, a moderate increase in the number of false positives was deemed acceptable in this study. In addition, as FMS scores are required to be integers, 15 points were finally determined as the optimal cut-off value for judging sports injury risk in this study. Based on the 15-point criterion, there were 160 subjects with a total FMS score ≤15 and 195 subjects with a total FMS score >15. Among them, the risk of sports injury for subjects with a total FMS score 15. After adjusting for training volume, previous injury, and sport type, the association remained significant (adjusted OR = 8.21).ConclusionA total FMS score of ≤15 was associated with a significantly higher risk of sports injury (OR = 9.17) among physical education majors, suggesting its utility as a screening tool. Students with lower FMS scores have a higher risk of injury during sports compared to those with higher scores.
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