Using the Functional Movement Screen in Team Settings

1. Using the Functional Movement Screen in Team Settings Michael Boyle www.strengthcoach.com www.bodybyboyle.com

2. Do We Use It? • The most common question we get it “do you use the FMS with your teams?” • The answer is yes. The next question is “How?” • The purpose of this presentation is to answer how and hopefully, why.

3. Why I Like Gray Cook • I like Gray Cook because he helps me to achieve my goals. • I want to get my athletes better. • I have no financial interest in any of this. • This is about results and “best practices”

4. Do I Use the FMS • We use the FMS with every injured athlete. • We have used the FMS with enough athletes to see trends.

5. Who’s Program Is It? • It’s yours! • I don’t run Gray Cook’s program and you don’t have to either. • In fact, I don’t agree with Gray on everything. • We use very little of his corrective stuff as we have not found it “group friendly”. As I understand more, I integrate more.

6. Strength and Conditioning? • The question is does Gray Cook and the FMS have the ability to make us better at our jobs? • I absolutely believe it does.

7. An Assessment or A Sales Tool? • Stop thinking of the FMS as an assessment and start thinking of it as the best tool you can have to sell your athletes on your program. • It may not change what you do but it will change how your players perceive what you do.

8. What the Results Mean • FMS results generally reinforce program design concepts. • FMS results direct program design.

9. A well designed program yields good FMS scores.

10. What Does This Mean? • MBSC example • Our coaches all scored very high. • Not surprisingly, our coaches at the time were all former athletes who had spent years on our program.

11. Reinforce? • How many of you in the audience have attempted the FMS Rotary Core Stability test?

12. It’s Easy to Sell Core Training After They Bomb This!

13. Influence of FMS on the Thought Process • The FMS changed the entire way we think, coach and train. • The knowledge gained from Gray and correspondingly the FMS, drives our entire thought process.

14. Follow Thoughts, not Gurus • “Stability before mobility” • Maybe one of the smartest things I’ve ever heard.

15. Mobility or Stability Issue? • A consistent problem is a mobility issue. • Ex- poor squat in standing, inability to flex hips while supine • An inconsistent problem is a stability problem.

16. Continuums • Static stretching ( slow or no motion)-----> AROM ( conscious motion, in place-------> Dynamic Warm-up ( conscious motion, while moving?) • A fluid continuum. Where does stuff fit? Does it matter?

17. Develop Progressions • How? Think about movement patterns. • Stable to Mobile • Confusion?

18. Movement Progressions or Exercise Progressions? • For movement, proper mobility must precede developing stability ( see constructing a warm-up) • For exercise progressions the athlete must be able to be stable prior to adding mobility ( i.e. multiplanar actions)

19. Follow Patterns • Transitional postures • 1/2 Kneel ( lunge, decrease number of joints to control) • Stand ( increase number of joints to control) • This follows the stability first idea.

20. Lift Progression • 1/2 Kneel Stable • 1/2 Kneel Sequential • Standing • Step Up • Stability to Mobility

21. 1/2 Kneel Stable

22. 1/2 Kneel Sequential

23. Standing

24. Step Up Lift

25. Don’t Add Strength to Dysfunction • What does this mean? • If you can’t squat, don’t squat. • Go single leg • Don’t modify stance to get depth. If you can’t squat low, don’t squat heavy.

26. Risk versus Benefit • Difficult versus beneficial • Difficult versus safe

27. Thought Process • Less joints moving -->more joints moving. • Stability to mobility • 2 Leg to 1 leg

28. Single Leg Progression • Split Squat ( two stable points) • Rear Foot Elevated Split Squat (decrease in stability) • 1 Leg Squat ( another decrease in stability)

29. Split Squat

30. Rear Foot Elevated

31. 1 Leg Squat

32. A Totally New Thought Process • Different joints need different approaches? • You are a stacked pile of joints

34. Results of Joint Dysfunction • Joint dysfunction will effect the joint above or below. • Poor ankle mobility=knee pain • Poor hip mobility = low back pain • Poor t-spine mobility = cervical pain

35. Without Gray Cook and the FMS, I Wouldn’t Have Had These Thoughts

36. Hockey Example • 18 out of 20 got 2’s on the hurdle step. • This indicated an obviously dysfunctional pattern of hip flexion. • Finding: poor psoas/iliacus activity • Solution: work on hip flexion from the top down

37. Hockey Players Have Trouble Doing This

38. Why? • Maybe because they are always bent at the waist?

39. FB Example • Abundance of OH Squat 2’s • Problem- ankle mobility • Solution- add ankle mobility to warm up

40. Video Examples- Ankle Mobility Progression

41. Real Life Examples • We have made millions ( for others) with FMS data

42. Quick Thought • Is In-Line Lunge a Lunge? • By my definition no. • I refer to it as a split squat. A static exercise. • A lunge has motion and would be classified as dynamic. • Lunge has a transitional component. • I think Gray is looking at a single leg pattern

43. Why We Added 1 Leg Squat • We think lunge and 1 leg squat are too disimilar. • Both at MBSC and at AP we added 1 Leg Squats to the screen.

44. Example 1- In Line Lunge • Subject- NBA All Star Guard • Problem- Torn oblique • Finding? 0 on the In-Line Lunge on the Left Leg • Significance? History of turf toe?

45. What Does Turf Toe have to do with Oblique Strains? • Turf toe led to altered gait • Externally rotated hips and supinated feet. • Externally rotated hips took away hip mobility for “spin” moves. • Lack of hip mobility caused an abdominal tear

46. Example 2- Chronic Hamstring Strains: NFL Wide Receiver • FMS finding • 1 Rotary Stability • 3 Rotary Mobility • The “perfect storm” of back pain. • Great mobility w/ no control

47. The Plot Thickens • This guy stopped lifting after college due to numerous back strains. • The reality is that he should have never been loaded in college • Solution- unilateral program to develop glutes. • Previous rehab had centered on hamstrings. Hamstring issues were a symptom of poor glutes, not the cause of the strains. • In the absence of glutes, hamstrings will fail every time. They are a secondary extensor.

48. Example 3- NFL Defensive Lineman • Abdominal surgery, back surgery, current complaint L knee pain. • 0 Single Leg squat test. Painful collapse on the left.

49. You Have to Able to do This!

50. If You Can’t? • You’ve got problems. • Big problems.