FUNCTIONAL ACTION BIOLOGICAL IMAGE DATA SCREENING METHOD TO REDUCE SPORTS INJURY

Wang, Youdong

doi:10.1590/1517-8692202127042021_0111

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Revista Brasileira de Medicina do Esporte

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Original Article • Rev Bras Med Esporte 27 (4) • Oct-Dec 2021 • https://doi.org/10.1590/1517-8692202127042021_0111 copy

FUNCTIONAL ACTION BIOLOGICAL IMAGE DATA SCREENING METHOD TO REDUCE SPORTS INJURY

MÉTODO DE TRIAGEM DE DADOS BIOLÓGICOS DE AÇÃO FUNCIONAL PARA REDUZIR LESÕES ESPORTIVAS

MÉTODO DE SELECCIÓN DE DATOS DE IMÁGENES BIOLÓGICAS DE ACCIÓN FUNCIONAL PARA REDUCIR LAS LESIONES DEPORTIVAS

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Introduction:

The Functional Movement Test (FMS) is an evaluation method for the basic movement patterns of the human body that is designed by Gray Cook.

Objective:

This paper explores the application value of functional action test (FMS) biological image data in the risk assessment of sports injuries of Chinese rugby players.

Methods:

Taking the active national football team and provincial football players as the object, the standard FMS test is used to collect the data to determine the best deadline for the total FMS score.

Results:

The area under the ROC curve (AUC) of the overall athletes, men and women was significantly different from the assumption of AUC=0.5, which were 0.780 (P=0.000), 0.877 (P=0.001), 0.7130 (P=0.013); The best cutoff points corresponding to the total score of FMS are 13.5 points, 15.5 points, and 13.5 points, respectively. The chi-square test showed that the prevalence of the positive group (the total FMS score was less than the corresponding cutoff point) was significantly higher than the negative group (the total FMS score was greater than the corresponding cutoff point) (P<0.01). The OR values of the total athlete, male and female FMS total score positive groups were 25.85 (95%CI: 3.34∼200.23), 25.00 (95%CI: 2.36∼264.80), 14.22 (95%CI: 1.76∼114.92).

Conclusions:

Among Chinese rugby players, the total score of FMS has a strong correlation with non-contact sports injuries. The score is 13.5 for women and 15.5 for men. Level of evidence II; Therapeutic studies - investigation of treatment results.

Keywords:
Functional action; Biological image data; Triage

	Number of people	age)	Height (cm)	Weight (kg)
male	28	21.1 ± 2.9	183.5 ± 5.2	85.1 ± 8.5
Female	90	20.2 ± 2.8	171.1 ± 5.7	65.7 ± 6.5
overall	118	20.4 ± 2.8	174.0 ± 7.6	70.3 ± 10.8

	Number of injuries	No injuries	Prevalence
male	14	11	56%
Female	67	14	82.7%
overall	81	25	76.4%

	overall	Male (n=25)	Female (n=81)	Comparison of P value between men and women
Squat	2.1 ± 0.7	2.5 ± 0.6	2.0 ± 0.7	0.004
Hurdle	2.0 ± 0.5	2.2 ± 0.5	2.0 ± 0.5	0.098
Straight lunge	2.3 ± 0.7	2.3 ± 05	2.3 ± 0.7	0.657
Shoulder flexibility	1.8 ± 1.3	1.7 ± 1.2	1.9 ± 1.3	0.563
Active straight knee lift	2.7 ± 0.5	2.7 ± 0.5	2.7 ± 0.5	0.887
Torso stability push-ups	1.7 ± 1.2	2.0 ± 1.2	1.5 ± 1.2	0.058
Rotational stability	1.6 ± 0.9	1.7 ± 0.9	1.6 ± 0.9	0.672
FMS total score	14.3 ± 3.0	15.1 ± 2.7	14.0 ± 3.0	0.095

	Rule out positive test		Negative test
	Number of people	proportion	Number of people	proportion
male	15	53.60%	13	46.40%
Female	50	56.20%	39	43.80%
overall	65	55.60%	52	44.40%

	Asymmetry		symmetry
	Number of people	proportion	Number of people	proportion
male	18	64.30%	10	35.70%
Female	53	58.90%	37	41.10%
overall	71	60.20%	47	39.80%

	AUC	P value	Asymptotic 95%	Confidence interval (95%CI)
	AUC	P value	Lower limit	Upper limit
male	0.877	0.001	0.744	1
Female	0.713	0.013	0.595	0.83
overall	0.78	0	0.69	0.869

FMS Total score	Female				male			overall
FMS Total score	Sensitivity	1-specificity	Youden Index	Sensitivity	1-specificity	Youden Index	Sensitivity	1-specificity	Youden Index
	1.000	1.000	0.000				1.000	1.000	0.000
2.0	1.000	0.985	0.015				1.000	0.988	0.012
3.5	1.000	0.970	0.030				1.000	0.975	0.025
5.5	1.000	0.955	0.045				1.000	0.963	0.037
7.5				1.000	1.000	0.000
8.0	1.000	0.925	0.075				1.000	0.938	0.062
8.5	1.000	0.910	0.090	1.000	0.929	0.071	1.000	0.914	0.086
9.5	1.000	0.881	0.119	1.000	0.857	0.143	1.000	0.877	0.123
11.5	1.000	0.821	0.179				1.000	0.802	0.198
12.0				1.000	0.714	0.286
12.5	1.000	0.657	0.343				1.000	0.667	0.333
13.5	0.929	0.478	0.451	1.000	0.500	0.500	0.960	0.481	0.479
14.5	0.714	0.388	0.326	0.909	0.357	0.552	0.800	0.383	0.417
15.5	0.500	0.299	0.201	0.909	0.286	0.623	0.680	0.296	0.384
16.5	0.214	0.209	0.005	0.727	0.214	0.513	0.440	0.210	0.230
17.5	0.214	0.045	0.170	0.364	0.000	0.364	0.280	0.037	0.243
18.5	0.000	0.030	-0.030	0.273	0.000	0.273	0.120	0.025	0.095
19.5	0.000	0.015	-0.015				0.000	0.012	-0.012
20.0				0.000	0.000	0.000
21.0	0.000	0.000	0.000				0.000	.000	0.000

	Female (cutoff point=13.5)			Male (cutoff point = 15.5)			Overall (cutoff point=13.5)
	no damage	damage	Prevalence	no damage	damage	Prevalence	no damage	damage	Prevalence
Negative group	13	32	71.10%	10	4	28.60%	24	39	61.90%
Positive group	1	35	97.20%	1	10	90.90%	1	42	97.70%
P value	0.002			0.002			0
OR value	14.22			25			25.85
(95%CI)	1.76∼114.92			2.36∼264.80			3.34∼200.23

Injury site	Damage mode		degree of damage			Damage rate (%)
Injury site	Independent injury	Joint injury	Grade I injury	Grade II injury	Grade III injury	Damage rate (%)
Gastrocnemius head	13	4	3	10	4	54.9
Gastrocnemius lateral head	0	5	5	0	0	16.1
Soleus muscle	5	4	8	1	0	29.0

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[1] Correspondence: Dalian Ocean University, Dalian, China. wangyoudong29@126.com