Functional movement screen did not predict musculoskeletal injury among emergency medical services professionals

Source avec lien : Work, 71(3). 10.3233/WOR-205328

Les professionnels des services médicaux d’urgence (SMU) sont fréquemment victimes de blessures liées à leur travail, le plus souvent des blessures dues au surmenage ou aux mouvements. Les données sur la réduction des blessures chez les professionnels des SMU sont limitées. Le Functional Movement Screen (FMS) est un outil d’analyse du mouvement suggéré pour prédire les blessures musculo-squelettiques, mais il n’a pas été évalué auparavant pour les professionnels des SMU. L’objectif de cette étude est d’évaluer l’efficacité du FMS pour prédire les lésions musculo-squelettiques chez les professionnels des SMU.

BACKGROUND: Emergency Medical Services (EMS) professionals frequently experience job-related injuries, most commonly overexertion or movement injuries. Data on injury reduction in EMS professionals is limited. The Functional Movement Screen (FMS) is a movement analysis tool suggested to predict musculoskeletal injury, but it has not previously been evaluated for EMS professionals. OBJECTIVE: To evaluate the effectiveness of the FMS to predict musculoskeletal injury among EMS professionals. METHODS: In October 2014, EMS professionals employed in an urban third-service EMS agency volunteered to participate in FMS administered by certified screeners. Age, sex, height and weight were recorded. After screening, participants were instructed on exercises to correct movement deficiencies. We reviewed recorded injuries from 2013 to 2016. We performed descriptive statistics. With logistic regression modeling, we described factors that predicted musculoskeletal injury. We generated a receiver operating curve (ROC) for FMS prediction of musculoskeletal injury. RESULTS: 147 of 240 full-time employees participated in the FMS. Participants’ mean age was 33.7 years (SD = 9.6) and the majority (65%) were male. The median initial FMS score was 14 (IQR 11–16). Area under the ROC curve was 0.603 (p = 0.213) for FMS ability to predict any musculoskeletal injury within two years. Female sex was associated higher odds of injury (OR 3.98, 95% CI 1.61–9.80). Increasing age, body mass index (BMI) category, and FMS score≤14 did not predict musculoskeletal injury. CONCLUSION: The FMS did not predict musculoskeletal injury among EMS professionals.

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