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Professional basketball related injuries have not declined over the last decade despite improvements in training and conditioning or medical advancements in diagnostics, surgery, or rehabilitation. A descriptive epidemiological study of 80% of the National Basketball Association (NBA) teams over 17 years reported an injury incidence of 19.1 per 1000 athlete exposures, and 59,179 games missed due to injury. Starkey found that the there has been a 12.4% increase in game-related injuries in the NBA in a 10-year period from the 1988 - 1997 seasons. It is suspected that increased contact within the NBA along with improved player athleticism, size, power, and speed have contribute to the rise in injuries. The most commonly reported injuries in the NBA as reported via the greatest number of days missed include ankle sprains, patellofemoral inflammation, knee sprains, and lumbar strains. Recent trends involve less focus on specific physical or clinical measures and increased attention on the assessment of functional movement patterns for the purpose of predicting the likelihood of injury. The Functional Movement Screen (FMSTM) was introduced as a pre-participation examination intended to evaluate the quality of seven basic movement patterns that require a balance of both mobility and stability. The functional movements tested include: deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg raise, trunk stability push-up, and rotary stability. It is designed to assess the extremes of specific movements and positions for the purpose of identifying potential limitation, compensation, and asymmetry in individuals without obvious pathology. Recent literature has linked this screen to injury prediction in numerous populations that may be predisposed to injury, including professional football players, firefighters, collegiate female athletes, elite track and field athletes, military personnel. The majority of reliability studies conclude that the FMSTM has good intra-rater reliability. While some researchers conclude that reliability increases with additional training and clinical experience, others claim that the FMS intra-rater reliability was not improved with FMS certification. Inter- rater reliability was reported in recent studies to range from moderate and good to high. The Y-balance Test (YBT) is pre-participation assessment used to screen individuals who may have potential for lower extremity injury. This test involves the examination of dynamic balance and postural control. While research is still lacking regarding the validity and utility of the YBT-LQ, the SEBT has been reported to have a moderate to strong effect size and that this test was reliable and valid as a dynamic predictor to lower extremity injuries. No studies have investigated the outcomes of YBT as an injury predictor in professional basketball athletes or the relationship of these factors with functional movement screens.
Physical Therapy | Rehabilitation and Therapy
Anloague, Philip A.; Strack, Donald S.; Corbeil, Joshua; Eaton, Carl; Windle, Shawn; Bubnick, Branden; Firkins, Philip; Gehle, Alex; Heile, Krystal; Lynn, Timothy; and Short, Steven, "The Utility of Functional Movement Assessment on NBA Players" (2014). University of Dayton Doctor of Physical Therapy Annual Research Symposium. 18.